Abstract
A change in the traditional Japanese diet to include foods from other countries and increased reliance on motorization has resulted in higher-caloric intake and lower energy expenditure. In consequence, the number of patients with type 2 diabetes, hyperlipidemia, hyperuricemia, hypertension and coronary vascular disease has grown rapidly. These have come to be called lifestyle-related diseases because changes in lifestyle are deeply associated with the onset and development of the diseases. In the U.S. and Europe, lifestyle modification and medication are considered important to the treatment of such diseases. Cognitive behavioral therapy plays a central role in lifestyle modification. We here focus mainly on cognitive behavioral therapy for obesity, which has often been associated with lifestyle-related diseases.