Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial
- 2.6k Downloads
We evaluated changes in mindful eating as a potential mechanism underlying the effects of a mindfulness-based intervention for weight loss on eating of sweet foods and fasting glucose levels. We randomized 194 obese individuals (M age = 47.0 ± 12.7 years; BMI = 35.5 ± 3.6; 78 % women) to a 5.5-month diet-exercise program with or without mindfulness training. The mindfulness group, relative to the active control group, evidenced increases in mindful eating and maintenance of fasting glucose from baseline to 12-month assessment. Increases in mindful eating were associated with decreased eating of sweets and fasting glucose levels among mindfulness group participants, but this association was not statistically significant among active control group participants. Twelve-month increases in mindful eating partially mediated the effect of intervention arm on changes in fasting glucose levels from baseline to 12-month assessment. Increases in mindful eating may contribute to the effects of mindfulness-based weight loss interventions on eating of sweets and fasting glucose levels.
KeywordsMindful eating Fasting glucose Sweet foods Obese adults Mindfulness intervention
This research was supported by funding from the National Institutes of Health (NCCIH) to Frederick M. Hecht (1P01AT005013; K24AT007827) and Jennifer Daubenmier (K01AT004199). Ashley E. Mason was supported by NCCIH (T32AT003997). This publication was supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through UCSF-CTSI Grant Number UL1 TR000004. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.
Compliance with Ethical Standards
Conflict of interest
Ashley E. Mason, Elissa S. Epel, Patricia J. Moran, Mary Dallman, Robert H. Lustig, Michael Acree, Peter Bacchetti, Barbara A. Laraia, Frederick M. Hecht, and Jennifer Daubenmier declare that they have no conflicts of interest. Jean Kristeller participated in a paid webinar on ‘mindful snacking’ for Allidura Consumer.
Human and animal rights and Informed consent
All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
- Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.Google Scholar
- Dalen, J., Smith, B. W., Shelley, B. M., Sloan, A. L., Leahigh, L., & Begay, D. (2010). Pilot study: Mindful Eating and Living (MEAL): Weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. Complementary Therapies in Medicine, 18, 260–264.CrossRefPubMedGoogle Scholar
- Daubenmier, J., Moran, P. J., Kristeller, J., Acree, M., Bacchetti, P., Kemeny, M., … Hecht, F. (in press). Effects of a mindfulness-based weight loss program in obese adults: A randomized clinical trial. Obesity.Google Scholar
- IBM Corp. (2013). IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp.Google Scholar
- Johnson, B. A., Herring, A. H., Ibrahim, J. G., & Siega-Riz, A. M. (2007). Structured measurement error in nutritional epidemiology: Applications in the pregnancy, infection, and nutrition (PIN) study. Journal of the American Statistical Association, 102, 856–866.CrossRefPubMedPubMedCentralGoogle Scholar
- Jonnalagadda, S. S., Mitchell, D. C., Smiciklas-Wright, H., Meaker, K. B., VAN Heel, N., Karmally, W., & Kris-Etherton, P. M. (2000). Accuracy of energy intake data estimated by a multiplepass, 24-hour dietary recall technique. Journal of the American Dietetic Association, 100, 303–311.CrossRefPubMedGoogle Scholar
- Kabat-Zinn, J., & Hanh, T. N. (2009). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Random House LLC.Google Scholar
- Profiling food consumption in America. (2003). Agriculture Factbook 2001–2002 (pp. 13–21). United States Department of Agriculture.Google Scholar
- Rosenzweig, S., Reibel, D. K., Greeson, J. M., Edman, J. S., Jasser, S. A., McMearty, K. D., & Goldstein, B. J. (2007). Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: A pilot study. Alternative Therapies in Health and Medicine, 13, 36–38.PubMedGoogle Scholar
- Wansink, B. (2007). Mindless eating: Why we eat more than we think. Random House LLC.Google Scholar
- Wells, H. F., & Buzby, J. C. (2008). Dietary assessment of major trends in US food consumption, 1970–2005. Washington: US Department of Agriculture, Economic Research Service.Google Scholar
- Wilcox, R. R. (2012). Introduction to robust estimation and hypothesis testing. Massachusetts: Academic Press.Google Scholar