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.
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American Diabetes Association. (2013). Economic costs of diabetes in the US in 2012. Diabetes Care, 36, 1033–1046.
Avena, N. M., Rada, P., & Hoebel, B. G. (2008). Evidence for sugar addiction: Behavioral and neurochemical effects of intermittent, excessive sugar intake. Neuroscience and Biobehavioral Reviews, 32, 20–39.
Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.
Bellisle, F., Drewnowski, A., Anderson, G. H., Westerterp-Plantenga, M., & Martin, C. K. (2012). Sweetness, satiation, and satiety. The Journal of Nutrition, 142, 1149S–1154S.
Bergomi, C., Tschacher, W., & Kupper, Z. (2013). The assessment of mindfulness with self-report measures: Existing scales and open issues. Mindfulness, 4, 191–202.
Boucher, B., Cotterchio, M., Kreiger, N., Nadalin, V., Block, T., & Block, G. (2006). Validity and reliability of the Block98 food-frequency questionnaire in a sample of Canadian women. Public Health Nutrition, 9, 84–93.
Byrne, S., Cooper, Z., & Fairburn, C. (2003). Weight maintenance and relapse in obesity: A qualitative study. International Journal of Obesity, 27, 955–962.
Chaput, J., Klingenberg, L., Astrup, A., & Sjödin, A. M. (2011). Modern sedentary activities promote overconsumption of food in our current obesogenic environment. Obesity Reviews, 12, e12–e20.
Colantuoni, C., Rada, P., McCarthy, J., Patten, C., Avena, N. M., Chadeayne, A., & Hoebel, B. G. (2002). Evidence that intermittent, excessive sugar intake causes endogenous opioid dependence. Obesity Research, 10, 478–488.
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.
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.
Finlayson, G., & Dalton, M. (2012). Hedonics of food consumption: Are food “liking”and “wanting”viable targets for appetite control in the obese? Current Obesity Reports, 1, 42–49.
Finlayson, G., King, N., & Blundell, J. E. (2007). Liking vs. wanting food: Importance for human appetite control and weight regulation. Neuroscience and Biobehavioral Reviews, 31, 987–1002.
Framson, C., Kristal, A. R., Schenk, J. M., Littman, A. J., Zeliadt, S., & Benitez, D. (2009). Development and validation of the mindful eating questionnaire. Journal of the American Dietetic Association, 109, 1439–1444.
French, S. A., Harnack, L., & Levenson, R. W. (2000). Fast food restaurant use among women in the pound of prevention study: Dietary, behavioral and demographic correlates. International Journal of Obesity, 24, 1353–1359.
Gross, L. S., Li, L., Ford, E. S., & Liu, S. (2004). Increased consumption of refined carbohydrates and the epidemic of type 2 diabetes in the United States: An ecologic assessment. The American Journal of Clinical Nutrition, 79, 774–779.
Havermans, R. C., Janssen, T., Giesen, J. C., Roefs, A., & Jansen, A. (2009). Food liking, food wanting, and sensory-specific satiety. Appetite, 52, 222–225.
Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420.
Hetherington, M. M. (1996). Sensory-specific satiety and its importance in meal termination. Neuroscience and Biobehavioral Reviews, 20, 113–117.
IBM Corp. (2013). IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp.
Ismail, K., Winkley, K., & Rabe-Hesketh, S. (2004). Systematic review and meta-analysis of randomised controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes. The Lancet, 363, 1589–1597.
Johnson, R. K. (2002). Dietary intake—how do we measure what people are really eating? Obesity Research, 10, 63S–68S.
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.
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.
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.
Kahn, B. B., & Flier, J. S. (2000). Obesity and insulin resistance. Journal of Clinical Investigation, 106, 473–481.
Kristeller, J. L., & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge eating disorder. Journal of Health Psychology, 4, 357–363.
Kristeller, J. L., & Wolever, R. Q. (2010). Mindfulness-based eating awareness training for treating binge eating disorder: The conceptual foundation. Eating Disorders, 19, 49–61.
Kristeller, J. L., Wolever, R. Q., & Sheets, V. (2013). Mindfulness-based eating awareness training (MB-EAT) for binge eating: A randomized clinical trial. Mindfulness, 5, 282–297.
Lake, A., & Townshend, T. (2006). Obesogenic environments: Exploring the built and food environments. The Journal of the Royal Society for the Promotion of Health, 126, 262–267.
Mann, T., Janet, A., Westling, E., Lew, A.-M., Samuels, B., & Chatman, J. (2007). Medicare’s search for effective obesity treatments: Diets are not the answer. American Psychologist, 62, 220–233.
Miller, C., Kristeller, J. L., Headings, A., & Nagaraja, H. (2013). Comparison of a mindful eating intevention to a diabetes self-management intervention among adults with type 2 diabetes: A randomized controlled trial. Health Education & Behavior, 41, 145–154.
Mokdad, A. H., Bowman, B. A., Ford, E. S., Vinicor, F., Marks, J. S., & Koplan, J. P. (2001). The continuing epidemics of obesity and diabetes in the United States. JAMA, 286, 1195–1200.
O’Reilly, G. A., Cook, L., Spruijt-Metz, D., & Black, D. S. (2014). Mindfulness-based interventions for obesity-related eating behaviours: A literature review. Obesity Reviews, 15, 453–461.
Ogden, J., Coop, N., Cousins, C., Crump, R., Field, L., Hughes, S., & Woodger, N. (2013). Distraction, the desire to eat and food intake. Towards an expanded model of mindless eating. Appetite, 62, 119–126.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.
Profiling food consumption in America. (2003). Agriculture Factbook 2001–2002 (pp. 13–21). United States Department of Agriculture.
Rada, P., Avena, N. M., & Hoebel, B. G. (2005). Daily bingeing on sugar repeatedly releases dopamine in the accumbens shell. Neuroscience, 134, 737–744.
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.
Schulze, M. B., Manson, J. E., Ludwig, D. S., Colditz, G. A., Stampfer, M. J., Willett, W. C., & Hu, F. B. (2004). Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA, 292, 927–934.
Thompson, F. E., Subar, A. F., Loria, C. M., Reedy, J. L., & Baranowski, T. (2010). Need for technological innovation in dietary assessment. Journal of the American Dietetic Association, 110, 48–51.
Timmerman, G. M., & Brown, A. (2012). The effect of a mindful restaurant eating intervention on weight management in women. Journal of Nutrition Education and Behavior, 44, 22–28.
Wansink, B. (2007). Mindless eating: Why we eat more than we think. Random House LLC.
Wansink, B., & Kim, J. (2005). Bad popcorn in big buckets: Portion size can influence intake as much as taste. Journal of Nutrition Education and Behavior, 37, 242–245.
Wansink, B., Painter, J. E., & Lee, Y.-K. (2006). The office candy dish: Proximity’s influence on estimated and actual consumption. International Journal of Obesity, 30, 871–875.
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.
Wilcox, R. R. (2012). Introduction to robust estimation and hypothesis testing. Massachusetts: Academic Press.
Willett, W. (2012). Nutritional epidemiology. Oxford: Oxford University Press.
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.
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.
Frederick M. Hecht and Jennifer Daubenmier have contributed equally as co-senior authors.
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Mason, A.E., Epel, E.S., Kristeller, J. et al. 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. J Behav Med 39, 201–213 (2016). https://doi.org/10.1007/s10865-015-9692-8
- Mindful eating
- Fasting glucose
- Sweet foods
- Obese adults
- Mindfulness intervention