Journal of Behavioral Medicine

, Volume 40, Issue 5, pp 702–711 | Cite as

Self-management of dietary intake using mindful eating to improve dietary intake for individuals with early stage chronic kidney disease

  • Gayle M. TimmermanEmail author
  • Muna J. Tahir
  • Richard M. Lewis
  • Deborah Samoson
  • Holli Temple
  • Michele R. Forman


Using mindful eating to improve specific dietary recommendations has not been adequately studied. This feasibility study examined an intervention, self-management of dietary intake using mindful eating, with 19 participants that had mild to moderate chronic kidney disease, using a prospective, single group, pretest–posttest design. The intervention had six weekly classes focused on self-management using mindful eating, goal-setting, problem-solving, and food label reading. Weight, body mass index (BMI), 3-day 24-h dietary recalls and fasting blood samples were measured. Participants improved significantly in mean weight (203.21 ± 42.98 vs 199.91 ± 40.36 lbs; P = 0.03) and BMI (32.02 ± 5.22 vs 31.57 ± 5.27 kg/m2; P = 0.04), but not in dietary intake nor blood measures with the exception of cis-beta-carotene levels (0.020 + 0.012 vs 0.026 + 0.012 mcg/mL; P = 0.008), which correlates to fruit and vegetable servings. These promising results warrant further testing of the intervention in randomized control trials.


Mindful eating Dietary intake Self-management Dietary adherence Chronic kidney disease 



Special thanks to Christina Stull for assistance with the intervention and Marlene Tovar MSN, RN for assistance with data management.

Research support

Funded by Center for Transdisciplinary Collaborative Research in Self-management. NIH, NINR, P30 NR015335. The content is solely the responsibility of the authors and does not represent the official views of NIH. The funding source had no involvement in the any part of the study.

Compliance with ethical standards

Conflict of interest

Gayle M. Timmerman, Muna J. Tahir, Richard M. Lewis, Deborah Samoson, Holli Temple, and Michele R. Forman declares that they have no conflict of interest.

Human and animal rights and informed consent

All procedures performed in study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments. Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Gayle M. Timmerman
    • 1
    Email author
  • Muna J. Tahir
    • 2
  • Richard M. Lewis
    • 3
  • Deborah Samoson
    • 4
  • Holli Temple
    • 5
  • Michele R. Forman
    • 6
    • 7
  1. 1.School of NursingThe University of Texas at AustinAustinUSA
  2. 2.Department of Nutritional SciencesThe University of Texas at AustinAustinUSA
  3. 3.Renal Transplant ProgramSt. David’s North Austin Medical CenterAustinUSA
  4. 4.Austin Kidney AssociatesAustinUSA
  5. 5.College of PharmacyThe University of Texas at AustinAustinUSA
  6. 6.Department of Nutritional Sciences and Population Research CenterThe University of Texas at AustinAustinUSA
  7. 7.Department of Nutrition SciencePurdue UniversityWest LafayetteUSA

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