Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite, 52(2), 396-404

Appetite (Impact Factor: 2.69). 12/2008; 52(2):396-404. DOI: 10.1016/j.appet.2008.11.012
Source: PubMed


To explore the efficacy of a mindfulness-based weight loss intervention for women. Sixty-two women (ages 19-64: BMI 22.5-52.1) who were attempting to lose weight were randomised to an intervention or control condition. The former were invited to attend four 2-h workshops, the latter were asked to continue with their normal diets. Data were collected at baseline, 4 and 6 months. BMI, physical activity, mental health. At 6 months intervention participants showed significantly greater increases in physical activity compared to controls (p<.05) but no significant differences in weight loss or mental health. However, when intervention participants who reported 'never' applying the workshop principles at 6 months (n = 7) were excluded, results showed both significantly greater increases in physical activity (3.1 sessions per week relative to controls, p<.05) and significantly greater reductions in BMI (0.96 relative to controls. equivalent to 2.32 kg, p<0.5). Reductions in BMI were mediated primarily by redu

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    • "Exploring the associations between mindfulness and health behaviors, Roberts and Danoff-Burg (2010), Gilbert and Waltz (2010), and Murphy, Mermelstein, Edwards, and Gidycz (2012) have shown that students who report higher scores of self-reported mindfulness are more likely to practice healthy habits such as getting enough sleep, eating well, and exercising compared to less mindful individuals. With obese individuals, studies have shown that an acceptance and commitment therapy (ACT) program based on workshops helping participants to change their approach to their thoughts and emotions about obesity, and to accept them, resulted in lower psychological distress, greater weight loss, and an increase in PA (Lillis et al. 2009; Tapper et al. 2009). Thus, by becoming aware of their thoughts, emotions, and sensations due to behavior change, and by accepting them, individuals showed heightened awareness of good health behavior (Dutton 2008). "
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    ABSTRACT: This study aims to characterize the relationships between intrinsic motivation toward physical activity, mindfulness, and physical activity level. We measured self-reported mindfulness, motivational regulation toward exercise, and physical activity level in 280 French students. Analyses conducted on 244 participants revealed that self-reported mindfulness moderates the relationship between intrinsic motivation toward exercise and physical activity levels. These findings may have implications for interventionists seeking to promote increased physical activity with mindfulness-based techniques. In fact, it seems that increasing mindfulness skills of individuals could improve their intrinsic motivation to exercise and, thus, physical activity.
    Full-text · Article · Dec 2015 · Mindfulness
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    • "clusions are consistent with prior studies that have shown avail - ability of nutrient information ( Dawson , Dwyer , Evers , & Sheeshka , 2006 ; Forman , Butryn , Hoffman , & Herbert , 2009 ; Lowe et al . , 2010 ; Sbrocco , Nedegaard , Stone , & Lewis , 1999 ) , training on mindful eating ( Dalen et al . , 2010 ; Mhurchu , Aston , & Jebb , 2010 ; Tapper et al . , 2009 ) , and pre - ordering ( Hanks et al . , 2012 ) may improve food choices . While study participants reported buying lunch in the cafete - ria on most work days , the number of kilocalories and grams of fat in lunches purchased during the study may have been over - or un - derestimated . Study participants may have purchased other food i"
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    ABSTRACT: The objective of this study was to evaluate an intervention that combined mindful eating and online pre-ordering to promote healthier lunch purchases at work. The study took place at an urban hospital with 26 employees who were overweight or obese. The design included a contemporaneous comparison with delayed-treatment control and a three-phase prospective study. A minimum 4-week baseline period preceded a 4-week full-intervention, in which participants received mindful eating training, pre-ordered their lunches, and received price discounts toward lunch purchases. In a 4-week reduced intervention phase, participants pre-ordered lunches without price discounts. Participant lunch purchases were tracked electronically at the point of purchase. The primary outcome measures were the amounts of kilocalories and fat grams in purchased lunches. In contemporaneous comparisons, the treatment group purchased lunches with an average of 144.6 fewer kilocalories (p=0.01) and 8.9 fewer grams of fat (p=0.005) compared to controls. In multivariable longitudinal analyses, participants decreased the average number of calories in their meals by 114.6 kcal per lunch and the average grams of fat by 5.4 per lunch during the partial-intervention compared to the baseline (p<0.001). At the end of the study, a moderate increase was observed in participants' overall mindful eating behaviors as compared to the beginning of the study (p<0.001). The majority of participants (92%) said they would use the pre-ordering system if offered in the future. Combined mindful eating training and online pre-ordering appears a feasible and useful worksite intervention to improve food choices by employees.
    Full-text · Article · Oct 2014 · Appetite
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    • "Given that so many aspects of psychological inflexibility are high in severely obese women, we would expect an intervention like ACT that targets psychological flexibility to be ideal. Indeed, increasing research is suggesting that ACT is of benefit for promoting healthy behaviour and weight loss (Butryn et al., 2011; Forman et al., 2013, 2009; Juarascio et al., 2010; Lillis et al., 2009; Pearson et al., 2012; Tapper et al., 2009; Weineland et al., 2012). Our only intervention suggestion would be this: Given severely obese women experience the lowest level of striving progress in the sample, the ACT protocols might benefit from including behavioural activation very early in the intervention. "
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    ABSTRACT: Psychological flexibility interventions such as Acceptance and Commitment Therapy have been shown to be beneficial for weight management. Flexibility is often treated as a single, global construct, but it can also be described in terms of interrelated components (e.g., accepting, awareness, defusion, values). Are some components of flexibility of greater relevance to weight-related issues than others? We utilized a planned missing data design to assess weight status and a broad range of psychological flexibility components in a nationally representative sample of Americans (N=7884; 3748 males, 4136 females; Age: M=47.9, SD=16). Profile analyses revealed that different weight and gender groups showed different configurations of inflexibility. Underweight men showed a “defensive but active” pattern, expressing high avoidance on multiple dimensions, high levels of fusion, but also showing high hope and willingness to experience distress when pursuing goals. Overweight and obese participants did not show elevated levels of inflexibility, and indeed there was some evidence that overweight men (but not obese and severely obese men) were more flexible than other males. Severely obese participants showed elevated patterns of inflexibility across multiple indices, but this pattern differed for men and women. We conclude that psychological flexibility should not be treated as a unitary construct, and make specific suggestions for future intervention research.
    Full-text · Article · Oct 2014 · Journal of Contextual Behavioral Science
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