Content uploaded by Michail Mantzios
Author content
All content in this area was uploaded by Michail Mantzios on Oct 04, 2019
Content may be subject to copyright.
health psychology report · 9
original article
background
Research into dieting and mindfulness has primarily fo-
cused upon how mindfulness and mindful eating aect
dieting. However, the eect is bi-directional, with the
process of dieting also impacting on mind-set and eating.
We therefore aimed to investigate how people on dier-
ent diets experience mindfulness and mindful eating. The
present research aimed to explore whether or not specific
weight loss diets are likely to prompt more of the elements
described in mindfulness and mindful eating theory.
participants and procedure
A community sample (N= 312) who were dieting at the
time of recruitment were asked to fill in mindfulness and
mindful eating measures, where commercial weight loss
programmes (CWLP), low carbohydrate (LC), and inter-
mient fasting (IF) were used as dieting methods, as well
as general healthy eating (GHE). Analyses of variance were
conducted with the intention of comparing those groups
in mindfulness and mindful eating, as well as their cor-
responding sub-constructs. The questionnaires and de-
mographic information were provided through an online
database, as well as other information relating to the diet,
duration and history of dieting.
results
The results showed intermient fasting dieters to score
higher across mindfulness and mindful eating scores, al-
though the dierences from the rest of the groups were not
significant. Investigating mindful eating further through
the subscales revealed that CWLP scores were significantly
higher in ‘routine’ when compared to GHE. Trait mindful-
ness subscales displayed no significant dierences, except
‘describe’, which was higher in CWLP over LC dieting.
conclusions
Specific emphasis is given to future directions, and the po-
tential to identify diets that are theoretically and practi-
cally consistent with the theory and practices of mindful-
ness and mindful eating.
key words
mindfulness; mindful eating; dieting; obesity; intermient
fasting
Rajkieren Singh Manku
B,C,D,E,F
Helen Egan id
E
Rebecca Keyte
E
Misba Hussain
E
Michail Mantzios id
A,B,C,D,E,F
Dieting, mindfulness and mindful eating:
exploring whether or not diets reinforce
mindfulness and mindful eating practices
– Birmingham City University, Birmingham, United Kingdom
’ – A: Study design · B: Data collection · C: Statistical analysis · D: Data interpretation ·
E: Manuscript preparation · F: Literature search · G: Funds collection
– Michail Mantzios, Ph.D., Birmingham City University, The Curzon Building Room C307,
B4 7BD Birmingham, United Kingdom, e-mail: michael.mantzios@bcu.ac.uk
– Manku, R. S., Egan, H., Keyte, R., Hussain, M., &Mantzios, M. (2019). Dieting, mindfulness and
mindful eating: exploring whether diets reinforce mindfulness and mindful eating practices. Health Psychology Report.
hps://doi.org/10.5114/hpr.2019.88057
09.07.2019 · 12.08.2019 · 15.08.2019 · 18.09.2019
Rajkieren
Singh Manku,
Helen Egan,
Rebecca Keyte,
Misba Hussain,
Michail Mantzios
2
Background
A growing concern in health research is the rising
gures of obesity (World Health Organisation, 2000).
e health problems associated with obesity are also
increasingly problematic (such as diabetes and car-
diovascular disease), and have led many research-
ers to aempt to combine dieting with mindfulness
for greater eectiveness. Dieting used to aid weight
loss, is normative and shows that even people who do
not need to diet are dieting (Foxcro, 2012; Germov
& Williams, 1996). e range of commercial advice
available extends from trademark dietary plans and
food to diets that do not have any empirical support.
is plethora of diets alter the way people engage
with their food and the way that they eat. Notably, the
lack of eective behavioural interventions means that
there is aconstant reuptake of the diet that previously
worked for aperiod of time, and acontinued cycle of
dieting and non-dieting which does lile to help ad-
dress the issue of obesity.
is impasse has further led to research utilising
mindfulness training to aid individuals in regulating
their weight through amore community health based
approach, where everyone can achieve beer health
outcomes through beer eating behaviours (Lillis,
Hayes, Bunting, &Masuda, 2009; Dalen et al., 2010;
Mantzios &Giannou, 2014; Mantzios &Wilson, 2014a;
Mantzios & Wilson, 2015a). Initial results have been
positive, but anumber of questions regarding the pair-
ing of mindfulness and dieting remain.
Overall, while the theoretical descriptions of mind-
fulness promote a non-judgmental aitude, mindful
aention of eating and of the food consumed, and
responding to internal cues such as hunger and sati-
ety, the enactments of many diets promote opposing
messages to dieters, advocating ignoring such cues,
and promoting judgmental aitudes towards eating.
is research proposes that certain types of diets may
reect more basic characteristics of mindfulness and
mindful eating in comparison to other diets and sets
out to explore whether some diets are more likely
than others to promote increased levels of mindful-
ness and mindful eating in people who are currently
aempting to lose weight.
Mindfulness is amethod of purposely paying at-
tention to the present moment without judgment
(Kabat-Zinn, 1990), and many researchers and clini-
cians have proposed that mindful eating (i.e., mindful-
ness foundations applied to eating) may be amethod
of regulating eating (e.g., Kristeller &Wolever, 2010).
Mindful eating is dened as the act of responding to
physiological cues such as hunger, taste, and fullness,
while maintaining non-judgmental aention through-
out the duration of eating. Examples include making
specic food choices that are aligned to sensory expe-
riences and being aware of internal cues to eat such as
hunger and satiety, rather than elements in the envi-
ronment that predispose people to eat out of habit or
diverted aention (Kristeller &Wolever, 2010). ere
are several studies that outline the positive outcomes
of mindfulness and mindful eating.
Mindful eating assists in the gradual change of prob-
lematic eating paerns that lead to obesity by promot-
ing healthier eating behaviours (Mantzios & Wilson,
2014b; Mantzios &Wilson, 2015a; Mantzios &Giannou,
2014), including adecrease in external and emotional
eating (Warren, Smith, & Ashwell, 2017; O’Reilly,
Cook, Spruijt-Metz, &Black, 2014), an increased in-
take of fruit and vegetables (Du, Keyte, Egan, Hus-
sain, &Mantzios, 2018; Gilbert &Waltz, 2010), as well
as areduction in the consumption of high-sugar and
energy-dense foods (Mason etal., 2016). Research has
found anegative association between mindfulness and
mindful eating and fat and sugar consumption (Man-
tzios, Egan, Hussain, Keyte, &Bahia, 2018), motivation
to eat palatable foods (Mantzios &Egan, 2018), graz-
ing (Mantzios, Egan, Bahia, Hussain, & Keyte, 2018),
and weight gain (Mantzios, Wilson, Linnell, &Morris,
2015). Overall, mindfulness, and more signicantly,
mindful eating, was found to be more eective in im-
proving eating behaviours (see also Mantzios &Wil-
son, 2015b). Research has indicated that the improve-
ment seen in mindful eating interventions may be due
to enhanced self-regulation around food.
Many researchers have aempted to combine
mindfulness and mindful eating principles with diet-
ing to assist people in regulating their weight (Kristell-
er &Wolever, 2010; Tapper etal., 2009). A recent study
by Hendrickson and Rasmussen (2017) found that par-
ticipants who took part in mindful eating were able
to display more control over their food choices. Dalen
etal. (2010) and Lillis etal. (2009) used mindfulness
and mindful eating principles to aid overweight in-
dividuals and found asignicant reduction in weight
and psychological distress. Mantzios and Wilson
(2014b) developed amindful diary that followed the
principles of mindful eating and showed success in the
loss and maintenance of weight, while Hussein, Egan,
and Mantzios (2017) showed that diaries enhanced lev-
els of mindfulness and self-compassion and lowered
anxiety by simply considering the questions of the di-
ary rather than writing the answers. Overall research
has shown that the mindfulness eating diaries were
eective in reducing weight and in assisting with psy-
chological wellbeing, in line with most research with-
in the literature. e focus of the research to date has
been on whether and how mindfulness may inuence
dieting, rather than the eect of dieting on mindful-
ness and mindful eating, especially when considering
the fundamental dierences that exist between diets.
Dieting is essentially restricting food intake or only
having specic foods to lose weight (Brownell &Ro-
din, 1994). Mintel (2014) found 55% of the UK popula-
tion tries to diet each year, and the three most popu-
lar diets that have been identied are explored next
Dieting reinforcing
mindfulness and
mindful eating
3
9
(NHS, 2017). Firstly, there are commercial weight loss
programmes (CWLP) such as Weight Watchers, Slim-
ming World and the Atkins diet. Whilst they all dif-
fer in their way of handling customers, the underlying
principle and benet of CWLP is that of group support
(NHS, 2016; Stinson, 2001). CWLP have proved to be
eective in reducing weight over time (Ahern, Olson,
Aston, &Jebb, 2011; Dixon, Shcherba, &Kipping, 2012)
for example, Heshka etal. (2003) conducted alongitu-
dinal study where they compared CWLP to self-help
and found CWLP to be signicantly more eective
than self-help strategies. However, Tsai and Wadden
(2005) conducted areview and concluded that, with the
exception of Weight Watchers, the benets for CWLP
are less clear. e Atkins diet uses the dietary concept
of ketosis, where the lowering of carbohydrates forces
the body to convert stored fat into energy (NHS, 2016),
and is the second most popular method of dieting.
Low carbohydrate (LC) diets are enacted by con-
suming fewer carbohydrates and increasing other nu-
trients such as protein or fats (Last &Wilson, 2006).
Studies have shown that individuals are more likely
to follow an LC diet when compared to other diets
with no adverse eects on health (Bravata etal., 2003;
Last & Wilson, 2006). However, this type of diet has
had adverse outcomes such as headaches, constipa-
tion and increase of fat consumption (Yancy, Olsen,
Guyton, Bakst, &Westman, 2004). Overall, LC diets
have been found to increase psychological wellbeing
compared to low fat diets (Yancy et al., 2004). How-
ever, research has focused on the Atkins diet, rather
than self-help commitment to LC dieting. ird, in-
termient fasting (IF) is adietary concept of having
aregular eating paern for the majority of the week,
while for afew days aweek calorie intake is severely
cut to 25% of normal intake (600 calories for men, 500
calories for women), with 18-24-hour days of fasting
(NHS, 2016). Harvie etal. (2011) in astudy looking at
IF with afemale population over six months found it
enabled weight loss in addition to reducing biological
risk factors such as type II diabetes.
Diets are generally followed by individuals want-
ing to lose weight, and may be problematic, especially
when considered in association with mindfulness.
For example, some LC diets are designed only for
short-term use, as adverse clinical side eects such
as increases in cortisol production and psychologi-
cal stress have been observed (Tomiyama etal., 2010).
Additionally, Wadden, Stunkard, and Smoller (1986)
found that over 50% of participants displayed dete-
rioration in mood while dieting, with other research
indicating an association with anxiety and depression
(Bruinsma &Taren, 2000; Peet, 2004; Tanskanen etal.,
2001). Furthermore, individuals who are dieting oen
develop high self-critical perspectives, where failure
to meet dietary expectation and not losing weight are
oen reiterated through high levels of self-depreca-
tion, especially in overweight populations (Schwartz
&Brownell, 2004). In addition, the use of apoints sys-
tem in diets and counting calories means that the focus
is shiing away from the body, eating and food, and
is invested in external cues such as how much food is
worth in points or calories, leading to ignoring internal
cues of satiety and hunger – an element that is also
very evident in IF. Overall, there is agreat deal of re-
search which suggests that dieting leads some people
to negative outcomes in relation to their wellbeing.
By contrast, mindfulness and mindful eating lit-
erature have been found to be supportive of mental
health and wellbeing (e.g., Gu, Strauss, Bond, &Ca-
vanagh, 2015). Mindful eating practices suggest that
the individual should focus on the present moment, by
aending to the colour, texture, smell and taste of the
food through touch, sound, sight, smell and taste (Ka-
bat-Zinn, 2005; Albers, 2003). ese practices change
the nature of relating to internal cues and food, and
have been found to increase levels of pleasure (Hong,
Lishner, &Han, 2014). Also, the fundamental princi-
ple of mindfulness and mindful eating is the notion
of being aentive and aware of the present moment
(or meal), with anon-judgmental aitude, the laer
aspect being the exact opposite of the way in which
most diets function (e.g., you give yourself ahard time
if you fail to resist the chocolate). Some research has
suggested that healthy eating oers a more exible
approach than dieting, which is more consistent with
mindfulness (Alberts, Mulkens, Smeets, &ewissen,
2010). Other research has also shown that people were
much more comfortable with healthy eating, and the
concept of dieting was eschewed (Egan &Mantzios
2018). On the other hand, IF may be aform of return-
ing to a level of increased awareness around food,
which may represent a more ‘natural’ way of being.
When food is limited, there is achance of returning
our senses to the body and the food, in ways of ob-
serving hunger and satiety, appreciating ameal, slow-
ing down to prolong the pleasure, and reinforcing the
ability to regulate food intake in ways that treat food
as amethod of nourishment and wellbeing. In this re-
search, we measured mindfulness and mindful eating
and compared CWLP, LC diets, IF, and healthy eating.
Based on the limited literature that is available, the ex-
ploratory hypotheses included: (a) the GHE group will
display signicantly higher mindfulness scores than
other dieting groups, and (b) the GHE group will dis-
play signicantly higher mindful eating scores than
other dieting groups.
Partici Pants and Procedure
PARTICI PANTS
A sample of 312 individuals residing in the district of
West Midlands of the United Kingdom who were cur-
rently dieting took part in this study. Ninety-seven
Rajkieren
Singh Manku,
Helen Egan,
Rebecca Keyte,
Misba Hussain,
Michail Mantzios
4
participants were omied due to not fully completing
the questionnaire or being on diets that were too low
in number for inclusion in the analysis. e sample
(N=215) was signicantly made up of 60.93% female
and 38.14% male, with amean age of 36 (SD=13.26).
Using G* Power, and aiming for amedium eect size
at Power=.8, and α =.05 indicated for four groups
atotal of 180 participants. No incentive or compen-
sation was oered for participation. Table 1 displays
the demographics of participants.
INSTRUMENTS
Participant information sheet. Participants were asked
to report their age, gender, height, weight, ethnicity,
and the diet they were currently following. Current
dieting served as the independent variable, while the
questionnaires served as the dependent variables of
this research.
Five Facet Mindfulness estionnaire (FFMQ; Baer,
Smith, Hopkins, Krietemeyer, & Toney, 2006). e
FFMQ is a39-item questionnaire measuring ve main
characteristics of mindfulness. Responses range from
1 (never or rarely true) to 5 (very oen or always true).
Sample items are ‘I nd it dicult to stay focused on
what’s happening in the present moment’ (i.e. acting
with awareness) and ‘usually when I have distressing
thoughts or images I can just notice them without re-
acting’ (i.e. non-reactive), and higher scores indicate
higher levels of mindfulness. e ve measured fac-
ets produced α values as follows: observing (α=.72),
describing (α=.83), acting with awareness (α=.81),
non-judging (α = .83) and non-reactivity (α = .89).
e present study produced an overall Cronbach’s α
of .87 for the overall score.
Mindfulness Eating Scale (MES; Hulbert-Williams,
Nicholls, Joy, &Hulbert-Williams, 2014). e MES is
a28-item scale, and is combined with ve subscales,
with responses ranging from 1 (never) to 4 (usually).
Sample items include ‘I wish I could control my eat-
ing more easily’ (i.e. acceptance) and ‘I notice a-
vours and textures when I’m eating my food’ (i.e.
awareness). Higher scores indicate higher levels of
mindful eating. e ve subscales produced the fol-
lowing α values: acceptance (α = .71), awareness
(α=.75), non-reactivity (α=.67), routine (α=.71),
distractibility (α=.70) and unstructured (α=.63). e
present study produced an overall Cronbach’s α of
.75 for the total score.
PROCEDURE
e questionnaire was completed online and the
study was advertised in tness and professional
elds. ose who wished to take part were asked to
go to the study link, which led them through the par-
ticipant information to the consent form, and aer
agreeing to take part, transferred participants to the
questionnaires. Aer completing the questionnaires,
they were directed to adebrief form. Ethical approval
was granted through the University Research Ethics
Commiee and adhered to the strict guidelines of the
British Psychological Society.
e analyses utilised aone-way ANOVA between
the dierent diets on mindfulness and mindful eating.
results
e diet groups were compared on FFMQ and MES
scale scores to determine dierences in mindfulness
and mindful eating. Descriptive statistics are dis-
played in Table 2 for the FFMQ and MES.
Both scales (FFMQ and MES) showed that IF
consistently displayed higher scores. However,
the ANOVA results suggested that the four diets
were not signicantly dierent for both the FFMQ
scale F(3, 206) = .18, p = .913 and the MES scale
F(3,206)=1.30, p=.276.
Further one-way ANOVAs were conducted ex-
ploring the sub-scales of the trait mindfulness (see
Table 3) and mindful eating scales (see Table 4), in-
dicating some signicant ndings. For trait mindful-
Table 1
Demographics of participants
Demographic variable n%
Gender
Male 82 38.14
Female 131 60.93
Prefer not to say 2 0.93
Ethnicity
White 181 84.19
Dual Heritage 12 5.59
Asian 18 8.37
South American 6 2.79
Black 2 0.93
Unknown 3 1.40
Diet type
General healthy eating 59 27.44
Intermient fasting 47 21.86
Low carbohydrate diet 74 34.42
Commercial weight loss
programme 35 16.28
Dieting reinforcing
mindfulness and
mindful eating
5
9
ness, the LC group (M = 3.46, SD = 1.03) obtained
signicantly lower scores in the ‘observe’ sub-
scale in comparison to the CWLP group (M= 4.07,
SD = 0.69). For mindful eating, the CWLP group
(M=4.07, SD=0.69) obtained signicantly higher
scores in the ‘routine’ subscale in comparison to the
GHE group. e rest of the comparisons were not
signicantly dierent.
Table 2
Descriptive statistics of FFMQ and MES
M SD SE 95% confidence interval
for mean
Lower bound Upper bound
FFMQ General healthy eating 133.73 18.35 2.43 128.86 138.60
IF 135.93 29.22 4.26 127.35 144.51
LC 132.45 28.18 3.34 125.78 139.12
CWLP 133.91 24.31 4.10 125.56 142.26
MES General healthy eating 77.63 12.75 1.69 74.24 81.01
IF 80.68 13.18 1.92 76.81 84.55
LC 78.96 13.62 1.61 75.73 82.18
CWLP 75.22 11.57 1.95 71.24 79.19
IF – intermient fasting, LC – low carbohydrate, CWLP – commercial weight loss programme
Figure 1. Mean FFMQ scores across the four diet
groups.
General
healthy
eating
General
healthy
eating
Intermient
fasting
Intermient
fasting
Low
carbohydrate
Low
carbohydrate
Commercial
weight loss
programme
Commercial
weight loss
programme
137
136
135
134
133
132
131
130
Five-Facet Mindfulness estionnaire Mean
Figure 2. Mean MES scores across the four diet
groups.
82
81
80
79
78
77
76
75
74
73
72
Mindful Eating estionnaire Mean
Table 3
Trait mindfulness subscale analyses of variance across
four dieting groups
df F p
Observe 3, 210 0.32 .812
Describe 3, 210 4.26 .006
Awareness 3, 210 1.05 .370
Non-judge 3, 210 0.32 .815
Non-react 3, 210 1.16 .325
Table 4
Mindful eating subscale analyses of variance across
four dieting groups
df F p
Acceptance 4, 210 1.63 .183
Awareness 4, 210 0.60 .623
Non-reaction 4, 210 2.29 .079
Routine 4, 210 3.23 .023
Distracted Eating 4, 210 1.13 .338
Unstructured Eating 4, 210 1.55 .202
Rajkieren
Singh Manku,
Helen Egan,
Rebecca Keyte,
Misba Hussain,
Michail Mantzios
6
discussion
e overall aim was to explore popular diets and po-
tential dierences between them in mindfulness and
mindful eating. e results indicated that there are
statistically non-signicant dierences between the
dierent diet types in mindfulness and mindful eat-
ing. Investigating mindfulness and mindful eating
in more depth revealed some signicant dierences.
For mindful eating, the subscale ‘routine’ scores were
signicantly higher for the CWLP group than for the
GHE group. For trait mindfulness, the subscale ‘de-
scribe’ scores were higher for CWLP than for LC diet-
ing. e results do not agree with previous sugges-
tions in the mindfulness and mindful eating literature,
and were not strong enough in indicating statistical
signicance of IF as suggested in the introduction.
e results may be precursors for future research, es-
pecially when we aempt to explain the results.
IF appears to support mindful eating more than
other diets, but in the present research this was
not statistically adequate to expand the discussion
to agreater extent. e results might have reached
statistical signicance with larger sample sizes, but
it may be the case that there are other elements to
explore simultaneously. For example, depriving one-
self of food for several hours may mean that the next
meal is approached impulsively, while impulsiv-
ity itself has been linked to obesity (Mobbs, Crepin,
iery, Golay, &van der Linden, 2010), which may
form another method of relating to food. Future re-
search needs to explore mindfulness and mindful
eating in dierent diets, and specically for IF, by
incorporating an impulsivity scale to control for po-
tential covariance. Another method could be to invite
dierent dieters to participate in experimental re-
search, and explore the potential of diets reinforcing
or priming mindful eating principles. Closely aligned
are the results for CWLP. Although signicant, the
primary question is whether the mindful eating sub-
scale of routine and the trait mindfulness subscale
of describe are elements that satisfactorily describe
mindful eating and mindfulness. Readymade meals
and point systems draw people away from active
decision making and active engagement with food,
which reinforces amindless routine that is consistent
with the results of this study, but is far from mind-
ful eating. ere are certainly dierent perceptions
of dieting food (Sobal &Cassidy, 1987), and further
research needs to be conducted on dieting foods and
the mindful and mindless properties of consuming
those foods. Similarly, the way people have been
taught to diet relates to being judgmental and critical
of one’s choices and can lead to very negative feel-
ings about dieting (Egan & Mantzios, 2018). ere-
fore, there may be some value as to how people relate
to diet foods and palatable foods (Mantzios &Egan,
2018), and potential associations and dierences be-
tween them, which could dene the mindless and
mindful relationships people have with food.
Another aspect that was briey mentioned in the
introduction was the occurrence of focusing on the
future and judgment reinforcing the aim of dieting.
Regardless of the diet, the potential focus on long-
term goals may go against the principles of mindful-
ness and mindful eating, and the overarching aim to
remain present and meal-focused. e diet at times
may be very dierent from usual restrictive eating,
where people exclude carbohydrates, eating ready-
prepared diet meals, focusing on ‘points’, the value of
which may be prominently displayed on the packag-
ing, all of which may change the dynamics of con-
sumption and mindful consumption of food. It is pos-
sible that in an aempt to stick with the diet, people
try not to think about what they are eating (or not
eating), particularly as dieting is perceived as some-
thing that is undesirable and self-defeating (Mantzios
&Egan, 2018; Egan &Mantzios, 2018).
A few limitations need to be considered. As men-
tioned previously, alarger sample could have high-
lighted the dierences between some groups in this
research. Another limitation is the limited information
about dieting behaviours that was acquired from par-
ticipants. Having more detailed information regard-
ing how active current dieting behaviour is, including
ahistory of dieting aempts and dierent diets used, as
well as noting aempts to follow mindful eating prin-
ciples in current and/or past dieting aempts, would
have enabled amore tightly controlled investigation.
Overall, despite the signicant and non-signi-
cant ndings, this research has opened up another
way of exploring research on mindfulness and eat-
ing. For patients in weight management, and for the
general public who are overweight and obese, mixed
messages about mindful eating reduce the possibil-
ity of achieving and maintaining optimal weight. In
terms of applied research and practice, and the ability
to investigate and redevelop diets that are themselves
reinforcing, mindful eating may be anovel form of
priming or nudging that is easy and eortless for
people who are aiming to regulate their weight. As-
similating and developing the best methods that align
with mindfulness and mindful eating principles may
form another method of enhancing the eciency and
acceptability of mindfulness practices in the eld of
obesity and weight regulation.
References
Ahern, A. L., Olson, A. D., Aston, L. M., &Jebb, S. A.
(2011). Weight Watchers on prescription: an ob-
servational study of weight change among adults
referred to Weight Watchers by the NHS. BMC
Public Health,11, 434. hps://doi.org/10.1186/1471-
2458-11-434
Dieting reinforcing
mindfulness and
mindful eating
7
9
Albers, S. (2003). Eating mindfully. Oakland, CA: New
Harbinger Publications.
Alberts, H., Mulkens, S., Smeets, M., &Thewissen, R.
(2010). Coping with food cravings. Investigating
the potential of amindfulness-based intervention.
Appetite, 55, 160–163. hps://doi.org/10.1016/j.ap-
pet.2010.05.044
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J.,
& Toney, L. (2006). Using self-report assessment
methods to explore facets of mindfulness. Assessment,
13, 27–45. hps://doi.org/10.1177/1073191105283504
Bravata, D. M., Sanders, L., Huang, J., Krumholz,H.M.,
Olkin, I., Gardner, C. D., &Bravata,D.M. (2003).
Eicacy and safety of low-carbohydrate diets:
asystematic review. Jama, 289, 1837–1850. hps://
doi.org/10.1001/jama.289.14.1837
Brownell, K., &Rodin, J. (1994). The dieting mael-
strom: Is it possible and advisable to lose weight?
American Psychologist, 49, 781–791. hps://doi.
org/10.1037//0003-066x.49.9.781
Bruinsma, K. A., &Taren, D. L. (2000). Dieting, essential
fay acid intake, and depression. Nutrition Reviews,
58, 98–108. hps://doi.org/10.1111/j.1753-4887.2000.
tb07539.x
Dalen, J., Smith, B. W., Shelley, B. M., Sloan, A. L., Lea-
high, L., & Begay, D. (2010). Pilot study: mindful
eating and living (MEAL): weight, eating behav-
iour, and psychological outcomes associated with
amindfulness-based intervention for people with
obesity. Complementary Therapies in Medicine, 18,
260–264. hps://doi.org/10.1016/j.ctim.2010.09.008.
Dixon, K. J., Shcherba, S., & Kipping, R. R. (2012).
Weight loss from three commercial providers of
NHS primary care slimming on referral in North
Somerset: service evaluation. Journal of Pub-
lic Health, 34, 555–561. hps://doi.org/10.1093/
pubmed/fds034
Du, S., Keyte, R., Egan, H., Hussain, M., & Man-
tzios, M. (2018). Healthy and unhealthy eating
amongst stressed students: considering the influ-
ence of mindfulness on eating choices and con-
sumption. Health Psychology Report, 7, 1–7. hps://
doi.org/10.5114/hpr.2019.77913
Egan, H., &Mantzios, M. (2018). A qualitative explo-
ration of self-kindness and “treating oneself” in
contexts of eating, weight regulation and other
health behaviors: implications for mindfulness-
based eating programs. Frontiers in Psychology, 9,
880. hps://doi.org/10.3389/fpsyg.2018.00880
Foxcro, L. (2012). Our preoccupation with dieting
has become a national neurosis. The Guardian.
Retrieved from www.theguardian.com/commen-
tisfree/2012/jan/01/preoccupation-diet-industry-
national-neurosis
Germov, J., &Williams, L. (1996). The epidemic of di-
eting women: the need for asociological approach
to food and nutrition. Appetite, 27, 97–108. hps://
doi.org/10.1006/appe.1996.0038
Gilbert, D., &Waltz, J. (2010). Mindfulness and health
behaviours. Mindfulness, 1, 227–234. hps://doi.
org/10.1007/s12671-010-0032-3
Gu, J., Strauss, C., Bond, R., &Cavanagh, K. (2015). How
do mindfulness-based cognitive therapy and mind-
fulness-based stress reduction improve mental health
and wellbeing? A systematic review and meta-analy-
sis of mediation studies. Clinical Psychology Review,
37, 1–12. hps://doi.org/10.1016/j.cpr.2015.01.006
Harvie, M. N., Pegington, M., Mason, M. P., Frystyk,J.,
Dillon, B., Evans, G., Cuzick, J., Jebb, S. A., Mar-
tin, B., Cutler, R. G., Maudsley, S., Carlson,O. D.,
Egan, J.M., Flyvbjerg, A., &Howell, A. (2011). The
eects of intermient or continuous energy re-
striction on weight loss and metabolic disease risk
markers: a randomized trial in young overweight
women.International Journal of Obesity, 35, 714–727.
hps://doi.org/10.1038/ijo.2010.171
Hendrickson, K. L., &Rasmussen, E. B. (2017). Mind-
ful eating reduces impulsive food choice in ado-
lescents and adults. Health Psychology, 36, 226–
235. hps://doi.org/10.1037/hea0000440
Heshka, S., Anderson, J. W., Atkinson, R. L., Green-
way,F.L., Hill, J. O., Phinney, S. D., Kolotkin,R.L.,
Miller-Kovach, K., &Pi-Sunyer, F. X. (2003). Weight
loss with self-help compared with a structured
commercial program: arandomized trial. Jama, 289,
1792–1798. hps://doi.org/10.1001/jama.289.14.1792
Hong, P., Lishner, D. A., &Han, K. H. (2014). Mindful-
ness and eating: an experiment examining the ef-
fect of mindful raisin eating on the enjoyment of
sampled food. Mindfulness, 5, 80–87. hps://doi.
org/10.1007/s12671-012-0154-x
Hulbert-Williams, L., Nicholls, W., Joy, J., &Hulbert-
Williams, N. (2014). Initial validation of the mind-
ful eating scale. Mindfulness, 5, 719–729. hps://
doi.org/10.1007/s12671-013-0227-5
Hussein, M., Egan, H., &Mantzios, M. (2017). Mindful
construal diaries: aless anxious, more mindful, and
more self-compassionate method of eating. Sage
Open, 1–5. hps://doi.org/10.1177/2158244017704685
Kabat-Zinn, J. (1990). Full catastrophe living. New
York, NY: Delta Trade Paperbacks.
Kabat-Zinn, J. (2005). Coming to our senses: healing
ourselves and the world through mindfulness. New
York: Hyperion.
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. hps://doi.org/10.1080/10640
266.2011.533605
Last, A. R., &Wilson, S. A. (2006). Low-carbohydrate
diets. American Family Physician, 73, 1951–1958.
Lillis, J., Hayes, S., Bunting, K., &Masuda, A. (2009).
Teaching acceptance and mindfulness to improve
the lives of the obese: apreliminary test of atheo-
retical model. Annals of Behavioral Medicine, 37,
58–69. hps://doi.org/10.1007/s12160-009-9083-x
Rajkieren
Singh Manku,
Helen Egan,
Rebecca Keyte,
Misba Hussain,
Michail Mantzios
8
Mantzios, M., &Egan, H. (2018). An exploratory ex-
amination of mindfulness, self-compassion, and
mindful eating in relation to motivations to eat pal-
atable foods and BMI. Health Psychology Report, 6,
207–2015. hps://doi.org/10.5114/hpr.2018.73052
Mantzios, M., Egan, H., Bahia, H., Hussain, M.,
&Keyte,R. (2018). How does grazing relate to body
mass index, self-compassion, mindfulness and
mindful eating in a student population? Health
Psychology Open, 5, 1–7. hps://doi.org/10.1177/
2055102918762701
Mantzios, M., Egan, H., Hussain, M., Keyte, R., &Ba-
hia,H. (2018). Mindfulness, self-compassion, and
mindful eating in relation to fat and sugar con-
sumption: an exploratory investigation. Eating and
Weight Disorders – Studies on Anorexia, Bulimia and
Obesity, 23, 833–840. hps://doi.org/1007/s40519-
018-0548-4
Mantzios, M., &Giannou, K. (2014). Group vs. single
mindfulness meditation: exploring avoidance, im-
pulsivity, and weight management in two sepa-
rate mindfulness meditation seings. Applied
Psychology: Health and Well-Being, 6, 173–191.
hps://doi.org/10.1111/aphw.12023
Mantzios, M., &Wilson, J. (2014a). Exploring mind-
fulness and mindfulness with self-compassion-
centered interventions to assist weight loss: theo-
retical considerations and preliminary results of
arandomized pilot study. Mindfulness, 6, 824–835.
hps://doi.org/10.1007/s12671-014-0325-z
Mantzios, M., & Wilson, J. C. (2014b). Making con-
crete construals mindful: anovel approach for de-
veloping mindfulness and self-compassion to as-
sist weight loss. Psychology &Health, 29, 422–441.
hps://doi.org/10.1080/08870446.2013.863883
Mantzios, M., & Wilson, J. C. (2015a). Mindfulness,
eating behaviours, and obesity: a review and re-
flection on current findings. Current Obesity Re-
ports, 4, 141–146. hps://doi.org/10.1007/s13679-
014-0131-x
Mantzios, M., & Wilson, J. C. (2015b). Exploring
mindfulness and mindfulness with self-compas-
sion-centered interventions to assist weight loss:
theoretical considerations and preliminary results
of arandomized pilot study. Mindfulness, 6, 824–
835. hps://doi.org/10.1007/s12671-014-0325-z
Mantzios, M., Wilson, J. C., Linnell, M., &Morris, P.
(2015). The role of negative cognitions, intolerance
of uncertainty, mindfulness, and self-compassion
in weight regulation among male army recruits.
Mindfulness, 6, 545–552. hps://doi.org/10.1007/
s12671-014-0286-2
Mason, A. E., Epel, E. S., Kristeller, J., Moran, P. J.,
Dallman, M., Lustig, R. H., Acree, M., Bacchei,P.,
Laraia, B. A., Hecht, F. M., & Daubenmier, J.
(2016). Eects of a mindfulness-based interven-
tion on mindful eating, sweets consumption, and
fasting glucose levels in obese adults: data from
the SHINE randomized controlled trial. Journal
of Behavioural Medicine, 39, 201–213. hps://doi.
org/10.1007/s10865-015-9692-8
Mintel (2014). Dieting in 2014? You’re not alone –
29million Brits have tried to lose weight in the last
year. Mintel.com. Retrieved from www.mintel.
com/press-centre/social-and-lifestyle/dieting-in-
2014-you-are-not-alone
Mobbs, O., Crepin, C., Thiery, C., Golay, A., &van der
Linden, M. (2010). Obesity and the four facets of
impulsivity. Patient, Education and Counseling, 79,
372–377. hps://doi.org/10.1016/k.pec.2010.03.003
NHS (2016). Top diets review for 2016 – Live Well
– NHS Choices. Retrieved from www.nhs.uk/
Livewell/loseweight/Pages/top-10-most-popular-
diets-review.aspx
NHS (2017). Fat: the facts – Live Well – NHS Choices.
Retrieved from www.nhs.uk/Livewell/Goodfood/
Pages/Fat.aspx
O’Reilly, G. A., Cook, L., Spruijt-Metz, D., &Black,D.S.
(2014). Mindfulness-based interventions for obe-
sity-related eating behaviours: a literature re-
view. Obesity Reviews, 15, 453–461. hps://doi.
org/10.1111/obr.12156.
Peet, M. (2004). Diet, diabetes and schizophrenia:
review and hypothesis. The British Journal of Psy-
chiatry, 184, 102–105. hps://doi.org/10.1192/bjp.
184.47.s102
Schwartz, M. B., & Brownell, K. D. (2004). Obesity
and body image. Body Image, 1, 43–56. hps://doi.
org/10.1016/S1740-1445(03)00007-X
Sobal, J., &Cassidy, C. M. (1987). Dieting foods: con-
ceptualizations and explanations. Ecology of Food
and Nutrition, 20, 89–96. hps://doi.org/10.1080/03
670244.1987.9990990
Stinson, K. M. (2001). Women and dieting culture: in-
side acommercial weight loss group. New Bruns-
wick, NJ: Rutgers University Press.
Tanskanen, A., Hibbeln, J. R., Tuomilehto, J., Uutela, A.,
Haukkala, A., Viinamäki, H., Lehtonen, J., & Var-
tiainen, E. (2001). Fish consumption and depres-
sive symptoms in the general population in Fin-
land. Psychiatric Services, 52, 529–531. hps://doi.
org/10.1176/appi.ps.52.4.529
Tapper, K., Shaw, C., Ilsley, J., Hill, A. J., Bond, F. W.,
&Moore, L. (2009). Exploratory randomised con-
trolled trial of a mindfulness-based weight loss
intervention for women. Appetite, 52, 396–404.
hps://doi.org/10.1016/j.appet.2008.11.012
Tomiyama, A. J., Mann, T., Vinas, D., Hunger, J. M., De-
Jager, J., &Taylor, S. E. (2010). Low calorie dieting
increases cortisol. Psychosomatic Medicine, 72, 357–
364. hps://doi.org/10.1097/PSY.0b013e3181d9523c
Tsai, A. G., &Wadden, T. A. (2005). Systematic review:
an evaluation of major commercial weight loss
programs in the United States. Annals of Internal
Medicine, 142, 56–66. hps://doi.org/10.7326/0003-
4819-142-1-200501040-00012
Dieting reinforcing
mindfulness and
mindful eating
9
9
Wadden, T., Stunkard, A., &Smoller, J. (1986). Dieting
and depression: A methodological study. Journal
of Consulting and Clinical Psychology, 54, 869–871.
hps://doi.org/10.1037//0022-006x.54.6.869
Warren, J. M., Smith, N., &Ashwell, M. (2017). A struc-
tured literature review on the role of mindfulness,
mindful eating and intuitive eating in changing
eating behaviours: eectiveness and associated
mechanisms. Nutrition Research Reviews, 30, 272–
283. hps://doi.org/10.1017/S0954422417000154.
World Health Organization (2000). Obesity: prevent-
ing and managing the global epidemic (No. 894).
World Health Organization. Retrieved from www.
who.int/nutrition/publications/obesity/WHO_
TRS_894/en/
Yancy, W. S., Olsen, M. K., Guyton, J. R., Bakst, R. P.,
&Westman, E. C. (2004). A low-carbohydrate, keto-
genic diet versus alow-fat diet to treat obesity and
hyperlipidemia: arandomized, controlled trial. An-
nals of Internal Medicine, 140, 769–777. hps://doi.
org/10.7326/0003-4819-140-10-200405180-00006