‘Mindful eating’ for reducing emotional eating in patients with overweight or obesity in primary care settings: A randomized controlled trial

Morillo-Sarto, Héctor; López‐Del‐Hoyo, Yolanda; Pérez‐Aranda, Adrián; Modrego‐Alarcón, Marta; Barceló‐Soler, Alberto; Borao, Luis; Puebla‐Guedea, Marta; Demarzo, Marcelo Marcos Piva; Garcı́a-Campayo, Javier; Montero-Marín, Jesús

doi:10.1002/erv.2958

Cited by 14 publications

(10 citation statements)

References 79 publications

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“…Mindful eating approaches, which gained increased interest in recent years, were shown to reduce emotional eating, but thus far, without providing evidence for increasing weight loss. 127,128 In addition, several effective behaviour change techniques implicate increasing cognitive awareness and self-efficacy in weight-loss interventions. Self-monitoring of weight or food intake is firmly associated with sustained weight-loss effects and should therefore be strongly encouraged, 129,130 particularly in a weight-loss maintenance phase, at weekly intervals.…”

Section: Strategies For Successful Communicationmentioning

confidence: 99%

“…However, it is still a matter of research to find effective ways to trigger cognitive awareness in the clinical context. Mindful eating approaches, which gained increased interest in recent years, were shown to reduce emotional eating, but thus far, without providing evidence for increasing weight loss 127,128 . In addition, several effective behaviour change techniques implicate increasing cognitive awareness and self‐efficacy in weight‐loss interventions.…”

Section: Practical Strategies For Weight Management In Type 2 Diabetesmentioning

confidence: 99%

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Practical strategies to manage obesity in type 2 diabetes

Rodbard,

Barnard‐Kelly,

Pfeiffer

et al. 2024

Diabetes Obesity Metabolism

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The rising phenomenon of obesity, a major risk factor for the development and progression of type 2 diabetes, is a complex and multifaceted issue that requires a comprehensive and coordinated approach to be prevented and managed. Although novel pharmacological measures to combat obesity have achieved unprecedented efficacy, a healthy lifestyle remains essential for the long‐term success of any therapeutic intervention. However, this requires a high level of intrinsic motivation and continued behavioural changes in the face of multiple metabolic, psychological and environmental factors promoting weight gain, particularly in the context of type 2 diabetes. This review is intended to provide practical recommendations in the context of a holistic, person‐centred approach to weight management, including evidence‐based and expert recommendations addressing supportive communication, shared decision‐making, as well as nutritional and pharmacological therapeutic approaches to achieve sustained weight loss.

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Section: Strategies For Successful Communicationmentioning

confidence: 99%

Section: Practical Strategies For Weight Management In Type 2 Diabetesmentioning

confidence: 99%

Practical strategies to manage obesity in type 2 diabetes

Rodbard,

Barnard‐Kelly,

Pfeiffer

et al. 2024

Diabetes Obesity Metabolism

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“…Parallel to this scenario, global obesity rates have almost tripled in the last 50 years [ 4 ]. Overweight is a major public health concern and has been associated with a higher prevalence of psychiatric and chronic non-communicable diseases [ 4 , 5 ]. New approaches to prevent and treat obesity [ 5 ] which seek to reduce the emphasis on weight loss as the main health objective and try to reduce the stigma towards people who are overweight have been increasing [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Overweight is a major public health concern and has been associated with a higher prevalence of psychiatric and chronic non-communicable diseases [ 4 , 5 ]. New approaches to prevent and treat obesity [ 5 ] which seek to reduce the emphasis on weight loss as the main health objective and try to reduce the stigma towards people who are overweight have been increasing [ 6 ]. This is because traditional interventions focused heavily on weight loss have not produced good long-term results and weight regain is often observed [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder

Minari,

Araújo-Filho,

Tácito

et al. 2024

Nutrients

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Introduction: Binge eating disorder (BED) is a psychiatric illness related to a high frequency of episodes of binge eating, loss of control, body image dissatisfaction, and suffering caused by overeating. It is estimated that 30% of patients with BED are affected by obesity. “Mindful eating” (ME) is a promising new eating technique that can improve self-control and good food choices, helping to increase awareness about the triggers of binge eating episodes and intuitive eating training. Objectives: To analyze the impact of ME on episodes of binge eating, body image dissatisfaction, quality of life, eating habits, and anthropometric data [weight, Body Mass Index (BMI), and waist circumference] in patients with obesity and BED. Method: This quantitative, prospective, longitudinal, and experimental study recruited 82 patients diagnosed with obesity and BED. The intervention was divided into eight individual weekly meetings, guided by ME sessions, nutritional educational dynamics, cooking workshops, food sensory analyses, and applications of questionnaires [Body Shape Questionnaire (BSQ); Binge Eating Scale (BES); Quality of Life Scale (WHOQOL-BREF)]. There was no dietary prescription for calories, carbohydrates, proteins, fats, and fiber. Patients were only encouraged to consume fewer ultra-processed foods and more natural and minimally processed foods. The meetings occurred from October to November 2023. Statistical analysis: To carry out inferential statistics, the Shapiro–Wilk test was used to verify the normality of variable distribution. All variables were identified as non-normal distribution and were compared between the first and the eighth week using a two-tailed Wilcoxon test. Non-Gaussian data were represented by median ± interquartile range (IQR). Additionally, α < 0.05 and p < 0.05 were adopted. Results: Significant reductions were found from the first to the eighth week for weight, BMI, waist circumference, episodes of binge eating, BSQ scale score, BES score, and total energy value (all p < 0.0001). In contrast, there was a significant increase in the WHOQOL-BREF score and daily water intake (p < 0.0001). Conclusions: ME improved anthropometric data, episodes of binge eating, body image dissatisfaction, eating habits, and quality of life in participants with obesity and BED in the short-term. However, an extension of the project will be necessary to analyze the impact of the intervention in the long-term.

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“…Mindful eating has been shown to be as effective as conventional weight loss interventions [ 11 ]. Moreover, mindful eating has been shown to positively affect eating behavior [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Mindful Eating and YogaDance among Overweight and Obese Women: An Exploratory Randomized Controlled Trial

et al. 2023

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Many current treatment options for managing overweight and obesity consist of rather strict diet and exercise regimes that are difficult to implement as a lifelong routine. Therefore, alternative initiatives such as mindful eating and pleasure-oriented physical activity with more focus on implementation and enjoyment are needed to reverse the obesity epidemic. Mindful eating is an approach focusing on inner hunger and satiety signals. YogaDance is a novel exercise approach combining elements of yoga and dance. This study was a randomized controlled trial investigating the individual and combined effects of mindful eating and YogaDance. Participants were healthy, inactive women with overweight or obesity (body mass index ≥ 25 kg/m2 and/or waist circumference ≥ 80 cm) who were randomized to one of four groups for 8 weeks: mindful eating alone, YogaDance alone, the combination of mindful eating and YogaDance, or control. Fat mass was the primary outcome and secondary outcomes included body weight, waist circumference, and other physiological, behavioral, and quality-of-life outcomes. Sixty-one women were included in the study and randomized to mindful eating and YogaDance combined, YogaDance, mindful eating, or control. Fat mass was reduced by 1.3 kg (95% CI [−10.0, 7.3] kg; p = 0.77), 3.0 kg (95% CI [−11.1, 5.1] kg; p = 0.48), and 1.8 kg (95% CI [−10.1, 6.6] kg; p = 0.69) for the mindful eating, YogaDance, and combined mindful eating and YogaDance interventions, respectively, compared to the control, with corresponding effect sizes of 0.15, 0.34, and 0.21. In complete-case analyses, fat percent and waist circumference were reduced whereas mental quality of life and eating behavior were improved for mindful eating and mindful eating and YogaDance combined compared to the control. In conclusion, the study found modest benefits of an 8-week combination of mindful eating and YogaDance, corroborating findings in previous studies on mindful eating, yoga, and dance. However, the study had several limitations that should be taken into consideration, including low power due to a large drop-out as well as low to moderate training load and compliance. The trial was retrospectively registered (ISRCTN87234794).

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‘Mindful eating’ for reducing emotional eating in patients with overweight or obesity in primary care settings: A randomized controlled trial

Cited by 14 publications

References 79 publications

Practical strategies to manage obesity in type 2 diabetes

Practical strategies to manage obesity in type 2 diabetes

Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder

Effects of Mindful Eating and YogaDance among Overweight and Obese Women: An Exploratory Randomized Controlled Trial

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