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Mindful eating for weight loss in women with obesity: a randomised controlled trial

Published online by Cambridge University Press:  19 December 2022

Renata Bressan Pepe Open the ORCID record for Renata Bressan Pepe [Opens in a new window] ,
Graziele Souza de Menezes Amorim Coelho ,
Flavia da Silva Miguel ,
Ana Carolina Gualassi ,
Marcela Mosconi Sarvas ,
Cintia Cercato ,
Marcio C. Mancini  and
Maria Edna de Melo
Renata Bressan Pepe*
Affiliation:
Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
Graziele Souza de Menezes Amorim Coelho
Affiliation:
Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
Flavia da Silva Miguel
Affiliation:
Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
Ana Carolina Gualassi
Affiliation:
Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
Marcela Mosconi Sarvas
Affiliation:
Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
Cintia Cercato
Affiliation:
Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil Laboratorio de Lipides (LIM/10), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
Marcio C. Mancini
Affiliation:
Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil Laboratorio de Carboidratos e Radioimunoensaios (LIM/18), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
Maria Edna de Melo
Affiliation:
Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
*
*Corresponding author: Renata Bressan Pepe, email nutrirenatabressan@gmail.com
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Abstract

Mindful eating (ME) has been linked to improvement in binge eating disorder, but this approach in obesity management has shown conflicting results. Our aim was to assess the effect of ME associated with moderate energy restriction (MER) on weight loss in women with obesity. Metabolic parameters, dietary assessment, eating behaviour, depression, anxiety and stress were also evaluated. A total of 138 women with obesity were randomly assigned to three intervention groups: ME associated with MER (ME + MER), MER and ME, and they were followed up monthly for 6 months. ME + MER joined seven monthly mindfulness-based intervention group sessions each lasting 90 min and received an individualised food plan with MER (deficit of 2092 kJ/d - 500 kcal/d). MER received an individualised food plan with MER (deficit of 2092 kJ/d - 500 kcal/d), and ME joined seven monthly mindfulness-based intervention group sessions each lasting 90 min. Seventy patients completed the intervention. Weight loss was significant, but no statistically significant difference was found between the groups. There was a greater reduction in uncontrolled eating in the ME group than in the MER group and a greater reduction in emotional eating in the ME group than in both the MER and the ME + MER groups. No statistically significant differences were found in the other variables evaluated between groups. The association between ME with energy restriction did not promote greater weight loss than ME or MER.

Keywords

ObesityWeight lossDietMindfulnessFeeding behaviourDepressionAnxietyStressPsychological
Type
Research Article
Information
British Journal of Nutrition , Volume 130 , Issue 5 , 14 September 2023 , pp. 911 - 920
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society

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