Negative Mood and Food Craving Strength Among Women with Overweight: Implications for Targeting Mechanisms Using a Mindful Eating Intervention.

Negative Mood and Food Craving Strength Among Women with Overweight: Implications for Targeting Mechanisms Using a Mindful Eating Intervention.
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DOI:
10.1007/s12671-021-01760-z
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发表时间:
2021
期刊:
影响因子:
3.6
通讯作者:
Mason AE
Mason AE
中科院分区:
医学3区
文献类型:
--
作者:
Sagui-Henson SJ;Radin RM;Jhaveri K;Brewer JA;Cohn M;Hartogensis W;Mason AE

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当经历负面情绪时,人们经常吃东西来改善情绪。情绪和饮食之间的习得性联系可能会培养频繁的食物渴望,从而偏离健康目标。正念饮食的训练可以针对这种情绪-渴望-进食的循环,通过教导个人在经历负面情绪时管理冲动。我们研究了移动的正念饮食干预对超重女性负面情绪和食物渴望之间联系的影响。在一项单组试验中,参与者(n = 64,M年龄= 46.1岁,M BMI = 31.5 kg/m2)在干预前和干预后3天以及干预后1个月内完成了3次/天的负面情绪和食物渴望的生态瞬时评估。使用多水平线性回归,我们比较了干预前与干预后(模型1)以及干预后与1个月随访(模型2)的负面情绪与食物渴望强度之间的关联。在模型1中,负面情绪与时间点相互作用(β =-0.20,SE = 0.09,p = 0.02,95% CI [-0.38,-0.03])来预测渴望强度,表明负面情绪和渴望强度之间的人内关联在干预后(β = 0.18)相对于干预前(β = 0.38)显著减弱。在模型2中,消极情绪与时间点没有相互作用,无法预测渴望强度(β = 0.13,SE = 0.09,p = 0.10,95% CI-0.03,0.31]);干预后和1个月随访之间的相关性没有显著差异。从干预前到干预后,注意饮食的训练削弱了情绪渴望的关联。在随访时,相关性减弱。我们的研究结果强调了情绪渴望的联系,作为一个值得关注的饮食机制,应该在临床试验中进行评估。NCT 02694731在线版本包含补充材料,可通过10.1007/s12671-021-01760-z获得。
When experiencing negative mood, people often eat to improve their mood. A learned association between mood and eating may cultivate frequent food cravings, detracting from health goals. Training in mindful eating may target this cycle of emotion-craving-eating by teaching individuals to manage urges when experiencing negative mood. We examined the impact of a mobile mindful eating intervention on the link between negative mood and food cravings among overweight women. In a single-arm trial, participants (n = 64, M age = 46.1 years, M BMI = 31.5 kg/m2) completed ecological momentary assessments of negative mood and food cravings 3 times/day for 3 days pre- and post-intervention, as well as 1-month post-intervention. Using multilevel linear regression, we compared associations between negative mood and food craving strength at pre- vs. post-intervention (model 1) and post-intervention vs. 1-month follow-up (model 2). In model 1, negative mood interacted with time point (β =  − .20, SE = .09, p = .02, 95% CI [− .38, − .03]) to predict craving strength, indicating that the within-person association between negative mood and craving strength was significantly weaker at post-intervention (β = 0.18) relative to pre-intervention (β = 0.38). In model 2, negative mood did not interact with time point to predict craving strength (β = .13, SE = .09, p = .10, 95% CI − .03, .31]); the association did not significantly differ between post-intervention and 1-month follow-up. Training in mindful eating weakened the mood-craving association from pre- to post-intervention. The weakened association remained at follow-up. Our findings highlight the mood-craving link as a target-worthy mechanism of mindful eating that should be assessed in clinical trials. NCT02694731 The online version contains supplementary material available at 10.1007/s12671-021-01760-z.
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