Impact of Mindfulness-Based Eating Awareness on Diet and Exercise Habits in Adolescents.
Impact of Mindfulness-Based Eating Awareness on Diet and Exercise Habits in Adolescents.
复制标题
DOI：
10.15406/ijcam.2016.03.00070
复制
发表时间：
2016-01-01
期刊：
影响因子：
--
通讯作者：
Kristeller, Jean L
中科院分区：
文献类型：
--
作者：
Barnes, Vernon A;Kristeller, Jean L
背景：儿童和青少年超重是当前最重要的公共卫生问题之一。迫切需要启动以社区为基础的预防，以支持儿童的健康饮食和体育活动。基于正念的饮食意识训练(MB-EAT)是由Kristeller等人开发的为期12周的人工干预。目的：使MB-EAT计划适用于青少年(MB-EAT-A)，并评估在高中环境中实施的MB-EAT-A计划对自我报告的饮食和锻炼习惯以及饮食脂肪摄入量的影响。方法：40名九年级青少年(14名男性；35名非裔美国人，1名高加索人，4名其他人；平均年龄16.2±1.2岁；6个高中健康/体育班的BMI=32.4±9.0，BMI 19.1~58.4，随机分为MB-EAT-A干预组(n=18)和健康教育对照组(n=22)，每12周一次。在测试前、测试后3个月进行饮食和运动习惯以及膳食脂肪和卡路里含量的评估。干预后即刻和随访，干预后3个月结束，随访时保留率85%。结果：6mo。随访，MB-EAT-A组增加了每天30分钟的中等强度运动(0.8天/周)和20分钟/天的高强度有氧运动(1.4天/周)
BACKGROUND: Childhood and adolescent overweight is one of the most important current public health concerns. There is an urgent need to initiate community-based prevention to support healthy eating and physical activity in children. Mindfulness-Based Eating Awareness Training (MB-EAT) is a 12-w eek manualized intervention developed by Kristeller et al. that uses focused meditation techniques to help obese individuals normalize eating behaviors, and improve exercise and dietary habits.OBJECTIVE: To adapt the MB-EAT program to adolescents (MB-EAT-A) and assess the impact of the MB-EAT-A program implemented in a high school setting on self-reported assessment of eating and exercise habits and dietary intake of fat.METHODS: 40 ninth grade adolescents (14 males; 35 African-Americans, 1 Caucasian, 4 Others; mean age 16.2±1.2 yrs; BMI=32.4±9.0, BMI range 19.1 to 58.4) from 6 high school health/physical education classes were randomly assigned to 12-weekly sessions of MB-EAT-A intervention (n=18) or health education control (CTL, n=22). Assessments of eating and exercise habits and dietary fat and caloric content were conducted at pre-test, post-test at 3 mo. immediately following intervention and follow-up, 3 months after intervention ended, with 85% retention at follow up.RESULTS: At 6 mo. follow-up, the MB-EAT-A group increased days/week of moderate exercise >30 min/day (0.8 vs -0.7 days/week), and intense aerobic exercise >20 min/day (1.4 vs. -0.5 days/week, both ps