A mindfulness-based intervention to control weight after bariatric surgery: Preliminary results from a randomized controlled pilot trial.
A mindfulness-based intervention to control weight after bariatric surgery: Preliminary results from a randomized controlled pilot trial.
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DOI：
10.1016/j.ctim.2016.07.001
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发表时间：
2016-10
影响因子：
3.6
通讯作者：
Wee, Christina C.
中科院分区：
文献类型：
--
作者：
Chacko, Sara A.;Yeh, Gloria Y.;Davis, Roger B.;Wee, Christina C.
本研究旨在开发和测试一种新的基于正念的干预（MBI），旨在控制减肥手术后的体重。随机对照试验。贝丝以色列女执事医疗中心，波士顿，MA，美国。术后1-5年的肥胖患者（n=18）随机接受10周MBI或标准干预。主要结果是MBI的可行性和可接受性。次要结果包括体重、饮食行为、心理社会结果以及代谢和炎症生物标志物的变化。在干预后进行了定性的离职面谈。主要主题被编码和提取。出勤率极佳（9例患者中有6例参加了10节课中的≥ 7节课）。患者对MBI的满意度和总体获益较高。干预措施在6个月时有效地减少了情绪性进食（正念为-4.9 ± 13.7 vs.标准为6.2 ± 28.4，组间差异p = 0.03），但体重没有减少。我们还观察到HbA 1C显著增加（0.34 ± 0.38 vs. −0.06 ± 0.31，p = 0.03）。客观的措施表明，在感知压力和抑郁症状增加的趋势，虽然患者报告减少压力反应，改善饮食行为，并在定性访谈中持续的正念为基础的支持的愿望。这种新的基于正念的方法对于手术后的减肥患者来说是高度可接受的，并且可能有效地减少情绪化进食，尽管它在短期内没有改善体重或血糖控制。在这一人群中，可能需要对基于正念的方法进行更长期的研究。
This study aimed to develop and test a novel mindfulness-based intervention (MBI) designed to control weight after bariatric surgery. Randomized, controlled pilot trial. Beth Israel Deaconess Medical Center, Boston, MA, USA. Bariatric patients 1–5 years post-surgery (n=18) were randomized to receive a 10-week MBI or a standard intervention. Primary outcomes were feasibility and acceptability of the MBI. Secondary outcomes included changes in weight, eating behaviors, psychosocial outcomes, and metabolic and inflammatory biomarkers. Qualitative exit interviews were conducted post-intervention. Major themes were coded and extracted. Attendance was excellent (6 of 9 patients attended ≥ 7 of 10 classes). Patients reported high satisfaction and overall benefit of the MBI. The intervention was effective in reducing emotional eating at 6 months (−4.9 ± 13.7 in mindfulness vs. 6.2 ± 28.4 in standard, p for between-group difference = 0.03) but not weight. We also observed a significant increase in HbA1C (0.34 ± 0.38 vs. −0.06 ± 0.31, p = 0.03). Objective measures suggested trends of an increase in perceived stress and symptoms of depression, although patients reported reduced stress reactivity, improved eating behaviors, and a desire for continued mindfulness-based support in qualitative interviews. This novel mindfulness-based approach is highly acceptable to bariatric patients post-surgery and may be effective for reducing emotional eating, although it did not improve weight or glycemic control in the short term. Longer-term studies of mindfulness-based approaches may be warranted in this population.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
6.9
作者：
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通讯作者：
Shaw, J. A.
DOI：
10.1038/oby.2001.13
发表时间：
2001-02-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Kolotkin, RL;Crosby, RD;Williams, GR
通讯作者：
Williams, GR