Participation in mindfulness-based stress reduction is not associated with reductions in emotional eating or uncontrolled eating
Participation in mindfulness-based stress reduction is not associated with reductions in emotional eating or uncontrolled eating
复制标题
DOI：
10.1016/j.nutres.2012.05.008
复制
发表时间：
2012-06-01
影响因子：
4.5
通讯作者：
Simpson, Tracy L.
中科院分区：
文献类型：
--
作者：
Kearney, David J.;Milton, Meredith L.;Simpson, Tracy L.
在美国，肥胖对健康的不利影响和日益增加的患病率使肥胖干预成为健康研究的优先事项。以饮食为重点的干预措施通常不会导致持久的体重减轻。行为干预，增加对饮食线索和饱腹感的认识已被假定为导致更健康的饮食习惯。我们假设，参与一个名为正念减压（MBSR）的项目，会通过改变情绪化饮食（EE）、不受控制的饮食（UE）以及食物的类型和数量，对参与者的饮食行为和营养摄入产生积极影响。在一个大型城市退伍军人管理局医疗中心的48名退伍军人在正念减压治疗前、正念减压治疗后和4个月后接受了评估。对于所有参与者（N = 48），MBSR参与与EE或UE的显著变化无关。此外，与基线相比，在任一随访时间点，能量、脂肪、糖、水果或蔬菜的摄入量均无显著差异。随着时间的推移，正念技能的增强和抑郁症状的减少被认为具有中等到大的效果。随着时间的推移，正念技能的变化与EE和UE的变化呈显著负相关。总的来说，没有证据表明参与正念减压疗法与饮食方面的有益变化有关，这些变化是通过减少不受抑制的饮食或饮食摄入量的显著变化来实现的。需要随机研究来进一步确定正念计划参与和饮食行为之间的关系。爱思唯尔公司出版
The adverse health effects and increasing prevalence of obesity in the United States make interventions for obesity a priority in health research. Diet-focused interventions generally do not result in lasting reductions in weight. Behavioral interventions that increase awareness of eating cues and satiety have been postulated to result in healthier eating habits. We hypothesized that participation in a program called mindfulness-based stress reduction (MBSR) would positively influence the eating behaviors and nutritional intake of participants through changes in emotional eating (EE), uncontrolled eating (UE), and type and quantity of food consumed. Forty-eight veterans at a large urban Veterans Administration medical center were assessed before MBSR, after MBSR, and 4 months later. For all participants (N = 48), MBSR participation was not associated with significant changes in EE or UE. In addition, there were no significant differences in the intake of energy, fat, sugar, fruit, or vegetables at either follow-up time point as compared with baseline.. Enhanced mindfulness skills and reduced depressive symptoms were seen over time with medium to large effect sizes. Changes in mindfulness skills were significantly and negatively correlated with changes in EE and UE over time. Overall, there was no evidence that participation in MBSR was associated with beneficial changes in eating through reductions in disinhibited eating or significant changes in dietary intake. Randomized studies are needed to further define the relationship between mindfulness program participation and eating behaviors. Published by Elsevier Inc.