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Effects of a mindfulness‐based weight loss intervention in adults with obesity: A randomized clinical trial
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- 자료유형학술지논문
- 저자명Daubenmier, Jennifer,Moran, Patricia J.,Kristeller, Jean,Acree, Michael,Bacchetti, Peter,Kemeny, Margaret E.,Dallman, Mary,Lustig, Robert H.,Grunfeld, Carl,Nixon, Douglas F.,Milush, Jeffrey M.,Goldman, Veronica,Laraia, Barbara,Laugero, Kevin D.,Woodhouse,
- 학회/출판사/기관명John Wiley & Sons Ltd
- 출판년도2016
- 언어영어
- 학술지명/학위논문주기OBESITY
- 발행사항Vol.24No.4[2016]_x000D_
- ISBN/ISSN1930-7381
- 소개/요약Objective: To determine whether adding mindfulness-based eating and stress management practices to a diet-exercise program improves weight loss and metabolic syndrome components. Methods: In this study 194 adults with obesity were randomized to a 5.5-month program with or without mindfulness training and identical diet-exercise guidelines. Intention-to-treat analyses with multiple imputation were used for missing data. The primary outcome was 18-month weight change. Results: Estimated effects comparing the mindfulness to control arm favored the mindfulness arm in (a) weight loss at 12 months, -1.9 kg (95% CI: -4.5, 0.8; P = 0.17), and 18 months, -1.7 kg (95% CI: -4.7, 1.2; P = 0.24), though not statistically significant; (b) changes in fasting glucose at 12 months, -3.1 mg/dl (95% CI: -6.3, 0.1; P = 0.06), and 18 months, -4.1 mg/dl (95% CI: -7.3, -0.9; P = 0.01); and (c) changes in triglyceride/HDL ratio at 12 months, -0.57 (95% CI: -0.95, -0.18; P = 0.004), and 18 months, -0.36 (95% CI: -0.74, 0.03; P = 0.07). Estimates for other metabolic risk factors were not statistically significant, including waist circumference, blood pressure, and C-reactive protein. Conclusions: Mindfulness enhancements to a diet-exercise program did not show substantial weight loss benefit but may promote long-term improvement in some aspects of metabolic health in obesity that requires further study.
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