Laboratoire de Psychopathologie et Processus de Santé (EA 4057), Université Paris Descartes, Sorbonne Paris Cité, Boulogne-Billancourt, France; Service de Nutrition, Hôpital Européen-Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France.
Service de Nutrition, Hôpital Européen-Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Paris, France; INSERM UMS 011, Population-Based Cohorts, Villejuif, France.
Obes Res Clin Pract. 2017 Sep-Oct;11(5 Suppl 1):90-111. doi: 10.1016/j.orcp.2016.09.002. Epub 2016 Sep 19.
The aim of this study was to conduct a comprehensive quantitative synthesis of the effects of mindfulness training interventions on weight-loss and health behaviours in adults with overweight and obesity using meta-analytic techniques. Studies included in the analysis (k=12) were randomised controlled trials investigating the effects of any form of mindfulness training on weight loss, impulsive eating, binge eating, or physical activity participation in adults with overweight and obesity. Random effects meta-analysis revealed that mindfulness training had no significant effect on weight loss, but an overall negative effect on impulsive eating (d=-1.13) and binge eating (d=-.90), and a positive effect on physical activity levels (d=.42). Meta-regression analysis showed that methodological features of included studies accounted for 100% of statistical heterogeneity of the effects of mindfulness training on weight loss (R=1,00). Among methodological features, the only significant predictor of weight loss was follow-up distance from post-intervention (β=1.18; p<.05), suggesting that the longer follow-up distances were associated with greater weight loss. Results suggest that mindfulness training has short-term benefits on health-related behaviours. Future studies should explore the effectiveness of mindfulness training on long-term post-intervention weight loss in adults with overweight and obesity.
本研究旨在运用荟萃分析技术,全面综合地评估正念训练干预对超重和肥胖成年人的体重减轻和健康行为的影响。纳入分析的研究(k=12)为随机对照试验,旨在调查任何形式的正念训练对超重和肥胖成年人的体重减轻、冲动性进食、暴食或身体活动参与的影响。随机效应荟萃分析显示,正念训练对体重减轻没有显著影响,但对冲动性进食(d=-1.13)和暴食(d=-.90)有总体的负面影响,对身体活动水平有积极影响(d=.42)。元回归分析表明,纳入研究的方法学特征解释了正念训练对体重减轻影响的 100%的统计学异质性(R=1,00)。在方法学特征中,唯一显著预测体重减轻的因素是干预后随访的距离(β=1.18;p<.05),这表明随访距离越长,体重减轻幅度越大。结果表明,正念训练对健康相关行为有短期益处。未来的研究应探索正念训练对超重和肥胖成年人长期干预后体重减轻的效果。