Spadaro Kathleen C, Davis Kelliann K, Sereika Susan M, Gibbs Bethany B, Jakicic John M, Cohen Susan M
Nursing Programs, Chatham University, Woodland Road, 217 Eastside, Pittsburgh, PA 15232, USA.
Department of Health and Physical Activity, University of Pittsburgh, Pittsburgh, PA, USA.
J Complement Integr Med. 2017 Dec 5;15(2):/j/jcim.2018.15.issue-2/jcim-2016-0048/jcim-2016-0048.xml. doi: 10.1515/jcim-2016-0048.
Background There is a significant health crisis with rates of obesity continuing to increase despite research and clinical standard behavioral weight loss programs (SBWP). Mindfulness meditation (MM), with demonstrated benefits on physical, psychological health, and self-regulation behaviors was explored with SBWP. Methods Forty-six adults (BMI=32.5±3.7 kg/m2; age=45.2±8.2 years, 87 % female, 21.7 % African American) were randomly assigned to a 6-month SBWP only (n=24) or SBWP+MM (n=22) at a university-based physical activity and weight management research center in a northeastern US city. Participants were instructed to decrease intake (1200-1500 kcal/day), increase physical activity (300 min/wk), and attend weekly SBWP or SBWP+MM sessions. SBWP+MM had the same SBWP lessons with addition of focused MM training. Outcome measures collected at 0, 3, and 6 months included: weight, Block Food Frequency Questionnaire, Eating Behavior Inventory, Eating Inventory and Paffenbarger Physical Activity Questionnaire. Data were analyzed using linear mixed modeling for efficacy analysis of weight (primary) and eating, exercise and mindfulness (secondary outcomes). Results Retention rate was 76.1 % (n=35). A significant group by time interaction (p=0.03) was found for weight, with weight loss favoring SBWP+MM (-6.9 kg+2.9) over SBWP (-4.1 kg+2.8). Eating behaviors (p=0.02) and dietary restraint (p=0.02) improved significantly in SBWP+MM, compared to SBWP. MM enhanced weight loss by 2.8 kg potentially through greater improvements in eating behaviors and dietary restraint. Conclusions These findings support further study into the use of MM strategies with overweight and obese adults. The use of this low-cost, portable strategy with standard behavioral interventions could improve weight management outcomes.
尽管有相关研究和临床标准行为减肥计划（SBWP），肥胖率仍持续上升，这是一个重大的健康危机。本研究探讨了将正念冥想（MM）与SBWP相结合的效果。正念冥想已被证明对身心健康和自我调节行为有益。方法：46名成年人（体重指数=32.5±3.7kg/m²；年龄=45.2±8.2岁，87%为女性，21.7%为非裔美国人）在美国东北部一个城市的大学体育活动与体重管理研究中心，被随机分配到仅接受为期6个月的SBWP组（n=24）或SBWP+MM组（n=22）。参与者被要求减少热量摄入（1200-1500千卡/天），增加体育活动（300分钟/周），并参加每周一次的SBWP或SBWP+MM课程。SBWP+MM组在SBWP课程的基础上增加了专注的MM训练。在0、3和6个月时收集的结果指标包括：体重、Block食物频率问卷、饮食行为量表、饮食量表和帕芬巴格体力活动问卷。使用线性混合模型对体重（主要结果）以及饮食、运动和正念（次要结果）进行疗效分析。结果：保留率为76.1%（n=35）。在体重方面发现了显著的组间时间交互作用（p=0.03），与SBWP组（-4.1kg±2.8）相比，SBWP+MM组的体重减轻更明显（-6.9kg±2.9）。与SBWP组相比，SBWP+MM组的饮食行为（p=0.02）和饮食克制（p=0.02）有显著改善。MM可能通过更大程度地改善饮食行为和饮食克制，使体重减轻增加了2.8kg。结论：这些发现支持进一步研究将MM策略用于超重和肥胖成年人。将这种低成本、便于携带的策略与标准行为干预相结合，可能会改善体重管理效果。
