Kao Tsui-Sui Annie, Ling Jiying, Alanazi Mohammed, Atwa Ahmed, Liu Stephanie
College of Nursing, Michigan State University, East Lansing, Michigan, USA.
University of Bisha, Bisha, Saudi Arabia.
Obes Rev. 2025 Mar;26(3):e13860. doi: 10.1111/obr.13860. Epub 2024 Nov 3.
This systematic review and meta-analysis examined the effects of mindful-based interventions (MBIs) on changes in obesogenic eating behaviors. Seven databases (CINAHL, PubMed, PsycINFO, Cochrane, Web of Science Core Collection, Embase, Sociological Abstracts) were searched. Random-effects models were performed to estimate the pooled effects, and mixed-effects models were used to explore potential moderators of MBIs on eating behavioral changes. The significant effects on mindless eating habits included controlled eating (Hedge's g = 0.23, p = 0.005), external eating (g = -0.62, p = 0.001), fullness awareness (g = 0.64, p < 0.001), hunger eating (g = -0.69, p = 0.032), energy intake (g = -0.60, p = 0.003), sweet intake (g = -0.39, p < 0.001), and impulsive food choice (g = -0.43, p = 0.002). However, small and insignificant effects were noted for stress-related eating habits like emotional eating (g = -0.27; p = 0.070) and binge eating (g = -0.35, p = 0.136). The long-term effects were significantly sustained on hunger eating (g = -0.50, p = 0.007) but insignificant on emotional eating (g = -0.22, p = 0.809). MBIs delivered in clinical settings were more effective for decreasing emotional eating compared with those in school settings. Our findings support the effectiveness of MBIs. The pooled effects on improving mindless eating habits were stronger than the modification of stress-related eating habits.
本系统评价和荟萃分析探讨了基于正念的干预措施（MBIs）对致肥胖饮食行为变化的影响。检索了七个数据库（CINAHL、PubMed、PsycINFO、Cochrane、科学网核心合集、Embase、社会学文摘）。采用随机效应模型估计合并效应，并使用混合效应模型探索MBIs对饮食行为变化的潜在调节因素。对无意识饮食习惯的显著影响包括控制饮食（赫奇斯g值=0.23，p=0.005）、外部进食（g=-0.62，p=0.001）、饱腹感意识（g=0.64，p<0.001）、饥饿进食（g=-0.69，p=0.032）、能量摄入（g=-0.60，p=0.003）、甜食摄入（g=-0.39，p<0.001）和冲动性食物选择（g=-0.43，p=0.002）。然而，对于情绪性进食（g=-0.27；p=0.070）和暴饮暴食（g=-0.35，p=0.136）等与压力相关的饮食习惯，发现的影响较小且不显著。饥饿进食的长期影响显著持续（g=-0.50，p=0.007），但情绪性进食的长期影响不显著（g=-0.22，p=0.809）。与学校环境中的MBIs相比，临床环境中实施的MBIs在减少情绪性进食方面更有效。我们的研究结果支持MBIs的有效性。对改善无意识饮食习惯的合并效应强于对与压力相关饮食习惯的改善。
