Bacalhau Silvia Patrícia de Oliveira Silva, Orange Luciana Gonçalves de, Correia Junior Marco Aurélio de Valois, Nunes Juliana Vieira, Almeida Carolina Larissa Alves Sales de, Coriolano-Marinus Maria Wanderleya de Lavor
Graduate Program in Child and Adolescent Health, Federal University of Pernambuco, Av. Prof. Luiz Freire, 500 - University City, Recife, 50740-545, PE, Brazil.
University of Pernambuco, Recife, PE, Brazil.
J Eat Disord. 2025 May 1;13(1):77. doi: 10.1186/s40337-025-01238-6.
During adolescence, there are risks of changes in eating behavior and concerns about weight and body shape. Mindfulness-based interventions (MBIs) may bring benefits to this population.
This study aimed to assess research that carried out MBIs and its repercussions onbody image and eating behavior in non-clinical adolescents.
This is a scoping review study that followed the JBI methodology and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) protocol, and was registered in the Open Science Framework ( https://doi.org/10.17605/OSF.IO/3VB6K ). An initial search in MEDLINE (PubMed) was performed, followed by analysis of the words contained in the titles, abstracts and indexed terms. The identified keywords and indexed terms ("adolescent", "body image", "feeding behavior", "mindfulness", "mindful eating", "body dissatisfaction" and "body dysmorphic disorders") were used for research in PubMed, Web of Science, Embase and Scopus. There was no language restriction and the selection considered articles published up to December 2023. Duplicate articles were removed and, after analyzing the title, abstract and keywords, the selected articles were read in full, excluding those that did not meet the proposed eligibility criteria. The references of the initially selected articles were researched in additional sources.
Six studies out of a total of 665 were found. Five studies were randomized controlled trials and one was a single-arm pilot study. Of the six studies, three found positive relationships between MBIs and eating behavior (increased awareness of eating behaviors, significant reductions in dietary restraint and eating disorder symptoms) and/or body image (reduced concerns about weight and body shape, as well as negative affect - through improved emotional regulation). Three studies did not find statistically significant results.
MBIs appear to improve eating behavior and body image acceptance; however, further research is needed to draw more robust conclusions. Heterogeneity among the methodologies used was observed: variations in sample sizes, age groups and gender of participants, and protocols used, which prevents generalization of the results to adolescents and corroborates the need to create a protocol based on information already available in the literature.
在青春期，存在饮食行为改变以及对体重和体型担忧的风险。基于正念的干预措施（MBIs）可能会给这一人群带来益处。
本研究旨在评估实施MBIs及其对非临床青少年身体意象和饮食行为影响的相关研究。
这是一项遵循JBI方法以及系统评价与Meta分析扩展版的范围综述报告规范（PRISMA-ScR）的范围综述研究，并已在开放科学框架（https://doi.org/10.17605/OSF.IO/3VB6K）中注册。首先在MEDLINE（PubMed）中进行搜索，随后分析标题、摘要和索引词中包含的词汇。所确定的关键词和索引词（“青少年”“身体意象”“进食行为”“正念”“正念饮食”“身体不满”和“身体变形障碍”）用于在PubMed、科学网、Embase和Scopus中进行检索。无语言限制，纳入截至2023年12月发表的文章。去除重复文章，在分析标题、摘要和关键词后，对选定文章进行全文阅读，排除不符合拟定纳入标准的文章。在其他来源中检索最初选定文章的参考文献。
在总共665项研究中发现了6项研究。5项研究为随机对照试验，1项为单臂试点研究。在这6项研究中，3项发现MBIs与饮食行为（提高饮食行为意识、显著减少饮食限制和饮食失调症状）和/或身体意象（减少对体重和体型的担忧以及消极情绪——通过改善情绪调节）之间存在正相关关系。3项研究未发现具有统计学意义的结果。
MBIs似乎能改善饮食行为和对身体意象的接受度；然而，需要进一步研究以得出更有力的结论。观察到所使用方法之间存在异质性：样本量、参与者年龄组和性别以及所采用方案的差异，这妨碍了将结果推广至青少年，并证实了需要根据文献中已有的信息制定方案。
