title: Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial.
abstract: We evaluated changes in mindful eating as a potential mechanism underlying the effects of a mindfulness-based intervention for weight loss on eating of sweet foods and fasting glucose levels. We randomized 194 obese individuals (M age = 47.0 ± 12.7 years; BMI = 35.5 ± 3.6; 78% women) to a 5.5-month diet-exercise program with or without mindfulness training. The mindfulness group, relative to the active control group, evidenced increases in mindful eating and maintenance of fasting glucose from baseline to 12-month assessment. Increases in mindful eating were associated with decreased eating of sweets and fasting glucose levels among mindfulness group participants, but this association was not statistically significant among active control group participants. Twelve-month increases in mindful eating partially mediated the effect of intervention arm on changes in fasting glucose levels from baseline to 12-month assessment. Increases in mindful eating may contribute to the effects of mindfulness-based weight loss interventions on eating of sweets and fasting glucose levels.
authors.affiliation: Osher Center for Integrative Medicine, University of California - San Francisco (UCSF), 1545 Divisadero Street, 4th Floor, San Francisco, CA, 94115, USA. ashley.mason@ucsf.edu.
authors.forename: Ashley E
authors.initials: AE
authors.lastname: Mason
authors.affiliation: Osher Center for Integrative Medicine, University of California - San Francisco (UCSF), 1545 Divisadero Street, 4th Floor, San Francisco, CA, 94115, USA.|Center for Health and Community, UCSF, San Francisco, CA, USA.
authors.forename: Elissa S
authors.initials: ES
authors.lastname: Epel
authors.affiliation: Department of Psychology, Indiana State University, Terre Haute, IN, USA.
authors.forename: Jean
authors.initials: J
authors.lastname: Kristeller
authors.affiliation: Osher Center for Integrative Medicine, University of California - San Francisco (UCSF), 1545 Divisadero Street, 4th Floor, San Francisco, CA, 94115, USA.
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: Moran
authors.affiliation: Center for Health and Community, UCSF, San Francisco, CA, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Dallman
authors.affiliation: Department of Pediatrics, UCSF, San Francisco, CA, USA.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Lustig
authors.affiliation: Osher Center for Integrative Medicine, University of California - San Francisco (UCSF), 1545 Divisadero Street, 4th Floor, San Francisco, CA, 94115, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Acree
authors.affiliation: Department of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Bacchetti
authors.affiliation: UC Berkeley School of Public Health, Berkeley, CA, USA.
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Laraia
authors.affiliation: Osher Center for Integrative Medicine, University of California - San Francisco (UCSF), 1545 Divisadero Street, 4th Floor, San Francisco, CA, 94115, USA.
authors.forename: Frederick M
authors.initials: FM
authors.lastname: Hecht
authors.affiliation: Osher Center for Integrative Medicine, University of California - San Francisco (UCSF), 1545 Divisadero Street, 4th Floor, San Francisco, CA, 94115, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Daubenmier
mesh_terms: D000328:Adult; D001364:Awareness / Q000502:physiology; D001786:Blood Glucose / Q000378:metabolism*; D004040:Dietary Carbohydrates / Q000008:administration & dosage*; D004435:Eating / Q000502:physiology* / Q000523:psychology*; D015444:Exercise / Q000502:physiology / Q000523:psychology; D005247:Feeding Behavior / Q000502:physiology* / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D005518:Food Preferences / Q000502:physiology* / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D064866:Mindfulness / Q000379:methods*; D009765:Obesity / Q000503:physiopathology* / Q000523:psychology*
chemical_list: D001786:Blood Glucose; D004040:Dietary Carbohydrates
keywords: Fasting glucose; Mindful eating; Mindfulness intervention; Obese adults; Sweet foods