title: The effects of mindfulness training on weight-loss and health-related behaviours in adults with overweight and obesity: A systematic review and meta-analysis.
abstract: 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 (R2=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.
authors.affiliation: 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. Electronic address: alexis.ruffault@parisdescartes.fr.
authors.forename: Alexis
authors.initials: A
authors.lastname: Ruffault
authors.affiliation: 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.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Czernichow
authors.affiliation: Health Psychology and Behavioural Medicine Research Group, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia; Department of Sport Sciences, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
authors.forename: Martin S
authors.initials: MS
authors.lastname: Hagger
authors.affiliation: Service de Nutrition, Hôpital Européen-Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France.
authors.forename: Margot
authors.initials: M
authors.lastname: Ferrand
authors.affiliation: Laboratoire de Psychopathologie et Processus de Santé (EA 4057), Université Paris Descartes, Sorbonne Paris Cité, Boulogne-Billancourt, France.
authors.forename: Nelly
authors.initials: N
authors.lastname: Erichot
authors.affiliation: Service de Nutrition, Hôpital Européen-Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France.
authors.forename: Claire
authors.initials: C
authors.lastname: Carette
authors.affiliation: Laboratoire de Psychopathologie et Processus de Santé (EA 4057), Université Paris Descartes, Sorbonne Paris Cité, Boulogne-Billancourt, France.
authors.forename: Emilie
authors.initials: E
authors.lastname: Boujut
authors.affiliation: Laboratoire de Psychopathologie et Processus de Santé (EA 4057), Université Paris Descartes, Sorbonne Paris Cité, Boulogne-Billancourt, France.
authors.forename: Cécile
authors.initials: C
authors.lastname: Flahault
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D015992:Body Mass Index; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D064866:Mindfulness / Q000379:methods*; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D050177:Overweight / Q000523:psychology / Q000628:therapy*; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Binge eating; Body mass index; Mindfulness; Physical activity; Weight