title: Self-management of dietary intake using mindful eating to improve dietary intake for individuals with early stage chronic kidney disease.
abstract: Using mindful eating to improve specific dietary recommendations has not been adequately studied. This feasibility study examined an intervention, self-management of dietary intake using mindful eating, with 19 participants that had mild to moderate chronic kidney disease, using a prospective, single group, pretest-posttest design. The intervention had six weekly classes focused on self-management using mindful eating, goal-setting, problem-solving, and food label reading. Weight, body mass index (BMI), 3-day 24-h dietary recalls and fasting blood samples were measured. Participants improved significantly in mean weight (203.21 ± 42.98 vs 199.91 ± 40.36 lbs; P = 0.03) and BMI (32.02 ± 5.22 vs 31.57 ± 5.27 kg/m2; P = 0.04), but not in dietary intake nor blood measures with the exception of cis-beta-carotene levels (0.020 + 0.012 vs 0.026 + 0.012 mcg/mL; P = 0.008), which correlates to fruit and vegetable servings. These promising results warrant further testing of the intervention in randomized control trials.
authors.affiliation: School of Nursing, The University of Texas at Austin, 1710 Red River, Austin, TX, 78701, USA. gtimmerman@mail.utexas.edu.
authors.forename: Gayle M
authors.initials: GM
authors.lastname: Timmerman
authors.affiliation: Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, USA.
authors.forename: Muna J
authors.initials: MJ
authors.lastname: Tahir
authors.affiliation: Renal Transplant Program, St. David's North Austin Medical Center, Austin, TX, USA.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Lewis
authors.affiliation: Austin Kidney Associates, Austin, TX, USA.
authors.forename: Deborah
authors.initials: D
authors.lastname: Samoson
authors.affiliation: College of Pharmacy, The University of Texas at Austin, Austin, TX, USA.
authors.forename: Holli
authors.initials: H
authors.lastname: Temple
authors.affiliation: Department of Nutritional Sciences and Population Research Center, The University of Texas at Austin, Austin, TX, USA.|Department of Nutrition Science, Purdue University, West Lafayette, IN, USA.
authors.forename: Michele R
authors.initials: MR
authors.lastname: Forman
mesh_terms: D000368:Aged; D015992:Body Mass Index; D001835:Body Weight; D004435:Eating / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D064866:Mindfulness; D011446:Prospective Studies; D051436:Renal Insufficiency, Chronic / Q000097:blood / Q000523:psychology*; D000073278:Self-Management / Q000523:psychology*; D019207:beta Carotene / Q000097:blood
chemical_list: D019207:beta Carotene
keywords: Chronic kidney disease; Dietary adherence; Dietary intake; Mindful eating; Self-management