Effectiveness of Mindfulness-Based Eating Awareness Training on Weight Loss, Self-Efficacy, Emotion Regulation and Healty Diet in Obese Womenn

Document Type : Original Article

Authors

1 PhD Student in Health Psychology, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

2 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

3 , Professor, Iran University of Medical Sciences and Health Services, Tehran, Iran.

4 Assistant Professor, Alborz University of Medical Sciences, Alborz, Karaj

Abstract

Objectives: The main purpose of current study is “evaluation of effectiveness of mindfulness-based eating awareness training (MB_EAT) on weight, self-efficacy, emotion regulation and healty diet in obese women.”
Methods: The research method was semi-experimental with Pre-test, post-test and follow-up test design, and comparing them with a control group. Forty subjects were randomly divided into two experimental and control groups according to the inclusion criteria and targeted sampling. Weight, Weight Efficacy Lifestyle Questionnaire, Difficulties in Emotion Regulation Scale and self-reported diet intake were assessed before, after and three months after the intervention. Mindfulness-based eating awareness training intervention was held during 12 sessions of 150 minutes. Repeated measurement analysis of variance was used.
Results: The results showed that mindfulness-based eating awareness training weight, self-efficacy (P = 0.001), emotion regulation (P = 0.001) and nutritional behavior was effective (P = 0.001).
Conclusion: Mindfulness based-eating awareness training was effective on biological, psychological and behavioral indicators of overweight and obese women. This study is designed to maximize real-world application.

Keywords


منابع
1. Vaidya V. Psychosocial aspects of obesity. In: Vaidya V, Editor. Health and Treatment Strategies in Obesity. Unionville, CT: Karger Publishers, 2006. p. 73-85.
2. Horwich TB, Fonarow GC, Clark AL. Obesity and the Obesity Paradox in Heart Failure. Prog Cardiovasc Dis. 2018; 61(2):151-6.
3. Shapira N, Sharon O. Prevention and Control: Nutrition, Obesity, and Metabolism. 2018.
4. Naghashpour, M Shakerinejad, Q. Haghighizadeh, M.H. Haji Najaf, S. Jarvandi, F. Prevalence of obesity and its relationship with demographic indicators in people over 18 years refer to Khuzestan University Jihad Clinic [In Persian]. Jundishapur Medical Scientific Journal. 2011; 1 (70); 21 – 35.
5. Folsom AR, Kaye SA, Sellers TA, Hong CP, Cerhan JR, Potter JD, et al. Body fat distribution and 5-year risk of death in older women. Jama. 1993;269(4):483-7..
6. Steward T, Picó-Pérez M, Mata F, Martínez-Zalacaín I, Cano M, Contreras-Rodríguez O, et al. Emotion Regulation and Excess Weight: Impaired Affective Processing Characterized by Dysfunctional Insula Activation and Connectivity. PloS one. 2016; 11(3):e0152150.
7. Levitan R, Davis R. Emotions and Eating Behaviour: Implications for the Current Obesity Epidemic. University of Toronto Quarterly. 2010; 79:783 - 99.
8. Micanti F, Iasevoli F, Cucciniello C, Costabile R, Loiarro G, Pecoraro G, et al. The relationship between emotional regulation and eating behaviour: A multidimensional analysis of obesity psychopathology.Eat Weight Disord. 2017; 22(1):105-15.
9. Kristeller JL, Jordan KD. Mindful Eating: Connecting With the Wise Self, the Spiritual Self. Front Psychol. 2018;9:1271.
10. Salmoirago-Blotcher E, Druker S, Meyer F, Bock BC, Crawford S, Pbert L. Design and methods for "Commit to Get Fit" - a pilot study of a school-based mindfulness intervention to promote healthy diet and physical activity among adolescents. Contemporary clinical trials. 2015;41:248-58.
11. Nezlek JB, Holas P, Rusanowska M, Krejtz I. Being present in the moment: Event-level relationships between mindfulness and stress, positivity, and importance. Personality and Individual Differences. 2016;93:1-5.
12. Kristeller JL, Wolever RQ. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eat Disord. 2011;19(1):49-61.
13. Dutton GR, Martin PD, Rhode PC, Brantley PJ. Use of the weight lifestyle questionnaire with African American: Validation and extension of previous findings. Eat Behav.2004; 5:375-84.
14. Van Duyn, M.A. Kristal, A R. Dodd, K. Campbell, M K. Subar, A F. Stables, G. Nebeling, L. Glanz, K. Affiliatio. Association of Awareness, Intrapersonal and Interpersonal Factors, and Stage of Dietary Change with Fruit and Vegetable Consumption: A National Survey. Am J Health Promot? Nov-Dec 2001; 16(2):69-78. Doi: 10.4278/0890-1171-16.2.69.
15. Brooke T. Nezami, Wei Lang, John M. Jakicic, Kelliann K. Davis, Kristen Polzien, Amy D. Rickman, Karen E. Hatley, and Deborah F. Tate. The Effect of Self-Efficacy on Behavior and Weight in a Behavioral Weight Loss Intervention. Health Psychol.2016; 10.1037/hea0000378.
16. Steward T, Picó-Pérez M, Mata F, Martínez-Zalacaín I, Cano M, Contreras-Rodríguez O, et al. Emotion Regulation and Excess Weight: Impaired Affective Processing Characterized by Dysfunctional Insula Activation and Connectivity. PloS one. 2016;11(3):e0152150.
17. Van Strien T, Donker MH, Ouwens MA. Is desire to eat in response to positive emotions an 'obese' eating style: Is Kummerspeck for some people a misnomer? Appetite. 2016; 100:225-35.
18. Terracciano A, Sutin AR, McCrae RR, Deiana B, Ferrucci L, Schlessinger D, et al. Facets of personality linked to underweight and overweight. Psychosom Med. 2009; 71(6): 682.
19. Burton, E.T.; Smith, W.A. Mindful Eating and Active Living: Development and Implementation of a Multidisciplinary Pediatric Weight Management Intervention. Nutrients 2020, 12, 1425.
20. Mattioli A.V., Ballerini Puviani M. Lifestyle at time of COVID-19, how could quarantine affect cardiovascular risk. Am. J. Lifestyle Med. 2020; 14(3):240–242. Doi: 10.1177/1559827620918808. Apr 17
21. Abbas A.M., Fathy S.K., Fawzy A.T., Salem A.S., Shawky M.S. The mutual effects of COVID-19 and obesity. Obes. Med. 2020 doi: 10.1016/j.obmed.2020.100250.
22. Matiz, A.; Fabbro, F.; Paschetto, A.; Cantone, D.; Paolone, A.R.; Crescentini, C. Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy. Int. J. Environ. Res. Public Health 2020, 17, 6450.
23. Haliwaa, Lee, J. Wilsona, J.Shookb, N.J. Mindfulness and engagement in COVID-19 preventive behavior. Elsevier, December 2020; 20: 101246.
24. Moor, K. R., Scott, A. J., & McIntosh, W. D. Mindful eating and its relationship to body mass index and physical activity among university students. Mindfulness.2013; 4: 269–274
25. VanVoorhis CRW, Morgan BL. Understanding power and rules of thumb for determining sample sizes. Tutorials in Quantitative Methods for Psychology 2007;3(2):43-50.
26. Senthil K., Baharudin O, Ohnmar H, Leonard H. Joseph. Reliability, agreement, and validity of digital weighing scale with MatScan in limb load measurement. Journal of rehabilitation research and development.. 2014; 51. 591-598. 10.1682/JRRD.2013.07.0166.
27. Fruh SM. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. Journal of the American Association of Nurse Practitioners. 2017;29(S1):S3-s14.
28. Fernau K. Count ‘smart’ calories for weight loss. In: Gannett news service. McLean, United States: USA Today, a division of Gannett Satellite Information Network, Inc.; 2010
29. Navidian, A., Abedi, M. R, Baghban, I, Fatehizadeh, M S, And Poursharifi, H. Validity and validity of a lifestyle questionnaire based on weight self-efficacy in overweight and obese people[In Persian]. Journal of Behavioral Sciences,2009; 3 (3), 217-222.
30. Gratz, K.L., Roemer, L. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment,2004; 26, 41–54 (2004). https://doi.org/10.1023/B:JOBA.0000007455.08539.94
31. Zebardast, O.. Besharat, M. A. Pourhossein, R. Bahrami, E. Poursharifi, H. Comparison of interpersonal relationship therapy and emotion management in obese and overweight women[In Persian]. Journal of Health Psychology,2015; No. 14 / 1-25.
32. Köse G, Çıplak ME. Mindful eating questionnaired: eating control, emotional eating and conscious nutrition trio: Mindful Eating Eating Control, Emotional Eating, Conscious Nutrition. Progress in Nutrition. 2020;22(2):555-61.
33. Katterman SN, Kleinman BM, Hood MM, Nackers LM, Corsica JA. Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: a systematic review. Eat Behav. 2014;15(2):197-204.
34. Ouwens, M. A., Schiffer, A. A., Visser, L. I., Raeijmaekers, N. J. C.,& Nyklícˇek, I. Mindful-ness and eating behaviour styles in morbidly obese males and females. Appetite.2015; 87: 62–67.
35. Sarto, H.M. Soler, A.B. Mercadal, P.H. Pantilie, B. Navarro-Gil, M. Garcia-Campayo, J. Montero-Marin, J. (2019). Efficacy of a mindful-eating programmer to reduce emotional eating in patients suffering from overweight or obesity in primary care settings: a cluster-randomised trial protocol. BMJ Open:2019; first published as 10.1136/bmjopen-2019-031327.
36. Jordan CH, Wang W, Donatoni L, Meier BP. Mindful eating: Trait and state mindfulness predict healthier eating behavior. Personality and Individual Differences. 2014;68:107-
37. Reilly, G. A. O., Cook, L., Spruijt-Metz, D., & Black, D. S. Mindfulness-based interventions for obesity-related eating behaviour: a literature review. Obes Rev. 2014; 15: 453–461.
38. Kristeller, J. L., Baer, R., & Wolever, R.Q. Mindfulness-based approaches to eating disorders. Baer, b. Mindfulness and acceptance based interventions: conceptualization, application, and empirical support.2006; (pp. 3–32). Burlington: Elsevier.
39. Pondeh Nezhadan AA, A AY, H D. Factorial structure and reliability of eating mindfully questionnaire (emq) among married women with overweight and obesity[In Persian]. Jundishapur scientific medical journal. 2018;17(2 #R00296).