Can Existing Knowledge on Eating Behaviors and Obesity Support People with Cystic Fibrosis Who Are Nutritionally Compromised?

Mantzios, Michail; Egan, Helen; Patchell, C.

doi:10.3389/fpsyg.2016.01477

Cited by 5 publications

(4 citation statements)

References 37 publications

(41 reference statements)

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“…[27][28][29][30][31] The data also shows how HCPs need to be mindful of the impact modulator therapies could have upon individual's decisions regarding health behaviours, highlighting the need for support of adherence decisions 32 and weight management. [33][34][35][36][37] Furthermore, the data provides insight into the need for proactive awareness regarding health risk behaviours (e.g., smoking, excessive alcohol consumption, illicit drug use and contraception use).…”

Section: Discussionmentioning

confidence: 99%

The psychological implications and health risks of cystic fibrosis pre- and post- CFTR modulator therapy

et al. 2022

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Objectives Cystic Fibrosis (CF) care is entering a period of personalised medicine with the emergence of CF transmembrane conductance regulator (CFTR) modulator therapies. Anecdotally individuals are reporting life-changing effects of modulator therapies, proposing an important area of study. Methods Twenty adult participants (males: 8, age range: 22–51 years, average FEV1: 53.45%) were recruited via social media to participate in a semi-structured interview; 17 participants were currently taking Elexacaftor/Tezacaftor/Ivacaftor (Kaftrio). Results An appreciation of a “normal life” post-modulator therapy is paramount, with improvements in symptoms and quality-of-life bringing a more urgent imperative for the provision of effective support to encourage positive health and lifestyle choices. Discussion In this new era of CF care, there remains many challenges present for the CF community, with participants suggesting that proactive psychological support is required along with proactive awareness regarding health risk behaviours for the current and future CF generations.

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Section: Discussionmentioning

confidence: 99%

The psychological implications and health risks of cystic fibrosis pre- and post- CFTR modulator therapy

et al. 2022

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“…Mantzios et al [ 23 ] proposed that there is much unexplored value to the literature that has attempted to explain the obesity ‘epidemic’, they posited that knowledge from research on distracted or inattentive eating, which disadvantages most people in resisting food, could be utilized to support people with CF to eat the amounts needed to avoid malnourishment. Given the importance of offering psychosocial support alongside physiological care to enhance quality of life and life expectancy in CF, Egan and Mantzios [ 24 ] further suggested that there is much potential for eating-specific mindfulness to be used to enhance the pleasure and non-medicalized perceptions of food, and introduce or reinforce a healthy relationship with food.…”

Section: Introductionmentioning

confidence: 99%

Mindfulness moderates the relationship between emotional eating and body mass index in a sample of people with cystic fibrosis

et al. 2020

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Purpose Self-regulation in eating is significant for enhancing life expectancy of people with cystic fibrosis (CF), but research with this population is scarce. Methods In a cross-sectional study, adults with CF completed a number of psychometric scales exploring typical eating behaviours that may increase calorific intake including motivations to eat palatable foods and scales that may be associated with decreased calorific intake: mindfulness, mindful eating and self-compassion. Results Findings suggested that motivations to eat palatable foods and eating behaviours correlate with higher BMI, while mindfulness, mindful eating and self-compassion did not reach significance. Mindfulness and mindful eating moderated the relationship between emotional eating and BMI, while self-compassion did not moderate this relationship. Conclusions There is a need to develop healthy and effective means of enhancing calorific intake, where this is indicated, adapting mindful eating principles to focus on increasing both self-regulation and pleasure in eating while reducing emotional eating may be one means of doing this. Level of evidence Level V, cross-sectional descriptive study.

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“…These cognitive and environmental factors contribute to the occurrence of what has been termed mindless eating and have been well researched in the push to tackle obesity in the general population. Mantzios et al [15] suggested that there is potential to enhance calorific intake by utilising the findings from such research to support people with CF in enhancing their calorific intake. Egan and Mantzios [16] proposed ways in which mindful eating may assist in the self-regulation of eating as a healthier and more sustainable way of engaging with food.…”

Section: Introductionmentioning

confidence: 99%

The Challenges of Eating Well for People Living with Cystic Fibrosis: an Interview Study Exploring the Use of Mindful Eating Approaches and Behaviours to Support Optimal Nutritional Status

2022

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Background Nutritional status and weight are closely linked to lung function and health status in cystic fibrosis (CF). The investigation of eating behaviours has shown mindfulness practices to be useful in modifying eating behaviours, particularly with obesity; to date, no research specifically explores how these concepts may be utilised within a CF population who face specific challenges in eating behaviours. Method Adult patients (n = 20, M = 8, age range 21–62 years) were recruited from a UK CF regional centre to take part in qualitative semi-structured interviews. Experiences of eating behaviours focusing on the use of mindful (or mindless) eating as barriers and enablers to achieving and maintaining optimal nutritional status were explored. Data were analysed using thematic analysis with a contextualist approach to understand how participants experienced eating behaviours within the context of health and weight status. Results Participants engaged readily in discussions of eating behaviour describing active self-regulation of food eaten and calorie intake. Participants who struggled to maintain weight employed strategies to increase calorie intake such as distraction and multitasking while eating. Most participants reported no pleasure in food, describing eating as another treatment to endure. Confusion existed around how to eat healthily for CF alongside co-morbid health conditions including diabetes, cholesterol and heart disease. Conclusion Participants were highly aware of their eating behaviours, engaging in intentional and deliberate preparations, which could be described as mindful, for making eating a more automatic or mindless activity. Modifications to usual mindful eating interventions are needed to support people with CF.

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Can Existing Knowledge on Eating Behaviors and Obesity Support People with Cystic Fibrosis Who Are Nutritionally Compromised?

Cited by 5 publications

References 37 publications

The psychological implications and health risks of cystic fibrosis pre- and post- CFTR modulator therapy

The psychological implications and health risks of cystic fibrosis pre- and post- CFTR modulator therapy

Mindfulness moderates the relationship between emotional eating and body mass index in a sample of people with cystic fibrosis

The Challenges of Eating Well for People Living with Cystic Fibrosis: an Interview Study Exploring the Use of Mindful Eating Approaches and Behaviours to Support Optimal Nutritional Status

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