Mindfulness and laboratory eating behavior in adolescent girls at risk for type 2 diabetes

Annameier, Shelly K.; Kelly, Nichole R.; Courville, Amber B.; Tanofsky‐Kraff, Marian; Yanovski, Jack A.; Shomaker, Lauren B.

doi:10.1016/j.appet.2018.01.030

Cited by 20 publications

(14 citation statements)

References 62 publications

(80 reference statements)

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“…Five studies were related to prevention and were conducted using non-clinical (non-eating disordered) adolescent cohorts. Five studies were conducted among high risk cohorts of overweight and obese adolescents [46][47][48][49][50], and two were conducted among girls with LOC eating or binge eating [51,52]. Additionally, three studies were conducted among adolescents with restrictive eating disorders [53][54][55].…”

Section: Discussionmentioning

confidence: 99%

“…Overall, 13 of the 15 studies reported mild positive effects of mindfulness [43][44][45][46][47][48][50][51][52][53][54][55]61,62]. Two of these studies [43,51] found mindfulness was associated with reduced weight/shape concerns and dietary restraint among adolescent girls, while others found it to be associated with decreased BMI [48], EAH [46], and binge eating [47]. Mindfulness-based DBT interventions were also found to reduce ED psychopathology in four studies conducted among clinical cohorts of adolesents with eating disorders [52][53][54][55].…”

Section: Discussionmentioning

confidence: 99%

“…In regards to hunger, Annameier et al [46] found no relationship between calorie intake and mindfulness when participants were eating in a state of hunger. Rather, participants' recent experience of LOC eating seemed to mediate the relationship with intake, as those who reported recent LOC eating consumed more calories when hungry, regardless of dispositional mindfulness.…”

Section: Discussionmentioning

confidence: 99%

“…Annameier et al [46] examined the effects of an individual's inherent (dispositional) mindfulness on eating behaviors among overweight and obese (BMI ≥85th percentile) adolescent girls (n = 107) at risk for type 2 diabetes (with a family history of diabetes). Using two standard laboratory meal tests, the authors examined eating when hungry and eating in the absence of hunger (EAH), which is defined as the intake of palatable food in response to emotional or external cues in the absence of physiological hunger.…”

Section: Studies On Targeted Prevention (High Risk Cohorts)mentioning

confidence: 99%

“…While they found an inverse relationship between dispositional mindfulness and calorie intake during the EAH paradigm, there was no significant relationship between mindfulness and energy intake when eating in a state of hunger. Rather, girls who had reported recent loss-of-control eating (LOC eating), defined as perceived overeating accompanied by a subjective sense of not being able to control what is eaten, consumed more calories when hungry, regardless of dispositional mindfulness [46].…”

Section: Studies On Targeted Prevention (High Risk Cohorts)mentioning

confidence: 99%

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Review of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents

et al. 2019

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There are few well-established treatments for adolescent eating disorders, and for those that do exist, remission rates are reported to be between 30 and 40%. There is a need for the development and implementation of novel treatment approaches. Mindfulness approaches have shown improvements in eating disorder-related psychopathology in adults and have been suggested for adolescents. The present review identifies and summarizes studies that have used mindfulness approaches to modify eating behaviors and to treat eating disorders in adolescents. Focused searches were conducted in Embase, Medline, and PsycINFO, and identified articles were checked for relevance. A small number of studies (n = 15) were designated as appropriate for inclusion in the review. These studies were divided into those that focused on the promotion of healthy eating/the prevention of disordered eating (n = 5), those that concentrated on targeted prevention among high risk adolescents (n = 5), and those that focused on clinical eating disordered adolescents (n = 5). Thirteen of the 15 studies reviewed reported at least one positive association between mindfulness treatment techniques and reduced weight/shape concerns, dietary restraint, decreased body mass index (BMI), eating in the absence of hunger (EAH), binge eating, increased willingness to eat novel healthy foods, and reduced eating disorder psychopathology. In summary, incorporating mindfulness to modify eating behaviors in adolescent non-clinical and clinical samples is still in the early stages, with a lack of data showing clear evidence of acceptability and efficacy. Further studies and preferably controlled conditions are warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Studies On Targeted Prevention (High Risk Cohorts)mentioning

confidence: 99%

Section: Studies On Targeted Prevention (High Risk Cohorts)mentioning

confidence: 99%

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Review of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents

et al. 2019

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Mindfulness and eating disorder psychopathology: A meta‐analysis

Sala

Ram

Vanzhula

et al. 2020

Intl J Eating Disorders

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Objective: Mindfulness is implicated in eating disorder (ED) psychopathology. However, this literature has not been synthesized to date. The current meta-analysis examined the associations between mindfulness and ED psychopathology.Methods: A total of 74 independent samples (effects = 576) were included. We used a multilevel random-effects model to estimate summary study-level effect sizes, and multilevel mixed-effects models to examine moderator effects.Results: Mindfulness was negatively associated with ED psychopathology (r = −.25, p < .001), both concurrently (r = −.25, p < .001) and prospectively (rs = −.22 to −.24, ps < .001). Associations were strongest for binge eating, emotional/external eating, and body dissatisfaction as well as the acting with awareness and nonjudging facets.Discussion: Mindfulness may be an important process in ED psychopathology.Future research should prospectively and experimentally examine the relation between mindfulness and ED psychopathology. ResumenObjetivo: La atención plena (mindfulness) está implicada en la psicopatología de los trastornos de la conducta alimentaria (TCA). Sin embargo, esta literatura no ha sido sintetizada a la fecha. El presente meta-análisis examinó las asociaciones entre la atención plena y la psicopatología de los TCA.Métodos: Se incluyeron un total de 74 muestras independientes (efectos = 576). Utilizamos un modelo de efectos aleatorios multinivel para estimar la síntesis de los tamaños de efecto por nivel de estudio, y los modelos de efecto mixto multinivel para examinar los efectos moderadores.Resultados: La atención plena fue asociada negativamente con la psicopatología de TCA (r = −.25, p < .001), tanto concurrentemente (r = −.25, p < .001) como prospectivamente (rs = −.22-−.24, ps < .001). Las asociaciones fueron más fuertes para trastorno por atracón, alimentación emocional/externa, e insatisfacción corporal, así como también el actuar con conciencia y sin juzgar las facetas.Discusión: La atención plena (mindfulness) puede ser un proceso importante en la psicopatología de los TCA. K E Y W O R D Sanorexia nervosa, binge-eating disorder, bulimia nervosa, eating disorders, mindfulness

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Daily mindfulness, negative affect, and eating behaviors in adolescents at risk for excess weight gain

Miller

Bernstein

Sánchez

et al. 2023

Intl J Eating Disorders

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ObjectiveLoss‐of‐control and overeating are common in adolescents with high body mass index (BMI). Mindfulness may affect negative affect, and both may relate to loss‐of‐control and overeating. Yet, there is limited understanding of these associations in adolescents' daily lives.MethodsForty‐five adolescents (77% female; Mage = 14.4 years, SDage = 1.7 years) with high weight (92% with BMI [kg/m2] ≥85th percentile for age/sex) provided daily, repeated measurements of mindfulness, negative affect, loss‐of‐control, and overeating for ~7 days (M = 5.6 days; range = 1–13). Multilevel mixed modeling was conducted to test within‐person (intraindividual) and between‐person (interindividual) associations for the same‐day (concurrent) and next‐day (time‐ordered/prospective).ResultsThere were within‐person and between‐person associations of higher mindfulness with lower negative affect on the same‐day and next‐day. Greater between‐person mindfulness related to lower odds of adolescents' loss‐of‐control occurrence (same‐day) and conversely, more perceived control over eating (same‐day and next‐day). Greater within‐person mindfulness related to less odds of next‐day overeating.DiscussionDynamic relations exist among mindfulness, negative affect, and eating in adolescents at‐risk for excess weight gain. Mindfulness may be an important element to consider in loss‐of‐control and overeating. Future work using momentary‐data within an experimental design would help disentangle the intraindividual effects of increasing mindfulness/decreasing negative affect on disordered eating.Public SignificanceLoss‐of‐control and overeating are common in teenagers with high weight. Greater mindfulness—present‐moment, non‐judgmental attention—and less negative emotions may relate to healthier eating, but we do not know how these processes play out in teenagers' daily lives. Addressing this knowledge gap, the current findings showed that greater daily mindfulness, but not negative affect, related to less loss‐of‐control/overeating, suggesting the importance of mindfulness for eating patterns in teenagers' daily lives.

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Mindfulness and laboratory eating behavior in adolescent girls at risk for type 2 diabetes

Cited by 20 publications

References 62 publications

Review of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents

Review of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents

Mindfulness and eating disorder psychopathology: A meta‐analysis

Daily mindfulness, negative affect, and eating behaviors in adolescents at risk for excess weight gain

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