Mindfulness-based group intervention in adolescents at-risk for excess weight gain: A randomized controlled pilot study

Shomaker, Lauren B.; Berman, Zoe P; Burke, Morgan; Annameier, Shelly K.; Pivarunas, Bernadette; Sánchez, Natalia Hernández; Smith, Amy D.; Hendrich, Silas; Riggs, Nathaniel R.; Legget, Kristina T.; Cornier, Marc‐Andre; Melby, Christopher L.; Johnson, Sarah A.; Lucas‐Thompson, Rachel G.

doi:10.1016/j.appet.2019.05.022

Cited by 32 publications

(39 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While all participants reported that the mindfulness-based program was helpful, there was no significant difference between the mindfulness intervention and health education program in regard to BMI/adiposity outcomes and stress levels. Acceptability ratings, measured on a Likert scale from 1-5, were above average throughout the study, although the health education group had higher acceptability ratings [49].…”

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

confidence: 88%

“…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%

“…Eight studies used female-only samples, while the others consisted of mixed-gendered cohorts. Although the studies' methodologies were heterogeneous, eight studies [41][42][43]45,[48][49][50][51] compared a mindfulness intervention to type of control condition such as an education class. One study compared mindfulness to both a dissonance-based and a control condition [43], and another compared a DBT intervention with a weight management program [51].…”

Section: Discussionmentioning

confidence: 99%

“…Ten of the studies included in this review reported on the acceptability of the mindfulness-related interventions [41][42][43][44][48][49][50][51][52]54]. While most of the interventions were reported to be moderately acceptable, overall acceptability was quite low.…”

Section: Discussionmentioning

confidence: 99%

“…Shomaker et al [49] conducted a randomized controlled study to assess the feasibility and acceptability of a standardized mindfulness-based intervention known as Learning to BREATHE among adolescents (n = 54) at risk for excess weight gain. The curriculum was derived from MBSR and was adapted for adolescents with experiental activities and guided discussions to teach skills.…”

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

confidence: 99%

See 4 more Smart Citations

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

et al. 2019

View full text Add to dashboard Cite

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.

show abstract

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

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

confidence: 99%

See 3 more Smart Citations

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

et al. 2019

View full text Add to dashboard Cite

show abstract

Interventions to prevent obesity in children aged 12 to 18 years old

Spiga,

Tomlinson,

Davies

et al. 2024

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background Prevention of obesity in adolescents is an international public health priority. The prevalence of overweight and obesity is over 25% in North and South America, Australia, most of Europe, and the Gulf region. Interventions that aim to prevent obesity involve strategies that promote healthy diets or ‘activity’ levels (physical activity, sedentary behaviour and/or sleep) or both, and work by reducing energy intake and/or increasing energy expenditure, respectively. There is uncertainty over which approaches are more effective, and numerous new studies have been published over the last five years since the previous version of this Cochrane Review. Objectives To assess the effects of interventions that aim to prevent obesity in adolescents by modifying dietary intake or ‘activity’ levels, or a combination of both, on changes in BMI, zBMI score and serious adverse events. Search methods We used standard, extensive Cochrane search methods. The latest search date was February 2023. Selection criteria Randomised controlled trials in adolescents (mean age 12 years and above but less than 19 years), comparing diet or 'activity' interventions (or both) to prevent obesity with no intervention, usual care, or with another eligible intervention, in any setting. Studies had to measure outcomes at a minimum of 12 weeks post baseline. We excluded interventions designed primarily to improve sporting performance. Data collection and analysis We used standard Cochrane methods. Our outcomes were BMI, zBMI score and serious adverse events, assessed at short‐ (12 weeks to < 9 months from baseline), medium‐ (9 months to < 15 months) and long‐term (≥ 15 months) follow‐up. We used GRADE to assess the certainty of the evidence for each outcome. Main results This review includes 74 studies (83,407 participants); 54 studies (46,358 participants) were included in meta‐analyses. Sixty studies were based in high‐income countries. The main setting for intervention delivery was schools (57 studies), followed by home (nine studies), the community (five studies) and a primary care setting (three studies). Fifty‐one interventions were implemented for less than nine months; the shortest was conducted over one visit and the longest over 28 months. Sixty‐two studies declared non‐industry funding; five were funded in part by industry. Dietary interventions versus control The evidence is very uncertain about the effects of dietary interventions on body mass index (BMI) at short‐term follow‐up (mean difference (MD) ‐0.18, 95% confidence interval (CI) ‐0.41 to 0.06; 3 studies, 605 participants), medium‐term follow‐up (MD ‐0.65, 95% CI ‐1.18 to ‐0.11; 3 studies, 900 participants), and standardised BMI (zBMI) at long‐term follow‐up (MD ‐0.14, 95% CI ‐0.38 to 0.10; 2 studies, 1089 participants); all very low‐certainty evidence. Compared wit...

show abstract

Associations of adverse childhood experiences with stress physiology and insulin resistance in adolescents at risk for adult obesity

Jiménez

Sánchez

Clark

et al. 2021

Developmental Psychobiology

Self Cite

View full text Add to dashboard Cite

Adverse childhood experiences (ACEs) heighten the risk for adult obesity and cardiometabolic disease, but physiological factors underlying this connection are not well understood. We determined if ACEs were associated with physiological stress response and insulin resistance in adolescents at risk for adult obesity. Participants were 90 adolescents 12.0–17.5 years (50% female, 30% Hispanic/Latinx), at risk for adult obesity by virtue of above‐average body mass index (BMI; kg/m2 ≥ 70th percentile) or parental obesity (BMI ≥ 30 kg/m2). ACEs were determined as presence (vs. absence) based upon the Schedule for Affective Disorders and Schizophrenia for School‐Aged Children. Physiological stress response was measured as heart rate/blood pressure response to the Trier Social Stress Test. Homeostatic model assessment of insulin resistance was determined from fasting glucose/insulin. Sixty‐one percent of adolescents reported positive ACE history. The presence of ACEs predicted greater heart rate (p < .001) and diastolic blood pressure (p = .02) response to stress, controlling for age, sex, race/ethnicity, puberty, and BMI standard score. Systolic blood pressure and insulin resistance did not differ by ACE history (p‐values > .08). Findings suggest heightened sympathetic stress response in adolescence could be explanatory in how ACEs increase the risk for later cardiometabolic disease. Future studies should characterize ACEs in relationship to day‐to‐day variations in adolescents’ stress physiology and glucose homeostasis.

show abstract

Mindfulness-based group intervention in adolescents at-risk for excess weight gain: A randomized controlled pilot study

Cited by 32 publications

References 56 publications

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

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

Interventions to prevent obesity in children aged 12 to 18 years old

Associations of adverse childhood experiences with stress physiology and insulin resistance in adolescents at risk for adult obesity

Contact Info

Product

Resources

About