Pilot randomized controlled trial of a mindfulness-based group intervention in adolescent girls at risk for type 2 diabetes with depressive symptoms

Shomaker, Lauren B.; Bruggink, Stephanie; Pivarunas, Bernadette; Skoranski, Amanda; Foss, Jillian; Chaffin, Ella; Dalager, Stephanie L; Annameier, Shelly K.; Quaglia, Jordan T.; Brown, Kirk Warren; Broderick, Patricia C.; Bell, Christopher

doi:10.1016/j.ctim.2017.04.003

Cited by 60 publications

(87 citation statements)

References 53 publications

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“…Primary results from the trial have been published elsewhere (Shomaker et al, 2016; Shomaker, Kelly, et al, 2017). This paper represents the first and only analysis of mindfulness in relationship to laboratory eating behavior in this cohort.…”

Section: Methodsmentioning

confidence: 99%

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

et al. 2018

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Mindfulness-based intervention has become increasingly popular to address disinhibited eating in obesity and type 2 diabetes (T2D). Theoretically, present-moment attention promotes the ability to recognize and respond to internal hunger cues and to differentiate physiological hunger from other stimuli. Yet, there is limited research describing the relationship of mindfulness with disinhibited eating patterns in adolescents. In this study, we evaluated the relationship of dispositional mindfulness to laboratory eating in 107 adolescent (12–17 years) girls at risk for T2D. Adolescents reported dispositional mindfulness, were evaluated for recent loss-of-control-eating (LOC-eating) by interview, and participated in two successive, standardized laboratory test meals to assess eating when hungry as well as eating in the absence of hunger (EAH). Adolescents rated state appetite throughout the test meal paradigms. In analyses adjusting for body composition and other possible confounds, mindfulness was inversely related to caloric intake during the EAH paradigm. Mindfulness did not relate to energy intake when hungry. Instead, there was a significant interaction of reported LOC-eating by state hunger, such that girls with recent, reported LOC-eating and high state hunger consumed more calories when hungry, regardless of mindfulness. Findings suggest that in girls at risk for T2D, mindfulness may play a role in disinhibited eating. A propensity for LOC-eating may be most salient for overeating in a high hunger state.

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Section: Methodsmentioning

confidence: 99%

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

et al. 2018

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“…In addition, analyses specifically examining the effects of mindfulness interventions in schools suggests that they are effective at improving cognitive performance, mental health, and wellbeing as well as reducing stress (Carsley, Khoury, & Heath, 2017; Zenner, Herrnleben-Kurz, & Walach, 2014). Overall, these programs are well-liked by adolescents, and also result in increases in both emotion-regulation and self-regulation as well as reductions in stress, depression, externalizing behaviors, and sleep problems (Bluth et al, 2016; Broderick & Metz, 2009; Dvorakova et al, 2017; Eva & Thayer, 2017; Fung, Guo, Jin, Bear, & Lau, 2016; Fung et al, 2018; Metz et al, 2013; Shomaker et al, 2017). …”

Section: The Benefits Of Increasing Mindfulness In Adolescencementioning

confidence: 99%

“…L2B, however, was specifically tailored to meet the developmental needs of adolescents (i.e., supporting empowerment, autonomy, and self-efficacy in the face of stress; building skills for emotion regulation; encouraging group cohesion by focusing on the common experiences of adolescence; reducing tendencies for social comparison and self-judgment; and encouraging peer acceptance and support via shared practice and activities). This program is very well-liked by adolescents, increases mindfulness, and promotes emotion regulation as well as reduces stress, depression, and externalizing behaviors (Bluth et al, 2016; Broderick & Metz, 2009; Dvorakova et al, 2017; Eva & Thayer, 2017; Fung et al, 2016; Fung et al, 2018; Metz et al, 2013; Shomaker et al, 2017). Therefore, our team has selected L2B has the mindfulness program to use as the foundation for an EMI supplement.…”

Section: Future Directions and Conclusionmentioning

confidence: 99%

New Avenues for Promoting Mindfulness in Adolescence using mHealth

et al. 2018

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There is a large evidence base supporting the efficacy of mindfulness interventions in adulthood, and growing support for the efficacy of these interventions in adolescence. Historically mindfulness interventions have been delivered in person and in groups, with recommendations for home practice being a critical part of the intervention. However, compliance with these practice recommendations in adolescence is very poor. Past studies indicate that using mobile technology to promote skill transfer to real life can be an effective strategy, particularly when used as a supplement to an in-person intervention strategy. To date, however, mobile technology has largely been used to create stand-alone mindfulness interventions. The goals of the current paper are to discuss the potential opportunities and challenges with a mobile-technology-enhanced mindfulness intervention, and to present the rationale that such an approach is not only theoretical and empirically sound but also a critical next step to increase the efficacy and developmental appropriateness of mindfulness interventions for adolescents. This discussion is grounded in a specific example of a mindfulness intervention supplemented by momentary interventions we are developing.

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“…It has been proposed that mindfulness could be a potential adjuvant therapy to reduce body weight (10). The rationale is that, by reducing stress, mindfulness may affect cortisol (11), which secondarily may affect some hormones involved in appetite regulation such as insulin (12), leptin and ghrelin (13). However, the results of these investigations are controversial (7,8,9,10,11,12,13).…”

Section: Introductionmentioning

confidence: 99%

Mindfulness affects stress, ghrelin, and BMI of obese children: a clinical trial

López-Alarcón

Zurita‐Cruz

Torres-Rodríguez³

et al. 2020

Endocrine Connections

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Childhood obesity is associated with stress. However, most treatment strategies include only dietary and physical activity approaches. Mindfulness may assist in weight reduction, but its effectiveness is unclear. We assessed the effect of mindfulness on stress, appetite regulators, and weight of children with obesity and anxiety. A clinical study was conducted in a pediatric hospital. Eligible children were 10–14 years old, BMI ≥95th percentile, Spence anxiety score ≥55, and who were not taking any medication or supplementation. Participants were assigned to receive an 8-week conventional nutritional intervention (CNI) or an 8-week mindfulness-based intervention plus CNI (MND-CNI). Anthropometry, body composition, leptin, insulin, ghrelin, cortisol, and Spence scores were measured at baseline and at the end of the intervention. Anthropometry was analyzed again 8 weeks after concluding interventions. Log-transformed and delta values were calculated for analysis. Thirty-three MND-CNI and 12 CNI children finished interventions; 17 MND-CNI children accomplished 16 weeks. At the end of the intervention, significant reductions in anxiety score (−6.21 ± 1.10), BMI (−0.45 ± 1.2 kg/m2), body fat (−1.28 ± 0.25%), ghrelin (−0.71 ± 0.37 pg/mL), and serum cortisol (−1.42 ± 0.94 µg/dL) were observed in MND-CNI children. Changes in anxiety score, ghrelin, and cortisol were different between groups (P < 0.05). Children who completed 16 weeks decreased BMI after intervention (−0.944 ± 0.20 kg/m2, P < 0.001) and remained lower 8 weeks later (−0.706 ± 0.19 kg/m2, P = 0.001). We concluded that mindfulness is a promising tool as an adjunctive therapy for childhood obesity. However, our findings need confirmation in a larger sample population.

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Pilot randomized controlled trial of a mindfulness-based group intervention in adolescent girls at risk for type 2 diabetes with depressive symptoms

Cited by 60 publications

References 53 publications

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

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

New Avenues for Promoting Mindfulness in Adolescence using mHealth

Mindfulness affects stress, ghrelin, and BMI of obese children: a clinical trial

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