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The role of mindfulness training in sustaining weight reduction : retrospective cohort analysis
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Hanson, Petra, Lange, M., Oduro-Donkor, D., Shuttlewood, E., Weickert, Martin O., Randeva, Harpal S., Menon, Vinod, Alexander, R., Shankar, A. R. and Barber, Thomas M. (2022) The role of mindfulness training in sustaining weight reduction : retrospective cohort analysis. British Journal of Psychiatry Open, 8 (6). e198. doi:10.1192/bjo.2022.602 ISSN 2056-4724.
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Official URL: https://doi.org/10.1192/bjo.2022.602
Abstract
Background
Psychological stress has an established bi-directional relationship with obesity. Mindfulness techniques reduce stress and improve eating behaviours, but their long-term impact remains untested. CALMPOD (Compassionate Approach to Living Mindfully for Prevention of Disease) is a psychoeducational mindfulness-based course evidenced to improve eating patterns across a 6-month period, possibly by reducing stress. However, no long-term evaluation of impact exists.
Aims
This study retrospectively evaluates 2-year outcomes of CALMPOD on patient engagement, weight and metabolic markers.
Method
All adults with a body mass index >35 kg/m2 attending an UK obesity service during 2016–2020 were offered CALMPOD. Those who refused CALMPOD were offered standard lifestyle advice. Routine clinic data over 2 years, including age, gender, 6-monthly appointment attendance, weight, haemoglobin A1C and total cholesterol, were pooled and analysed to evaluate CALMPOD.
Results
Of 289 patients, 163 participated in the CALMPOD course and 126 did not. No baseline demographic differences existed between the participating and non-participating groups. The CALMPOD group had improved attendance across all 6-monthly appointments compared with the non-CALMPOD group (P < 0.05). Mean body weight reduction at 2 years was 5.6 kg (s.d. 11.2, P < 0.001) for the CALMPOD group compared with 3.9 kg (s.d. 10.5, P < 0.001) for the non-CALMPOD group. No differences in haemoglobin A1C and fasting serum total cholesterol were identified between the groups.
Conclusions
The retrospective evaluation of CALMPOD suggests potential for mindfulness and compassion-based group educational techniques to improve longer-term patient and clinical outcomes. Prospective large-scale studies are needed to evaluate the impact of stress on obesity and the true impact of CALMPOD.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | British Journal of Psychiatry Open | ||||||
| Publisher: | Cambridge University Press | ||||||
| ISSN: | 2056-4724 | ||||||
| Official Date: | 15 November 2022 | ||||||
| Dates: |
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| Volume: | 8 | ||||||
| Number: | 6 | ||||||
| Number of Pages: | 6 | ||||||
| Article Number: | e198 | ||||||
| DOI: | 10.1192/bjo.2022.602 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Date of first compliant deposit: | 29 November 2022 | ||||||
| Date of first compliant Open Access: | 29 November 2022 | ||||||
| Related URLs: |
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