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Application of mindfulness in a tier 3 obesity service improves eating behaviour and facilitates successful weight-loss
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Hanson, Petra, Shuttlewood, Emma, Halder, Louise, Lam, F. T., Menon, Vinod and Barber, Thomas M. (2019) Application of mindfulness in a tier 3 obesity service improves eating behaviour and facilitates successful weight-loss. Journal of Clinical Endocrinology and Metabolism, 104 (3). pp. 793-800. doi:10.1210/jc.2018-00578 ISSN 0021-972X.
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Official URL: https://doi.org/10.1210/jc.2018-00578
Abstract
Objective: To demonstrate the clinical utility of mindfulness within a tier 3 obesity service.
Methods: Recruitment of participants (n=54, including n=33 completers) from patients attending a tier 3-based obesity service at University Hospitals Coventry and Warwickshire (UHCW). Each participant attended 4 group sessions over 8-weeks, at which mindfulness-based eating behaviour strategies were taught. Self-reported eating behaviour was assessed at baseline and following completion of attendance at the group sessions. Body-weight was measured at baseline and at 4-months following completion of the group sessions. Paired-sample t-tests were performed. A p-value <0.05 was considered significant. Data are reported for the 33 completers.
Results: Mean age was 44.4 years (SD 11 years). There was a statistically significant improvement in self-reported eating behaviour (p=0.009), driven by improvements in ‘fast-foodism’ (p=0.031). There was a statistically significant reduction in body-weight (3.1kg [SD 5.2kg], p=0.002) at 4-months following completion of the group sessions. Participants (97%) reported improved self-esteem and confidence in self-management of body-weight.
Conclusion: Application of mindfulness-based eating behaviour strategies, taught at group sessions within a tier 3 obesity service, resulted in significant improvement in eating behaviour, and facilitated subsequent weight-loss over 4-months. Such a novel strategy has potential for scalability to the wider obese population.
Item Type: | Journal Article | ||||||||
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Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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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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Library of Congress Subject Headings (LCSH): | Mindfulness (Psychology), Mindfulness-based cognitive therapy, Obesity -- Prevention, Obesity -- Psychological aspects | ||||||||
Journal or Publication Title: | Journal of Clinical Endocrinology and Metabolism | ||||||||
Publisher: | The Endocrine Society | ||||||||
ISSN: | 0021-972X | ||||||||
Official Date: | 2019 | ||||||||
Dates: |
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Volume: | 104 | ||||||||
Number: | 3 | ||||||||
Page Range: | pp. 793-800 | ||||||||
DOI: | 10.1210/jc.2018-00578 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Reuse Statement (publisher, data, author rights): | This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Clinical Endocrinology and Metabolism following peer review. The version of record Petra Hanson, Emma Shuttlewood, Louise Halder, Neha Shah, F T Lam, Vinod Menon, Thomas M Barber, Application of Mindfulness in a Tier 3 Obesity Service Improves Eating Behavior and Facilitates Successful Weight Loss, The Journal of Clinical Endocrinology & Metabolism, Volume 104, Issue 3, March 2019, Pages 793–800, https://doi.org/10.1210/jc.2018-00578 is available online at: https://doi.org/10.1210/jc.2018-00578 | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 17 December 2018 | ||||||||
Date of first compliant Open Access: | 18 December 2019 |
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