Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder

Introduction: Binge eating disorder (BED) is a psychiatric illness related to a high frequency of episodes of binge eating, loss of control, body image dissatisfaction, and suffering caused by overeating. It is estimated that 30% of patients with BED are affected by obesity. “Mindful eating” (ME) is...

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Main Authors: Tatiana Palotta Minari, Gerardo Maria de Araújo-Filho, Lúcia Helena Bonalume Tácito, Louise Buonalumi Tácito Yugar, Tatiane de Azevedo Rubio, Antônio Carlos Pires, José Fernando Vilela-Martin, Luciana Neves Cosenso-Martin, André Fattori, Juan Carlos Yugar-Toledo, Heitor Moreno
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/6/884
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author Tatiana Palotta Minari
Gerardo Maria de Araújo-Filho
Lúcia Helena Bonalume Tácito
Louise Buonalumi Tácito Yugar
Tatiane de Azevedo Rubio
Antônio Carlos Pires
José Fernando Vilela-Martin
Luciana Neves Cosenso-Martin
André Fattori
Juan Carlos Yugar-Toledo
Heitor Moreno
author_facet Tatiana Palotta Minari
Gerardo Maria de Araújo-Filho
Lúcia Helena Bonalume Tácito
Louise Buonalumi Tácito Yugar
Tatiane de Azevedo Rubio
Antônio Carlos Pires
José Fernando Vilela-Martin
Luciana Neves Cosenso-Martin
André Fattori
Juan Carlos Yugar-Toledo
Heitor Moreno
author_sort Tatiana Palotta Minari
collection DOAJ
description Introduction: Binge eating disorder (BED) is a psychiatric illness related to a high frequency of episodes of binge eating, loss of control, body image dissatisfaction, and suffering caused by overeating. It is estimated that 30% of patients with BED are affected by obesity. “Mindful eating” (ME) is a promising new eating technique that can improve self-control and good food choices, helping to increase awareness about the triggers of binge eating episodes and intuitive eating training. Objectives: To analyze the impact of ME on episodes of binge eating, body image dissatisfaction, quality of life, eating habits, and anthropometric data [weight, Body Mass Index (BMI), and waist circumference] in patients with obesity and BED. Method: This quantitative, prospective, longitudinal, and experimental study recruited 82 patients diagnosed with obesity and BED. The intervention was divided into eight individual weekly meetings, guided by ME sessions, nutritional educational dynamics, cooking workshops, food sensory analyses, and applications of questionnaires [Body Shape Questionnaire (BSQ); Binge Eating Scale (BES); Quality of Life Scale (WHOQOL-BREF)]. There was no dietary prescription for calories, carbohydrates, proteins, fats, and fiber. Patients were only encouraged to consume fewer ultra-processed foods and more natural and minimally processed foods. The meetings occurred from October to November 2023. Statistical analysis: To carry out inferential statistics, the Shapiro–Wilk test was used to verify the normality of variable distribution. All variables were identified as non-normal distribution and were compared between the first and the eighth week using a two-tailed Wilcoxon test. Non-Gaussian data were represented by median ± interquartile range (IQR). Additionally, α < 0.05 and <i>p</i> < 0.05 were adopted. Results: Significant reductions were found from the first to the eighth week for weight, BMI, waist circumference, episodes of binge eating, BSQ scale score, BES score, and total energy value (all <i>p</i> < 0.0001). In contrast, there was a significant increase in the WHOQOL-BREF score and daily water intake (<i>p</i> < 0.0001). Conclusions: ME improved anthropometric data, episodes of binge eating, body image dissatisfaction, eating habits, and quality of life in participants with obesity and BED in the short-term. However, an extension of the project will be necessary to analyze the impact of the intervention in the long-term.
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spelling doaj.art-ffddcf6d01de4d599689cc3f3d7792cc2024-03-27T13:58:21ZengMDPI AGNutrients2072-66432024-03-0116688410.3390/nu16060884Effects of Mindful Eating in Patients with Obesity and Binge Eating DisorderTatiana Palotta Minari0Gerardo Maria de Araújo-Filho1Lúcia Helena Bonalume Tácito2Louise Buonalumi Tácito Yugar3Tatiane de Azevedo Rubio4Antônio Carlos Pires5José Fernando Vilela-Martin6Luciana Neves Cosenso-Martin7André Fattori8Juan Carlos Yugar-Toledo9Heitor Moreno10Department of Psychiatry, State Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, BrazilDepartment of Psychiatry, State Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, BrazilDepartment of Endocrinology, State Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, BrazilSchool of Medical Sciences, State University of Campinas (UNICAMP), Campinas 13083-887, SP, BrazilCardiovascular Pharmacology & Hypertension Laboratory, School of Medical Sciences, State University of Campinas (UNICAMP), Campinas 13083-887, SP, BrazilDepartment of Endocrinology, State Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, BrazilDepartment of Hypertension, State Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, BrazilDepartment of Endocrinology, State Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, BrazilCardiovascular Pharmacology & Hypertension Laboratory, School of Medical Sciences, State University of Campinas (UNICAMP), Campinas 13083-887, SP, BrazilDepartment of Hypertension, State Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, BrazilCardiovascular Pharmacology & Hypertension Laboratory, School of Medical Sciences, State University of Campinas (UNICAMP), Campinas 13083-887, SP, BrazilIntroduction: Binge eating disorder (BED) is a psychiatric illness related to a high frequency of episodes of binge eating, loss of control, body image dissatisfaction, and suffering caused by overeating. It is estimated that 30% of patients with BED are affected by obesity. “Mindful eating” (ME) is a promising new eating technique that can improve self-control and good food choices, helping to increase awareness about the triggers of binge eating episodes and intuitive eating training. Objectives: To analyze the impact of ME on episodes of binge eating, body image dissatisfaction, quality of life, eating habits, and anthropometric data [weight, Body Mass Index (BMI), and waist circumference] in patients with obesity and BED. Method: This quantitative, prospective, longitudinal, and experimental study recruited 82 patients diagnosed with obesity and BED. The intervention was divided into eight individual weekly meetings, guided by ME sessions, nutritional educational dynamics, cooking workshops, food sensory analyses, and applications of questionnaires [Body Shape Questionnaire (BSQ); Binge Eating Scale (BES); Quality of Life Scale (WHOQOL-BREF)]. There was no dietary prescription for calories, carbohydrates, proteins, fats, and fiber. Patients were only encouraged to consume fewer ultra-processed foods and more natural and minimally processed foods. The meetings occurred from October to November 2023. Statistical analysis: To carry out inferential statistics, the Shapiro–Wilk test was used to verify the normality of variable distribution. All variables were identified as non-normal distribution and were compared between the first and the eighth week using a two-tailed Wilcoxon test. Non-Gaussian data were represented by median ± interquartile range (IQR). Additionally, α < 0.05 and <i>p</i> < 0.05 were adopted. Results: Significant reductions were found from the first to the eighth week for weight, BMI, waist circumference, episodes of binge eating, BSQ scale score, BES score, and total energy value (all <i>p</i> < 0.0001). In contrast, there was a significant increase in the WHOQOL-BREF score and daily water intake (<i>p</i> < 0.0001). Conclusions: ME improved anthropometric data, episodes of binge eating, body image dissatisfaction, eating habits, and quality of life in participants with obesity and BED in the short-term. However, an extension of the project will be necessary to analyze the impact of the intervention in the long-term.https://www.mdpi.com/2072-6643/16/6/884eating disordersbinge eating disorderobesitynutritional interventionmindful eating
spellingShingle Tatiana Palotta Minari
Gerardo Maria de Araújo-Filho
Lúcia Helena Bonalume Tácito
Louise Buonalumi Tácito Yugar
Tatiane de Azevedo Rubio
Antônio Carlos Pires
José Fernando Vilela-Martin
Luciana Neves Cosenso-Martin
André Fattori
Juan Carlos Yugar-Toledo
Heitor Moreno
Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder
Nutrients
eating disorders
binge eating disorder
obesity
nutritional intervention
mindful eating
title Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder
title_full Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder
title_fullStr Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder
title_full_unstemmed Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder
title_short Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder
title_sort effects of mindful eating in patients with obesity and binge eating disorder
topic eating disorders
binge eating disorder
obesity
nutritional intervention
mindful eating
url https://www.mdpi.com/2072-6643/16/6/884
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