TY - JOUR
T1 - Mindfulness-Based Stress Reduction in Women with Overweight or Obesity
T2 - A Randomized Clinical Trial
AU - Raja-Khan, Nazia
AU - Agito, Katrina
AU - Shah, Julie
AU - Stetter, Christy M.
AU - Gustafson, Theresa S.
AU - Socolow, Holly
AU - Kunselman, Allen
AU - Reibel, Diane K.
AU - Legro, Richard
N1 - Funding Information:
We thank all study participants, coordinator Barbara Scheetz, BS, and schedulers Lisa Doster and Carol Creter, Penn State Health Hershey Medical Center (PSHMC). Donald McCown, PhD, West Chester University, supervised the MBSR instructor. The PSHMC Core Endocrine Lab ran the assays. The Data and Safety Monitoring Board was led by Tom Lloyd, PhD, PSHMC, and included Michael J. Baime, MD, University of Pennsylvania, Michele L. Shaffer, PhD, Seattle Children's Hospital, and Stephanie Estes, MD, PSHMC.
Publisher Copyright:
© 2017 The Authors. Obesity published by Wiley Periodicals, Inc. on behalf of The Obesity Society (TOS)
PY - 2017/8
Y1 - 2017/8
N2 - Objective: To evaluate the feasibility and cardiometabolic effects of mindfulness-based stress reduction (MBSR) in women with overweight or obesity. Methods: Eighty-six women with BMI ≥ 25 kg/m2 were randomized to 8 weeks of MBSR or health education and followed for 16 weeks. The primary outcome was the Toronto Mindfulness Scale. Secondary outcomes included the Perceived Stress Scale-10, fasting glucose, and blood pressure. Results: Compared to health education, the MBSR group demonstrated significantly improved mindfulness at 8 weeks (mean change from baseline, 4.5 vs. −1.0; P = 0.03) and significantly decreased perceived stress at 16 weeks (−3.6 vs. −1.3, P = 0.01). In the MBSR group, there were significant reductions in fasting glucose at 8 weeks (−8.9 mg/dL, P = 0.02) and at 16 weeks (−9.3 mg/dL, P = 0.02) compared to baseline. Fasting glucose did not significantly improve in the health education group. There were no significant changes in blood pressure, weight, or insulin resistance in the MBSR group. Conclusions: In women with overweight or obesity, MBSR significantly reduces stress and may have beneficial effects on glucose. Future studies demonstrating long-term cardiometabolic benefits of MBSR will be key for establishing MBSR as an effective tool in the management of obesity.
AB - Objective: To evaluate the feasibility and cardiometabolic effects of mindfulness-based stress reduction (MBSR) in women with overweight or obesity. Methods: Eighty-six women with BMI ≥ 25 kg/m2 were randomized to 8 weeks of MBSR or health education and followed for 16 weeks. The primary outcome was the Toronto Mindfulness Scale. Secondary outcomes included the Perceived Stress Scale-10, fasting glucose, and blood pressure. Results: Compared to health education, the MBSR group demonstrated significantly improved mindfulness at 8 weeks (mean change from baseline, 4.5 vs. −1.0; P = 0.03) and significantly decreased perceived stress at 16 weeks (−3.6 vs. −1.3, P = 0.01). In the MBSR group, there were significant reductions in fasting glucose at 8 weeks (−8.9 mg/dL, P = 0.02) and at 16 weeks (−9.3 mg/dL, P = 0.02) compared to baseline. Fasting glucose did not significantly improve in the health education group. There were no significant changes in blood pressure, weight, or insulin resistance in the MBSR group. Conclusions: In women with overweight or obesity, MBSR significantly reduces stress and may have beneficial effects on glucose. Future studies demonstrating long-term cardiometabolic benefits of MBSR will be key for establishing MBSR as an effective tool in the management of obesity.
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U2 - 10.1002/oby.21910
DO - 10.1002/oby.21910
M3 - Article
C2 - 28686006
AN - SCOPUS:85021897696
VL - 25
SP - 1349
EP - 1359
JO - Obesity
JF - Obesity
SN - 1930-7381
IS - 8
ER -