Abstract
Objective
To evaluate the effect of a Mindful Restaurant Eating intervention on weight management.
Design
Randomized control trial.
Setting
Greater metropolitan area of Austin, Texas.
Participants
Women (n = 35) 40-59 years old who eat out at least 3 times per week.
Intervention
The intervention, using 6 weekly 2-hour, small group sessions, focused on reducing
calorie and fat intake when eating out through education, behavior change strategies,
and mindful eating meditations.
Main Outcome Measures
Weight, waist circumference, self-reported daily calorie and fat intake, self-reported
calories and fat consumed when eating out, emotional eating, diet related self-efficacy,
and barriers to weight management when eating out.
Analysis
General linear models examined change from baseline to final endpoint to determine
differences in outcomes between the intervention and control group.
Results
Participants in the intervention group lost significantly more weight (P =.03), had lower average daily caloric (P = .002) and fat intake (P = .001), had increased diet-related self-efficacy (P = .02), and had fewer barriers to weight management when eating out (P = .001).
Conclusions and Implications
Mindful Restaurant Eating intervention was effective in promoting weight management in perimenopausal women.
Key Words
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References
- Overweight and obesity in the United States: prevalence and trends, 1960-1994.Int J Obes Relat Metab Disord. 1998; 22: 39-47
- Environmental contributions to the obesity epidemic.Science. 1998; 280: 1371-1374
- Dissecting obesogenic environments: the development and application of a framework of identifying and prioritizing environmental interventions for obesity.Prev Med. 1999; 29: 563-570
- Increased portion size leads to increased energy intake in a restaurant meal.Obes Res. 2004; 12: 562-568
- Temporal trends in energy intake in the United States: an ecologic perspective.Am J Clin Nutr. 2000; 71: 1478-1484
- Dietary determinants of energy intake and weight regulation in healthy adults.J Nutr. 2000; 130: 276S-279S
- Biobehavioral influences on energy intake and adult weight gain.J Nutr. 2002; 132: 3830S-3834S
- The effect of eating out on quality of diet in premenopausal women.J Am Diet Assoc. 1999; 99: 442-444
- Eating out in America, 1987-2000: trends and nutritional correlates.Prev Med. 2004; 38: 243-249
- Overeating in America: association between restaurant food consumption and body fatness in healthy adult men and women aged 19 to 80.Obes Res. 1999; 7: 564-571
- Restaurant eating in nonpurge binge-eating women.West J Nurs Res. 2006; 28 (discussion 825–830): 811-824
Wallis P. Fast food global boom, huge profits, as recession hits incomes. Digital Journal. http://www.digitaljournal.com/article/266369. Published February 2, 2009. Accessed July 19, 2011.
- Lifestyle intervention can prevent weight gain during menopause: results from a 5-year randomized clinical trial.Ann Behav Med. 2003; 26: 212-220
- Prevention of obesity.in: Wadden T.A. Stunkard A.J. Handbook of Obesity Treatment. Guilford Press, New York, NY2002: 556-593
- Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption.J Am Diet Assoc. 1998; 98: 1118-1126
- Mindful Eating: A Guide to Rediscovering a Healthy and Joyful Relationship With Food.Shambhala Publications, Boston, MA2009
- Health Promotion in Nursing Practice.Prentice Hall, Upper Saddle River, NJ2006
- Strategies for and barriers to managing weight when eating at restaurants.Prev Chronic Dis. 2010; 7 (Accessed July 19, 2011): A60
- The efficacy of behavioral interventions to modify dietary fat and fruit and vegetable intake: a review of the evidence.Prev Med. 2002; 35: 25-41
- Physical activity and changes in weight and waist circumference in midlife women: findings from the Study of Women's Health Across the Nation.Am J Epidemiol. 2004; 160: 912-922
- Waist circumference and cardiometabolic risk: a consensus statement from Shaping America's Health: Association for Weight Management and Obesity Prevention; NAASO, The Obesity Society; American Society for Nutrition; American Diabetes Association.Am J Clin Nutr. 2007; 85: 1197-1202
- Mindfulness and Acceptance: Expanding the Cognitive-Behavioral Tradition.Guilford Press, New York, NY2004
- Mindfulness-based approaches to eating disorders.in: Baer R.A. Mindfulness-based Treatment Approaches: Clinician's Guide to Evidence Base and Applications. Elsevier, San Diego, CA2006: 75-93
- Dietary intake: how do we measure what people are really eating?.Obes Res. 2002; 10: 63S-68S
- Effectiveness of the US Department of Agriculture 5-step multiple-pass method in assessing food intake in obese and nonobese women.Am J Clin Nutr. 2003; 77: 1171-1178
- In-person vs telephone-administered multiple-pass 24-hour recalls in women: validation with doubly labeled water.J Am Diet Assoc. 2000; 100: 777-783
- Methodology, correlational analysis, and interpretation of diet diary records of the food and fluid intake of free-living humans.Appetite. 1994; 23: 179-192
- Measurement of food intake.in: Fairburn C.G. Brownell K.D. Eating Disorders and Obesity: A Comprehensive Handbook. 2nd ed. Guilford Press, New York, NY2002: 126-130
- The Emotional Eating Scale: the development of a measure to assess coping with negative affect by eating.Int J Eat Disord. 1995; 18: 79-90
- The development of self-efficacy scales for health-related diet and exercise behaviors.Health Educ Res. 1988; 3: 283-292
- Weight loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up.J Am Diet Assoc. 2007; 107: 1755-1767
- The weight loss experience: a descriptive analysis.Ann Behav Med. 2004; 27: 100-106
- Improving maintenance in behavioral treatment.in: Fairburn C.G. Brownell K.D. Eating Disorders and Obesity: A Comprehensive Handbook. 2nd ed. Guilford Press, New York, NY2002: 593-598
- Today's healthy lifestyle handout series for baby boomers [New Resources for Nutrition Educators].J Nutr Educ Behav. 2010; 42 (e7): 357
- Helping consumers make more healthful food choices: consumer views on modifying food labels and providing point-of-purchase nutrition information at quick-service restaurants.J Nutr Educ Behav. 2007; 39: 157-163
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© 2012 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
