{"title":"以正念为基础的饮食意识训练与自身加实施意向模型:随机临床试验。","authors":"Mona Jassemi Zergani, Mohammad Hossin Taghdisi, Mohammadreza Seirafi, Saied Malihialzackerin, Habibeh Taghavi Kojidi","doi":"10.1007/s40519-024-01677-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Obesity causes many physical and mental illnesses. This study compares mindfulness-based eating awareness training (MB-EAT) versus MB-EAT plus implementation intention model for effectiveness on body mass index (BMI), weight self-efficacy, and physical activity in obese women with BMIs ≤ 25 (n = 52).</p><p><strong>Methods: </strong>In this randomized clinical trial, the participants were selected by the simple random sampling method and randomly divided into three groups. A 12-session MB-EAT of 150 min per session was performed for experimental group I. The experimental group II received MB-EAT alone for physical activity planning and MB-EAT plus implementation intention; also, both groups were compared to the control group. Data were measured by the scales, a questionnaire, and a checklist, and the P-values are based on the results of the generalized estimating equation (GEE) test. P < 0.001 were considered the significance level.</p><p><strong>Results: </strong>The MB-EAT and MB-EAT + implementation intention effectiveness on the two experimental groups' BMI, weight self-efficacy, and physical activity was significantly different from the control group. In the integrated group versus the MB-EAT group, BMI, physical activity, and physical discomfort, were more effective than the weight self-efficacy subscales. 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引用次数: 0
摘要
背景:肥胖会导致多种生理和心理疾病。本研究比较了正念饮食意识训练(MB-EAT)与正念饮食意识训练加实施意向模型对体重指数(BMI)、体重自我效能感和体育活动的影响,研究对象为体重指数≤25的肥胖女性(n = 52):在这项随机临床试验中,参与者通过简单随机抽样法选出,并随机分为三组。实验 I 组进行 12 次 MB-EAT,每次 150 分钟;实验 II 组仅接受 MB-EAT 进行身体活动规划,并接受 MB-EAT 加实施意向;两组均与对照组进行比较。数据通过量表、问卷和核对表进行测量,P 值基于广义估计方程(GEE)检验的结果。P 结果:MB-EAT和MB-EAT+实施意向对两个实验组的体重指数、体重自我效能感和身体活动的影响与对照组有显著差异。综合组与 MB-EAT 组相比,体重指数、体力活动和身体不适比体重自我效能分量表更有效。两个干预组在体重指数、体重自我效能感和身体活动方面都有效果,但综合组的效果更好:MB-EAT有效性试验以理论为基础,能减轻超重和肥胖成年人的体重以及心理和行为后果。MB-EAT+实施意向模式是根据每个人的具体情况制定定期和日常锻炼计划:试验注册号:(IRCT20200919048767N1)。
Mindfulness-based eating awareness training versus itself plus implementation intention model: a randomized clinical trial.
Background: Obesity causes many physical and mental illnesses. This study compares mindfulness-based eating awareness training (MB-EAT) versus MB-EAT plus implementation intention model for effectiveness on body mass index (BMI), weight self-efficacy, and physical activity in obese women with BMIs ≤ 25 (n = 52).
Methods: In this randomized clinical trial, the participants were selected by the simple random sampling method and randomly divided into three groups. A 12-session MB-EAT of 150 min per session was performed for experimental group I. The experimental group II received MB-EAT alone for physical activity planning and MB-EAT plus implementation intention; also, both groups were compared to the control group. Data were measured by the scales, a questionnaire, and a checklist, and the P-values are based on the results of the generalized estimating equation (GEE) test. P < 0.001 were considered the significance level.
Results: The MB-EAT and MB-EAT + implementation intention effectiveness on the two experimental groups' BMI, weight self-efficacy, and physical activity was significantly different from the control group. In the integrated group versus the MB-EAT group, BMI, physical activity, and physical discomfort, were more effective than the weight self-efficacy subscales. Both intervention groups were effective on BMI, weight self-efficacy, and physical activity, but the integrated group's effectiveness was more.
Conclusions: The MB-EAT effectiveness trial is theory-based, reducing weight and the psychological and behavioral consequences of overweight and obese adults. The MB-EAT + the Implementation intention model is to plan regular and daily exercise according to each individual's specific circumstances.
Trial registration: The trial registration number: (IRCT20200919048767N1).
期刊介绍:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.