Dieting, mindfulness and mindful eating:exploring whether or not diets reinforce mindfulness and mindful eating practices
DOI:
https://doi.org/10.5114/hpr.2019.88057Keywords:
mindfulness, mindful eating, dieting, obesity, intermittent fastingAbstract
Background
Research into dieting and mindfulness has primarily focused upon how mindfulness and mindful eating affect dieting. However, the effect is bidirectional, with the process of dieting also impacting on mind-set and eating. We therefore aimed to investigate how people on different diets experience mindfulness and mindful eating. The present research aimed to explore whether or not specific weight loss diets are likely to prompt more of the elements described in mindfulness and mindful eating theory.
Participants and procedure
A community sample (N = 312) who were dieting at the time of recruitment were asked to fill in mindfulness and mindful eating measures, where commercial weight loss programmes (CWLP), low carbohydrate (LC), and intermittent fasting (IF) were used as dieting methods, as well as general healthy eating (GHE). Analyses of variance were conducted with the intention of comparing those groups in mindfulness and mindful eating, as well as their corresponding subconstructs. The questionnaires and demographic information were provided through an online database, as well as other information relating to the diet, duration and history of dieting.
Results
The results showed intermittent fasting dieters to score higher across mindfulness and mindful eating scores, although the differences from the rest of the groups were not significant. Investigating mindful eating further through the subscales revealed that CWLP scores were significantly higher in ‘routine’ when compared to GHE. Trait mindfulness subscales displayed no significant differences, except ‘describe’, which was higher in CWLP over LC dieting.
Conclusions
Specific emphasis is given to future directions, and the potential to identify diets that are theoretically and practically consistent with the theory and practices of mindfulness and mindful eating.
Downloads
References
Ahern, A. L., Olson, A. D., Aston, L. M., & Jebb, S. A. (2011). Weight Watchers on prescription: an observational study of weight change among adults referred to Weight Watchers by the NHS. BMC Public Health, 11, 434. https://doi.org/10.1186/1471- 2458-11-434.
Albers, S. (2003). Eating mindfully. Oakland, CA: New Harbinger Publications. Alberts, H., Mulkens, S., Smeets, M., & Thewissen, R. (2010). Coping with food cravings. Investigating the potential of a mindfulness-based intervention. Appetite, 55, 160–163. https://doi.org/10.1016/j.appet.2010.05.044.
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. https://doi.org/10.1177/1073191105283504.
Bravata, D. M., Sanders, L., Huang, J., Krumholz, H. M., Olkin, I., Gardner, C. D., & Bravata, D. M. (2003). Efficacy and safety of low-carbohydrate diets: a systematic review. Journal of American Medical Association, 289, 1837–1850. https://doi.org/10.1001/jama.289.14.1837.
Brownell, K., & Rodin, J. (1994). The dieting maelstrom: Is it possible and advisable to lose weight? American Psychologist, 49, 781–791. https://doi. org/10.1037//0003-066x.49.9.781.
Bruinsma, K. A., & Taren, D. L. (2000). Dieting, essential fatty acid intake, and depression. Nutrition Reviews, 58, 98–108. https://doi.org/10.1111/j.1753-4887.2000.tb07539.x.
Dalen, J., Smith, B. W., Shelley, B. M., Sloan, A. L., Leahigh, L., & Begay, D. (2010). Pilot study: mindful eating and living (MEAL): weight, eating behaviour, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. Complementary Therapies in Medicine, 18, 260–264. https://doi.org/10.1016/j.ctim.2010.09.008.
Dixon, K. J., Shcherba, S., & Kipping, R. R. (2012). Weight loss from three commercial providers of NHS primary care slimming on referral in North Somerset: service evaluation. Journal of Public Health, 34, 555– 561. https://doi.org/10.1093/pubmed/fds034.
Dutt, S., Keyte, R., Egan, H., Hussain, M., & Mantzios, M. (2018). Healthy and unhealthy eating amongst stressed students: considering the influence of mindfulness on eating choices and consumption. Health Psychology Report, 7, 1–7. https:// doi.org/10.5114/hpr.2019.77913.
Egan, H., & Mantzios, M. (2018). A qualitative exploration of self-kindness and “treating oneself” in contexts of eating, weight regulation and other health behaviors: implications for mindfulnessbased eating programs. Frontiers in Psychology, 9, 880. https://doi.org/10.3389/fpsyg.2018.00880.
Foxcroft, L. (2012). Our preoccupation with dieting has become a national neurosis. The Guardian. Retrieved from www.theguardian.com/commentisfree/2012/jan/01/preoccupation-diet-industrynational-neurosi.
Germov, J., & Williams, L. (1996). The epidemic of dieting women: the need for a sociological approach to food and nutrition. Appetite, 27, 97–108. https://doi.org/10.1006/appe.1996.0038.
Gilbert, D., & Waltz, J. (2010). Mindfulness and health behaviours. Mindfulness, 1, 227–234. https://doi. org/10.1007/s12671-010-0032-3.
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j. cpr.2015.01.006.
Harvie, M. N., Pegington, M., Mattson, M. P., Frystyk, J., Dillon, B., Evans, G., Cuzick, J., Jebb, S. A., Martin, B., Cutler, R. G., Maudsley, S., Carlson, O. D., Egan, J. M., Flyvbjerg, A., & Howell, A. (2011). The effects of intermittent or continuous energy restriction on weight loss and metabolic disease risk markers: a randomized trial in young overweight women. International Journal of Obesity, 35, 714–727. https://doi.org/10.1038/ijo.2010.171.
Hendrickson, K. L., & Rasmussen, E. B. (2017). Mindful eating reduces impulsive food choice in adolescents and adults. Health Psychology, 36, 226– 235. https://doi.org/10.1037/hea0000440.
Heshka, S., Anderson, J. W., Atkinson, R. L., Greenway, F. L., Hill, J. O., Phinney, S. D., Kolotkin, R. L., Miller-Kovach, K., & Pi-Sunyer, F. X. (2003). Weight loss with self-help compared with a structured commercial program: a randomized trial. Journal of American Medical Association, 289, 1792–1798. https://doi.org/10.1001/jama.289.14.1792.
Hong, P., Lishner, D. A., & Han, K. H. (2014). Mindfulness and eating: an experiment examining the effect of mindful raisin eating on the enjoyment of sampled food. Mindfulness, 5, 80–87. https://doi. org/10.1007/s12671-012-0154-x.
Hulbert-Williams, L., Nicholls, W., Joy, J., & HulbertWilliams, N. (2014). Initial validation of the mindful eating scale. Mindfulness, 5, 719–729. https://doi.org/10.1007/s12671-013-0227-5.
Hussein, M., Egan, H., & Mantzios, M. (2017). Mindful construal diaries: a less anxious, more mindful, and more self-compassionate method of eating. Sage Open, 1–5. https://doi.org/10.1177/2158244017704685.
Kabat-Zinn, J. (1990). Full catastrophe living. New York, NY: Delta Trade Paperbacks.
Kabat-Zinn, J. (2005). Coming to our senses: healing ourselves and the world through mindfulness. New York: Hyperion.
Kristeller, J. L., & Wolever, R. Q. (2010). Mindfulnessbased eating awareness training for treating binge eating disorder: the conceptual foundation. Eating Disorders, 19, 49–61. https://doi.org/10.1080/10640266.2011.533605.
Last, A. R., & Wilson, S. A. (2006). Low-carbohydrate diets. American Family Physician, 73, 1951–1958.
Lillis, J., Hayes, S., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: a preliminary test of a theoretical model. Annals of Behavioral Medicine, 37, 58–69. https://doi.org/10.1007/s12160-009-9083-x.
Mantzios, M., & Egan, H. (2018). An exploratory examination of mindfulness, self-compassion, and mindful eating in relation to motivations to eat palatable foods and BMI. Health Psychology Report, 6, 207–2015. https://doi.org/10.5114/hpr.2018.73052.
Mantzios, M., Egan, H., Bahia, H., Hussain, M., & Keyte, R. (2018). How does grazing relate to body mass index, self-compassion, mindfulness and mindful eating in a student population? Health Psychology Open, 5, 1–7. https://doi.org/10.1177/2055102918762701.
Mantzios, M., Egan, H., Hussain, M., Keyte, R., & Bahia, H. (2018). Mindfulness, self-compassion, and mindful eating in relation to fat and sugar consumption: an exploratory investigation. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity, 23, 833–840. https://doi.org/1007/s40519-018-0548-4.
Mantzios, M., & Giannou, K. (2014). Group vs. single mindfulness meditation: exploring avoidance, impulsivity, and weight management in two separate mindfulness meditation settings. Applied Psychology: Health and Well-Being, 6, 173–191. https://doi.org/10.1111/aphw.12023.
Mantzios, M., & Wilson, J. (2014a). Exploring mindfulness and mindfulness with self-compassioncentered interventions to assist weight loss: theoretical considerations and preliminary results of a randomized pilot study. Mindfulness, 6, 824–835. https://doi.org/10.1007/s12671-014-0325-z.
Mantzios, M., & Wilson, J. C. (2014b). Making concrete construals mindful: a novel approach for developing mindfulness and self-compassion to assist weight loss. Psychology & Health, 29, 422–441. https://doi.org/10.1080/08870446.2013.863883.
Mantzios, M., & Wilson, J. C. (2015a). Mindfulness, eating behaviours, and obesity: a review and reflection on current findings. Current Obesity Reports, 4, 141–146. https://doi.org/10.1007/s13679- 014-0131-x.
Mantzios, M., & Wilson, J. C. (2015b). Exploring mindfulness and mindfulness with self-compassion-centered interventions to assist weight loss: theoretical considerations and preliminary results of a randomized pilot study. Mindfulness, 6, 824–835. https://doi.org/10.1007/s12671-014-0325-z.
Mantzios, M., Wilson, J. C., Linnell, M., & Morris, P. (2015). The role of negative cognitions, intolerance of uncertainty, mindfulness, and self-compassion in weight regulation among male army recruits. Mindfulness, 6, 545–552. https://doi.org/10.1007/ s12671-014-0286-2.
Mason, A. E., Epel, E. S., Kristeller, J., Moran, P. J., Dallman, M., Lustig, R. H., Acree, M., Bacchetti, P., Laraia, B. A., Hecht, F. M., & Daubenmier, J. (2016). Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial. Journal of Behavioural Medicine, 39, 201–213. https://doi. org/10.1007/s10865-015-9692-8.
Mintel (2014). Dieting in 2014? You’re not alone – 29 million Brits have tried to lose weight in the last year. Mintel.com. Retrieved from www.mintel. com/press-centre/social-and-lifestyle/dieting-in2014-you-are-not-alone.
Mobbs, O., Crepin, C., Thiery, C., Golay, A., & van der Linden, M. (2010). Obesity and the four facets of impulsivity. Patient, Education and Counseling, 79, 372–377. https://doi.org/10.1016/k.pec.2010.03.003.
NHS (2016). Top diets review for 2016 – Live Well – NHS Choices. Retrieved from www.nhs.uk/ Livewell/loseweight/Pages/top-10-most-populardiets-review.aspx.
NHS (2017). Fat: the facts – Live Well – NHS Choices. Retrieved from www.nhs.uk/Livewell/Goodfood/Pages/Fat.aspx.
O’Reilly, G. A., Cook, L., Spruijt-Metz, D., & Black, D. S. (2014). Mindfulness-based interventions for obesity-related eating behaviours: a literature review. Obesity Reviews, 15, 453–461. https://doi. org/10.1111/obr.12156.
Peet, M. (2004). Diet, diabetes and schizophrenia: review and hypothesis. The British Journal of Psychiatry, 184, 102–105. https://doi.org/10.1192/bjp.184.47.s102.
Schwartz, M. B., & Brownell, K. D. (2004). Obesity and body image. Body Image, 1, 43–56. https://doi. org/10.1016/S1740-1445(03)00007-X.
Sobal, J., & Cassidy, C. M. (1987). Dieting foods: conceptualizations and explanations. Ecology of Food and Nutrition, 20, 89–96. https://doi.org/10.1080/03 670244.1987.9990990.
Stinson, K. M. (2001). Women and dieting culture: inside a commercial weight loss group. New Brunswick, NJ: Rutgers University Press.
Tanskanen, A., Hibbeln, J. R., Tuomilehto, J., Uutela, A., Haukkala, A., Viinamäki, H., Lehtonen, J., & Vartiainen, E. (2001). Fish consumption and depressive symptoms in the general population in Finland. Psychiatric Services, 52, 529–531. https://doi.org/10.1176/appi.ps.52.4.529.
Tapper, K., Shaw, C., Ilsley, J., Hill, A. J., Bond, F. W., & Moore, L. (2009). Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite, 52, 396–404. https://doi.org/10.1016/j.appet.2008.11.012.
Tomiyama, A. J., Mann, T., Vinas, D., Hunger, J. M., DeJager, J., & Taylor, S. E. (2010). Low calorie dieting increases cortisol. Psychosomatic Medicine, 72, 357– 364. https://doi.org/10.1097/PSY.0b013e3181d9523c.
Tsai, A. G., & Wadden, T. A. (2005). Systematic review: an evaluation of major commercial weight loss programs in the United States. Annals of Internal Medicine, 142, 56–66. https://doi.org/10.7326/0003-4819-142-1-200501040-00012.
Wadden, T., Stunkard, A., & Smoller, J. (1986). Dieting and depression: A methodological study. Journal of Consulting and Clinical Psychology, 54, 869–871. https://doi.org/10.1037//0022-006x.54.6.869.
Warren, J. M., Smith, N., & Ashwell, M. (2017). A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated mechanisms. Nutrition Research Reviews, 30, 272– 283. https://doi.org/10.1017/S0954422417000154.
World Health Organization (2000). Obesity: preventing and managing the global epidemic (No. 894). World Health Organization. Retrieved from www. who.int/nutrition/publications/obesity/WHO_ TRS_894/en/.
Yancy, W. S., Olsen, M. K., Guyton, J. R., Bakst, R. P., & Westman, E. C. (2004). A low-carbohydrate, ketogenic diet versus a low-fat diet to treat obesity and hyperlipidemia: a randomized, controlled trial. Annals of Internal Medicine, 140, 769–777. https://doi.org/10.7326/0003-4819-140-10-200405180-00006.