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Gepubliceerd in: Mindfulness 12/2019

10-09-2019 | ORIGINAL PAPER

A Randomized Controlled Trial of a Mindfulness-Based Weight Loss Intervention on Cardiovascular Reactivity to Social-Evaluative Threat Among Adults with Obesity

Auteurs: Jennifer Daubenmier, Elissa S. Epel, Patricia J. Moran, Jason Thompson, Ashley E. Mason, Michael Acree, Veronica Goldman, Jean Kristeller, Frederick M. Hecht, Wendy B. Mendes

Gepubliceerd in: Mindfulness | Uitgave 12/2019

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Abstract

Objectives

Mindfulness-based interventions have been found to reduce psychological and physiological stress reactivity. In obesity, however, stress reactivity is complex, with studies showing both exaggerated and blunted physiological responses to stressors. A nuanced view of stress reactivity is the “challenge and threat” framework, which defines adaptive and maladaptive patterns of psychophysiological stress reactivity. We hypothesized that mindfulness training would facilitate increased challenge-related appraisals, emotions, and cardiovascular reactivity, including sympathetic nervous system activation paired with increased cardiac output (CO) and reduced total peripheral resistance (TPR) compared to a control group, which would exhibit an increased threat pattern of psychophysiological reactivity to repeated stressors.

Methods

Adults (N = 194) with obesity were randomized to a 5.5-month mindfulness-based weight loss intervention or an active control condition with identical diet-exercise guidelines. Participants were assessed at baseline and 4.5 months later using the Trier Social Stress Task. Electrocardiogram, impedance cardiography, and blood pressure were acquired at rest and during the speech and verbal arithmetic tasks to assess pre-ejection period (PEP), CO, and TPR reactivity.

Results

Mindfulness participants showed significantly greater maintenance of challenge-related emotions and cardiovascular reactivity patterns (higher CO and lower TPR) from pre- to post-intervention compared to control participants, but groups did not differ in PEP. Findings were independent of changes in body mass index.

Conclusions

Mindfulness training may increase the ability to maintain a positive outlook and mount adaptive cardiovascular responses to repeated stressors among persons with obesity though findings need to be replicated in other populations and using other forms of mindfulness interventions.
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Metagegevens
Titel
A Randomized Controlled Trial of a Mindfulness-Based Weight Loss Intervention on Cardiovascular Reactivity to Social-Evaluative Threat Among Adults with Obesity
Auteurs
Jennifer Daubenmier
Elissa S. Epel
Patricia J. Moran
Jason Thompson
Ashley E. Mason
Michael Acree
Veronica Goldman
Jean Kristeller
Frederick M. Hecht
Wendy B. Mendes
Publicatiedatum
10-09-2019
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 12/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-019-01232-5