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Eating Mindfully to Prevent Weight Regain

Not Applicable
Completed
Conditions
Weight Loss
Eating Behavior
Weight Gain
Obesity
Bariatric Surgery Candidate
Interventions
Behavioral: Mindfulness Orientated Recovery Enhancement
Behavioral: Control Intervention
Registration Number
NCT04847843
Lead Sponsor
University of Utah
Brief Summary

The overall objective of this study is to evaluate the efficacy of a mindfulness-based intervention to prevent weight regain in weight-reduced adults.

Detailed Description

Specific Aim 1: Determine the effect of MORE on weight loss maintenance.

Hypothesis:

MORE will result in less weight regain compared to CON after the 8-week intervention, and benefits will be sustained after 6-month of follow-up.

Specific Aim 2:

Determine the effect of MORE on reward-related behavioral processes (e.g., food cravings) and ad libitum energy intake.

Hypothesis:

MORE group will demonstrate changes in eating behaviors and energy intake associated with preventing weight regain compared to CON immediately after MORE and after 6-months of follow-up.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Age 18-65
  • Bariatric Surgery patients: 12-18 months post-operation.
  • Medical weight loss patients: patients of the bariatric weight loss clinic, weight loss of 7% body mass via intentional weight loss within past 6 months; BMI >25 kg/m2 prior to intentional weight loss; stable for 3 months on medications.
  • Lifestyle weight loss: weight loss of 7% body mass via intentional weight loss within past 6 months; BMI >25 kg/m2 prior to intentional weight loss.
Exclusion Criteria
  • Uncontrolled cardiovascular, metabolic, renal, or pulmonary disease; cancer treatment in past 5 years; untreated thyroid disease or other medical condition affecting weight or energy metabolism; severe food allergies; women who are pregnant, lactating, or planning pregnancy during participation in the trial; active psychiatric issues
  • Additional criteria specific to patients with history of bariatric surgery: <12 months post-op; weight regain of >5% of body mass postoperation; history of admittance to rehabilitation facility; history of post-op complications that require recent inpatient management; patients who were required to stay in the hospital >1 week post-op; revision surgery patients; heart failure patients.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Mindfulness Orientated Recovery Enhancement (MORE) InterventionMindfulness Orientated Recovery Enhancement8-week MORE intervention adapted for preventing weight regain
Control InterventionControl Intervention8-week control intervention based on the Diabetes Prevention Program's Prevent T2 for Life program.
Primary Outcome Measures
NameTimeMethod
Changes in Body CompositionMeasured at baseline, post intervention(Week 8), and 6 month follow up

Measured via BodPod

Changes in Body WeightMeasured at baseline, post intervention(Week 8), and 6 month follow up

Measured via calibrated digital scale

Secondary Outcome Measures
NameTimeMethod
Change in Ad libitum Energy Intake - In labMeasured at baseline, post intervention(Week 8), and 6 month follow up

In lab ad libitum buffet lunch (via weigh and measure methodology)

Changes in Food-Related BehaviorsMeasured at baseline, post intervention(Week 8), and 6 month follow up

Evaluated via the Multidimensional Assessment of Interoceptive Awareness

Changes in Ad libitum Energy Intake - Free LivingMeasured at baseline, post intervention(Week 8), and 6 month follow up

3 days of free-living ad libitum energy intake (via self-report)

Trial Locations

Locations (1)

University of Utah

🇺🇸

Salt Lake City, Utah, United States

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