Mindfulness Training to Promote Healthy Diet and Physical Activity inTeens

正念训练促进青少年健康饮食和身体活动

• 批准号: 8720060
• 负责人: LORI PBERT
• 金额: $ 23.44万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-15 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8720060
• 关键词: Adolescence; Adolescent; Adopted; Adult; Age; Awareness; Behavior; Behavior Therapy; Behavioral; Body mass index; Cardiovascular Diseases; Cause of Death; Child; Complementary and alternative medicine; Development; Diabetes Mellitus; Diet; Diet Habits; Drops; Eating; Educational Intervention; Esthesia; Event; Exercise; Freedom; Gender; Goals; Habits; Health; Health Benefit; Health behavior; Health education; Impulsive Behavior; Impulsivity; Intake; Intervention; Intervention Studies; Knowledge; Lead; Life; Life Style; Link; Massachusetts; Mediating; Mediation; Mediator of activation protein; Metabolic; Modeling; Obesity; Observational Study; Outcome; Participant; Physical activity; Pilot Projects; Population; Program Evaluation; Psyche structure; Public Health; Published Comment; Quality of life; Randomized; Recruitment Activity; Risk; Risk Factors; Role; Schools; Self-control as a personality trait; Specific qualifier value; Teenagers; Testing; Time; Training; Translations; United States; Weight; Youth; design; diet and exercise; effective intervention; experience; follow-up; fruits and vegetables; good diet; high school; improved; innovation; intervention effect; meetings; mindfulness; modifiable risk; novel; premature; programs; public health relevance; response; saturated fat; secondary outcome; sedentary; therapy design; university student

DESCRIPTION (provided by applicant): Unhealthy dietary habits and physical inactivity are important modifiable behavioral risk factors for the development of cardiovascular disease. Both behaviors are often established during adolescence and are highly prevalent in teenagers. Conversely, the establishment of healthy dietary and physical activity habits in youth leads to significant health benefits in adulthood, highlighting the need to develop programs aimed at improving dietary and physical activity habits in youth. However, thus far, interventions designed to promote healthy dietary and exercise habits in adolescents have had modest effects on these behaviors, and there is limited knowledge on how to maintain positive changes in these habits over time. Current evidence from observational studies suggests that higher mindfulness levels in adolescents are associated with better eating and exercise habits. In addition, mindfulness is associated with lower impulsivity and better self-control, which are important determinants of healthy behaviors in younger populations. Multiple studies have shown that mindfulness levels increase in response to mindfulness training, and that an increase in mindfulness mediates the effect of mindfulness interventions on health outcomes. Consistent with the goals of PA-11-329 "to determine the influence of complementary and alternative medicine approaches on developing and sustaining healthy behavior habits in children and youth" this multi-PI application seeks to study the role of mindfulness training in promoting and maintaining healthy dietary and physical activity habits. We posit that the addition of mindfulness training to an educational program, compared to an educational program alone, will improve diet and physical activity, and these changes will be maintained over time. In addition, we expect to observe a decrease in impulsivity, indicating that impulsivity may serve as a potential mediator of the effec of the mindfulness intervention on diet and physical activity. This pilot study will test the feasibility and preliminary efficacy of a school-delivered, mindfulness + health education intervention (MHE) compared to health education (HE) alone on dietary habits and physical activity in 80 adolescents recruited among 9th graders (average age, 14) in 2 high schools in Massachusetts; each school will be randomized to either the MHE or HE intervention. Assessments will be performed at baseline, at the end of the intervention (2 months post- baseline), and at 8- months (end of academic year) follow-up. Innovative aspects of this proposal include studying the effect of mindfulness training on health behaviors among youth and the development of a new model linking mindfulness, impulsivity and behavioral change in this population. The study is significant due to the importance of the behaviors targeted and to the potential for translation to high school settings if an effect is demonstrated.

描述（由申请人提供）：不健康的饮食习惯和缺乏身体活动是心血管疾病发生的重要的可改变的行为危险因素。这两种行为通常是在青春期形成的，并且在青少年中非常普遍。相反，青少年建立健康的饮食和身体活动习惯会给成年后的健康带来显着的好处，这凸显了制定旨在改善青少年饮食和身体活动习惯的计划的必要性。然而，到目前为止，旨在促进青少年健康饮食和运动习惯的干预措施对这些行为的影响不大，而且对于如何随着时间的推移保持这些习惯的积极变化知之甚少。目前观察性研究的证据表明，青少年较高的正念水平与更好的饮食和运动习惯有关。此外，正念与较低的冲动性和更好的自控力有关，这是年轻人健康行为的重要决定因素。多项研究表明，正念水平会随着正念训练而增加，并且正念的增加会调节正念干预对健康结果的影响。与 PA-11-329 的目标“确定补充和替代医学方法对儿童和青少年发展和维持健康行为习惯的影响”这一多 PI 应用程序旨在研究正念训练在促进和维持健康行为习惯方面的作用。健康的饮食和身体活动习惯。我们认为，与单​​独的教育计划相比，在教育计划中加入正念训练将改善饮食和身体活动，并且这些变化将随着时间的推移而维持。此外，我们预计会观察到冲动性的减少，这表明冲动性可能是正念干预对饮食和身体活动影响的潜在中介因素。这项试点研究将在 80 名九年级学生（平均年龄 14 岁）中招募 80 名青少年，测试学校提供的正念 + 健康教育干预 (MHE) 与单独的健康教育 (HE) 对饮食习惯和身体活动的可行性和初步效果。 ）在马萨诸塞州的 2 所高中；每所学校将被随机分配接受 MHE 或 HE 干预。评估将在基线、干预结束时（基线后 2 个月）和随访 8 个月（学年结束）时进行。该提案的创新之处包括研究正念训练对青少年健康行为的影响，以及开发一个将这一人群的正念、冲动和行为改变联系起来的新模型。这项研究意义重大，因为所针对的行为很重要，而且如果效果得到证实，也有可能转化为高中环境。

项目成果

Integrating mindfulness training in school health education to promote healthy behaviors in adolescents: Feasibility and preliminary effects on exercise and dietary habits.

• DOI: 10.1016/j.pmedr.2018.01.009
• 发表时间: 2018-03-01
• 期刊: Preventive medicine reports
• 影响因子: 2.8
• 作者: Salmoirago-Blotcher, Elena;Druker, Susan;Pbert, Lori
• 通讯作者: Pbert, Lori

Beneficial Effects of School-based Mindfulness Training On Impulsivity in Healthy Adolescents: Results From a Pilot Randomized Controlled Trial.

学校正念训练对健康青少年冲动的有益影响：试点随机对照试验的结果。

• DOI: 10.1016/j.explore.2018.07.003
• 发表时间: 2019
• 期刊: Explore (New York, N.Y.)
• 作者: Salmoirago-Blotcher,Elena;Druker,Susan;Meleo-Meyer,Florence;Frisard,Christine;Crawford,Sybil;Pbert,Lori
• 通讯作者: Pbert,Lori

Design and methods for "Commit to Get Fit" - a pilot study of a school-based mindfulness intervention to promote healthy diet and physical activity among adolescents.

“致力于健身”的设计和方法——一项以学校为基础的正念干预试点研究，旨在促进青少年的健康饮食和身体活动。

• DOI: 10.1016/j.cct.2015.02.004
• 发表时间: 2015
• 期刊: Contemporary clinical trials
• 影响因子: 2.2
• 作者: Salmoirago-Blotcher,Elena;Druker,Sue;Meyer,Florence;Bock,Beth;Crawford,Sybil;Pbert,Lori
• 通讯作者: Pbert,Lori