Evidence map›Paper›PMID 30993601›Full record

ArticleInternational journal of behavioral medicine2019

Effects of a Mindfulness-Based Intervention on Distress, Weight Gain, and Glucose Control for Pregnant Low-Income Women: A Quasi-Experimental Trial Using the ORBIT Model.

E Epel, B Laraia, K Coleman-Phox, C Leung, C Vieten, L Mellin, J L Kristeller, M Thomas, N Stotland, N Bush and 4 more

Registry-linked trialOpen access · hybridAbstract readControlled Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of behavioral medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01307683 (Maternal, Adiposity, Metabolism, and Stress Study), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01307683 nacompletednot on this map

Maternal, Adiposity, Metabolism, and Stress Study (MAMAS)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2011 to 2015Enrolled202ConditionsObesity, Gestational Weight GainArmsMindful Moms
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  15. Respectful care for pregnant people living with obesity.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  16. Article
  17. Review
  18. The Effect of Mindfulness-Based Stress Reduction Counseling on Blood Glucose and Perceived Stress in Women with Gestational Diabetes.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

E EpelCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA. elissa.epel@ucsf.edu.ORCID http://orcid.org/0000-0002-8004-2571
B LaraiaSchool of Public Health, University of California, Berkeley, 50 University Hall #7360, Berkeley, CA, 94720, USA.
K Coleman-PhoxCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
C LeungDepartment of Nutritional Sciences, School of Public Health, University of Michigan, 1415 Washington Heights, SPH I 3866, Ann Arbor, MI, 48104, USA.
C VietenCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
L MellinCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
J L KristellerDepartment of Psychology, Indiana State University, 200 North Seventh St, Terre Haute, IN, 47809, USA.
M ThomasCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
N StotlandCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
N BushCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
R H LustigCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
M DallmanCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
F M HechtOsher Center for Integrative Medicine, 1545 Divisadero St, San Francisco, CA, 94115, USA.
N AdlerCenter for Health and Community, University of California, San Francisco, 3333 California St, San Francisco, CA, 94143, USA.
University of California, San Francisco · USIndiana State University · USOsher Center for Integrative MedicineUniversity of California, Berkeley · USUniversity of Michigan · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Novel interventions to reduce stress induced non-homeostatic eatingU01HL097973 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, EPEL, ELISSA S. · 2009 to 2014
$5.7M
NHLBI NIH HHS 1U01HL097973-01NHLBI NIH HHS U01 HL097973NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

backgroundStress can lead to excessive weight gain. Mindfulness-based stress reduction that incorporates mindful eating shows promise for reducing stress, overeating, and improving glucose control. No interventions have tested mindfulness training with a focus on healthy eating and weight gain during pregnancy, a period of common excessive weight gain. Here, we test the effectiveness of such an intervention, the Mindful Moms Training (MMT), on perceived stress, eating behaviors, and gestational weight gain in a high-risk sample of low income women with overweight/obesity.

methodWe conducted a quasi-experimental study assigning 115 pregnant women to MMT for 8 weeks and comparing them to 105 sociodemographically and weight equivalent pregnant women receiving treatment as usual. Our main outcomes included weight gain (primary outcome), perceived stress, and depression.

resultsWomen in MMT showed significant reductions in perceived stress (β = - 0.16) and depressive symptoms (β = - 0.21) compared to the treatment as usual (TAU) control group. Consistent with national norms, the majority of women (68%) gained excessive weight according to Institute of Medicine weight-gain categories, regardless of group. Slightly more women in the MMT group gained below the recommendation. Among secondary outcomes, women in MMT reported increased physical activity (β = 0.26) and had lower glucose post-oral glucose tolerance test (β = - 0.23), being 66% less likely to have impaired glucose tolerance, compared to the TAU group.

conclusionA short-term intervention led to significant improvements in stress, and showed promise for preventing glucose intolerance. However, the majority of women gained excessive weight. A longer more intensive intervention may be needed for this high-risk population. Clinical Trials.gov #NCT01307683.

Indexed as

AdultBlood GlucoseDepressionDiet, HealthyFemaleHumansHyperphagiaMindfulnessObesityOverweightPilot ProjectsPovertyPregnancyPregnancy ComplicationsWeight GainYoung AdultBlood GlucoseDepressionGestational weight gainInsulin resistanceMindfulnessPregnancyStress

Identifiers

PMID30993601
PMCPMC6785577
OpenAlexW2937782372

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.