Evidence map›Paper›PMID 33214537›Full record

Trial reportPsychosomatic medicine

Exploratory Analysis of Racial/Ethnic and Educational Differences in a Randomized Controlled Trial of a Mindfulness-Based Weight Loss Intervention.

Jennifer Daubenmier, Maria T Chao, Wendy Hartogensis, Rhianon Liu, Patricia J Moran, Michael C Acree, Jean Kristeller, Elissa S Epel, Frederick M Hecht

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychosomatic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00960414 (Supporting Health by Integrating Nutrition and Exercise), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 16% 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.

NCT00960414 nacompletednot on this map

Supporting Health by Integrating Nutrition and Exercise (SHINE)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2009 to 2013Enrolled194ConditionsObesityArmsSHINE
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Adherence to Behavioral Weight Management: A Scoping Review of Definitions, Measurement, and Components.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Article
  4. Perceptions and experiences of adult caregivers receiving mindfulness-based behavioural education: A qualitative study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024
    Article
  5. Weight Management Treatment Representations: A Novel Use of the Common Sense Model.Journal of clinical psychology in medical settings · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Jennifer DaubenmierFrom the Institute of Holistic Health Studies (Daubenmier), San Francisco State University; Osher Center for Integrative Medicine (Chao, Hartogensis, Liu, Moran, Acree, Hecht), University of California, San Francisco, San Francisco, California; Department of Psychology (Kristeller), Indiana State University, Terre Haute, Indiana; and Department of Psychiatry (Epel), University of California, San Francisco, San Francisco, California.
Maria T Chao
Wendy Hartogensis
Rhianon Liu
Patricia J Moran
Michael C Acree
Jean Kristeller
Elissa S Epel
Frederick M Hecht
Bridge University · SS

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Metabolic and Immunologic Effects of Meditation - Cell Aging SupplementP01AT005013 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HECHT, FREDERICK M · 2008 to 2012
$6.8M
Training Researchers in Clinical Integrative Medicine (TRIM) - NOSI supplementT32AT003997 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHELLEY R ADLER, MARIA T CHAO · 2007 to 2026
$6.6M
NK Cells and HIV InfectionP01AI064520 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BRODSKY, FRANCES M. · 2005 to 2009
$6.2M
Mentoring and Research in Integrative MedicineK24AT007827 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HECHT, FREDERICK M · 2013 to 2022
$1.8M
Group acupuncture for painful diabetic neuropathy among underserved patientsK01AT006545 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHAO, MARIA T · 2011 to 2015
$720k
Effects of Mind-Body Interventions on Metabolic Syndrome RiskK01AT004199 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DAUBENMIER, JENNIFER JOAN · 2007 to 2011
$626k
NCATS NIH HHS UL1 TR000004NCCIH NIH HHS K01 AT004199NCCIH NIH HHS K01 AT006545NCCIH NIH HHS K24 AT007827NCCIH NIH HHS T32 AT003997NIAID NIH HHS P01 AI064520
6 · The paper itself

Abstract

objectivePeople of color and lower socioeconomic groups have higher obesity prevalence, lose less weight compared with Whites and higher socioeconomic groups, and are underrepresented in randomized controlled trials of mindfulness-based interventions. We examined whether mindfulness approaches reduce disparities in weight loss interventions.

methodsWe analyzed data from a randomized controlled trial of 194 participants with obesity (41% participants of color, 36% without college degree) comparing a 5.5-month mindfulness-based weight loss intervention to an active-control with identical diet-exercise guidelines. We assessed attendance, 18-month attrition, and weight change at 6, 12, and 18 months by race/ethnicity and education level using linear mixed models, adjusting for baseline body mass index, age, and education or race/ethnicity, respectively.

resultsParticipants without versus with a college degree attended fewer sessions and had higher attrition across interventions. Participants of color attended fewer intervention sessions in the mindfulness compared with the control intervention. Overall, participants of color lost significantly less weight at 12 and 18 months compared with Whites. However, during the 6- to 18-month maintenance period, we found an interaction of intervention arm, race/ethnicity, and time (p = .035), indicating that participants of color compared with Whites regained more weight in the control (0.33 kg/mo; p = .005) but not mindfulness intervention (0.06 kg/mo; p = .62). Participants without a college degree had greater initial weight loss in the mindfulness compared to control intervention from 0 to 6 months (-0.46 kg/mo; p = .039).

conclusionsAlthough disparities persist, mindfulness approaches may mitigate some racial/ethnic and socioeconomic differences in weight loss compared with conventional diet-exercise programs.Trial Registration: Clinicaltrials.gov registration: NCT00960414.

Indexed as

MindfulnessWeight LossBody Mass IndexEthnicityHumansObesity

Identifiers

PMID33214537
OpenAlexW3105678236

What OpenQuestion holds

Textmetadata
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.