Evidence map›Paper›PMID 42482693›Full record

ArticleLancet regional health. Americas2026

Mindfulness-based eating in obesity and anxiety: a randomized controlled trial and feasibility assessment.

Natasha Kim de Oliveira da Fonseca, Gabriela Rocha Dos Santos, Gabrielle Terezinha Foppa, Gabriella Nunes da Luz Morelo, Artur Zanelatto Santos, Gibson Weydmann, Brunna Boaventura, Stuart William Flint, Luciana Conceição Antunes, Elisa Brietzke and 1 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Lancet regional health. Americas, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06087185 (Evaluation of the Effect of Mindful Eating in Patients With Anxiety and Obesity.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT06087185 nacompletednot on this map

Evaluation of the Effect of Mindful Eating in Patients With Anxiety and Obesity.

TypeinterventionalSponsorHospital de Clinicas de Porto AlegreRan2023 to 2024Enrolled70ConditionsAnxiety, Obesity, Eating Behavior, MindfulnessArmsMindful Eating, Video Group
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Natasha Kim de Oliveira da FonsecaAnxiety Disorders Program (PROTAN), Hospital de Clínicas de Porto Alegre (HCPA) - ROR: https://ror.org/010we4y38, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Gabriela Rocha Dos SantosAnxiety Disorders Program (PROTAN), Hospital de Clínicas de Porto Alegre (HCPA) - ROR: https://ror.org/010we4y38, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Gabrielle Terezinha FoppaAnxiety Disorders Program (PROTAN), Hospital de Clínicas de Porto Alegre (HCPA) - ROR: https://ror.org/010we4y38, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Gabriella Nunes da Luz MoreloAnxiety Disorders Program (PROTAN), Hospital de Clínicas de Porto Alegre (HCPA) - ROR: https://ror.org/010we4y38, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Artur Zanelatto SantosAnxiety Disorders Program (PROTAN), Hospital de Clínicas de Porto Alegre (HCPA) - ROR: https://ror.org/010we4y38, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Gibson WeydmannLaboratory of Experimental Psychology, Neuroscience and Behavior, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Brunna BoaventuraLaboratory of Neuroscience and Eating Behavior, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brazil.
Stuart William FlintSchool of Psychology, University of Leeds, Leeds, UK.
Luciana Conceição AntunesLaboratory of Neuroscience and Eating Behavior, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brazil.
Elisa BrietzkeDepartment of Psychiatry, Queen's University School of Medicine, Kingston, ON, Canada.
Gisele Gus ManfroAnxiety Disorders Program (PROTAN), Hospital de Clínicas de Porto Alegre (HCPA) - ROR: https://ror.org/010we4y38, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is a high prevalence of people living with obesity (LWO) and mental disorders, which could worsen stigma. Internalized weight stigma (IWS) impairs psychological functioning and eating behaviors. This study, therefore, evaluated the acute effects of a Mindfulness-based Eating (ME) intervention and the feasibility of incorporating IWS assessment into a randomized controlled trial for adults LWO and generalized anxiety disorder (GAD). It also explores associations between IWS, device use, and psychological outcomes. Methods: Seventy adults LWO and GAD were randomized to a five-week ME group intervention (n = 36) or an asynchronous health educational video control (n = 34). The inhibitory control measured by the Go/No Go test was the primary RCT outcome. Post hoc feasibility outcomes were attendance and completion of the IWS assessment. The Weight Bias Internalization scale (WBIS) was applied alongside measures of body appreciation (BAS2), self-compassion (SCS), anxiety symptoms (GAD7), depressive symptoms (PHQ9), emotional dysregulation (DERS), shame (OAS), early memories (EMWSS), personality assessment (ER5FP), Mindful Eating (MEQ), binge eating (BES), impulsivity (BIS), and device use (smartphone/tablet). Associations were analyzed using correlation, regression and moderation; analyses of psychological outcomes were considered hypothesis-generating. NCT Number NCT06087185. Findings: The ME group showed no clear improvement in inhibitory control on the food Go/No-Go task, but resulted in improvements across several psychological outcomes (p < 0.05). All participants completed the WBIS; retention in the RCT was 58.6%. WBIS was positively associated with GAD7 (B = 0.869, p = 0.005) and negatively with BAS2 (B = -0.619, p = 0.005). Device use moderated the association between BAS2 and WBIS at baseline (B = 0.116, p = 0.021), with body appreciation being more protective against IWS at lower device use. Interpretation: ME shows promise for improving psychological outcomes linked to IWS. This study supports the feasibility of integrating IWS measures in trials examining obesity and GAD. Findings highlight the important effect of device use moderates the BAS2-IWS association. These findings can support clinicians and researchers in developing more effective, stigma-informed interventions for individuals LWO, particularly those with psychiatric disorders. Funding: CAPES; CNPq; FIPE-HCPA (ROR: https://ror.org/010we4y38).

Indexed as

Generalized anxiety disorderInternalized weight stigmaMindfulnessObesity

Identifiers

PMID42482693
PMCPMC13387012

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.