Impact of a Mindfulness-Based Weight-Loss Intervention on Sleep Quality Among Adults with Obesity: Data from the SHINE Randomized Controlled Trial.
Elizabeth Adler, Anand Dhruva, Patricia J Moran, Jennifer Daubenmier, Michael Acree, Elissa S Epel, Peter Bacchetti, Aric A Prather, Ashley E Mason, Frederick M Hecht
The Journal of Alternative and Complementary Medicine December 28, 2016 DOI: 10.1089/acm.2016.0141 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Secondary analysis of a randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 194 |
| Population | Adults with obesity, body mass index 30-45 kg/m2 |
| Interventions | Mindfulness-based eating and stress-management practices progressive muscle relaxation (PMR) |
| Duration | 17 group sessions over 5.5 months, with follow-up at 6, 12, and 18 months |
| Measures | Pittsburgh Sleep Quality Index (PSQI) global score |
| Topics | Meditation |
| Keywords | Humans Sleep apnea syndromes Obesity Adult Middle aged Female Weight reduction programs Psqi |
| Key findings | The mindfulness-based weight-loss intervention did not significantly improve self-reported sleep quality compared with an active control that included progressive muscle relaxation, with between-group PSQI differences of -0.27 at 6 months, -0.57 at 12 months, and -0.50 at 18 months, all favoring mindfulness but none statistically significant. Within the mindfulness group, average weekly minutes of meditation practice was associated with improved sleep quality from baseline to 6 months. |
Abstract
Background and
Objective: Sleep disturbance is a common problem among adults with obesity. Mindfulness interventions have been shown to improve sleep quality in various populations but have not been investigated in adults with obesity. The aim of this study was to compare the effects of a mindfulness-based weight-loss intervention with an active control on self-reported sleep quality among adults with obesity.
Method: This study was a secondary analysis of a randomized controlled trial and included 194 adults with a body mass index in the range 30-45 kg/m2. The treatment intervention included mindfulness-based eating and stress-management practices, and the active control intervention included training in progressive muscle relaxation (PMR). Both groups received identical diet and exercise guidelines in 17 group sessions conducted over 5.5 months that were matched for time, attention, and social support. The primary outcome of this analysis was between-group change in self-reported sleep quality, which was assessed using the Pittsburgh Sleep Quality Index (PSQI) global score at baseline and at 6, 12, and 18 months.
Results: Between-group differences in mean PSQI change scores in the mindfulness group (n = 100) compared to the control group (n = 94) were -0.27 (-0.68, 1.22; p = 0.58) at 6 months, -0.57 (-0.35, 1.50; p = 0.22) at 12 months, and -0.50 (-0.53, 1.53; p = 0.34) at 18 months, all in the direction of more sleep improvement in the mindfulness group but none reaching statistical significance. In the mindfulness group, average weekly minutes of meditation practice time was associated with improved sleep quality from baseline to 6 months.
Conclusions: No statistically significant evidence was found that a weight-loss program that incorporates mindfulness improves self-reported sleep quality compared to a control diet/exercise intervention that included PMR. Within the mindfulness group, average weekly minutes of mindfulness practice was associated with improved sleep quality.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 6
- The effect of mindfulness meditation on sleep quality: a systematic review and meta‐analysis of randomized controlled trials Annals of the New York Academy of Sciences December 21, 2018
- Effectiveness of a Mindfulness-Based Group Intervention for Chinese University Students with Sleep Problems International Journal of Environmental Research and Public Health January 10, 2022
- Falling Asleep on the Job: The Efficacy of a Short App-Based Mindfulness Intervention to Improve Sleep Quality and Quantity Within the Workforce. Stress and Health February 1, 2025
- Internet delivered, non-inferiority, two-arm, assessor-blinded intervention comparing mindfulness-based stress reduction and cognitive-behavioral treatment for insomnia: a protocol study for a randomized controlled trial for nursing staff with insomnia. Trials December 16, 2022
- Systematic Review for the Medical Applications of Meditation in Randomized Controlled Trials. International Journal of Environmental Research and Public Health January 22, 2022
and 1 more in the library
Cites 9
- Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Assessment February 29, 2008
- Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology 2000
- Mindfulness-Based Eating Awareness Training for Treating Binge Eating Disorder: The Conceptual Foundation Eating Disorders December 21, 2010
- Mindfulness Meditation and Improvement in Sleep Quality and Daytime Impairment Among Older Adults With Sleep Disturbances JAMA Internal Medicine February 16, 2015
- Effects of Low-Dose Mindfulness-Based Stress Reduction (MBSR-ld) on Working Adults Health Education & Behavior May 9, 2008
and 4 more in the library