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Self-management of dietary intake using mindful eating to improve dietary intake for individuals with early stage chronic kidney disease
Authors:Gayle M. Timmerman  Muna J. Tahir  Richard M. Lewis  Deborah Samoson  Holli Temple  Michele R. Forman
Affiliation:1.School of Nursing,The University of Texas at Austin,Austin,USA;2.Department of Nutritional Sciences,The University of Texas at Austin,Austin,USA;3.Renal Transplant Program,St. David’s North Austin Medical Center,Austin,USA;4.Austin Kidney Associates,Austin,USA;5.College of Pharmacy,The University of Texas at Austin,Austin,USA;6.Department of Nutritional Sciences and Population Research Center,The University of Texas at Austin,Austin,USA;7.Department of Nutrition Science,Purdue University,West Lafayette,USA
Abstract:Using mindful eating to improve specific dietary recommendations has not been adequately studied. This feasibility study examined an intervention, self-management of dietary intake using mindful eating, with 19 participants that had mild to moderate chronic kidney disease, using a prospective, single group, pretest–posttest design. The intervention had six weekly classes focused on self-management using mindful eating, goal-setting, problem-solving, and food label reading. Weight, body mass index (BMI), 3-day 24-h dietary recalls and fasting blood samples were measured. Participants improved significantly in mean weight (203.21 ± 42.98 vs 199.91 ± 40.36 lbs; P = 0.03) and BMI (32.02 ± 5.22 vs 31.57 ± 5.27 kg/m2; P = 0.04), but not in dietary intake nor blood measures with the exception of cis-beta-carotene levels (0.020 + 0.012 vs 0.026 + 0.012 mcg/mL; P = 0.008), which correlates to fruit and vegetable servings. These promising results warrant further testing of the intervention in randomized control trials.
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