Mindfulness Intervention for Stress Eating to Reduce Cortisol and Abdominal Fat among Overweight and Obese Women: An Exploratory Randomized Controlled Study

Psychological distress and elevated cortisol secretion promote abdominal fat, a feature of the Metabolic Syndrome. Effects of stress reduction interventions on abdominal fat are unknown. Forty-seven overweight/obese women (mean BMI = 31.2) were randomly assigned to a 4-month intervention or waitlist group to explore effects of a mindfulness program for stress eating. We assessed mindfulness, psychological distress, eating behavior, weight, cortisol awakening response (CAR), and abdominal fat (by dual-energy X-ray absorptiometry) pre- and posttreatment. Treatment participants improved in mindfulness, anxiety, and external-based eating compared to control participants. Groups did not differ on average CAR, weight, or abdominal fat over time. However, obese treatment participants showed significant reductions in CAR and maintained body weight, while obese control participants had stable CAR and gained weight. Improvements in mindfulness, chronic stress, and CAR were associated with reductions in abdominal fat. This proof of concept study suggests that mindfulness training shows promise for improving eating patterns and the CAR, which may reduce abdominal fat over time.

• Publication year

  2011

• Venue

  Journal of Obesity

• Publication date

  2011-10-02

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1155/2011/651936PMID 21977314PMCID 3184496
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Who ’ s Stressed ? Distributions of Psychological Stress in the United States in Probability Samples from 1983 , 2006 , and 20091 S

  2012cited by this paper
• Who's Stressed? Distributions of Psychological Stress in the United States in Probability Samples from 1983, 2006, and 2009

  2012cited by this paper
• Sex Differences in the Association of Thigh Fat and Metabolic Risk in Older Adults

  2011cited by this paper
• Stress and Abdominal Fat: Preliminary Evidence of Moderation by the Cortisol Awakening Response in Hispanic Peripubertal Girls

  2011cited by this paper
• A Mindful Eating Group as an Adjunct to Individual Treatment for Eating Disorders: A Pilot Study

  2010cited by this paper
• Mindfulness-Based Eating Awareness Training for Treating Binge Eating Disorder: The Conceptual Foundation

  2010influential reference
• Increased sympathetic and decreased parasympathetic activity rather than changes in hypothalamic-pituitary-adrenal axis activity is associated with metabolic abnormalities.

  2010cited by this paper
• Pilot study: Mindful Eating and Living (MEAL): weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity.

  2010cited by this paper
• Cortisol awakening response and psychosocial factors: a systematic review and meta-analysis.

  2009cited by this paper
• Eating style, overeating, and overweight in a representative Dutch sample. Does external eating play a role?

  2009cited by this paper
• Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women.

  2009cited by this paper
• The selfish brain: Competition for energy resources

  2008cited by this paper
• Estrogens and glucocorticoid hormones in adipose tissue metabolism.

  2007cited by this paper
• Is the cortisol awakening rise a response to awakening?

  2007cited by this paper
• Neuropeptide Y acts directly in the periphery on fat tissue and mediates stress-induced obesity and metabolic syndrome

  2007cited by this paper
• Awakening Cortisol Response in Lean, Obese, and Reduced Obese Individuals: Effect of Gender and Fat Distribution

  2007cited by this paper
• Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up.

  2007cited by this paper
• Several daily measurements are necessary to reliably assess the cortisol rise after awakening: state- and trait components.

  2007cited by this paper
• One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients.

  2007cited by this paper
• Prospective effect of job strain on general and central obesity in the Whitehall II Study.

  2007influential reference
• Association of Upper Trunk and Visceral Adipose Tissue Volume With Insulin Resistance in Control and HIV-Infected Subjects in the FRAM Study

  2007cited by this paper
• Is visceral obesity the cause of the metabolic syndrome?

  2006influential reference
• Binge eating and exercise behavior after surgery for severe obesity: a structural equation model.

  2006cited by this paper
• Chronic stress and comfort foods: self-medication and abdominal obesity.

  2005cited by this paper
• The Relationship of Yoga, Body Awareness, and Body Responsiveness to Self-Objectification and Disordered Eating

  2005cited by this paper
• The Stice model of overeating: tests in clinical and non-clinical samples.

  2005cited by this paper
• Work stress, weight gain and weight loss: evidence for bidirectional effects of job strain on body mass index in the Whitehall II study

  2005cited by this paper
• Relationship Between Work Stress and Body Mass Index Among 45,810 Female and Male Employees

  2005cited by this paper
• Wider income gaps, wider waistbands? An ecological study of obesity and income inequality

  2005cited by this paper
• Long-term weight loss maintenance.

  2005cited by this paper
• Lower-body adiposity and metabolic protection in postmenopausal women.

  2005cited by this paper
• The selfish brain: competition for energy resources.

  2004cited by this paper
• Are Stress Eaters at Risk for the Metabolic Syndrome?

  2004cited by this paper
• Mindfulness-based stress reduction and health benefits. A meta-analysis.

  2004cited by this paper
• Stress and eating: the effects of ego-threat and cognitive demand on food intake in restrained and emotional eaters.

  2004cited by this paper
• Central adiposity and cortisol responses to waking in middle-aged men and women

  2004cited by this paper
• Cortisol Stress Response Is Positively Correlated with Central Obesity in Obese Women with Binge Eating Disorder (BED) before and after Cognitive‐Behavioral Treatment

  2004cited by this paper
• The Awakening Cortisol Response: Methodological Issues and Significance

  2004cited by this paper
• The Kentucky Inventory of Mindfulness Skills

  2004influential reference
• Assessment of Mindfulness by Self-Report

  2004cited by this paper
• Rise in morning saliva cortisol is associated with abdominal obesity in men: A preliminary report

  2003cited by this paper
• Alterations in Brain and Immune Function Produced by Mindfulness Meditation

  2003cited by this paper
• Computed tomography assessment of fat distribution in male and female patients with Cushing's syndrome.

  2003cited by this paper
• Stress and dietary practices in adolescents.

  2003cited by this paper
• Relationships between perceived stress and health behaviors in a sample of working adults.

  2003cited by this paper
• Stress induced disturbances of the HPA axis: a pathway to Type 2 diabetes?

  2003cited by this paper
• Chronic stress and obesity: A new view of “comfort food”

  2003cited by this paper
• Counterregulation in female obese emotional eaters: Schachter, Goldman, and Gordon's (1968) test of psychosomatic theory revisited.

  2003cited by this paper
• Stress-related eating and drinking behavior and body mass index and predictors of this behavior.

  2002cited by this paper
• Hypercortisolemic Depression Is Associated With Increased Intra-Abdominal Fat

  2002cited by this paper
• What Do We Really Know About Mindfulness-Based Stress Reduction?

  2002cited by this paper
• Dietary restraint and stress-induced snacking in youth.

  2002cited by this paper
• Stress may add bite to appetite in women: a laboratory study of stress-induced cortisol and eating behavior.

  2001cited by this paper
• Treatment of obesity: need to focus on high risk abdominally obese patients

  2001cited by this paper
• Increased response of cortisol and ACTH to corticotrophin releasing hormone in centrally obese men, but not in post-menopausal women

  2000cited by this paper
• Usefulness of anthropometry and DXA in predicting intra-abdominal fat in obese men and women.

  2000cited by this paper
• Stress and Food Choice: A Laboratory Study

  2000cited by this paper
• Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy.

  2000cited by this paper
• Ice-cream consumption, tendency toward overeating, and personality.

  2000cited by this paper
• Occupational status, cortisol secretory pattern, and visceral obesity in middle-aged men.

  2000cited by this paper
• Abnormalities of the hypothalamic-pituitary-adrenal axis in nondepressed women with abdominal obesity and relations with insulin resistance: evidence for a central and a peripheral alteration.

  2000cited by this paper
• Stress and Body Shape: Stress-Induced Cortisol Secretion Is Consistently Greater Among Women With Central Fat

  2000cited by this paper
• An Exploratory Study of a Meditation-based Intervention for Binge Eating Disorder

  1999cited by this paper
• Stress-induced cortisol, mood, and fat distribution in men.

  1999cited by this paper
• Predictors of major weight gain in adult Finns: Stress, life satisfaction and personality traits

  1998cited by this paper
• Increased intra-abdominal fat deposition in patients with major depressive illness as measured by computed tomography.

  1997cited by this paper
• Social inequality in coronary risk: Central obesity and the metabolic syndrome. Evidence from the Whitehall II study

  1997influential reference
• Inhibition of cortisol secretion by dexamethasone in relation to body fat distribution: a dose-response study.

  1996cited by this paper
• Prospective analysis of personality and behavioral vulnerabilities and gender influences in the later development of disordered eating.

  1995cited by this paper
• The hypothalamic-pituitary-adrenal axis in obese women with different patterns of body fat distribution.

  1993cited by this paper
• The role of gender and taste class in the effects of stress on eating.

  1992cited by this paper
• Full Catastrophe Living

  1992cited by this paper
• Effect of chronic stress and exogenous glucocorticoids on regional fat distribution and metabolism.

  1992cited by this paper
• Binge eating as escape from self-awareness.

  1991cited by this paper
• Steroid hormone receptors in human adipose tissues.

  1990cited by this paper
• Changes in plasma lipids and dietary intake accompanying shifts in perceived workload and stress.

  1990cited by this paper
• Life events, emotional eating and change in body mass index.

  1986cited by this paper
• The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior

  1986cited by this paper
• A global measure of perceived stress.

  1983influential reference
• Manual for the State-Trait Anxiety Inventory

  1970cited by this paper
• Journal of Clinical Endocrinology and Metabolism Printed in U.S.A. Copyright © 1998 by The Endocrine Society Stress-Related Cortisol Secretion in Men: Relationships with Abdominal Obesity and Endocrine, Metabolic and

  year unknowncited by this paper

• Mindful eating as the next therapeutic frontier in nutritional psychiatry

  2026cites this paper
• Effects of Perceived Stress on Problematic Eating: Three Parallel Moderated Mediation Models

  2025cites this paper
• Mindfulness as a mediating mechanism between health importance and positive mental well-being

  2025cites this paper
• Ekzojen Obezitesi Olan Ergenlere Yönelik Hazırlanan Psikoeğitim Programının Etkililiğinin İncelenmesi

  2025cites this paper
• From eveningness to food addiction: exploring the roles of night eating syndrome and mindful eating

  2025cites this paper
• Links between intuitive and mindful eating and mood: do food intake and exercise mediate this association?

  2025cites this paper
• Mindfulness is associated with the weight status, severity of disease, and severity of extra-intestinal symptoms among individuals with irritable bowel syndrome

  2025cites this paper
• Type 3 Diabetes: Linking Insulin Resistance to Cognitive Decline

  2025cites this paper
• Acceptance and Commitment Therapy Can Reduce Emotional Eating Behavior in Turkish Adults: A Randomized Controlled Trial

  2025cites this paper
• Obesity as a Multifactorial Chronic Disease: Molecular Mechanisms, Systemic Impact, and Emerging Digital Interventions

  2025cites this paper
• Emotional Eating and Obesity: An Update and New Insights

  2025cites this paper
• Do mindful eating intervention programs improve mindful eating and nutritional status in children?

  2025cites this paper
• Examining the effect of mindfulness-based cognitive therapy on social anxiety levels of university students: a mixed study

  2025cites this paper
• Daily social resources as a buffer against stress eating and its consequences.

  2024cites this paper
• The Self-Control of Eating.

  2024cites this paper
• Hormonal Imbalance in Obesity and Arthritis: Points of Contact.

  2024cites this paper
• Exploring the Link between Mindful Eating, Instagram Engagement, and Eating Disorders: A Focus on Orthorexia Nervosa

  2024cites this paper
• Development of a mindfulness-based pediatric weight management intervention for adolescents: findings from a pilot trial adapted for telehealth delivery

  2024cites this paper
• Obesity awareness-insight is inversely associated with body composition and physical activity behaviour in women with obesity at the admission to a lifestyle modification program

  2024cites this paper
• Mindfulness-based eating awareness training versus itself plus implementation intention model: a randomized clinical trial

  2024cites this paper
• Examining the Efficacy of Mindfulness-Based Interventions in Treating Obesity, Obesity-Related Eating Disorders, and Diabetes Mellitus.

  2024cites this paper
• The impact of behavioral weight management interventions on eating behavior traits in adults with overweight or obesity: A systematic review and meta‐analysis

  2024influential citation
• The Role of Telomere Length in Stress-related Aging and its Implications for Mental Health

  2024cites this paper
• Mindfulness-Based Interventions and the Hypothalamic–Pituitary–Adrenal Axis: A Systematic Review

  2024cites this paper
• The role of mindful eating, and intuitive eating on the relationship with orthorexia nervosa in University Students: a cross-sectional study

  2024cites this paper
• Interprofessional education module on stress management through healthy diet and regular exercise habits: A team based learning approach

  2024cites this paper
• Systematic review of the efficacy of yoga and mindfulness in the management of pediatric obesity

  2024cites this paper
• Effects of mindfulness‐based interventions on obesogenic eating behaviors: A systematic review and meta‐analysis

  2024cites this paper
• Stress is not so bad—cortisol level and psychological functioning after 8-week HIIT program during pregnancy: a randomized controlled trial

  2024cites this paper
• Meditation for the primary and secondary prevention of cardiovascular disease.

  2024cites this paper
• Conquering diabetes by overcoming psychological barriers and embracing health

  2024cites this paper
• Papel do Mindful Eating e Comer Intuitivo na mudança do Comer emocional e obesidade: Uma revisão narrativa

  2024cites this paper
• Meditation practices and their relationship with eating behavior, weight changes, and mental health in adults from different regions of Brazil: A cross-sectional study.

  2023cites this paper
• Mindfulness facets differentially relate to self-reported negative and positive emotional eating types in treatment-seeking adults with overweight/obesity

  2023cites this paper
• The effects of an 8-week mindful eating intervention on anticipatory reward responses in striatum and midbrain

  2023cites this paper
• Quality of Life in Multiple Sclerosis: The Predictive Roles of Positive Body Image and Meaning in Life

  2023cites this paper
• The unintended effect of piped water at home on childhood overweight rate: experimental evidence from urban Morocco

  2023cites this paper
• Initial Validation of the Brazilian Mindful Eating Scale Among Overweight and Low-Income Women

  2023cites this paper
• Effects of mindfulness-based interventions on anthropometric outcomes: A systematic review and meta-analysis.

  2023cites this paper
• Impact of a Mindfulness Mobile Application on Weight Loss and Eating Behavior in People with Metabolic Syndrome: a Pilot Randomized Controlled Trial

  2023cites this paper
• Daily Work Stressors and Unhealthy Snacking: The Moderating Role of Trait Mindfulness

  2023cites this paper
• Effects of Mindful Eating and YogaDance among Overweight and Obese Women: An Exploratory Randomized Controlled Trial

  2023cites this paper
• Effects of the healthy lifestyle community program (cohort 1) on stress-eating and weight change after 8 weeks: a controlled study

  2023cites this paper
• Impact of digital meditation on work stress and health outcomes among adults with overweight: A randomized controlled trial

  2023cites this paper
• Intégrer la méditation en éducation thérapeutique du patient : Enquête et réflexions

  2023cites this paper
• Real-World Intake of Dietary Sugars Is Associated with Reduced Cortisol Reactivity Following an Acute Physiological Stressor

  2023cites this paper
• Psychological interventions for interoception in mental health disorders: A systematic review of randomized-controlled trials

  2023cites this paper
• Group differences in binge eating, impulsivity, and intuitive and mindful eating among intermittent fasters and non-fasters.

  2022cites this paper
• Mindful eating for weight loss in women with obesity: a randomised controlled trial

  2022cites this paper
• ‘Mindful eating’ for reducing emotional eating in patients with overweight or obesity in primary care settings: A randomized controlled trial

  2022cites this paper
• Cortisol and cardiometabolic disease: a target for advancing health equity.

  2022cites this paper
• Psychometric Properties of the Emotional Eater Questionnaire in University Students

  2022cites this paper
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  2022cites this paper
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  2022cites this paper
• How Effective Are Mindfulness-Based Interventions for Reducing Stress and Weight? A Systematic Review and Meta-Analysis

  2022influential citation
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  2022cites this paper
• Systematic review and meta-analysis of randomised control trials on mindfulness training and mindful eating for emotional eating in adults

  2022cites this paper
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  2022cites this paper
• The importance of yoga and mindfulness during pregnancy

  2022cites this paper
• Latin dance and Qigong/Tai Chi effects on physical activity and body composition in breast cancer survivors: A pilot study.

  2022cites this paper
• The Association of Lifestyle and Mood with Long-Term Levels of Cortisol: A Systematic Review

  2022influential citation
• Coparenting‐focused preventive intervention reduces postnatal maternal BMI and buffers impact of cortisol

  2022cites this paper
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  2022cites this paper
• Exploring Mindfulness and Mindful Eating and Visual Attention Towards Food Cues: Preliminary Findings

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  2022cites this paper
• Snack Package Size and Variety Differentially Influence Energy Intake and Food Choices in Healthy Adults

  2022cites this paper
• Mindful Eating and Perceived Stress in College Students

  2021cites this paper
• Effects of internet-delivered eating disorder prevention on reward-based eating drive: A randomized controlled trial.

  2021cites this paper
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  2021cites this paper
• Evaluating the efficacy of mindfulness and acceptance-based treatment components for weight loss: Protocol for a multiphase optimization strategy trial.

  2021cites this paper
• Hair Cortisol Concentration, Weight Loss Maintenance and Body Weight Variability: A Prospective Study Based on Data From the European NoHoW Trial

  2021cites this paper
• Mindfulness-based programs for the prevention of childhood obesity: A systematic review.

  2021cites this paper
• Effect of Healing Meditation on stress and eating behavior in overweight and obese women: A randomized clinical trial.

  2021cites this paper
• Development and validation of the Four Facet Mindful Eating Scale (FFaMES).

  2021cites this paper
• Evaluation of effectiveness of integration of Mindfulness-Based-Eating Awareness Training and implementation intention model on Body Mass Index, Waist circumference, Mindfulness Eating, and Physical Activity in Obese Women.

  2021cites this paper
• Mindfulness-Based Interventions and Cardiovascular Risk Factors in US Racial/Ethnic Minority Populations: A Systematic Review of Implementation Data to Address Health Disparities

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• The Relationship between Mindful Eating and Body Mass Index and Body Compositions in Adults

  2021cites this paper
• Émotions et conduites alimentaires

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  2021cites this paper
• Imagine HEALTH: Randomized Controlled Trial of a Guided Imagery Lifestyle Intervention to Improve Obesity-Related Lifestyle Behaviors in Predominantly Latinx Adolescents

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  2021cites this paper
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  2021cites this paper
• Mindful Eating Proficiency and Healthy Eating Literacy among Japanese Mothers: Associations with Their Own and Their Children’s Eating Behavior

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  2021cites this paper
• Mindful eating for overweight and obese women in Brazil: An exploratory mixed-methods pilot study

  2021cites this paper
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  2021cites this paper
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  2021cites this paper
• Pilot study of tai chi and qigong on body composition, sleep, and emotional eating in midlife/older women

  2021cites this paper
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  2021cites this paper
• Improving mindfulness through self-connection

  2021cites this paper
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  2021cites this paper
• The Effects of Acceptance and Commitment Therapy (ACT) Intervention on Inflammation and Stress Biomarkers: a Randomized Controlled Trial

  2020cites this paper
• Vers un modèle psychologique explicatif du surpoids et de l’obésité, et contribution à l’évaluation d’une prise en charge triaxiale comprenant la restriction cognitive, l’alimentation émotionnelle et l’acceptation

  2020cites this paper
• The roles of dietary, nutritional, and lifestyle interventions in adipose tissue adaptation and obesity.

  2020cites this paper
• Cognitive-Perceptual Features Associated With Nonconventional Healing Practices

  2020cites this paper
• Effects of Mindfulness-Based Intervention on the Treatment of Problematic Eating Behaviors: A Systematic Review

  2020influential citation
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  2020cites this paper