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A Mindful Eating Intervention to Improve Self‐Management of Dietary Intake for Early Stage Chronic Kidney Disease Patients
Author(s) -
Tahir Muna J,
Timmerman Gayle M,
Lewis Richard M,
Samoson Deborah,
Temple Holli,
Forman Michele R
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.957.10
Subject(s) - medicine , kidney disease , population , body mass index , psychological intervention , dietary management , nephrology , weight management , physical therapy , disease , overweight , environmental health , nursing
Objective Over 10% of the US population suffers from Chronic Kidney Disease (CKD), a condition with major financial and emotional burdens. Dietary management has the potential to improve disease prognosis, particularly through self‐management programs which help patients have a major role in managing their disease. However, few self‐management interventions have been tested in this population and none have incorporated mindful eating as a modality to improve dietary adherence and enhance the eating experience. Therefore, we examined the effects of a Self‐Management of Dietary Intake using Mindful Eating (SM‐DIME) intervention on dietary adherence of participants with mild to moderate chronic kidney disease. Methods In a prospective, single group pretest‐posttest pilot study, participants (n=19) with Stage 1–3 CKD (aged 45–78 years) were recruited from primary care and nephrology offices. SM‐DIME, conducted at the University of Texas at Austin, consisted of six weekly, 2‐hour classes focusing on: a) practice of mindful eating, goal‐setting, problem‐solving, and food label reading; b) CKD dietary recommendations; and c) tailoring the intervention to individual dietary recommendations. Weight, body mass index (BMI), dietary intake from 3‐day 24‐hour recalls (kcal, fat, protein, carbohydrates, sodium, calcium, potassium, phosphorus) and fasting blood samples (eGFR, serum albumin, creatinine, BUN, lipid panel, carotenoid panel) were collected and analyzed at baseline and six weeks. Results The sample was ethnically diverse with most participants being male (73.7%) and having at least some college or baccalaureate degree (47.4%). The majority of participants had Hypertension (94.7%) and Type 2 Diabetes Mellitus (52.6%). Participants experienced significant reductions from pre‐to post‐intervention 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/m 2 ; P = 0.04). No significant changes in dietary intake or blood measures were evident except a significant increase in cis ‐β‐Carotene (0.020 ± 0.012 vs 0.026 ± 0.012 mcg/mL; P = 0.008), which was correlated with number of fruit and vegetable servings (r = 0.42; P = 0.076). Conclusion At the completion of the six‐week pilot intervention, participants improved in weight, BMI, and cis ‐β‐Carotene levels. These improvements are promising and warrant further testing of the intervention with larger, randomized control trials. Support or Funding Information Center for Transdisciplinary Collaborative Research in Self‐Management. NIH, NINR, P30 NR01533511