Preventing overweight and obesity in women through mindful eating, dance and yoga exercises

ISRCTN ISRCTN87234794
DOI https://doi.org/10.1186/ISRCTN87234794
Secondary identifying numbers YDME
Submission date
27/02/2023
Registration date
27/02/2023
Last edited
30/03/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Many current treatment options for managing overweight and obesity consist of rather strict diet and exercise regimes that are difficult to implement as a lifelong routine. Therefore, alternative initiatives such as mindful eating and pleasure-oriented physical activity with more focus on implementation and enjoyment are needed to reverse the obesity epidemic. Mindful eating is an approach focusing on inner hunger and satiety (fullness) signals. YogaDance is a new exercise approach combining elements of yoga and dance. The aim of this study is to investigate the individual and combined effects of mindful eating and YogaDance.

Who can participate?
Healthy, inactive women with overweight or obesity

What does the study involve?
Participants were randomly allocated to one of four groups for 8 weeks: mindful eating alone, YogaDance alone, the combination of mindful eating and YogaDance, or control. The combined mindful eating and YogaDance intervention group followed three weekly YogaDance classes and a mindful eating workshop every second week (in total four workshops) for a total period of 8 weeks. The mindful eating intervention group only attended the four mindful eating workshops and the YogaDance intervention group only followed the three weekly YogaDance classes. The control group did not participate in the YogaDance classes nor the mindful eating workshops. Fat mass, body weight, waist circumference, other physiological outcomes, behavioral and quality of life are measured.

What are the possible benefits and risks of participating?
Benefits include weight loss as well as improved eating behavior and quality of life.

Where is the study run from?
University of Copenhagen (Denmark)

When is the study starting and how long is it expected to run for?
February 2021 to April 2022

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Prof. Christian Ritz, ritz@sdu.dk

Contact information

Prof Christian Ritz
Scientific

National Institute of Public Health
Studiestraede 6
Copenhagen K
DK-1455
Denmark

ORCiD logoORCID ID 0000-0002-5095-0624
Phone +45 (0)65509696
Email ritz@sdu.dk

Study information

Study designParallel-arm open-label randomized controlled superiority trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Fitness/sport facility
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleEffects of mindful eating and YogaDance among overweight and obese women – an exploratory randomized controlled trial
Study objectivesThe aim of this study was to explore the effect of combining mindful eating and the novel YogaDance approach in overweight and obese women. The hypothesis was that the combination would lead to a reduction in total body fat mass (compared to a control group).
Ethics approval(s)Approved 01/07/2021, Ethics Committee of the capital region of Denmark (De Videnskabsetiske Komiteer, Region Hovedstaden, Borgervaenget 3, st., 2100 Copenhagen OE, Denmark; +45 (0)38 66 63 95; vek@regionh.dk), ref: H-21013705
Health condition(s) or problem(s) studiedPrevention of overweight and obesity in women
InterventionParticipants were allocated by block randomization to one of three intervention groups (mindful eating alone, YogaDance alone, or mindful eating and YogaDance combined) or the control group in a 1:1:1:1 ratio. This trial design enabled the assessment of the two approaches mindful eating and YogaDance separately as well as jointly. The combined mindful eating and YogaDance intervention group followed three weekly YogaDance classes and a mindful eating workshop every second week (in total four workshops) for a total period of 8 weeks. This training intensity was selected to ensure participant adherence and meet the recommendations by WHO for physical activity for adults (i.e., 150 minutes at moderate intensity or 75 minutes at high intensity per week). The mindful eating intervention group only attended the four mindful eating workshops and the YogaDance intervention group only followed the three weekly YogaDance classes. The control group did not participate in the YogaDance classes nor the mindful eating workshops.
Intervention typeOther
Primary outcome measureFat mass is measured using a dual-energy x-ray absorptiometry (DXA) scanner (Lunar iDXA with CoreScan module, GE Healthcare, Denmark) at baseline and again at end of the study after 8 weeks
Secondary outcome measuresMeasured at baseline and after the intervention was completed (at 8 weeks):
1. Body weight measured using a calibrated digital scale (Tanita WB-110MA)
2. BMI defined as body weight divided by height squared
3. Waist circumference measured using a non-elastic band
4. Fat percent measured using a DXA scanner
5. Fat-free mass measured using a DXA scanner
6. Visceral fat measured using a DXA scanner
7. Bone mineral density measured using a DXA scanner
8. Blood pressure measured using a validated automatic blood pressure monitor (UA-787 Plus)
9. Quality of life measured using the WHO-QOL-100 questionnaire
10. Eating behavior measured using a Danish version of the IES-2 questionnaire
11. Energy intake measured using 3-day dietary records
12. Physical activity measured using the International Physical Activity Questionnaires (IPAQ)
Overall study start date10/02/2021
Completion date10/04/2022

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexFemale
Target number of participants60
Total final enrolment61
Key inclusion criteria1. Women between 18 and 65 years of age
2. Body mass index (BMI) between 25-35 kg/m² and/or a waist circumference of ≥80 cm
3. Healthy
4. Have an inactive lifestyle, defined as <2.5 hours of light physical activity per week or <1 hour of moderate to hard physical activity per week
Key exclusion criteria1. Pregnant, breastfeeding or plan to become pregnant within the study period
2. Self-reported severe disease (including cancer, cardiovascular disease [CVD], type 1 or 2 diabetes, osteoporosis)
3. Self-reported eating disorder (e.g., anorexia, bulimia, orthorexia, binge eating disorder)
4. Following a very restrictive diet (i.e. excluding several food items)
5. Participation in other studies
Date of first enrolment01/11/2021
Date of final enrolment31/01/2022

Locations

Countries of recruitment

  • Denmark

Study participating centre

University of Copenhagen
Department of Nutrition and Exercise
Rolighedsvej 26
Frederiksberg C
DK-1958
Denmark

Sponsor information

University of Copenhagen
University/education

Department of Nutrition and Exercise
Rolighedsvej 26
Frederiksberg C
DK-1958
Denmark

Phone +45 (0)35333671
Email fma@nexs.ku.dk
Website https://www.nexs.ku.dk
ROR logo "ROR" https://ror.org/035b05819

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date31/03/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed nutrition or public health journal in March-June 2023.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Sofie Hauerberg Henninger (sofiehenninger@gmail.com) and Anna Yde Fibieger (annafibieger@gmail.com). Pseudo-anonymized individual-level data will be available upon presenting of a statistical analysis plan or study protocol.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 28/03/2023 30/03/2023 Yes No

Editorial Notes

30/03/2023: Publication reference added.
27/02/2023: Trial's existence confirmed by the Ethics Committee of the capital region of Denmark.