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A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated potential mechanisms

  • Janet M. Warren (a1), Nicola Smith (a2) and Margaret Ashwell (a3)


The role of mindfulness, mindful eating and a newer concept of intuitive eating in modulating eating habits is an area of increasing interest. In this structured literature review, a summary of the current evidence is presented, together with details of interventions undertaken and the tools to measure outcomes. It is broad in scope given the emerging evidence base in this area. The review yielded sixty-eight publications: twenty-three interventions in obese/overweight populations; twenty-nine interventions in normal-weight populations; sixteen observational studies, three of which were carried out in overweight/obese populations. Mindfulness-based approaches appear most effective in addressing binge eating, emotional eating and eating in response to external cues. There is a lack of compelling evidence for the effectiveness of mindfulness and mindful eating in weight management. Mindfulness-based approaches may prevent weight gain. Reduced food intake was seen in some of the studies in overweight and obese populations, but this was less apparent in the studies in normal-weight populations. The evidence base for intuitive eating is limited to date and further research is needed to examine its potential in altering eating behaviours. Mindfulness appears to work by an increased awareness of internal, rather than external, cues to eat. Mindfulness and mindful eating have the potential to address problematic eating behaviours and the challenges many face with controlling their food intake. Encouraging a mindful eating approach would seem to be a positive message to be included in general weight management advice to the public.

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This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (, which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

* Corresponding author: Dr Janet Warren, c/o INCA Central Office, Cobweb Buildings, The Lane, Lyford, Wantage, Oxfordshire OX12 0EE, UK, email


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1. National Obesity Observatory & Public Health England (2011) Adult obesity. (accessed January 2017).
2. Food Standards Agency (2016) Our food future. (accessed January 2017).
3. Bishop, SR, Lau, M, Shapiro, S, et al. (2004) Mindfulness: a proposed operational definition. Clin Psych Sci Pract 11, 230241.
4. Kabat-Zinn, J (1990) Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York: Delacorte Press.
5. Chiesa, A & Serretti, A (2011) Mindfulness-based interventions for chronic pain: a systematic review of the evidence. J Altern Complement Med 17, 8393.
6. Zeidan, F, Grant, JA, Brown, CA, et al. (2012) Mindfulness meditation-related pain relief: evidence for unique brain mechanisms in the regulation of pain. Neurosci Lett 520, 165173.
7. Klainin-Yobas, P, Cho, MA & Creedy, D (2012) Efficacy of mindfulness-based interventions on depressive symptoms among people with mental disorders: a meta-analysis. Int J Nurs Stud 49, 109121.
8. Piet, J & Hougaard, E (2011) The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clin Psych Rev 31, 10321040.
9. Chiesa, A & Serretti, A (2009) Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement Med 15, 593600.
10. Hofmann, SG, Grossman, P & Hinton, DE (2011) Loving-kindness and compassion meditation: potential for psychological interventions. Clin Psych Rev 31, 11261132.
11. Kristeller, JL & Hallett, CB (1999) An exploratory study of a meditation-based intervention for binge eating disorder. J Health Psychol 4, 357363.
12. Kristeller, J, Baer, R & Quilian-Wolever, R (2006) Mindfulness-based approaches to eating disorders. In Mindfulness-based Treatment Approaches, pp. 7593 [R Baer, editor]. Burlington, MA: Academic Press.
13. Dalen, J, Smith, BW, Shelley, BM, et al. (2010) Pilot study: Mindful Eating and Living (MEAL): weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. Complement Ther Med 18, 260264.
14. Miller, CK, Kristeller, JL, Headings, A, et al. (2014) Comparison of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a randomized controlled trial. Health Educ Behav 41, 145154.
15. Hendrickson, KL & Rasmussen, EB (2013) Effects of mindful eating training on delay and probability discounting for food and money in obese and healthy-weight individuals. Behav Res Ther 51, 399409.
16. Kristeller, JL, Wolever, RQ & Sheets, V (2014) Mindfulness-Based Eating Awareness Training (MB-EAT) for binge eating: a randomized clinical trial. Mindfulness 5, 282297.
17. Mathieu, J (2009) What should you know about mindful and intuitive eating? J Am Diet Assoc 109, 19821987.
18. Anderson, DA, Schaumberg, K, Anderson, LM, et al. (2015) Is level of intuitive eating associated with plate size effects? Eat Behav 18, 125130.
19. Godfrey, KM, Gallo, LC & Afari, N (2015) Mindfulness-based interventions for binge eating: a systematic review and meta-analysis. J Behav Med 38, 348362.
20. Katterman, SN, Kleinman, BM, Hood, MM, et al. (2014) Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: a systematic review. Eat Behav 15, 197204.
21. Godsey, J (2013) The role of mindfulness based interventions in the treatment of obesity and eating disorders: an integrative review. Complement Ther Med 21, 430439.
22. Olson, KL & Emery, CF (2015) Mindfulness and weight loss: a systematic review. Psychosom Med 77, 5967.
23. O’Reilly, GA, Cook, L, Spruijt-Metz, D, et al. (2014) Mindfulness-based interventions for obesity-related eating behaviours: a literature review. Obes Rev 15, 453461.
24. Alberts, HJ, Mulkens, S, Smeets, M, et al. (2010) Coping with food cravings. investigating the potential of a mindfulness-based intervention. Appetite 55, 160163.
25. Alberts, HJ, Thewissen, R & Raes, L (2012) Dealing with problematic eating behaviour. The effects of a mindfulness-based intervention on eating behaviour, food cravings, dichotomous thinking and body image concern. Appetite 58, 847851.
26. Bacon, L, Stern, JS, Van Loan, MD, et al. (2005) Size acceptance and intuitive eating improve health for obese, female chronic dieters. J Am Diet Assoc 105, 929936.
27. Baer, R, Fischer, S & Huss, D (2005) Mindfulness and acceptance in the treatment of disordered eating. J Rat-Emo Cognitive-Behav Ther 23, 281300.
28. Boutelle, KN, Zucker, N, Peterson, CB, et al. (2014) An intervention based on Schachter’s externality theory for overweight children: the regulation of cues pilot. J Pediatr Psychol 39, 405417.
29. Boutelle, KN, Zucker, NL, Peterson, CB, et al. (2011) Two novel treatments to reduce overeating in overweight children: a randomized controlled trial. J Consult Clin Psychol 79, 5971.
30. Corsica, J, Hood, MM, Katterman, S, et al. (2014) Development of a novel mindfulness and cognitive behavioral intervention for stress-eating: a comparative pilot study. Eat Behav 15, 694699.
31. Daubenmier, J, Kristeller, J, Hecht, FM, et al. (2011) Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study. J Obes 2011, 651936.
32. Kidd, LI, Graor, CH & Murrock, CJ (2013) A mindful eating group intervention for obese women: a mixed methods feasibility study. Arch Psychiatr Nurs 27, 211218.
33. Leahey, T, Crowther, J & Irwin, S (2008) A cognitive–behavioral mindfulness group therapy intervention for the treatment of binge eating in bariatric surgery patients. Cog Behav Pract 15, 364375.
34. Mantzios, M & Wilson, JC (2014) Making concrete construals mindful: a novel approach for developing mindfulness and self-compassion to assist weight loss. Psychol Health 29, 422441.
35. Mason, AE, Lustig, RH, Brown, RR, et al. (2015) Acute responses to opioidergic blockade as a biomarker of hedonic eating among obese women enrolled in a mindfulness-based weight loss intervention trial. Appetite 91, 311320.
36. Miller, CK, Kristeller, JL, Headings, A, et al. (2012) Comparative effectiveness of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a pilot study. J Acad Nutr Diet 112, 18351842.
37. Niemeier, HM, Leahey, T, Palm Reed, K, et al. (2012) An acceptance-based behavioral intervention for weight loss: a pilot study. Behav Ther 43, 427435.
38. Pearson, A, Follette, V & Hayes, S (2012) A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cog Behav Pract 19, 181197.
39. Smith, BW, Shelley, BM, Leahigh, L, et al. (2006) A preliminary study of the effects of a modified mindfulness intervention on binge eating. J Evidence-Base Complem Altern Med 11, 133143.
40. Soleimaninanadegani, M & Shahmohammadi, N (2013) The impact of mindfulness-based cognitive therapy on anthropometric indices balance in high-school students in Iran. Proc Social Behav Sci 84, 542548.
41. Stites, SD, Singletary, SB, Menasha, A, et al. (2015) Pre-ordering lunch at work. Results of the what to eat for lunch study. Appetite 84, 8897.
42. Tapper, K, Shaw, C, Ilsley, J, et al. (2009) Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite 52, 396404.
43. Timmerman, GM & Brown, A (2012) The effect of a mindful restaurant eating intervention on weight management in women. J Nutr Educ Behav 44, 2228.
44. Cavanagh, K, Vartanian, LR, Herman, CP, et al. (2014) The effect of portion size on food intake is robust to brief education and mindfulness exercises. J Health Psychol 19, 730739.
45. Courbasson, CM, Nishikawa, Y & Shapira, LB (2011) Mindfulness-action based cognitive behavioral therapy for concurrent binge eating disorder and substance use disorders. Eat Disord 19, 1733.
46. Hamilton, J, Fawson, S, May, J, et al. (2013) Brief guided imagery and body scanning interventions reduce food cravings. Appetite 71, 158162.
47. Healy, N, Joram, E, Matvienko, O, et al. (2015) Impact of an intuitive eating education program on high school students’ eating attitudes. Health Educ 115, 214228.
48. Higgs, S & Donohoe, JE (2011) Focusing on food during lunch enhances lunch memory and decreases later snack intake. Appetite 57, 202206.
49. Hill, M, Masuda, A, Melcher, H, et al. (2015) Acceptance and commitment therapy for women diagnosed with binge eating disorder: a case-series study. Cog Behav Pract 22, 367378.
50. Hong, P, Lishner, D & Han, K (2014) Mindfulness and eating: an experiment examining the effect of mindful raisin eating on the enjoyment of sampled food. Mindfulness 5, 8087.
51. Jacobs, J, Cardaciotto, L, Block-Lerner, J, et al. (2013) A pilot study of a single-session training to promote mindful eating. Adv Mind Body Med 27, 1823.
52. Jenkins, KT & Tapper, K (2014) Resisting chocolate temptation using a brief mindfulness strategy. Br J Health Psychol 19, 509522.
53. Jordan, C, Wanga, W, Donatoni, L, et al. (2014) Mindful eating: trait and state mindfulness predict healthier eating behavior. Pers Indiv Diff 68, 107111.
54. Kearney, DJ, Milton, ML, Malte, CA, et al. (2012) Participation in mindfulness-based stress reduction is not associated with reductions in emotional eating or uncontrolled eating. Nutr Res 32, 413420.
55. Kidwell, B, Hasford, J & Hardesty, D (2015) Emotional ability training and mindful eating. J Marketing Res LII, 105119.
56. Lacaille, J, Ly, J, Zacchia, N, et al. (2014) The effects of three mindfulness skills on chocolate cravings. Appetite 76, 101112.
57. Marchiori, D & Papies, EK (2014) A brief mindfulness intervention reduces unhealthy eating when hungry, but not the portion size effect. Appetite 75, 4045.
58. May, J, Andrade, J, Batey, H, et al. (2010) Less food for thought. Impact of attentional instructions on intrusive thoughts about snack foods. Appetite 55, 279287.
59. Papies, E, Barsalou, L & Custers, R (2012) Mindful attention prevents mindless impulses. Soc Psych Pers Sci 3, 291299.
60. Smith, BW, Shelley, BM, Dalen, J, et al. (2008) A pilot study comparing the effects of mindfulness-based and cognitive–behavioral stress reduction. J Altern Complem Med 14, 251258.
61. Woolhouse, H, Knowles, A & Crafti, N (2012) Adding mindfulness to CBT programs for binge eating: a mixed-methods evaluation. Eat Disord 20, 321–239.
62. Brown, KW & Ryan, RM (2003) The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 84, 822848.
63. Framson, C, Kristal, AR, Schenk, JM, et al. (2009) Development and validation of the Mindful Eating Questionnaire. J Am Diet Assoc 109, 14391444.
64. Tylka, TL & Kroon Van Diest, AM (2013) The Intuitive Eating Scale-2: item refinement and psychometric evaluation with college women and men. J Couns Psychol 60, 137153.
65. Van Strien, T, Frijters, JER & Bergers, GPA (1986) The Dutch Eating Behaviour Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord 5, 295316.
66. Garner, D, Olmsted, MP, Bohr, Y, et al. (1982) The Eating Attitudes Test – psychometric features and clinical correlates. Psychol Med 12, 871878.
67. Black, CMD & Wilson, GT (1996) Assessment of eating disorders: interview v. questionnaire. Int J Eat Disord 20, 4350.
68. Denny, KN, Loth, K, Eisenberg, ME, et al. (2013) Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors? Appetite 60, 1319.
69. Gast, J, Madanat, H & Nielson, AC (2012) Are men more intuitive when it comes to eating and physical activity? Am J Mens Health 6, 164171.
70. Hawks, S, Madanat, H, Hawks, J, et al. (2005) The relationship between intuitive eating and health indicators among college women. Am J Health Educ 36, 331–316.
71. Herbert, BM, Blechert, J, Hautzinger, M, et al. (2013) Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite 70, 2230.
72. Moy, J, Petrie, TA, Dockendorff, S, et al. (2013) Dieting, exercise, and intuitive eating among early adolescents. Eat Behav 14, 529532.
73. Outland, L, Madanat, H & Rust, F (2013) Intuitive eating for a healthy weight. Primary Health Care 23, 2228.
74. Sairanen, E, Tolvanen, A, Karhunen, L, et al. (2015) Psychological flexibility and mindfulness explain intuitive eating in overweight adults. Behav Modif 39, 557579.
75. Smith, T & Hawks, S (2006) Intuitive eating, diet composition, and the meaning of food in healthy weight promotion. Am J Health Educ 37, 130136.
76. Levin, ME, Dalrymple, K, Himes, S, et al. (2014) Which facets of mindfulness are related to problematic eating among patients seeking bariatric surgery? Eat Behav 15, 298305.
77. Ouwens, MA, Schiffer, AA, Visser, LI, et al. (2015) Mindfulness and eating behaviour styles in morbidly obese males and females. Appetite 87, 6267.
78. Paolini, B, Burdette, JH, Laurienti, PJ, et al. (2012) Coping with brief periods of food restriction: mindfulness matters. Front Aging Neurosci 4, 13.
79. Pidgeon, A, Lacota, K & Champion, J (2013) The moderating effects of mindfulness on psychological distress and emotional eating behaviour. Aust Psychol 48, 262269.
80. Roberts, K & Danoff-Burg, S (2010) Mindfulness and health behaviors: is paying attention good for you? J Am Coll Health 59, 165173.
81. Khan, Z & Zadeh, Z (2014) Mindful eating and its relationship with mental well-being. Soc Behav Sci 159, 6973.
82. Moor, K, Scott, A & McIntosh, W (2013) Mindful eating and its relationship to body mass index and physical activity among university students. Mindfulness 4, 269274.
83. Beshara, M, Hutchinson, AD & Wilson, C (2013) Does mindfulness matter? Everyday mindfulness, mindful eating and self-reported serving size of energy dense foods among a sample of South Australian adults. Appetite 67, 2529.
84. Gerweck, C & Celentano, J (2015) The real weighty issue: losing is just the beginning. Am J Life Med 9, 212216.
85. Lofgren, I (2015) Mindful eating: an emerging approach for healthy weight management. Am J Life Med 9, 212216.
86. Monroe, J (2015) Mindful eating: principles and practice. Am J Life Med 9, 217220.
87. Ives-Deliperi, VL, Solms, M & Meintjes, EM (2011) The neural substrates of mindfulness: an fMRI investigation. Soc Neurosci 6, 231242.
88. Farb, NA, Anderson, AK, Mayberg, H, et al. (2010) Minding one’s emotions: mindfulness training alters the neural expression of sadness. Emotion 10, 2533.
89. Caldwell, K, Baime, M & Wolever, R (2012) Mindfulness based approaches to obesity and weight loss maintenance. J Ment Health Couns 34, 269282.
90. Lutz, J, Herwig, U, Opialla, S, et al. (2014) Mindfulness and emotion regulation – an fMRI study. Soc Cogn Affect Neurosci 9, 776785.
91. Murakami, H, Katsunuma, R, Oba, K, et al. (2015) Neural networks for mindfulness and emotion suppression. PLOS ONE 10, e0128005.
92. Hölzel, BK, Carmody, J, Vangel, M, et al. (2011) Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res 191, 3643.
93. Forman, EM & Butryn, ML (2015) A new look at the science of weight control: how acceptance and commitment strategies can address the challenge of self-regulation. Appetite 84, 171180.
94. Wansink, B (2010) From mindless eating to mindlessly eating better. Physiol Behav 100, 454463.
95. Kilpatrick, LA, Suyenobu, BY, Smith, SR, et al. (2011) Impact of mindfulness-based stress reduction training on intrinsic brain connectivity. NeuroImage 56, 290298.
96. Higgs, S (2015) Manipulations of attention during eating and their effects on later snack intake. Appetite 92, 287294.
97. Robinson, E, Kersbergen, I & Higgs, S (2014) Eating ‘attentively’ reduces later energy consumption in overweight and obese females. Br J Nutr 112, 657661.



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