Mindful eating as a supportive intervention for breast cancer survivors: a pilot randomized controlled trial

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dc.authorid0000-0002-2991-7774
dc.authorid0000-0001-6612-6253
dc.authorid0000-0002-6656-9000
dc.authorid0000-0002-9936-8475
dc.contributor.authorBaş, Dilşat
dc.contributor.authorAğır, Gizem
dc.contributor.authorSönmez, Özlem
dc.contributor.authorÖnes, Ece
dc.date.accessioned2026-10-09T13:47:40Z
dc.date.available2026-10-09T13:47:40Z
dc.date.issued2026
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü
dc.description.abstractBackground Breast cancer (BC) survivors often face weight management and disordered eating challenges that may impair quality of life. This pilot randomized controlled trial evaluated the effects of a six-session mindful eating intervention on eating behaviors and body composition in BC survivors. Methods Breast cancer survivors were enrolled in a pilot randomized clinical trial and randomly assigned to mindful eating intervention plus treatment-as-usual (TAU + MEI, n = 13) or treatment-as-usual alone (TAU, n = 15). Intuitive and mindful eating were assessed using the Intuitive Eating Scale-2 (IES-2) and the Mindful Eating Questionnaire-30 (MEQ-30). Anthropometric measures were assessed monthly over six months. Longitudinal changes were analyzed using repeated-measures ANOVA and generalized estimating equations (GEE). Results Reliance on hunger and satiety cues increased significantly over time in both groups (TAU: p = 0.004; TAU + MEI: p = 0.007). Significant improvements were observed in selected mindful eating dimensions, including disinhibition, emo-tional eating, eating control, and eating with attention and intention (all p < 0.05). MEQ-30 total scores increased significantly in both groups (TAU: p < 0.001; TAU + MEI: p = 0.010). Waist circum-ference decreased significantly in the TAU group (p = 0.002), while hip circumference decreased in the TAU + MEI group (p = 0.009). GEE analysis showed that participation in the TAU + MEI group was independently associated with lower BMI over time (p = 0.013), whereas HR(+)/HER2(-) sub-type and chronic disease were associated with higher BMI (all p < 0.05). Conclusions Both TAU and TAU + MEI were associated with improvements in selected eating-behavior and anthropometric outcomes over time, including indicators of central adiposity, with no clear overall superiority of TAU + MEI across the outcomes assessed. These exploratory findings support further investigation of incorporating mindful eating into standard nutritional care for breast cancer survivors.
dc.identifier.citationBas, D., Agir, G., Sönmez, Ö., & Önes, E. (2026). Mindful eating as a supportive intervention for breast cancer survivors: A pilot randomized controlled trial. Breast Cancer. Advance online publication.
dc.identifier.doi10.1007/s12282-026-01917-5
dc.identifier.issn1340-6868
dc.identifier.pmid42801445
dc.identifier.urihttps://hdl.handle.net/20.500.12941/468
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorBaş, Dilşat
dc.institutionauthorid0000-0002-2991-7774
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofBreast Cancer
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBehavioral Intervention
dc.subjectBreast Cancer Survivors
dc.subjectEating Behavior
dc.subjectIntuitive Eating
dc.subjectMindful Eating
dc.subjectWeight Management
dc.titleMindful eating as a supportive intervention for breast cancer survivors: a pilot randomized controlled trial
dc.typeArticle

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