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CompletedNCT00643344CALMMUpdated Oct 28, 2014

Craving and Lifestyle Management Through Mindfulness Pilot Study

An interventional study of Craving and Lifestyle Management through Mindfulness(CALMM+) in Obesity, sponsored by University of California, San Francisco. Completed at 1 site in United States. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-10-28.

Sponsored by University of California, San Francisco · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
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Study summary

The purpose of this study is to determine whether an innovative program that combines mindfulness-based stress reduction and mindful eating practices with diet and exercise guidelines (CALMM+ intervention) will lead to greater weight loss and more favorable body fat distribution than a conventional weight-loss program(Diet-Ex intervention).

Read the detailed description

Obesity is an important growing epidemic, with about 65% of Americans overweight (Flegal, Carroll et al. 2002). Psychological stress is widely cited anecdotally as a factor that causes people to engage in overeating, and studies provide strong evidence that stress can promote obesity. Stress induces selective preference of sweet, high-fat food and increases visceral fat depots. Chronic stress has also been shown to impair immune responses, including decreasing immune responses to vaccination. The proposed study will pilot test an innovative program that combines stress reduction and mindful eating practices with diet and exercise, Craving and Lifestyle Management through Mindfulness (CALMM+). This program will be compared with diet and exercise intervention alone (Diet-Ex). Approximately 20 persons will be randomized to the two groups, which will meet weekly for 16 weeks. Key outcome measures are weight, fat distribution (as measured by waist/hip ratio), perceived stress, and mood. These measures will be assessed in visits performed at baseline, 3 months, and 6 months. Data from this study are intended to provide pilot data for use in planning a larger randomized, controlled trial that will compare the effects of the CALMM+ and Diet-Ex interventions on the metabolic and psychological processes assessed in this pilot study.

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Conditions studied

  • Obesity

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Keywords

  • obesity
  • mindfulness based stress reduction
  • diet and exercise
  • mindful eating
  • stress
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In context

Obesity

6,296 studies on the registry are indexed under Obesity; 1,692 are open to participants now.

This study's enrollment of 15 is below the median of 78 across 4,878 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • healthy female
  • aged 18-50
  • BMI range 25-45
  • negative urine glucose test
  • must be able to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • male
  • age less than 18 or menopausal
  • clinical diagnosis of eating disorder, diabetes, polycystic ovary syndrome, and coronary artery disease
  • history of anginal chest pain without adequate evaluation
  • substance abuse, mental health or medical condition that might interfere with study participation
  • use of medications containing corticosteroids
  • breastfeeding
  • non- English speaker
  • pregnant or planning to get pregnant in the next 6 months
  • previous Mindfulness Based Stress Reduction training
  • initiation of new class of psychiatric medications in past 2 months
  • currently on a weight loss diet
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    CALMM+

    Participants receiving CALMM intervention, ie program that combines stress reduction, mindful eating practices with diet and exercise

    Behavioral: Craving and Lifestyle Management through Mindfulness(CALMM+)

  • Active comparator
    TLC

    Participants receiving diet and exercise classes only

    Behavioral: Craving and Lifestyle Management through Mindfulness(CALMM+)

Interventions

  • BehavioralCraving and Lifestyle Management through Mindfulness(CALMM+)

    MBSR is a program that provides systematic training in mindfulness meditation and gentle yoga as a self-regulation approach to reduce stress and improve medical and psychological symptoms. In this randomized controlled pilot study, we aim to test a 16-week intervention that further integrates diet and exercise into the CALMM program (CALMM+). This novel program, which includes elements drawn from MBSR, will be actively compared with the conventional diet and exercise group(TLC). Both groups will receive about 7 hours of in-class and out-of-class activities per week. The activities includes exercise, keeping dietary records, and stress reduction practices (if they are assigned to the intervention group).

    Also known as: CALMM2

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What researchers measure

Primary outcomes

  1. weight

    Time frame: baseline, 3 month, and 6 month assessments

Secondary outcomes

  1. fat distribution

    Time frame: baseline, 3 month, and 6 month assessments

  2. perceived stress

    Time frame: baseline, 3 month, and 6 month assessments

  3. mood

    Time frame: baseline, 3 month, and 6 month assessments

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Study locations

1 site
  • UCSF CTSI Clinical Research Center
    San Francisco, California 94120, United States
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References and documents

Publications

  • Baer RA, Smith GT, Allen KB. Assessment of mindfulness by self-report: the Kentucky inventory of mindfulness skills. Assessment. 2004 Sep;11(3):191-206. doi: 10.1177/1073191104268029. PubMed 15358875 ↗
  • Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999-2000. JAMA. 2002 Oct 9;288(14):1723-7. doi: 10.1001/jama.288.14.1723. PubMed 12365955 ↗
  • Epel ES, McEwen B, Seeman T, Matthews K, Castellazzo G, Brownell KD, Bell J, Ickovics JR. Stress and body shape: stress-induced cortisol secretion is consistently greater among women with central fat. Psychosom Med. 2000 Sep-Oct;62(5):623-32. doi: 10.1097/00006842-200009000-00005. PubMed 11020091 ↗
  • Dallman MF, Pecoraro N, Akana SF, La Fleur SE, Gomez F, Houshyar H, Bell ME, Bhatnagar S, Laugero KD, Manalo S. Chronic stress and obesity: a new view of "comfort food". Proc Natl Acad Sci U S A. 2003 Sep 30;100(20):11696-701. doi: 10.1073/pnas.1934666100. Epub 2003 Sep 15. PubMed 12975524 ↗
  • Oliver G, Wardle J, Gibson EL. Stress and food choice: a laboratory study. Psychosom Med. 2000 Nov-Dec;62(6):853-65. doi: 10.1097/00006842-200011000-00016. PubMed 11139006 ↗
  • Boggiano MM, Chandler PC, Viana JB, Oswald KD, Maldonado CR, Wauford PK. Combined dieting and stress evoke exaggerated responses to opioids in binge-eating rats. Behav Neurosci. 2005 Oct;119(5):1207-14. doi: 10.1037/0735-7044.119.5.1207. PubMed 16300427 ↗
  • Yusuf S, Hawken S, Ounpuu S, Bautista L, Franzosi MG, Commerford P, Lang CC, Rumboldt Z, Onen CL, Lisheng L, Tanomsup S, Wangai P Jr, Razak F, Sharma AM, Anand SS; INTERHEART Study Investigators. Obesity and the risk of myocardial infarction in 27,000 participants from 52 countries: a case-control study. Lancet. 2005 Nov 5;366(9497):1640-9. doi: 10.1016/S0140-6736(05)67663-5. PubMed 16271645 ↗
  • Epel E, Lapidus R, McEwen B, Brownell K. Stress may add bite to appetite in women: a laboratory study of stress-induced cortisol and eating behavior. Psychoneuroendocrinology. 2001 Jan;26(1):37-49. doi: 10.1016/s0306-4530(00)00035-4. PubMed 11070333 ↗
  • Epel E, Jimenez S, Brownell K, Stroud L, Stoney C, Niaura R. Are stress eaters at risk for the metabolic syndrome? Ann N Y Acad Sci. 2004 Dec;1032:208-10. doi: 10.1196/annals.1314.022. PubMed 15677412 ↗
  • Rebuffe-Scrive M, Walsh UA, McEwen B, Rodin J. Effect of chronic stress and exogenous glucocorticoids on regional fat distribution and metabolism. Physiol Behav. 1992 Sep;52(3):583-90. doi: 10.1016/0031-9384(92)90351-2. PubMed 1409924 ↗
  • Rosmond R. Role of stress in the pathogenesis of the metabolic syndrome. Psychoneuroendocrinology. 2005 Jan;30(1):1-10. doi: 10.1016/j.psyneuen.2004.05.007. PubMed 15358437 ↗
  • Roemmich JN, Wright SM, Epstein LH. Dietary restraint and stress-induced snacking in youth. Obes Res. 2002 Nov;10(11):1120-6. doi: 10.1038/oby.2002.152. PubMed 12429875 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00643344
Lead sponsor
University of California, San Francisco
Collaborators
National Center for Complementary and Integrative Health (NCCIH), Mount Zion Health Fund, Robert Deidrick Fund
Responsible party
Sponsor
First posted
Mar 26, 2008
Start date
Jan 2008
Primary completion
Oct 2008
Completion
Dec 2008
Last update
Oct 28, 2014

Study contacts

Frederick Hecht, MD
principal investigator · UCSF Osher Center for Integrative Medicine
Elissa Epel, PhD
principal investigator · UCSF Department of Psychiatry
Jennifer Daubenmier, PhD
principal investigator · UCSF Osher Center for Integrative Medicine

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2014. You cannot join it, but the record below documents what was studied.

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