Can Mindful Eating Improve Cholesterol and Glucose Level: A Tele-Health Pilot-Randomised Controlled Trial

Overview

This study aims to explore the effectiveness of mindful eating and its effect on cholesterol and glucose level. The participants will be required to get tested for their fasting total cholesterol and blood glucose level for two times. At the first visit, they will be required to complete the survey given and be tested for their fasting total cholesterol and blood glucose level. A recommendation on healthy food intake will be sent to participants. At the end of each week, participants will be required 1) to submit THREE photos of the meals that they are most satisfied with in terms of healthiness and 2) using the photos to answer a questionnaire about their diet. The photos and completed questionnaire must be submitted to the research investigator each week for a total of 8 weeks. After 8 weeks, participants will be required to get tested for their fasting total cholesterol and blood glucose level in the appointed pharmacy for the second time. It is estimated to require 15-30 minutes of their time weekly.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Participant)
  • Study Primary Completion Date: August 31, 2021

Detailed Description

Consistently high cholesterol or/and glucose level pose harmful threat to the body that may cause lethal health conditions (e.g. stroke, cardiovascular diseases). In addition, 3.6 million Malaysians are suffering from diabetes, the highest rate of incidence in Asia and one of the highest in the world. There is crucial need to find ways to improve the situation. Tele-health interventions and mindful eating behaviours are proposed to be effective in improving the levels of cholesterol and glucose. To investigate and explore the intervention, a small-scale randomised controlled trial will be conducted by comparing the effectiveness of mindful eating and the effect on cholesterol and glucose level. Students will collect and analyse both quantitative and qualitative data. A small-scale randomised controlled trial will be conducted to compare the effectiveness of mindful eating and the effect on lipid level. Subjects will be randomly assigned to intervention or control group. For intervention group, subjects will be required to snap picture of every meal that they consume. At the end of the day, they are required to actively recall and reflect on how healthy they consider their meals to be. The reflection will be submitted to the research team daily together with the taken pictures of meal. As for the control group, subjects will only snap and submit the picture of their meals but without active recall and reflection. Subjects are required to return to the community pharmacy after two months to follow-up on their glucose and lipid levels post intervention.

Interventions

  • Behavioral: Mindfulness practice
    • Mindfulness is hypothesised to include reflective practice. Therefore, reflective questions are asked in the questionnaire for intervention group but not for control group.

Arms, Groups and Cohorts

  • Experimental: Mindfulness Arm
    • A recommendation on healthy food intake will be sent to participants. At the end of each week, participants will be required 1) to submit THREE photos of the meals that they are most satisfied with in terms of healthiness and 2) using the photos to answer a questionnaire about their diet. The photos and completed questionnaire must be submitted to the research investigator each week for a total of 8 weeks. After 8 weeks, participants will be required to get tested for your fasting total cholesterol and blood glucose level in the appointed pharmacy for the second time. It is estimated to require 15-30 minutes of their time weekly. The questionnaire used for experimental group contains reflective questions as part of the mindfulness intervention.
  • Active Comparator: Non-mindfulness Arm
    • Everything is similar to the experimental arm. However, the questionnaire used for control group does not contain reflective questions to serve as control group.

Clinical Trial Outcome Measures

Primary Measures

  • Fasting total cholesterol
    • Time Frame: 8 weeks
    • Total cholesterol taken after at least 8 hours fasting

Secondary Measures

  • Fasting glucose
    • Time Frame: 8 weeks
    • Blood glucose taken after at least 8 hours fasting

Participating in This Clinical Trial

Inclusion Criteria

  • Total fasting cholesterol of at least 5.2mmol/L Exclusion Criteria:

  • Familial hypercholesterolaemia or Pregnant women.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Monash University Malaysia
  • Provider of Information About this Clinical Study
    • Principal Investigator: Teoh Siew Li, Lecturer – Monash University Malaysia
  • Overall Official(s)
    • Phaik Eong Poh, PhD, Study Director, Monash University Malaysia
  • Overall Contact(s)
    • Phaik Eong Poh, PhD, +603 5514 6272, poh.phaik.eong@monash.edu

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