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HPP 186 May: Women's Health and Mindfulness (WHAM): A Randomized Intervention Among Older Lesbian/Bisexual Women

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Introduction. Lesbian and bisexual (LB) women have
higher body weight than heterosexual women.
Interventions focused on health and well-being versus
weight loss may be more likely to succeed among
LB women. This article describes effects of Women’s
Health and Mindfulness, a 12-week pilot intervention
addressing mindfulness, healthy eating, and physical
activity, on outcomes associated with chronic disease
risk among overweight and obese LB women older
than 40 years. Method. Eighty women were randomized,
using a stepped-wedge design, to either an
immediate- or a delayed-start intervention group; the
delayed-start group served as the control. Eligible
participants were aged 40 years or older, identified as
LB, and had a body mass index of 27 or greater. We
compared differences in biological markers of chronic
disease, mindfulness, nutrition, and physical activity
between immediate- and delayed-start intervention
groups. Results. We observed clinically significant
improvements in low-density lipoprotein cholesterol
but no change in hemoglobin A1c. We found evidence
of intervention effects on improved mindfulness and
mindful eating scores and on nutrition (improved
vegetable intake). Conclusions. The Women’s Health
and Mindfulness pilot intervention appears to have
initiated positive behavioral and physical health
changes in this population. Refinements to the intervention
model, such as extended intervention duration,
and longer term follow-up are warranted to
determine sustained effects.


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  • Women's Health and Mindfulness (WHAM): A Randomized Intervention Among Older Lesbian/Bisexual Women