Mind Over Plate: The Hypnotic Influence on Dietary Intake among Adults with Overweight and Obesity in Terengganu, Malaysia

Nurul Afiedia Roslim(1) , Aryati Ahmad(2) , Mardiana Mansor(3) , Myat Moe Thwe Aung(4) , Farrahdilla Hamzah(5) , Pei Lin Lua(6)
(1) Faculty of Pharmacy, Universiti Sultan Zainal Abidin, 22200 Besut, Terengganu, Malaysia and Faculty of Health Sciences, Universiti Sultan Zainal Abidin, 21300 Kuala Nerus, Terengganu, Malaysia,
(2) Faculty of Health Sciences, Universiti Sultan Zainal Abidin, 21300 Kuala Nerus, Terengganu, Malaysia,
(3) Faculty of Medicine, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu, Terengganu, Malaysia,
(4) Faculty of Medicine, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu, Terengganu, Malaysia,
(5) Faculty of Medicine, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu, Terengganu, Malaysia,
(6) Faculty of Pharmacy, Universiti Sultan Zainal Abidin, 22200 Besut, Terengganu, Malaysia

Abstract

This study aimed to evaluate the effectiveness of hypnotherapy in improving dietary intake and weight status of young adults with high Body Mass Index (BMI) in a public university in Terengganu, Malaysia. This pre-and post-intervention randomly assigned 107 participants with BMI≥25 kg/m2 to either the Intervention Group (IG=53) or the Control Group (CG=54), for 12 weeks. All participants received health education (diet + exercise + behavioral recommendations) and completed food records, while those in IG had additional three hypnotherapy sessions once a month. Descriptive statistics and repeated measure Analysis of Covariance (ANCOVA) were utilized (SPSS 23.0). A total of 104 participants completed the trial (female=82.2%; student=71.0%; BMI=31.3±5.0 kg/m2). Results demonstrated significant decrements in weight (Mean Difference (MD)=-1.4 kg; p=0.021), total energy (MD=-269 kcal; p=0.033), carbohydrate (MD=-1.0% EI; p=0.019) and total fats (MD=-1.8% EI; p=0.002) intakes in IG after controlling for age, gender and baseline variables on repeated measurements. Hypnotherapy had a positive impact on energy intake, indicating its effectiveness in tackling eating habits. These findings are promising and could serve as a basis for future studies in hypnotherapy for weight loss.

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References

Balwan WK, Saba N, Rasool N. 2021. A systematic review of obesity–an invited disease. J Nat Remedies 22(1):23‒31. https://doi.org/10.36347/sjmcr.2025

Barabasz M, Spiegel D. 1989. Hypnotizability and weight loss in obese subjects. Int J Eat Disord 8(3):335‒341. https://doi.org/10.1002/1098108X

Bhagat V, Menon S. 2020. The efficacy of using hypnosis to reduce anxiety and pain in obstetrics and gynecology patients. Research J Pharm and Tech 13(1):347‒352. https://doi.org/10.5958/0974- 360X.2020.00070.0

Bo S, Rahimi F, Goitre I, Properzi B, Ponzo V, Regaldo G, Boschetti S, Fadda M, Ciccone G, Abbate D et al. 2018. Effects of self-conditioning techniques (self-hypnosis) in promoting weight loss in patients with severe obesity: A randomized controlled trial. Obesity 26(9):1422–1429. https://doi.org/10.1002/oby.22262.

Bolocofsky DN, Spinler D, Coulthard-Morris L. 1985. Effectiveness of hypnosis as an adjunct to behavioral weight management. J Clin Psychol 41(1):35‒41. https://doi.org/10.1002/1097-4679(198501)41:1<35::AID-JCLP2270410107>3.0.CO;2-Z

Canuto R, Garcez A, de Souza RV, Kac G, Olinto MTA. 2021. Nutritional intervention strategies for the management of overweight and obesity in primary health care: A systematic review with meta-analysis. Obes Rev 22(3):e13143. https://doi.org/10.1111/obr.13143

Caussy C, Pattou F, Wallet F, Simon C, Chalopin S, Telliam C, Mathieu D, Subtil F, Frobert E, Alligier M, et al. 2020. Prevalence of obesity among adult inpatients with COVID-19 in France. Lancet Diabetes Endocrinol 8(7):562‒564. https://doi.10.1016/S2213-8587(20)301601

Dietz W, Santos-Burgoa C. 2020. Obesity and its implications for COVID-19 mortality. Obesity 28(6):1005. https://doi.org/10.1002/oby.22818

Dixon JB. 2010. The effect of obesity on health outcomes. Mol Cell Endocrinol 316(2):104‒108. https://doi.org/10.1016/j.mce.2009.07.008

Elkins GR, Barabasz AF, Council JR, Spiegel D. 2015. Advancing research and practice: The revised APA division 30 definition of hypnosis. Am J Clin Hypn 63(1):1‒9. http://doi.org/10.1080/00029157.2015.1011465

Faul F, Erdfelder E, Buchner A, Lang AG. 2009. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41(4):1149–1160. https://doi.org/10.3758/BRM.41.4.1149

Gelo OC, Zips A, Ponocny-Seliger E, Neumann K, Balugani R, Gold C. 2014. Hypnobehavioral and hypnoenergetic therapy in the treatment of obese women: a pragmatic randomized clinical trial. Int J Clin Exp Hypn 62(3):260‒291. https://doi.org/10.1080/00207144.2014.901055

Hartman D, Zimberoff D. 2011. Hypnosis and hypnotherapy in the milieu of integrative medicine: Healing the mind/body/spirit. J Heart-Cent Ther 14(1):41.

Huber J, Born AK, Claaß C, Ehrenthal JC, Nikendei C, Schauenburg H, Dinger U. 2019. Therapeutic agency, in-session behavior, and patient-therapist interaction. J Clin Psychol 75(1):66‒78. https://doi.org/10.1002/jclp.22700

[IPH] Institute for Public Health. 2020. National Health and Morbidity Survey (NHMS) 2019: Non-Communicable Diseases, healthcare demand, and health literacy-key findings. Selangor, Malaysia. https://iptk.moh.gov.my/images/ [Assessed 10th February 2023].

Milling LS, Gover MC, Moriarty CL. 2018. The effectiveness of hypnosis as an intervention for obesity: A meta-analytic review. Psychol Conscious: Theory Res Pract 5(1):29. https://doi.org/10.1037/cns0000139

Ministry of Health. 2004. Album Saiz Sajian Makanan Malaysia. Kajian Pengambilan Makanan Malaysia. Putrajaya (KL): Ministry of Health.

Monnier J, Schlienger JL, Colette C, Bonnet F. 2021. The obesity treatment dilemma: Why dieting is both the answer and the problem? A mechanistic overview. Diabetes Metab 47(3):101192. https://doi.org/10.1016/j.diabet.2020.09.002

National Coordinating Committee on Food and Nutrition. 2017. Recommended Nutrient Intakes for Malaysia. Putrajaya (KL): Ministry of Health Malaysia.

Nurlita H, Purba M, Paramastri I. 2007. Hipnoterapi untuk penurunan berat badan pada individu obes. J Gizi Klinik Indonesia 4(1). https://doi.org/10.22146/ijcn.17460

Ong YQ, Harith S, Shahril MR, Shahidan N, Hapidin H. 2023. Socio-demographic characteristics and nutritional status of adults at risk of type 2 diabetes mellitus in Kuala Nerus, Terengganu. Malaysian J Med Health Sci 19(2):86‒94. http://dx.doi.org/10.47836/mjmhs19.2.14

Pellegrini M, Carletto S, Scumaci E, Ponzo V, Ostacoli L, Bo S. 2021. The use of self-help strategies in obesity treatment. A narrative review focused on hypnosis and mindfulness. Curr Obes Rep 10(3):351–364. https://doi.org/10.1007/s13679-021-00443-z

Ramondo N, Gignac GE, Pestell CF, Byrne SM. 2021. Clinical Hypnosis as an adjunct to cognitive behavior therapy: An updated meta-analysis. Int J Clin Exp Hypn 69(2):169‒202. https://doi.org/10.1080/00207144.2021.1877549

Rini MT, Hardika BD, Suryani K. 2020. Penurunan berat badan pada remaja obesitas menggunakan hipnoterapi. JKS 4(1):135‒141. https://doi.org/10.31539/jks.v4i1.1604

Roslim NA, Ahmad A, Mansor M. Aung MMT, Hamzah F, Shahril MR, Lua PL. 2022. Does hypnosis result in greater weight loss compared to conventional approach? Am J Clin Hypn 65(2):99‒109. https://doi.org/10.1080/00029157.2021.2010642

Rousseaux F, Bicego A, Ledoux D, Massion P, Nyssen AS, Faymonville ME, Laureys S, Vanhaudenhuyse A. 2020. Hypnosis associated with 3d immersive virtual reality technology in the management of pain: a review of the literature. J Pain Res 13:1129–1138. https://doi.org/10.2147/JPR.S231737

Rusli NS, Harith S. 2020. Body mass index, eating habits and physical activity among dietetics students in Universiti Sultan Zainal Abidin. J Nutr Sci 1(2):28‒39. http://dx.doi.org/10.35308/jns.v1i2.2757

Schäfer T, Schwarz MA. 2019. The meaningfulness of effect sizes in psychological research: Differences between sub-disciplines and the impact of potential biases. Front Psychol 10:442717. https://doi.org/10.3389/fpsyg.2019.00813

Sivam S, Harith S. 2022. The prevalence of overweight and obesity among young adults in Terengganu: A cross-sectional study. Asian J Med Biomed 6(S1):136‒137. https://doi.org/10.37231/ajmb.2022.6.S1.562

Suelter CS, Schvey N, Kelly NR, Shanks M, Thompson KA, Mehari R, Brady S, Yanovski SZ, Melby CL, Tanofsky-Kraff, M et al. 2018. Relationship of pressure to be thin with gains in body weight and fat mass in adolescents. Pediatr Obes 13(1):14–22. https://doi.org/10.1111/ijpo.12179

Suzana S, Nik Shanita S, Zahara AM, Hasnah H. 2015. Atlas of Food Exchanges & Portion Sizes. Kuala Lumpur (KL): MDC Publishers Sdn Bhd.

Tak YJ, Lee SY. 2021. Long-term efficacy and safety of anti-obesity treatment: where do we stand? Curr Obes Rep 10(1):14‒30. https://doi.org/10.1007/s13679-020-00422-w

Villa V, Manzoni GM, Pagnini F, Castelnuovo G, Cesa GL, Molinari E. 2009. Do coping strategies discriminate eating disordered individuals better than eating disorder features? An explorative study on female inpatients with anorexia and bulimia nervosa. J Clin Psychol Med Settings 16:297–303. https://doi.org/10.1007/s10880-009-9172-9

Wadden TA, Tronieri JS, Butryn ML. 2020. Lifestyle modification approaches for the treatment of obesity in adults. Am Psychol 75(2):235–251. https://doi.org/10.1037/amp0000517

WHO Expert Consultation. 2004. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363(9403):157–163. https://doi.org/10.1016/S0140-6736(03)15268-3

[WHO] World Health Organization. 1995. Physical Status: The Use and Interpretation of Anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser 854:1–452.

[WHO] World Health Organization. 2021. Fact sheet: obesity and overweight. http://www.who.int/mediacentre/factsheet [Accessed 9th September 2021].

Authors

Nurul Afiedia Roslim
Aryati Ahmad
Mardiana Mansor
Myat Moe Thwe Aung
Farrahdilla Hamzah
Pei Lin Lua
peilinlua@unisza.edu.my (Primary Contact)
Roslim, N. A., Ahmad, A., Mansor, M., Thwe Aung, M. M., Hamzah, F., & Lua, P. L. (2025). Mind Over Plate: The Hypnotic Influence on Dietary Intake among Adults with Overweight and Obesity in Terengganu, Malaysia. Jurnal Gizi Dan Pangan, 20(Supp.1), 43-52. https://doi.org/10.25182/jgp.2025.20.Supp.1.43-52

Article Details

How to Cite

Roslim, N. A., Ahmad, A., Mansor, M., Thwe Aung, M. M., Hamzah, F., & Lua, P. L. (2025). Mind Over Plate: The Hypnotic Influence on Dietary Intake among Adults with Overweight and Obesity in Terengganu, Malaysia. Jurnal Gizi Dan Pangan, 20(Supp.1), 43-52. https://doi.org/10.25182/jgp.2025.20.Supp.1.43-52