The effects of intuitive eating on body appreciation, body mass ındex, and nutritional behaviors in adults

a sample of Türkiye

Authors

Keywords:

Body dissatisfaction, Body mass index, Feeding behavior, Intuitive eating

Abstract

Objective
Intuitive eating is an adaptive eating style that makes a strong connection with internal physiological manifestations of hunger and satiety. This study was conducted to evaluate the effects of intuitive eating on body appreciation, body mass index, and nutritional behaviors in adults.
Methods
Sample consisted of 497 individuals. Data were collected online. The questionnaire form included a general information and physical activity evaluation form, anthropometric measurements, Intuitive Eating Scale-2, Body Appreciation Scale-2, and food frequency questionnaire.
Results
A statistically significant relationship was found between body mass index and eating for physical rather than emotional reasons, reliance on internal hunger and satiety cues, body-food choice congruence subscale scores, and total scale score. There was a correlation between body appreciation and unconditional permission to eat, reliance on internal hunger and satiety cues, body-food choice congruence subscale scores, and total scale score. The number of physically active intuitive eaters was significantly higher than non-intuitive eaters. A significant correlation was found between intuitive eating scores and frequency of consumption of fish, cake, biscuit, chocolate, granulated sugar, honey, jam, molasses, pastries and dairy-based desserts, sunflower oil, margarine, and sugary, carbonated drinks.
Conclusion
Intuitive eating can be an effective tool in sustaining and controlling weight loss, and with more studies, it may be possible to further spread this practice

References

Tribole E, Resch E. Intuitive eating: a revolutionary program that works. New York: St. Martin’s Press; 2012.

Tylka TL. Development and psychometric evaluation of a measure of intuitive eating. J Couns Psychol. 2006;53(2):226. https://doi.org/10.1037/0022-0167.53.2.226

Gast J, Hawks SR. Weight loss education: the challenge of a new paradigm. Health Educ Behav. 1998;25(4):464-73. https://doi.org/10.1177/109019819802500405

Hawks S, Merrill RM, Madanat HN. The intuitive eating scale: development and preliminary validation. Am J Health Educ. 2004;35(2):90-9. https://doi.org/10.1080/19325037.2004.10603615

Mathieu J. What should you know about mindful and intuitive eating? J Am Diet Assoc. 2009;109(12):1985. https://doi.org/10.1016/j.jada.2009.10.023

Van Dyke N, Drinkwater EJ. Relationships between intuitive eating and health indicators: literature review. Public Health Nutr. 2014;17(8):1757-66. https://doi.org/10.1017/S1368980013002139

Quittkat HL, Hartmann AS, Düsing R, Buhlmann U, Vocks S. Body dissatisfaction, importance of appearance, and body appreciation in men and women over the lifespan. Front Psychiatry. 2019;10:864. https://doi. org/10.3389/fpsyt.2019.00864

Avalos LC, Tylka TL. Exploring a model of intuitive eating with college women. J Couns Psychol. 2006;53(4):486. https://doi.org/10.1037/0022-0167.53.4.486

Avalos L, Tylka TL, Wood-Barcalow N. The body appreciation scale: development and psychometric evaluation. Body Image. 2005;2(3):285-97. https://doi.org/10.1016/j.bodyim.2005.06.002

Tylka TL, Kroon Van Diest AM. The Intuitive Eating Scale-2: Item refinement and psychometric evaluation with college women and men. J Couns Psychol. 2013;60(1):137. https://doi.org/10.1037/a0030893

Tylka TL, Wood-Barcalow NL. The Body Appreciation Scale-2: item refinement and psychometric evaluation. Body Image. 2015;12:53-67. https://doi.org/10.1016/j.bodyim.2014.09.006

Tylka TL, Calogero RM, Daníelsdóttir S. Is intuitive eating the same as flexible dietary control? Their links to each other and well-being could provide an answer. Appetite. 2015;95:166-75. https://doi.org/10.1016/j. appet.2015.07.004

Bruce LJ, Ricciardelli LA. A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite. 2016;96:454-72. https://doi.org/10.1016/j.appet.2015.10.012

Camilleri GM, Méjean C, Bellisle F, Andreeva VA, Kesse-Guyot E, Hercberg S, et al. Intuitive eating dimensions were differently associated with food intake in the general population-based NutriNet-Santé study. J Nutr. 2017;147(1):61-9. https://doi.org/10.3945/jn.116.234088

Smith T, Hawks SR. Intuitive eating, diet composition, and the meaning of food in healthy weight promotion. Am J Health Educ. 2006;37(3):130-36. https://doi.org/10.1080/19325037.2006.10598892

Carbonneau E, Bégin C, Lemieux S, Mongeau L, Paquette M-C, Turcotte M, et al. A Health at Every Size intervention improves intuitive eating and diet quality in Canadian women. Clin Nutr. 2017;36(3):747-54. https://doi.org/10.1016/j.clnu.2016.06.008

Madden CE, Leong SL, Gray A, Horwath CC. Eating in response to hunger and satiety signals is related to BMI in a nationwide sample of 1601 mid-age New Zealand women. Public Health Nutr. 2012;15(12):2272-79. https://doi.org/10.1017/S1368980012000882

Anlı G, Akın A, Eker H, Özçelik B. Bedeni beğenme ölçeği: geçerlik ve güvenirlik çalışması. J Soc Stud Res. 2015(36):505-11. https://doi.org/10.9761/JASSS2906

Bas M, Karaca KE, Saglam D, Arıtıcı G, Cengiz E, Köksal S, et al. Turkish version of the intuitive eating Scale-2: validity and reliability among university students. Appetite. 2017;114:391-97. https://doi.org/10.1016/j. appet.2017.04.017

Marshall AL, Smith BJ, Bauman AE, Kaur S. Reliability and validity of a brief physical activity assessment for use by family doctors. Br J Sports Med. 2005;39(5):294-97. http://dx.doi.org/10.1136/bjsm.2004.013771

World Health Organization. Body mass index-BMI. Geneve: Organization; 2018 [cited 2022 Mar 20]. Available from: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi

Gast J, Madanat H, Nielson AC. Are men more intuitive when it comes to eating and physical activity? Am J Mens Health. 2012;6(2):164-71. https://doi.org/10.1177/1557988311428090

Bacon L, Stern JS, Van Loan MD, Keim NL. Size acceptance and intuitive eating improve health for obese, female chronic dieters. J Am Diet Assoc. 2005;105(6):929-36. https://doi.org/10.1016/j.jada.2005.03.011

Ruzanska UA, Warschburger P. Psychometric evaluation of the German version of the Intuitive Eating Scale-2 in a community sample. Appetite. 2017;117:126-34. https://doi.org/10.1016/j.appet.2017.06.018

Saunders JF, Nichols-Lopez KA, Frazier LD. Psychometric properties of the intuitive eating scale-2 (IES- 2) in a culturally diverse Hispanic American sample. Eat Behav. 2018;28:1-7. https://doi.org/10.1016/j. eatbeh.2017.11.003

Herbert BM, Blechert J, Hautzinger M, Matthias E, Herbert C. Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite. 2013;70:22-30. https://doi.org/10.1016/j.appet.2013.06.082

Peschel SK, Tylka TL, Williams DP, Kaess M, Thayer JF, Koenig J. Is intuitive eating related to resting state vagal activity? Auton Neurosci. 2018;210:72-75. https://doi.org/10.1016/j.autneu.2017.11.005

Tylka TL, Homan KJ. Exercise motives and positive body image in physically active college women and men: exploring an expanded acceptance model of intuitive eating. Body Image. 2015;15:90-97. https:// doi.org/10.1016/j.bodyim.2015.07.003

Gan WY, Yeoh WC. Associations between body weight status, psychological well-being and disordered eating with intuitive eating among Malaysian undergraduate university students. Int J Adolesc Med Health. 2020;32(2). https://doi.org/10.1515/ijamh-2017-0095

Cole RE, Horacek T. Effectiveness of the My Body Knows When intuitive-eating pilot program. Am J Health Behav. 2010;34(3):286-97. https://doi.org/10.5993/AJHB.34.3.4

Wilson RE, Marshall RD, Murakami JM, Latner JD. Brief non-dieting intervention increases intuitive eating and reduces dieting intention, body image dissatisfaction, and anti-fat attitudes: a randomized controlled trial. Appetite. 2020;148:104556. https://doi.org/10.1016/j.appet.2019.104556

Pinto C, Ferreira C, Mendes AL, Trindade IA. Social safeness and disordered eating: Exploring underlying mechanisms of body appreciation and inflexible eating. Eat Weight Disord. 2017;22(2):303-9. http://doi. org/10.1007/s40519-017-0384-y

Linardon J, Mitchell S. Rigid dietary control, flexible dietary control, and intuitive eating: evidence for their differential relationship to disordered eating and body image concerns. Eating Behaviors. 2017;26:16-22. https://doi.org/10.1016/j.eatbeh.2017.01.008

Ramos MH, Silva JM, De Oliveira TAV, da Silva Batista J, Cattafesta M, Salaroli LB, et al. Intuitive eating and body appreciation in type 2 diabetes. J Health Psychol. 2020:1359105320950791. https://doi. org/10.1177/1359105320950791

Hawley G, Horwath C, Gray A, Bradshaw A, Katzer L, Joyce J, et al. Sustainability of health and lifestyle improvements following a non-dieting randomised trial in overweight women. Prev Med. 2008;47(6):593-99. https://doi.org/10.1016/j.ypmed.2008.08.008

Leblanc V, Provencher V, Bégin C, Corneau L, Tremblay A, Lemieux S. Impact of a Health-At-Every-Size intervention on changes in dietary intakes and eating patterns in premenopausal overweight women: results of a randomized trial. Clin Nutr. 2012;31(4):481-88. https://doi.org/10.1016/j.clnu.2011.12.013

Kuseyri G, Kızıltan G. The Effect of mindful eating and ıntuitive eating behaviours on nutrition status in university students. BUSBID. 2019;4(3):202-19.

Published

2023-10-25

How to Cite

KAYACAN, A. G., & ÖZÇELIK, A. Özfer. (2023). The effects of intuitive eating on body appreciation, body mass ındex, and nutritional behaviors in adults: a sample of Türkiye. Brazilian Journal of Nutrition, 36. Retrieved from https://seer.sis.puc-campinas.edu.br/nutricao/article/view/10179

Issue

Section

ORIGINAL ARTICLE