scholarly journals Cognitive and Behavioral Factors Differentially Related to Intuitive Eating

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1237-1237
Author(s):  
Cindy Tsotsoros ◽  
Natalie Keirns ◽  
Nicholas Koemel ◽  
Bryant Keirns ◽  
Misty Hawkins

Abstract Objectives Inhibitory control measured by the Go/No-Go Task measures automatic inhibition. Difficulty with inhibition can extend into eating behavior, leading to unhealthy patterns such as emotional eating. Individuals who eat emotionally may also be less likely to engage in adaptive patterns of eating, such as intuitive eating (IE). IE is based on internal regulation of eating behaviors rather than eating for non-physiological reasons (e.g., emotions). This study sought to investigate the relationship between inhibitory control, emotional eating, and IE. Methods 108 adults with overweight/obesity enrolled in a weight loss trial participated in the study. The sample was 46 ± 11 years old, 72% female, 76% White, and had a mean BMI of 35.7 ± 5.9 kg/m2. All data were collected at the baseline assessment visit. Emotional eating and IE were measured via self-report with the Emotional Eating Scale (EES) and Intuitive Eating Scale-2 (IES-2), respectively. The EES provides a total score and the IES-2 provides a total score and four subscale scores: Unconditional Permission to Eat (PERM), Eating for Physical Rather than Emotional Reasons (PHYS), Reliance on Hunger and Satiety Cues (REL), and Body-Food Choice Congruence (CON). Inhibitory control was measured via behavioral tests with the Automated Neuropsychological Assessments Metrics-4 (ANAM-4) Go/No-Go subtest. Results A theoretically-driven path analysis model was calculated using AMOS, using the Go/No-Go subtest and EES as determinates of the four IE subscales. Overall, the path model was effective at capturing variability in two (PHYS & REL) of the four outcome variables. Substantial differences were observed in terms of the magnitude of the path coefficients (PERM ß = .04; PHYS ß = –.74) and the amount of variance captured across the IES-2 subscales criterion measure (R2 ranged from .00—.54). The overall fit indices for the model were above threshold: χ2(7) = 2.19, P = .95, χ2/DF = 0.31, CFI = 1.00, TLI = 1.20, and RMSEA = .000 (.000; .011). Conclusions These findings help shed light on how inhibitory control, emotional eating, and IE are associated with one another. Surprisingly, inhibitory control was unrelated to IE. Further, emotional eating may only contribute to certain facets of IE — eating for physical rather than emotional reasons and reliance on hunger and satiety cues. Funding Sources K23DK103941.

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1648-1648
Author(s):  
Natalie Keirns ◽  
Bryant Keirns ◽  
Cindy Tsotsoros ◽  
Nicholas Koemel ◽  
Misty Hawkins

Abstract Objectives Intuitive eating (IE) is a pattern of adaptive eating behaviors that consists of four facets: Unconditional Permission to Eat (PERM), Eating for Physical Rather than Emotional Reasons (PHYS), Reliance on Hunger and Satiety Cues (REL), and Body-Food Choice Congruence (CON). The objective of this study was to observe differences in self-reported susceptibility to highly palatable foods between individuals high and low in intuitive eating. Methods 66 adults (70% female; 77% white; age 46 ± 12; BMI 36.3 ± 6.5 kg/m2) with overweight/obesity enrolled in a behavioral weight loss trial participated in the study. Measures were collected at baseline assessments or at the initial treatment session via self-report scales. Intuitive eating was measured with the Intuitive Eating Scale-2, which includes a total score and four subscale scores: PERM, CON, REL, and PHYS. Food susceptibility was measured with the Power of Food Scale. BMI was objectively measured and calculated as kg/m2. Covariates included age, sex, race, education, and BMI. Individuals were grouped as high IE (≥75th percentile) and low IE (≤25th percentile) for total and subscale scores. Data were analyzed with Analyses of Covariance. Results Overall, high IE individuals displayed less food susceptibility (M = 40.1 ± 12.3) – as observed by lower PFS scores – than low IE individuals (M = 66.1 ± 13.7, F(1,31) = 30.56, P < .001). This pattern was true for three of the four IE subscales: PHYS; Eating for Physical vs. Emotional Reasons (F(1,31) = 7.878, P = .009), REL; Reliance on Hunger and Satiety Cues (F(1,39) = 22.99, P < .001), and CON; Body-Food Choice Congruence (F(1,23) = 6.001, P = .022). However, there were no differences in PFS scores between individuals high (M = 55.82 ± 18.64) and low (M = 51.87 ± 18.90) in Unconditional Permission to Eat (PERM; F(1,21) = .269, P = .610). Conclusions In adults with overweight/obesity, individuals who displayed higher levels of IE generally reported less susceptibility to hyper-palatable foods, which may be congruent with improved health. Upon observation of the IE subscales, this was not true for Unconditional Permission to Eat. Surprisingly, there were no differences in food susceptibility between those who report giving themselves more or less permission to eat freely. Funding Sources K23DK103941.


2021 ◽  
Vol 85 (3) ◽  
pp. 316-330
Author(s):  
Julie M. Petersen ◽  
Carrie Durward ◽  
Michael Levin

Weight self-stigma, the internalization of negative societal stereotypes, is a problem among populations with high weight. Weight self-stigma is associated with psychological inflexibility and maladaptive health-related behaviors. In this study, the authors explore how weight-related psychological inflexibility may influence weight self-stigma and health-related outcomes in 79 adults with high weight. Participants were primarily White (92.4%) and female (82.3%), with an average age of 39.56 years and average body mass index of 33.78. The study uses baseline, self-report data from a larger trial. Results indicate that weight self-stigma was negatively correlated with maladaptive eating behaviors, weight, and mental health. Weight-related psychological inflexibility was found as a significant mediator for the relationship between weight self-stigma and emotional eating, sedentary behavior, and mental health. Weight-related psychological inflexibility did not mediate the relationships between weight self-stigma and other eating measures and physical activity. These results support targeting weight-related psychological inflexibility and weight self-stigma in interventions.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 980-980
Author(s):  
Kara Livingston ◽  
Micaela Karlsen ◽  
Gail Rogers ◽  
Sai Das ◽  
Alice Lichtenstein ◽  
...  

Abstract Objectives To understand how eating behaviors, susceptibility to the food environment, and perceived dietary habit strength differ across self-reported categories of adherence. Methods We used data in a sample (n = 2829) from Adhering to Dietary Approaches for Personal Taste (ADAPT), an online study conducted in self-identified popular diet followers. Adherence was categorized into 3 groups: >95% of the time (high adherers = HA), between 75–95% (moderate adherers = MA); <75% time (lower adherers = LA). The Power of Food Scale (POF) assessed susceptibility to the food environment (availability, presentation, taste), with higher scores indicating food has a higher power over dietary decisions. The Three-Factor Eating Questionnaire captured cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE), with higher scores indicating greater response to the specific eating behavior. The Self-Report Habit Index (SRHI) measured perceived habit strength with respect to eating, with a lower score indicating stronger habits. We used ANCOVA adjusting for age, sex, time on diet, and diet group to compare POF, CR, UE, EE, and SRHI outcomes across adherence groups. Results Sixty six percent were HA (n = 1881), 28% MA (n = 787), and 6% LA (n = 161). LA were significantly more susceptible to food availability (mean [95% CI] = 14.9 [13.8–16.1]), presentation (12.1 [11.2–13.1]), and taste (13.4 [12.6–14.2], compared to HA (11 [10.7–11.3], 8 [7.8–8.3],11.6 [11.4–11.9]), respectively. LA indicated significantly greater UE (21 [20.2–21.9]) than HA (17 [16.7–17.4]) and EE (LA = 8 [7.5–8.4] vs. HA = 6.1 [6–6.3]). No significant differences were observed with respect to CR. LA reported weaker SRHI habits (3.4 [3.2–3.6]) compared to HA (1.7 [1.7–1.8]). Differences seen between the LA and MA were similar to those described for HA. Conclusions Our findings show that higher self-reported adherence to dietary patterns is associated with lower susceptibility to negative influences in the food environment, lower uncontrolled and emotional eating, and greater habit strength. Future research should investigate the directionality of the relationship between eating behavior and adherence. Funding Sources USDA Cooperative Agreements 58-8050-9-004 & 58-8050-4-003, General Mills Bell Institute of Health & Nutrition


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 977-977
Author(s):  
Julia Katcher ◽  
Richard Suminski ◽  
Carly Pacanowski

Abstract Objectives Dietary restraint and low body appreciation are common among female undergraduates and are related to disordered eating. Intuitive eating is an approach to eating that promotes listening to internal cues (e.g., hunger and fullness) and may help reduce disordered eating. It was hypothesized that an intuitive eating intervention would decrease levels of dietary restraint and increase levels of body appreciation and intuitive eating. Methods Fourteen female undergraduates were randomized to two groups. The intervention consisted of 5 weekly intuitive eating sessions led by two Registered Dietitians. One group received the intervention after the other. The Three-Factor Eating Questionnaire-18 (TFEQ-18) assessed dietary restraint across three subscales, the Body Appreciation Scale-2 (BAS-2) assessed body appreciation, and the Intuitive Eating Scale-2 (IES-2) assessed intuitive eating and its four subscales. SPSS v 26 software was used for analyses. Paired sample t-tests were run to examine within-participants changes in outcome variables pre- and post-intervention and at a 5-week follow-up. The significance level was set at .05. Results There was a significant decrease in TFEQ-18 subscales pre- to post-intervention, including cognitive restraint (61.5 ± 20.4 to 39.3 ± 18.0, P < .001), uncontrolled eating (55.8 ± 17.9 to 43.9 ± 10.1, P = .01), and emotional eating (68.3 ± 23.0 to 44.4 ± 18.5, P < .001). There was a significant increase in BAS-2 scores (3.1 ± 0.6 to 3.7 ± 0.5, P = .001) and all IES-2 subscales, including unconditional permission to eat (2.7 ± 0.7 to 3.8 ± 0.6, P < .001), eating for physical rather than emotional reasons (2.5 ± 0.6 to 3.3 ± 0.7, P < .001), relying on hunger and satiety cues (2.8 ± 0.7 to 3.7 ± 0.6, P < .001), body food-choice congruence (3.8 ± 0.6 to 4.1 ± 0.7, P = .02), and total IES-2 scores (2.8 ± 0.5 to 3.7 ± 0.5, P < .001), pre- to post-intervention. Post-intervention scores compared to the 5-week follow-up (n = 7) revealed no significant changes indicating that the pre- to post-intervention changes were sustained. Conclusions This study provides data suggesting that a 5-week intuitive eating intervention may help decrease dietary restraint and increase body appreciation and intuitive eating in female undergraduates. Intuitive eating may be a promising strategy to prevent disordered eating in undergraduates. Funding Sources No external funding.


2019 ◽  
Vol 184 (7-8) ◽  
pp. e200-e206 ◽  
Author(s):  
Renee E Cole ◽  
Stephanie A Meyer ◽  
Taylor J Newman ◽  
Adam J Kieffer ◽  
Sarah G Wax ◽  
...  

Abstract Introduction The purpose of this pilot study was to assess the effectiveness of the revised My Body Knows When (MBKW) program to promote intuitive eating behaviors within a sample of a military population through an online or in-person delivery mode. Materials and Methods Fifty-six overweight or obese adults (70% female); military service members (20%), retirees (38%) and family (42%) participated in the 10-week MBKW program at two military installations from 2012 to 2014. Body Mass Index, Intuitive Eating Scale-2 (IES-2; 23-item) and Motivation for Eating scale (MFES; 43-item) were collected at baseline and 10-weeks. Data were stratified by sex. Descriptive data were reported as mean ± standard deviation (SD), frequency, or percentage. A paired t-test was conducted with data at baseline and 10 weeks (α = 0.05, 80% power). Results Participants were predominantly female (70%); mean age of 51 ± 13 years; and BMI of 34.1 ± 5.5 kg/m2. There were no demographic, MFES, or IES-2 baseline differences between groups (in-person vs. online) or location. All subjects were collapsed into one group for a pre-post MBKW implementation assessment due to small sample size despite the original intent to stratify by online and in-person grouping. At 10 weeks, the remaining 26 participants exhibited a significant improvement (mean ± SD) in BMI (−0.4 ± 0.6 kg/m2; p = 0.012), environmental/social eating score (2.7 ± 0.4 points [pts]; −0.5 pt change; p < 0.001), emotional eating score (2.2 ± 0.5 pts; −0.6 pt change; p = 0.001), unconditional permission to eat score (3.4 ± 0.4 pts; +0.3 pt change; p = 0.017), eating for physical rather than emotional eating score (3.7 ± 0.8 pts; +1.0 pt change; p < 0.001), and reliance on hunger and satiety cues score (3.6 ± 0.5 pts; +0.8 pt change; p = 0.001). High attrition rates at the 10-week follow-up assessment precluded accurate assessment of long-term intervention effects. Conclusions The MBKW program was associated with improved intuitive eating behaviors and with less external eating influence on behavior; however, a larger sample is required to assess the effectiveness of MBKW delivery mode. Modest weight loss was attained but testing the efficacy of the MBKW program in a large diverse sample with alternate scenarios may be worthwhile (e.g., primary prevention against weight gain, or during weight maintenance to prevent weight regain).


2020 ◽  
pp. 135910452096452
Author(s):  
Stefania Cella ◽  
Sebastiano Costa ◽  
Annarosa Cipriano ◽  
Paolo Cotrufo

We examined the impact of paternal rejection (based on father’s and children’s reports) on the children’s emotional eating behavior and if child psychological maladjustment mediated this relationship. Three hundred sixty-nine dyads of fathers and children were screened using self-report measures of demographic data, parental rejection, child psychological maladjustment, and disordered eating behavior. Children’s subjective perceptions of relationship with father have more impact on their psychological outcomes and unhealthy dietary patterns than father reported parenting quality. Children’s unhealthy psychological adjustment may be an essential underlying mechanism linking perceived paternal rejection of children’s emotional eating behaviors.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2962
Author(s):  
Lena Bourdier ◽  
Melina Fatseas ◽  
Anne-Solène Maria ◽  
Arnaud Carre ◽  
Sylvie Berthoz

The aim of the study was to examine the extent to which obese people differ in their emotionally driven and addictive-like eating behaviors from normal-weight and overweight people. A total of 1142 participants were recruited from a general population, by a web-based cross-sectional survey assessing anxiety/depression (Hospital Anxiety and Depression Scale), emotional eating (Emotional Appetite Questionnaire), food addiction (modified Yale Food Addiction Scale), and intuitive eating (Intuitive Eating Scale-2). The statistical design was based on analyses of (co)variance, correlograms, and mediations. A set of Body Mass Index (BMI) group comparisons showed that obese people reported higher levels of depression and emotional eating and that they experienced more severe and frequent food addiction symptoms than overweight and normal-weight people. Associations between anxiety, depression, food addiction symptoms’ count, and the difficulties to rely on hunger and satiety cues were found across all weight classes, suggesting that addictive-like eating may represent a unique phenotype of problematic eating behavior that is not synonymous with high BMI or obesity. Conversely, the interrelation between anxiety/depression, emotional eating, and the difficulties to rely on hunger and satiety cues was found only among obese participants, and negative emotional eating mediated the association between depression and anxiety and the difficulties to rely on hunger and satiety cues. This study emphasizes the necessity to develop more comprehensive approaches integrating emotional dysregulation and addictive-like eating behaviors to improve weight management and quality of life of obese people.


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3124
Author(s):  
Noémie Carbonneau ◽  
Mélynda Cantin ◽  
Kheana Barbeau ◽  
Geneviève Lavigne ◽  
Yvan Lussier

Despite growing interest in intuitive eating—a non-dieting approach to eating that is based on feeding the body in accordance with physiological and satiety cues—research on its determinants is scarce. The present study aimed to examine the associations between dimensions of adult attachment (i.e., anxiety and avoidance) and intuitive eating, and the mediating role of self-compassion in these relationships. The sample comprised 201 French-Canadian young adult women (M = 25.1, SD = 4.6). Participants completed self-report questionnaires through an online survey. Results of the structural equation model demonstrated that attachment-related anxiety and avoidance were negatively associated with intuitive eating, and these relationships were at least partially mediated by self-compassion. Findings suggest that women who have high levels of attachment anxiety or avoidance engage in less intuitive eating partly because they are less self-compassionate. Results highlight the importance of self-compassion in facilitating adaptive eating behaviors in adult women, especially if they have an insecure attachment style to romantic partners.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1290-1290
Author(s):  
Julia Borelli ◽  
Giselle Pereira Pignotti ◽  
Adrianne Widaman

Abstract Objectives College students in the US tend to have low diet quality due to a confluence of interpersonal, intrapersonal, and environmental factors. Restrictive dieting is commonly used for weight management but often ineffective in the long term and can lead to dangerous eating behaviors. Intuitive eating is an adaptive form of eating that has gained interest as an alternative to restrictive dieting due to its successful use in eating disorder recovery and correlation with decreased body mass index in healthy populations. The objective of the current study was to identify if higher intuitive eating, as measured by the intuitive eating scale (IES-2), correlated with increased diet quality, as measured by the Healthy Eating Index 2015 (HEI-2015) in a college sample. Methods In this cross-sectional study, participants completed an online survey containing the IES-2 questionnaire which provides a total score for intuitive eating and four subscale scores representing the main behaviors of intuitive eating. The dietary intake of participants was assessed with up to three 24-hour diet recalls, which were completed over the phone. A total of 55 participants (40 females and 15 males) completed the survey and a minimum of two 24-hour diet recalls, which were used to calculate the HEI-2015. Independent sample t-test and Pearson's correlation were used for statistical analysis. Results The total IES-2 scores were higher for males than females (82.9 ± 8.1 vs. 76.3 ± 11.2, P = 0.04). The average total HEI-2015 score was 59.5 ± 15.1 and did not differ between gender (P = 0.93). The total IES-2 score was not significantly correlated with the total HEI scores (r = −0.218, P = 0.11), and one subscale of the IES-2, the Unconditional Permission to Eat subscale, was negatively correlated with the total HEI score (r = −0.418, P &lt; 0.01) and BMI (r = −0.335, P &lt; 0.05). Conclusions The results of the study do not support that intuitive eating is correlated with diet quality, furthermore, increased scores of the Unconditional Permission to Eat subscale of intuitive eating was correlated with a lower diet quality suggesting that intuitive eating and diet quality may be separate constructs that should be addressed individually. Funding Sources None.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1328-1328
Author(s):  
Andrea Lopez-Cepero ◽  
Josiemer Mattei ◽  
Christine Frisard ◽  
Julio Jimenez ◽  
Stephenie Lemon ◽  
...  

Abstract Objectives To document the level of dysfunctional eating behaviors, specifically emotional eating (EE), uncontrolled eating (UE) and cognitive restraint (CR), among adults in Puerto Rico (PR), and explore the association between each behavior and dietary intake (i.e., percentage of calories from fats, saturated fats and servings of fruits and vegetables). Methods Cross-sectional study of adults (n = 94) recruited from three health clinics serving low-income communities in Ponce, PR. The Three Factor Eating Questionnaire R18-V2 was used to measure EE, UE and CR; each score ranged from 1 to 4 (higher values indicate stronger behaviors). The Block Fat and Fruits and Vegetables Screener was used to capture percentage of calories from fats, saturated fats and servings of fruits and vegetables. Analysis included adjusted means (SD) and proportions, and linear regressions adjusted for sex, age and marital status. Results Mean age was 45 years, 52% were female and 55% were married. Adjusted mean (SD) scores for EE, UE and CR were 1.92 (0.78), 1.85 (0.66), and 2.32 (0.85), respectively. Adjusted proportions showed that 76%, 88% and 87% experienced any level of EE, UE and CR, respectively. EE and UE scores were significantly associated with greater percentage of calories from total fats (b = 12.0, 95% CI = 0.42, 3.60 for EE; and b = 1.99, 95% CI = 0.05, 3.93 for UE) and saturated fats (b = 3.36, 95% CI = 0.71, 6.01 for EE; and b = 3.31, 95% CI = 0.09, 6.54 for UE). CR scores were significantly associated with greater intake of fruits and vegetables (b = 0.69, 95% CI = 0.20, 1.19). Conclusions Dysfunctional eating behaviors are prevalent among adults in PR and were associated with dietary intake. Results support the need for larger representative studies of dysfunctional eating behaviors, dietary intake and health in PR to shed light into potential intervention targets to decrease the observed health disparities among adults in PR. Funding Sources National Institutes of Health, Centers for Disease Control and Prevention and Ponce Health Sciences University Seed Program.


Sign in / Sign up

Export Citation Format

Share Document