The relationship between intuitive eating and body dissatisfaction among people with excess weight

  • Rayanne Silva Vieira Lima Residência Integrada Multiprofissional em Assistência Hospitalar á Saúde - Ênfase Saúde Mental, Universidade Federal do Ceará, Fortaleza, Ceará, Brasil.
  • Nayara Aguiar Silva Residência Integrada Multiprofissional em Assistência Hospitalar á Saúde - Ênfase Saúde Mental, Universidade Federal do Ceará, Fortaleza, Ceará, Brasil.
  • Joseline Maria Alves Gomes Recamonde Serviço de Nutrição, Empresa Brasileira de Serviços Hospitalares, Hospital Universitário Walter Cantí­dio, Fortaleza, Ceará, Brasil.
  • Priscila da Silva Mendonça Serviço de Nutrição. Empresa Brasileira de Serviços Hospitalares, Hospital Universitário Walter Cantí­dio, Fortaleza, Ceará, Brasil.
Keywords: Feeding behavior, Body image, Obesity

Abstract

Introduction: the use of a restrictive diet for treating obesity has been proven inefficient in the long-term. Besides, body dissatisfaction could be the reason for starting a restrictive diet. In this sense, intuitive eating emerges as an alternative for reconnecting individuals with their bodies and the signals it sends. Objective: to evaluate an individuals’ tendency to follow physiological signs of hunger and satiety and correlate them with body dissatisfaction in overweight people. Materials and methods: this is a transversal and quantitative study with users of a specialized obesity treatment service in the city of Fortaleza. Sociodemographic data was collected and the Intuitive Eating Scale - 2 (IES-2) and Stunkard Silhouettes Scale were applied; weight and height were also collected. Results: A negative correlation was observed between 'Reliance on Hunger and Satiety Cues', weight (p=-0,298; p=0,030) and current silhouette (p=-0,341; p=0,012) and also between 'Body-Food Choice Congruence' and current silhouette (p=-0,297; p=0,031). Discussion: the literature analysis and the presented data have shown that there are interactions between hunger and satiety cues, body-food choice congruence, and anthropometric variables and body perception. Conclusion: reliance on hunger and satiety cues is linked with body image and weight, and body, food choice congruence are also linked with body image.

Author Biographies

Rayanne Silva Vieira Lima, Residência Integrada Multiprofissional em Assistência Hospitalar á Saúde - Ênfase Saúde Mental, Universidade Federal do Ceará, Fortaleza, Ceará, Brasil.

Nutricionista; Residência Integrada Multiprofissional em Assistência Hospitalar á Saúde - Ênfase Saúde Mental.

Nayara Aguiar Silva, Residência Integrada Multiprofissional em Assistência Hospitalar á Saúde - Ênfase Saúde Mental, Universidade Federal do Ceará, Fortaleza, Ceará, Brasil.

Nutricionista; Residência Integrada Multiprofissional em Assistência Hospitalar á Saúde - Ênfase Saúde Mental.

References

-Ainett, W.S.O.; Costa, V.V.L.; Sá, N.N.B. Fatores associados à insatisfação com a imagem corporal em estudantes de nutrição. Revista Brasileira de Obesidade, Nutrição e Emagrecimento. São Paulo. Vol. 11. Núm. 62. 2017. p. 75-85.

-Amin, T.; Mercer, J.G. Hunger and satiety mechanisms and their potential exploitation in the regulation of food intake. Curr Obes Rep. Vol. 5. 2016. p. 106-112.

-ABESO. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Diretrizes brasileiras de obesidade. 4ª edição. São Paulo. 2016.

-Brasil. Ministério da Saúde; Secretaria de Vigilância em Saúde; Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde. Vigitel Brasil 2018: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2018. Brasília. 2019.

-Bruce, L.J.; Ricciardelli, L.A. A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite. Vol. 96. 2016. p. 454-472.

-Buckingham-Howes, S.; Armstrong, B.; Pejsa-Reitz, M.C.; Wang, Y.; Witherspoon, D.O.; Hager, E.R.; Black, M.M. BMI and disordered eating in urban, African American, adolescent girls: the mediating role of body dissatisfaction. Eating Behaviors. Vol. 29. 2018. p. 59-63.

-Camilleri, G.M.; Méjean, C.; Bellisle, F.; Andreeva, V.A.; Kesse-Guyot, E.; Hercberg, S.; Péneau, S. Intuitive eating dimensions were differently associated with food intake in the general population-based NutriNet-Santé Study. J Nutr. Vol. 147. Num. 1. 2017. p. 61-69.

-Ridder, D.; Adriaanse, M.; Evers, C.; Verhoeven, A. Who diets? Most people and especially when they worry about food. Appetite. Vol. 80. 2014. p. 103-108.

-Dulloo, A.G.; Jacquet, J.; Montani, J.P.; Schutz, Y. How dieting makes the lean fatter: from a perspective of body composition autoregulation through adipostats and proteinstats awaiting discovery. Obesity reviews. Vol. 16. Supl 1. 2015. p. 25-35.

-Gast, J.; Nielson, A.C.; Hunt, A.; Leiker, J.J. Intuitive eating: associations with physical activity motivation and BMI. American Journal of Health Promotion. Vol. 29. Num. 3. 2015. p. e91-e92.

-Geary, N. Control-theory models of body-weight regulation and body-weight-regulatory appetite. Appetite. Vol. 144. 2019. p. 104440.

-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. Vol. 26. 2017. p. 16-22.

-Lowe, M.R.; Shank, L.M.; Mikorski, R.; Butryn, M.L. Personal history of dieting and family history of obesity are unrelated: Implications for understanding weight gain proneness. Eat Behav. Vol. 17. 2015. p. 1441-48.

-Ng, M.; Fleming, T.; Robinson, M.; Thomson, B.; Graetz, N.; Margono, C.; Mullany, E.C.; Biryukov, S.; Abbafati, C.; Abera, S.F.; Abraham, J.P.; Abu-Rmeileh, N.M.; Achoki, T.; AlBuhairan, F.S.; Alemu, Z.A.; Alfonso, R.; Ali, M.K.; Ali, R.; Guzman, N.A.; Ammar, W.; Anwari, P.; Banerjee, A.; Barquera, S.; Basu, S.; Bennett, D.A.; Bhutta, Z.; Blore, J.; Cabral, N.; Nonato, I.C.; Chang, J.C.; Chowdhury, R.; Courville, K.J.; Criqui, M.H.; Cundiff, D.K.; Dabhadkar, K.C.; Dandona, L.; Davis, A.; Dayama, A.; Dharmaratne, S.D.; Ding, E.L.; Durrani, A.M.; Esteghamati, A.; Farzadfar, F.; Fay, D.F.; Feigin, V.L.; Flaxman, A.; Forouzanfar, M.H.; Goto, A.; Green, M.A.; Gupta, R.; Hafezi-Nejad, N.; Hankey, G.J.; Harewood, H.C.; Havmoeller, R.; Hay, S.; Hernandez, L.; Husseini, A.; Idrisov, B.T.; Ikeda, N.; Islami, F.; Jahangir, E.; Jassal, S.K.; Jee, S.H.; Jeffreys, M.; Jonas, J.B.; Kabagambe, E.K.; Khalifa, S.E.; Kengne, A.P.; Khader, Y.S.; Khang, Y.H.; Kim, D.; Kimokoti, R.W.; Kinge, J.M.; Kokubo, Y.; Kosen, S.; Kwan, G.; Lai, T.; Leinsalu, M.; Li, Y.; Liang, X.; Liu, S.; Logroscino, G.; Lotufo, P.A.; Lu, Y.; Ma, J.; Mainoo, N.K.; Mensah, G.A.; Merriman, T.R.; Mokdad, A.H.; Moschandreas, J.; Naghavi, M.; Naheed, A.; Nand, D.; Narayan, K.M.; Nelson, E.L.; Neuhouser, M.L.; Nisar, M.I.; Ohkubo, T.; Oti, S.O.; Pedroza, A.; Prabhakaran, D.; Roy, N.; Sampson, U.; Seo, H.; Sepanlou, S.G.; Shibuya, K.; Shiri, R.; Shiue, I.; Singh, G.M.; Singh, J.A.; Skirbekk, V.; Stapelberg, N.J.; Sturua, L.; Sykes, B.L.; Tobias, M.; Tran, B.X.; Trasande, L.; Toyoshima, H.; van de Vijver, S.; Vasankari, T.J.; Veerman, J.L.; Velasquez-Melendez, G.; Vlassov, V.V.; Vollset, S.E.; Vos, T.;Wang, C.; Wang, X.; Weiderpass, E.; Werdecker, A.; Wright, J.L.; Yang, Y.C.; Yatsuya, H.; Yoon, J.; Yoon, S.J.; Zhao, Y.; Zhou, M.; Zhu, S.; Lopez, A.D.; Murray, C.J.; Gakidou, E. Global, regional and national prevalence of overweight and obesity in children and adults 1980-2013: A systematic analysis. Lancet. Vol. 384. Num. 9945. 2014. p. 766-781.

-Oliveira, M.L.; Santos, L.M.P.; Silva, E.N. Direct healthcare cost of obesity in Brazil: an application of the cost-of-illness method from the perspective of the public health system in 2011. PLoS One. Vol.10. Num. 4. 2015.

-Oliveira, N.; Coelho, G.M.O.; Cabral, M.C.; Bezerra, F.F.; Faerstein, E.; Canella, D.S. Association of body image (dis)satisfaction and perception with food consumption according to the NOVA classification: Pró-Saúde Study. Appetite. Vol. 144. 2019. p. 104464.

-Pereira, E.F.; Graup, S.; Lopes, A.S.; Borgatto, A.F.; Daronco, L.S.E. Percepção da imagem corporal de crianças e adolescentes com diferentes níveis socioeconômicos na cidade de Florianópolis, Santa Catarina, Brasil. Rev Bras Saúde Matern Infant. Vol. 9. Num. 3. 2009. p. 253-262.

-Rodgers, R.F.; Dubois, R.; Frumkin, M.R.; Robinaugh, D.J. A network approach to eating disorder symptomatology: Do desire for thinnessand fear of gaining weight play unique roles in the network? Body Image. Vol. 27. 2018. p. 1-9.

-Sabatini, F.; Ulian, M.D.; Perez, I.; Pinto, A.J.; Vessoni, A.; Aburad, L.; Benatti, F.B.; Lopes de Campos-Ferraz, P.; Coelho, D.; de Morais Sato, P.; Roble, O.J.; Unsain, R.F.; Schuster, R.C.; Gualano, B.; Scagliusi, F.B. Eating Pleasure in a Sample of Obese Brazilian Women: A Qualitative Report of an Interdisciplinary Intervention Based on the Health at Every Size Approach. J Acad Nutr Diet. Vol. 119. Num. 9. 2019. p. 1470-1482.

-Seidel, J.C.; Halberstadt, J. The global burden of obesity and the challenges of prevention. Ann Nutr Metab. Vol. 66. Supl. 2. 2015. p. 7-12.

-Siahpush, M.; Tibbits, M.; Shaikh, R.A.; Singh, G.; Kessler, A.S.; Huang T.T.K. Dieting increases the likelihood of subsequent obesity and BMI gain: results from a prospective study of an australian national sample. Int J Behav Med. Vol. 22. Num. 5. 2015. p. 662-671.

-Silva, W.R.; Neves, A.N.; Ferreira, L.; Campos, J.A.D.B.; Swami, V. A psychometric investigation of Brazilian Portuguese versions of the Caregiver Eating Messages Scale and Intuitive Eating Scale-2. Eat Weight Disord. 2018.

-Spoor, K.D.; Madanat, H. Relationship between Body Image Discrepancy and Intuitive Eating. Int Q Community Health Educ. Vol. 36. Num. 3. 2016. p. 189-197.

-Srour, B.; Fezeu, L.K.; Kesse-Guyot, E.; Allès, B.; Méjean, C.; Andrianasolo, R.M.; Chazelas, E.; Deschasaux, M.; Hercberg, S.; Galan, P.; Monteiro, C.A.; Julia, C.; Touvier, M. Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). BMJ. Vol. 365. 2019. p. 1451.

-Stunkard, A. J.; Sorensen, T.; Schlusinger, F. Use of the Danish Adoption Register for the study of obesity and thinness. InKety, S.S.; Rowland, L.P.; Sidman, R.L.; Matthysse, S.W. The genetics of neurological and psychiatric disorders. New York. Raven.1983. p. 115-20.

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

-Triola, M.F. Introdução à Estatística: atualização da tecnologia. 11ª edição. Rio de Janeiro. LTC. 2013. p. 707.

-Trudel-Guy, C.; Bédard, A.; Corneau, L.; Bélanger-Gravel, A.; Desroches, S.; Bégin, C.; Provencher, V.; Lemieux, S. Impact of pleasure-oriented messages on food choices: is it more effective than traditional health-oriented messages to promote healthy eating? Appetite. Vol. 143. 2019. p. 104392.

-Tylka, T.L.; Kroon Van Diest, A.M. The intuitive eating scale-2: item refinement and psychometric evaluation with college women and men. J Couns Psychol. Vol. 60. Num.1. 2013. p. 137-153.

-Ulian, M.D.; Aburad L.; Silva Oliveira, M,S.; Poppe, A.C.M.; Sabatini, F.; Perez, I.; Gualano, B.; Benatti, F.B.; Pinto, A.J.; Roble, O.J.; Vessoni, A.; Morais Sato, P.; Unsain, R.F.; Scagliusi, F.B. Effects of health at every size® interventions on health-related outcomes of people with overweight and obesity: a systematic review. Obesity Reviews. Vol. 19. 2018. p. 1689-1666.

-Van Dyke, N.; Drinkwater, E.J. Relationships between intuitive eating and health indicators: literature review. Public Health Nutr. Vol. 17. Num. 8. 2014. p. 1757-1766.

-Weinberger, N.A.; Kersting, A.; Riedel-Heller, S.G.; Luck-Sikorski, C. Body dissatisfaction in individuals with obesity compared to normal-weight individuals: a systematic review and meta-analysis. Obes Facts. Vol. 9. Num. 6. 2016. p. 424-441.

-World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva. 2000.

Published
2020-11-03
How to Cite
Lima, R. S. V., Silva, N. A., Recamonde, J. M. A. G., & Mendonça, P. da S. (2020). The relationship between intuitive eating and body dissatisfaction among people with excess weight. Brazilian Journal of Obesity, Nutrition and Weight Loss, 14(87), 661-670. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/1346
Section
Scientific Articles - Original