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