Yetişkinlerde Sezgisel Yeme ve Yeme Bozuklukları: Bir İlişki Analizi
Yıl 2023,
Cilt: 5 Sayı: 2, 151 - 161, 24.08.2023
Seda Çiftçi
,
Hülya Demir
,
Tansu Çalım
Öz
Aim: We aimed to investigate the relationship between eating disorders (EDs) and intuitive eating (IE) in adults.
Material and Method: In this cross-sectional study, a total of 200 adults aged 25-55 years were randomly selected. The Eating Attitude Test 40 (EAT 40) and the Intuitive Eating Scale-2 (IES-2) were used to evaluate eating attitudes and IE, respectively. Sociodemographic characteristics were also recorded.
Results: We found 38 participants with EDs and 162 participants without EDs. The IES-2 and its sub-dimensions scores did not differ significantly between participants with and without EDs. No significant correlation was observed between EAT-40 and IES-2 scores or IES-2 sub-dimensions scores. However, a significant negative correlation was found between Unconditional Permission to Eat (UPE) scores and age (r=-0.170, p<0.05).
Conclusion: The study suggests that EDs are not a cause or effect of IE. Participants with EDs did not tend towards IE, and IE scores were not lower in individuals prone to EDs. The lack of significant differences in IE and its sub-dimensions between the two groups suggests that IE may be a promising approach for individuals with or without EDs to improve their eating attitudes and behaviors.
Kaynakça
- Akırmak, Ü., Bakıner, E., Boratav, H. B., Güneri, G. (2021). Cross-cultural adaptation of the intuitive eating scale-2: psychometric evaluation in a sample in Turkey. Current Psychology, 40(3), 1083-1093. doi: 10.1007/s12144-018-0024-3
- Augustus-Horvath, C. L., Tylka, T. L. (2011). The acceptance model of intuitive eating: a comparison of women in emerging adulthood, early adulthood, and middle adulthood. Journal Of Counseling Psychology, 58(1), 110-125. doi: 10.1037/a0022129
- Barraclough, E. L., Hay-Smith, E. J. C., Boucher, S. E., Tylka, T. L., Horwath, C. C. (2019). Learning to eat intuitively: A qualitative exploration of the experience of mid-age women. Health Psychology Open, 6(1), 2055102918824064. doi:10.1177/2055102918824064
- Bas, M., Karaca, K. E., Saglam, D., Arıtıcı, G., Cengiz, E., Köksal, S., … Buyukkaragoz, A. H. (2017). Turkish version of the Intuitive Eating Scale-2: Validity and reliability among university students. Appetite, 114, 391-397. doi: 10.1016/j.appet.2017.04.017
- Bilici, S., Kocaadam-Bozkurt, B., Mortaş, H., Kucukerdonmez, O., Koksal, E. (2018). Intuitive eating in youth: Its relationship with nutritional status. Revista de Nutrição, 31, 557-565. doi: 10.1590/1678-98652018000600005
- Bray, G. A., Frühbeck, G., Ryan, D. H., Wilding, J. P. H. (2016). Management of obesity. The Lancet, 387(10031), 1947-1956. doi: 10.1016/S0140-6736(16)00271-3
- Bruce, L. J., Ricciardelli, L. A. (2016). A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite, 96, 454-472. doi: 10.1016/j.appet.2015.10.012
- Brytek-Matera, A., Czepczor-Bernat, K., Jurzak, H., Kornacka, M., Kołodziejczyk, N. (2019). Strict health-oriented eating patterns (orthorexic eating behaviours) and their connection with a vegetarian and vegan diet. Eating Weight Disords, 24(3), 441-452. doi:10.1007/s40519-018-0563-5
- Cadena-Schlam, L., López-Guimerà, G. (2014). Intuitive eating: an emerging approach to eating behavior. Nutrition Hospitalaria, 31(3), 995-1002. doi: 10.3305/nh.2015.31.3.7980
- Casadei, K., Kiel, J. (2022). Anthropometric Measurement. In StatPearls. Treasure Island (FL): StatPearls Publishing LLC.
- Fernandes, V., Rodrigues, F., Jacinto, M., Teixeira, D., Cid, L., Antunes, R., . . . Monteiro, D. (2023). How Does the Level of Physical Activity Influence Eating Behavior? A Self-Determination Theory Approach. Life, 13(2), 298.
- Gagnon-Girouard, M. P., Bégin, C., Provencher, V., Tremblay, A., Mongeau, L., Boivin, S., … Lemieux, S. (2010). Psychological impact of a "health-at-every-size" intervention on weight-preoccupied overweight/obese women. International Journal of Obesity, 2010. doi:10.1155/2010/928097
- Garner, D. M., Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9(2), 273-279. doi:10.1017/s0033291700030762
- Gast J, Campbell Nielson A, Hunt A, Leiker JJ. Intuitive eating: associations with physical activity motivation and BMI. American Journal of Health Promotion. 2015 Jan-Feb;29(3):e91-9. doi: 10.4278/ajhp.130305-QUAN-97.
- Hawks, S., Merrill, R. M., Madanat, H. N. (2004). The Intuitive Eating Scale: Development and Preliminary Validation. American Journal of Health Education, 35(2), 90-99. doi: 10.1080/19325037.2004.10603615
- Herbert, B. M., Blechert, J., Hautzinger, M., Matthias, E., Herbert, C. (2013). Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite, 70, 22-30. doi: 10.1016/j.appet.2013.06.082
- Horwath, C., Hagmann, D., and Hartmann, C. (2019). Intuitive eating and food intake in men and women: Results from the Swiss food panel study. Appetite, 135, 61-71.
- Keirns, N. G., Hawkins, M. A. W. (2019). The relationship between intuitive eating and body image is moderated by measured body mass index. Eating Behaviour, 33, 91-96. doi: 10.1016/j.eatbeh.2019.04.004
- Lee, M. F., Madsen, J., Williams, S. L., Browne, M., Burke, K. J. (2022). Differential effects of intuitive and disordered eating on physical and psychological outcomes for women with young children. Maternal And
Child Health Journal, 26(2), 407-414. doi: 10.1007/s10995-021-03251-y
- Madden, C. E. L., Leong, S. L., Gray, A., Horwath, C. C. (2012). 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 Nutrition, 15(12), 2272-2279. doi: 10.1017/S1368980012000882
- Özkan, N. and Bilici, S. (2021). Are anthropometric measurements an indicator of intuitive and mindful eating? Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 26. doi:10.1007/s40519-020-00904-9
- Park, E., Kim, W. H. (2022). A retrospective literature review of eating disorder research: application of bibliometrics and topical trends. International Journal of Environmental Research and Public Health, 19(13),
7710.
- Provencher, V., Bégin, C., Tremblay, A., Mongeau, L., Corneau, L., Dodin, S., . . . Lemieux, S. (2009). Health-At-Every-Size and eating behaviors: 1-year follow-up results of a size acceptance intervention. Journal of
American Dieteteics Association, 109(11), 1854-1861. doi: 10.1016/j.jada.2009.08.017
- Reichenberger, J., Schnepper, R., Arend, A. K., Blechert, J. (2020). Emotional eating in healthy individuals and patients with an eating disorder: evidence from psychometric, experimental and naturalistic studies. Proceedings of the Nutrition Society, 79(3), 290-299. doi: 10.1017/s0029665120007004
- Rodgers, R. F., O'Flynn, J. L., Bourdeau, A., Zimmerman, E. (2018). A biopsychosocial model of body image, disordered eating, and breastfeeding among postpartum women. Appetite, 126, 163-168. doi: 10.1016/j.appet.2018.04.007
- San Mauro Martín, I., Garicano Vilar, E., Romo Orozco, D. A., Mendive Dubourdieu, P., Paredes Barato, V., Rincón Barrado, M., . . . Garagarza, C. (2019). Hydration Status: Influence of Exercise and Diet Quality. American Journal of Lifestyle Medicine, 13(4), 414-423. doi:10.1177/1559827617711906
- Savaşır, I., Testi, E. (1989). Anoreksi Nervoza belirtileri indeksi. Psikoloji Dergisi, 7(23), 19-25.
- Tylka, T. L., Calogero, R. M., Daníelsdóttir, S. (2015). Is intuitive eating the same as flexible dietary control? Their links to each other and well-being could provide an answer. Appetite, 95, 166-175. doi: 10.1016/j.appet.2015.07.004
- Tylka, T. L., Kroon Van Diest, A. M. (2013). The Intuitive Eating Scale–2: Item refinement and psychometric evaluation with college women and men. Journal of Counseling Psychology, 60(1), 137.
- Van Dyke, N., Drinkwater, E. J. (2014). Relationships between intuitive eating and health indicators: literature review. Public Health Nutrition, 17(8), 1757-1766. doi: 10.1017/s1368980013002139
- van Strien, T., Herman, C. P., Verheijden, M. W. (2014). Dietary restraint and body mass change. A 3-year follow up study in a representative Dutch sample. Appetite, 76, 44-49. doi: 10.1016/j.appet.2014.01.015
- Warren, N., Smith, M., Ashwell. (2017). A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated potential mechanisms.
Nutrition Research Reviews 30 (2) 272-283. doi: 10.1017/s0954422417000154
Intuitive Eating and Eating Disorders Among Adults: A Relationship Analysis
Yıl 2023,
Cilt: 5 Sayı: 2, 151 - 161, 24.08.2023
Seda Çiftçi
,
Hülya Demir
,
Tansu Çalım
Öz
Aim: We aimed to investigate the relationship between eating disorders (EDs) and intuitive eating (IE) in adults.
Material and Method: In this cross-sectional study, a total of 200 adults aged 25-55 years were randomly selected. The Eating Attitude Test 40 (EAT 40) and the Intuitive Eating Scale-2 (IES-2) were used to evaluate eating attitudes and IE, respectively. Sociodemographic characteristics were also recorded.
Results: We found 38 participants with EDs and 162 participants without EDs. The IES-2 and its sub-dimensions scores did not differ significantly between participants with and without EDs. No significant correlation was observed between EAT-40 and IES-2 scores or IES-2 sub-dimensions scores. However, a significant negative correlation was found between Unconditional Permission to Eat (UPE) scores and age (r=-0.170, p<0.05).
Conclusion: The study suggests that EDs are not a cause or effect of IE. Participants with EDs did not tend towards IE, and IE scores were not lower in individuals prone to EDs. The lack of significant differences in IE and its sub-dimensions between the two groups suggests that IE may be a promising approach for individuals with or without EDs to improve their eating attitudes and behaviors.
Kaynakça
- Akırmak, Ü., Bakıner, E., Boratav, H. B., Güneri, G. (2021). Cross-cultural adaptation of the intuitive eating scale-2: psychometric evaluation in a sample in Turkey. Current Psychology, 40(3), 1083-1093. doi: 10.1007/s12144-018-0024-3
- Augustus-Horvath, C. L., Tylka, T. L. (2011). The acceptance model of intuitive eating: a comparison of women in emerging adulthood, early adulthood, and middle adulthood. Journal Of Counseling Psychology, 58(1), 110-125. doi: 10.1037/a0022129
- Barraclough, E. L., Hay-Smith, E. J. C., Boucher, S. E., Tylka, T. L., Horwath, C. C. (2019). Learning to eat intuitively: A qualitative exploration of the experience of mid-age women. Health Psychology Open, 6(1), 2055102918824064. doi:10.1177/2055102918824064
- Bas, M., Karaca, K. E., Saglam, D., Arıtıcı, G., Cengiz, E., Köksal, S., … Buyukkaragoz, A. H. (2017). Turkish version of the Intuitive Eating Scale-2: Validity and reliability among university students. Appetite, 114, 391-397. doi: 10.1016/j.appet.2017.04.017
- Bilici, S., Kocaadam-Bozkurt, B., Mortaş, H., Kucukerdonmez, O., Koksal, E. (2018). Intuitive eating in youth: Its relationship with nutritional status. Revista de Nutrição, 31, 557-565. doi: 10.1590/1678-98652018000600005
- Bray, G. A., Frühbeck, G., Ryan, D. H., Wilding, J. P. H. (2016). Management of obesity. The Lancet, 387(10031), 1947-1956. doi: 10.1016/S0140-6736(16)00271-3
- Bruce, L. J., Ricciardelli, L. A. (2016). A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite, 96, 454-472. doi: 10.1016/j.appet.2015.10.012
- Brytek-Matera, A., Czepczor-Bernat, K., Jurzak, H., Kornacka, M., Kołodziejczyk, N. (2019). Strict health-oriented eating patterns (orthorexic eating behaviours) and their connection with a vegetarian and vegan diet. Eating Weight Disords, 24(3), 441-452. doi:10.1007/s40519-018-0563-5
- Cadena-Schlam, L., López-Guimerà, G. (2014). Intuitive eating: an emerging approach to eating behavior. Nutrition Hospitalaria, 31(3), 995-1002. doi: 10.3305/nh.2015.31.3.7980
- Casadei, K., Kiel, J. (2022). Anthropometric Measurement. In StatPearls. Treasure Island (FL): StatPearls Publishing LLC.
- Fernandes, V., Rodrigues, F., Jacinto, M., Teixeira, D., Cid, L., Antunes, R., . . . Monteiro, D. (2023). How Does the Level of Physical Activity Influence Eating Behavior? A Self-Determination Theory Approach. Life, 13(2), 298.
- Gagnon-Girouard, M. P., Bégin, C., Provencher, V., Tremblay, A., Mongeau, L., Boivin, S., … Lemieux, S. (2010). Psychological impact of a "health-at-every-size" intervention on weight-preoccupied overweight/obese women. International Journal of Obesity, 2010. doi:10.1155/2010/928097
- Garner, D. M., Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9(2), 273-279. doi:10.1017/s0033291700030762
- Gast J, Campbell Nielson A, Hunt A, Leiker JJ. Intuitive eating: associations with physical activity motivation and BMI. American Journal of Health Promotion. 2015 Jan-Feb;29(3):e91-9. doi: 10.4278/ajhp.130305-QUAN-97.
- Hawks, S., Merrill, R. M., Madanat, H. N. (2004). The Intuitive Eating Scale: Development and Preliminary Validation. American Journal of Health Education, 35(2), 90-99. doi: 10.1080/19325037.2004.10603615
- Herbert, B. M., Blechert, J., Hautzinger, M., Matthias, E., Herbert, C. (2013). Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite, 70, 22-30. doi: 10.1016/j.appet.2013.06.082
- Horwath, C., Hagmann, D., and Hartmann, C. (2019). Intuitive eating and food intake in men and women: Results from the Swiss food panel study. Appetite, 135, 61-71.
- Keirns, N. G., Hawkins, M. A. W. (2019). The relationship between intuitive eating and body image is moderated by measured body mass index. Eating Behaviour, 33, 91-96. doi: 10.1016/j.eatbeh.2019.04.004
- Lee, M. F., Madsen, J., Williams, S. L., Browne, M., Burke, K. J. (2022). Differential effects of intuitive and disordered eating on physical and psychological outcomes for women with young children. Maternal And
Child Health Journal, 26(2), 407-414. doi: 10.1007/s10995-021-03251-y
- Madden, C. E. L., Leong, S. L., Gray, A., Horwath, C. C. (2012). 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 Nutrition, 15(12), 2272-2279. doi: 10.1017/S1368980012000882
- Özkan, N. and Bilici, S. (2021). Are anthropometric measurements an indicator of intuitive and mindful eating? Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 26. doi:10.1007/s40519-020-00904-9
- Park, E., Kim, W. H. (2022). A retrospective literature review of eating disorder research: application of bibliometrics and topical trends. International Journal of Environmental Research and Public Health, 19(13),
7710.
- Provencher, V., Bégin, C., Tremblay, A., Mongeau, L., Corneau, L., Dodin, S., . . . Lemieux, S. (2009). Health-At-Every-Size and eating behaviors: 1-year follow-up results of a size acceptance intervention. Journal of
American Dieteteics Association, 109(11), 1854-1861. doi: 10.1016/j.jada.2009.08.017
- Reichenberger, J., Schnepper, R., Arend, A. K., Blechert, J. (2020). Emotional eating in healthy individuals and patients with an eating disorder: evidence from psychometric, experimental and naturalistic studies. Proceedings of the Nutrition Society, 79(3), 290-299. doi: 10.1017/s0029665120007004
- Rodgers, R. F., O'Flynn, J. L., Bourdeau, A., Zimmerman, E. (2018). A biopsychosocial model of body image, disordered eating, and breastfeeding among postpartum women. Appetite, 126, 163-168. doi: 10.1016/j.appet.2018.04.007
- San Mauro Martín, I., Garicano Vilar, E., Romo Orozco, D. A., Mendive Dubourdieu, P., Paredes Barato, V., Rincón Barrado, M., . . . Garagarza, C. (2019). Hydration Status: Influence of Exercise and Diet Quality. American Journal of Lifestyle Medicine, 13(4), 414-423. doi:10.1177/1559827617711906
- Savaşır, I., Testi, E. (1989). Anoreksi Nervoza belirtileri indeksi. Psikoloji Dergisi, 7(23), 19-25.
- Tylka, T. L., Calogero, R. M., Daníelsdóttir, S. (2015). Is intuitive eating the same as flexible dietary control? Their links to each other and well-being could provide an answer. Appetite, 95, 166-175. doi: 10.1016/j.appet.2015.07.004
- Tylka, T. L., Kroon Van Diest, A. M. (2013). The Intuitive Eating Scale–2: Item refinement and psychometric evaluation with college women and men. Journal of Counseling Psychology, 60(1), 137.
- Van Dyke, N., Drinkwater, E. J. (2014). Relationships between intuitive eating and health indicators: literature review. Public Health Nutrition, 17(8), 1757-1766. doi: 10.1017/s1368980013002139
- van Strien, T., Herman, C. P., Verheijden, M. W. (2014). Dietary restraint and body mass change. A 3-year follow up study in a representative Dutch sample. Appetite, 76, 44-49. doi: 10.1016/j.appet.2014.01.015
- Warren, N., Smith, M., Ashwell. (2017). A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated potential mechanisms.
Nutrition Research Reviews 30 (2) 272-283. doi: 10.1017/s0954422417000154