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Assess the impact of a weight-inclusive podcast (WIP) intervention on body appreciation, intuitive eating (IE), anti-fat attitudes, and weight and health attitudes in university students enrolled in an upper-division nutrition course. Quasi-experimental design: Intervention participants listened to 8 weekly WIP episodes (n = 16); the comparison group listened to 8 weekly general nutrition podcasts (n = 29). Intuitive eating, body appreciation, anti-fat attitudes, and general weight and health attitudes were measured preintervention and postintervention. Two-way, repeated measures analysis of variance revealed significant interaction effects of time × group, with participants in the WIP group experiencing significantly greater improvements in body appreciation (P = 0.03) and IE (P = 0.02) and greater reductions in anti-fat attitude scores (P = 0.006) than the comparison group. Podcasts may be a cost-effective tool to improve body appreciation and IE and reduce anti-fat attitudes in future nutrition professionals. Future research would benefit from recruiting prehealth professionals across different majors. [ABSTRACT FROM AUTHOR]

The Preference for Intuition and Deliberation in Food Decision-Making Scale (E-PID) was developed to evaluate both intuitive and deliberative food decision-making within a single instrument. However, its psychometric properties have only been assessed among German-speaking participants. The main aim of the present study was to evaluate evidence of validity and reliability of the E-PID among 604 Brazilian adult women. Exploratory (n = 289) and confirmatory factor analyses (n = 315) were conducted to evaluate the factor structure of the E-PID. Convergent validity was assessed correlating the E-PID with measures of eating behaviors (Tree-Factor Eating Questionnaire-18), intuitive eating (Intuitive Eating Scale-2), and a measure of beliefs and attitudes towards food (Food-Life Questionnaire-SF). McDonald's Omega coefficient (ω) was used to test the internal consistency of the E-PID. Results from an exploratory and confirmatory factor analysis supported a two-factor structure with seven items. We found good internal consistency (McDonald's ω = 0.77–0.81). Furthermore, the E-PID demonstrated adequate convergent validity with measures of intuitive, restrictive, emotional and uncontrolled eating, and beliefs and attitudes towards food. Results support the use of the E-PID as a measure of intuition and deliberation in food decision-making among Brazilian adult women, expanding the literature on eating decision-making styles. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the association between intuitive eating and health outcomes in patients with type 2 diabetes in a cross-sectional study. Methods: Consecutively, outpatients attending at university hospital underwent clinical, laboratory, lifestyle, and eating behavior evaluations. Intuitive eating was assessed using the Intuitive Eating Scale-2 (IES-2), and the Three Factor Eating Questionnaire-21 was adopted as a confirmatory tool for disordered eating behavior. Optimized health outcomes were considered according to the American Diabetes Association criteria for BMI, HbA1c, lipid profile, and blood pressure values, and the International Diabetes Federation criteria for waist circumference. Considering the answers of the IES-2 items, patients were grouped by latent class analysis, and their characteristics were compared by appropriate tests. Results: In total, 267 patients were evaluated: 62.2% women, with 60 (53–65) years, BMI 31.9 ± 5.4 kg/m², diabetes duration of 16 ± 9 years, HbA1c 8.5 ± 1.5%, and an IES-2 total score of 58 (50–67)%. Three intuitive eating groups were identified: higher intuitive eating, nonemotional-oriented coping, and lower intuitive eating. Patients with higher intuitive eating have higher chances of having optimized BMI and serum triglycerides values compared to patients with lower intuitive eating. Also, the 10-point increase on IES-2 was associated with a 0.62 kg/m² reduction on BMI values (95%CI -1.18;-0.06), 1.90 cm on waist circumference (95%CI -3.26;-0.54), and 23 mg/dL in serum triglycerides values (95%CI -38.27;-7.40) after adjustment for age, sex, psychotropic drug use, medication effect score, smoking, and BMI. Conclusion: Intuitive eating seems to be associated with optimized health outcomes and may contribute to better personalized interventions in nutritional treatment that promote adaptive behaviors in diabetes management, but should be tested. [ABSTRACT FROM AUTHOR]

Since the start of the war in Ukraine, almost 8 million people left the country; more than 1 million of them relocated to Germany. It is to be expected that the war puts considerable strain on refugees, which will impact the public health system in host countries. This paper presents baseline data and protocol of longitudinal online experimental study of 619 Ukrainian refugees in Germany started in autumn 2022, focusing on participants' self‐reports of appetite, food intake, and levels of stress, anxiety, and depressive symptoms to examine their associations. Results indicate that levels of stress, anxiety, and depressive symptoms in refugees significantly exceed the indicators of relevant parameters as reported by independent large‐scale surveys conducted in Ukraine before the war as well as strong correlations between these deviations (.59 ≤ r ≤.69, p =.005). Changes in appetite were related to more severe psycho‐emotional deviations (.15 ≤ r ≤.19, p =.003) and somewhat unhealthier food intake (r = −.08, p <.001). The study underlines the need of psychological care for refugees to improve their mental health and counteract potential negative consequences for physical health via changes in food intake, for which suitable interventions need to be developed. [ABSTRACT FROM AUTHOR]

Copyright of Istanbul Gelisim University Journal of Health Sciences / İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi is the property of Istanbul Gelisim Universitesi Saglik Bilimleri Yuksekokulu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study analyzed the attitudes related to eating and determine the prevalence of risk of developing eating disorders (ED) among military students. A secondary objective was to compare prevalence between demographic data and establish the effect of intuitive eating and exercise practice on ED risk. A sample of 256 male military undergraduate and graduate students at the School of Physical Education of the Army answered the Eating Attitudes Test (EAT-26) and Intuitive Eating Scale 2 (IES-2) questionnaires, as well questions regarding age, marital status, the military branch in the Brazilian Army, self-reported body mass and stature, and level of physical activity (Kasari Fit Index). A Kruskal-Wallis test was used to assess factor scores of EAT- 26 and IES-2 total scores among the intensity of self-reported physical activity. A multiple linear regression analysis (forward method) was performed to investigate the extent to which the intuitive eating factors impacted eating disorders risk. Results showed that 4.9% of military students were at risk of developing an ED. Significant difference was found for frequency of exercise practice for EAT total score (U=4375.5, p=0.04, r=0.14) and at UPE (U=3988.5, p=0.005, r=0.19). No significant differences were observed within EAT-26 scores among demographic data. Intuitive eating factors (UPE, BFCC and EPR) showed a significant influence on ED attitudes (F(3, 228)=39.78, p< 0.001; R2adjusted=0.27). In conclusion these findings pointed to a high prevalence of ED risk in military students, and that intuitive eating had a protective impact; however, the practice of exercise does not seem to influence it.

Introduction: This article reviews a number of studies that have sought to determine what are risk factors that may cause eating disorders in the pediatric population, taking into account the age and gender of the subjects. This study focuses on issues related to purging, bulimic behaviors, and psychological orthorexia and what impact the most common risk factors for these behaviors have in the pediatric population. Aim of study: The aim of the study is to present a comprehensive review of some of the most common risk factors predisposing to the development of eating disorders in the pediatric population, and how these factors have a direct impact on each other and are intertwined, by using available knowledge, paying particular attention to a new potential risk factor - social media. Materials and methods: Materials used in this study were found in the PubMed database, using the following keywords: „Social media", „Mass media", „Peers", „Family", „Orthorexia nervosa", „Social media", „Children", „Adolescence". Conclusion: Eating disorders are a growing problem. Our research focuses on potential risk factors, with the greatest emphasis on a relatively new risk factor: social media and screen time, and how these two factors influence young minds, what impact they have on the eating habits of children and adolescents, and what can be done to prevent eating disorders in the pediatric population. [ABSTRACT FROM AUTHOR]

Background: The recurrence of weight gain is attributed to the homeostatic regulation of hunger and satiety signals, influenced by metabolic state, nutrient availability, and non-homeostatic mechanisms shaped by reinforced consequences from experiences. In response, Evelyn Tribole and Elyse Resch proposed Intuitive Eating (IE) in 1980, countering restrictive diets. IE, inversely correlated with Body Mass Index (BMI), binge eating, and anxiety/depression symptoms, fosters mind–body-food harmony by recognizing hunger and satiety cues. IE encourages meeting physiological, not emotional, needs, permitting unconditional eating, and relying on internal signals for food decisions. Amidst university students' stress, exacerbated during the COVID-19 pandemic, understanding their eating behavior, particularly intuitive eating levels, becomes crucial. Objective: This study aimed to assess the IE level of Brazilian students during the COVID-19 pandemic. Methods: This cross-sectional study, the first to analyze the Intuitive Eating of students in Brazil during the pandemic, was conducted using an online questionnaire. Results: The sample comprised 1335 students, most of whom were women (82.17%), with a mean age of 26.12 ± 7.9 years, and a healthy nutritional status (57.58%). The mean IE score was 3.2 ± 0.6. A significant association was found between the confinement situation, the type of housing unit, and the IE subscale-Unconditional Permission to Eat (p = 0.043). However, there was no association between the other subscales and the total IE scale. Regarding self-reported mental and eating disorders, the most frequent were anxiety (21.2%), depression (6.5%), and binge eating disorder (BED) (4.7%). IE was negatively associated with BED (B = − 0.66; p <.001), bulimia nervosa (B = − 0.58; p <.001), body mass index (BMI) (p <.001) and self-reported anxiety (B = −.102; p = 0.16). The male sex showed a higher IE score compared with the female sex (p <.001). Conclusion: While no significant association was found between IE and the confinement situation, a significant association was found between housing type and the Unconditional Permission to Eat subscale. [ABSTRACT FROM AUTHOR]

The dimensional Yale Food Addiction Scale for Children 2.0 (dYFAS-C 2.0) was developed to provide a reliable psychometric measure for assessing food addiction in adolescents, in accordance with the updated addiction criteria proposed in the fifth edition of the Diagnostic and Statistical Manual (DSM-5). The present study aimed to evaluate the psychometric properties of the dYFAS-C 2.0 among Portuguese adolescents and pre-adolescents and to explore the relationship between food addiction and other eating behaviors such as grazing and intuitive eating. The participants were 131 Portuguese adolescents and pre-adolescents (53.4% female and 46.6% male) aged between 10 and 15 years (Mage = 11.8) and with a BMI between 11.3 and 35.3 (MBMI z-score = 0.42). Confirmatory Factor Analysis demonstrated an adequate fit for the original one-factor model (χ2 (104) = 182; p < 0.001; CFI = 0.97; TLI = 0.97; NFI = 0.94; SRMR = 0.101; RMSEA = 0.074; 95% CI [0.056; 0.091]). Food addiction was positively correlated with higher grazing (r = 0.69, p < 0.001) and negatively correlated with lower reliance on hunger/satiety cues (r = −0.22, p = 0.015). No significant association was found between food addiction and BMI z-score, or between food addiction and age. The results support the use of dYFAS-C 2.0 as a valid and reliable measure for assessing food addiction in Portuguese adolescents and pre-adolescents. Furthermore, the findings highlight that food addiction may be part of a spectrum of disordered eating behaviors associated with control impairment. Future research with a larger sample size could further elucidate the associations between food addiction and other variables, such as psychological distress and multi-impulsive spectrum behaviors. [ABSTRACT FROM AUTHOR]

Background: We explored change in child appetitive traits from 5 to 9–11 years old and examined associations between appetitive traits at both timepoints and child diet quality. Methods: This is secondary analyses of the ROLO longitudinal birth cohort study, including mother-child dyads from the 5 and 9–11-year old follow-up. The Children's Eating Behaviour Questionnaire measured child appetitive traits, with 167 children having matched data for both timepoints. The Healthy Eating Index (HEI) measured diet quality. Linear mixed models and multiple linear regression were completed. Results: Mean (SD) score for 'Emotional Overeating' (1.63 (0.51) vs. 1.99 (0.57), p = <0.001) and 'Enjoyment of Food' (3.79 (0.72) vs. 3.98 (0.66), p = <0.001) increased from 5 to 9–11 years. Mean score for 'Desire to Drink' (2.63 (0.94) vs. 2.45 (0.85), p = 0.01), 'Satiety Responsiveness (3.07 (0.66) vs. 2.71 (0.66), p = <0.001), 'Slowness Eating' (3.02 (0.77) vs. 2.64 (0.78), p = <0.001), and 'Food Fussiness' (3.00 (1.04) vs. 2.81 (0.96), p = 0.001) decreased. At 5-years-old, 'Food Responsiveness' and 'Enjoyment of Food' were positively associated with HEI and 'Desire to Drink', 'Satiety Responsiveness' and 'Food Fussiness' were negatively associated with HEI. At 9–11-years, 'Enjoyment of Food' was positively and 'Desire to Drink' and 'Food 'Fussiness' were negatively associated with HEI. Conclusions: Food approach appetitive traits increased over time, whereas food avoidant appetitive traits tended to decrease. At both time points 'Food Fussiness' and 'Desire to Drink" were inversely associated with HEI. Further research on how appetitive traits track over childhood and how this relates to dietary quality and weight is warranted. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Unhealthy diet is an important factor in the formation of obesity. In recent years, the relationship between the concepts of intuitive eating and hedonic hunger and obesity has begun to be investigated. Objectives: The aim of this study is to evaluate the effects of intuitive eating and hedonic hunger on mental health, sleep quality and body mass index. Methods: In this cross-sectional study, a questionnaire including demographic and general health information, dietary habits, height and body weight measurements was administered to 62 female and 38 male university students aged 1836 years. The questionnaire also included the Intuitive Eating Scale, the Food Power Scale, the Food Craving Questionnaire, the Pittsburg Sleep Quality Scale, the Warwick-Edinburgh Mental Well-Being Scale, and the Motivation to Eat Deliciously Scale. Number, percentage, mean and standard deviation values were calculated in the evaluation of the data. The relationships between variables were analyzed by independent samples T test, Pearson correlation and regression analyses. Results: A positive correlation was found between intuitive eating, hedonic hunger (r=0.332, p<0.01) and mental wellbeing (r=0.375, p<0.01). Intuitive eating was found to be negatively correlated with food cravings (r=-0.413, p<0.01) and body mass index (r=-0.202, p<0.05). It was found that 28.7% (R² adjusted=0.287) of the variance of the intuitive eating score was explained by hedonic hunger, food craving and body mass index. Conclusions: Intuitive eating was associated with hedonic hunger, cravings, mental well-being, and body mass index. In addition, poor sleep quality supports hedonic hunger. [ABSTRACT FROM AUTHOR]

Aims/BackgroundDesign/MethodResultsConclusionSocial pressure to ‘bounce back’ and unrealistic body expectations place postpartum women at risk of body image dissatisfaction, depressive symptomology, and disordered eating. Prior research suggests that intuitive eating may reduce these risks. This study replicated a previous 2016 study between intuitive eating, postpartum depression, disordered eating, and body image satisfaction.Women over 18 who had given birth in the last four years were recruited through social media to complete an online survey. The final sample comprised 163 women aged between 21 and 42 years (M = 33.61, SD = 4.59) who were between one and 208 weeks postpartum (M = 78.27, SD = 53.40).Correlation analyses revealed significant negative associations between intuitive eating and body dissatisfaction, disordered eating, depression, and BMI. A hierarchical multiple linear regression demonstrated that body image dissatisfaction significantly predicted 29% of the variance in intuitive eating scores after controlling for BMI, disordered eating, and postpartum depression F(4, 133) = 68.71, p < .001. Body image dissatisfaction fully mediated the relationships between intuitive eating and disordered eating (c’ = -0.01, p = .359), and depression (c’ = 0.01, p = .427). There was a significant reduction in body dissatisfaction scores in the present sample compared to the 2016 cohort t(292.87) = 3.38, p < .001.These findings highlight the central role of body image and intuitive eating in postpartum wellbeing and emphasise the need for tailored interventions promoting realistic postpartum body expectations and adaptive eating behaviours. [ABSTRACT FROM AUTHOR]

Training interoceptive sensitivity (IS) might be a first step in effectively promoting intuitive eating (IE). A dyadic interoception-based pilot randomized controlled trial was conducted to increase IE among couples aged 50+. The training consisted of three exercises, a Body Scan (BS), a hunger exercise (HU), and a satiety (SA) exercise. This study explored how spouses accepted the (dyadic vs. single) training. In a mixed-methods convergence design, the findings of a survey (n = 68 couples) and focus groups (n = 4) were synthesized. Moderate general acceptance (e.g., regarding feasibility and low burden) and a hierarchical gradient in favor of the BS (e.g., pleasantness and improved sleep quality) emerged. Barriers concerned a perceived lack of the exercises' usefulness and a limited understanding of the training purpose. A wish for regular feedback and exchange with the study stuff and other participants was expressed. Spousal training involvement was experienced as being rather beneficial. Previously harmonized dietary practices and daily routines appeared as constructive pre-conditions for the joint training. This study highlights the potential and implications of training couples in IS. Future interventions should involve a regular exchange and closer guidance by study staff to promote a better understanding of the processes and goals of IS and IE. [ABSTRACT FROM AUTHOR]

COVID-19 exacerbated burnout and mental health concerns among the healthcare workforce. Due to high work stress, demanding schedules made attuned eating behaviors a particularly challenging aspect of self-care for healthcare workers. This study aimed to examine the feasibility and acceptability of a heart rate variability biofeedback (HRVB) mobile app for improving well-being among healthcare workers reporting elevated disordered eating during COVID-19. We conducted a mixed methods pre-mid-post single-arm pilot feasibility trial (ClinicalTrials.gov NCT04921228). Deductive content analysis of participants' commentary generated qualitative themes. Linear mixed models were used to examine changes in pre- mid- to post-assessment scores on well-being outcomes. We consented 28 healthcare workers (25/89% female; 23/82% Non-Hispanic White; 22/79% nurses) to use and evaluate an HRVB mobile app. Of these, 25/89% fully enrolled by attending the app and device training; 23/82% were engaged in all elements of the protocol. Thirteen (52%) completed at least 10 min of HRVB on two-thirds or more study days. Most participants (18/75%) reported being likely or extremely likely to continue HRVB. Common barriers to engagement were busy schedules, fatigue, and technology difficulties. However, participants felt that HRVB helped them relax and connect better to their body's signals and experiences. Results suggested preliminary evidence of efficacy for improving interoceptive sensibility, mindful self-care, body appreciation, intuitive eating, stress, resilience, and disordered eating. HRVB has potential as a low-cost adjunct tool for enhancing well-being in healthcare workers through positively connecting to the body, especially during times of increased stress when attuned eating behavior becomes difficult to uphold. [ABSTRACT FROM AUTHOR]

In this study, it was aimed to determine the relationship between physical activity and intuitive eating (IE) and mindful eating (ME) in university students. The "International Physical Activity Short Form", "Mindful Eating Test (MET)" and "Intuitive Eating Scale (IES)" were applied by questioning the demographic characteristics, anthropometric measurements, health information and nutritional habits of 255 university students studying in Health and Sports sciences. Among the students whose mean age is 20.34±2.06, 86.7% of the students who are in health science are female, and 67.7% of them, who are in sports sciences are male (p<0.05). Students (51.4%) with normal Body Mass Index (BMI) consume three main meals and go on a diet for aesthetic reasons. Eating discipline (ED), emotional eating (EE), and intuitive eating total (IET) scores are higher in females, while control of eating (EC) scores are higher in males (p<0.05). Intuitive eating total score, reliance on hunger and satiety cues (RHSC), unconditional permission to eat (UPE) and EC cores are positively related to BMI. Students who are physically inactive have higher IET score, RHSC, body-food choice congruence, focusing and ED, and those who do adequate physical activity have higher eating control scores (p<0.05). Mindful eating total score and sub-dimensions are positively correlated with the score of all sub-dimensions except UPE, which is one of the sub-dimensions of IE (p<0.05). In addition, as the UPE score increases, the total scores of disinhibitions, ED, focusing, interference, EE, and ME decrease (p<0.05). In conclusion, ME and IE are positively related to each other. It is understood that adequate and balanced nutrition along with being physically active at the same time is quite important for younger individuals to be healthier. [ABSTRACT FROM AUTHOR]

Nutritional problems can be seen in children living separated from their families. This cross-sectional pilot study aimed to evaluate intuitive eating, diet quality, and nutritional status of children living separated from their families. A total of 55 adolescent girls aged 12–18 years participated in the study. Anthropometric measurements, biochemical data, and 24-h dietary recall data were collected. The Intuitive Eating Scale-2 (IES-2) and the Turkish version of the Healthy Lifestyle-Diet (HLD-TR) index were used. Participants were divided into two groups according to their scores on the diet quality index using the 50th percentile. Group 1 consisted of participants with a score of 25 points or less, and Group 2 consisted of participants with a score above 25 points. Waist circumference (72.0 (66–83), 65.0 (60–77)) was significantly higher in Group 1 (P < 0.05). IES–2 score (3.05 (2.85–3.40), 3.30 (3.12–3.90)) and two sub–factors; reliance in hunger and satiety cues (2.80 (1.80–3.40), 4.00 (2.60–4.60)) and body–food choice congruence (2.50 (2.00–3.50), 3.50 (3.00–4.50)) were higher in Group 2 (P < 0.05). After adjustment for body mass index, age, and energy intake, there was a significant positive correlation between IES-2 and HLD-TR scores (P = 0.029). In conclusion, it may be advantageous to resort to strategies that promote intuitive eating to reduce obesity and associated problems in this vulnerable group. [ABSTRACT FROM AUTHOR]

The Intuitive Eating Scale‐2 (IES‐2) is a measure of intuitive eating behaviors that has been extensively validated, with traditional latent variable modeling approaches, in youth and adults from many different populations, including college students in China. However, there is still a lack of research on the psychometric properties of the IES‐2 in adults from the Chinese general population. Moreover, psychometric network analysis, as a complement to traditional latent variable modeling approaches, has not been used for examining the psychometric properties of the IES‐2. Thus, the present study used a psychometric network approach to evaluate the psychometric properties of the IES‐2 in Chinese adults from the general population. A sample of 700 Chinese general adults (50% women; Mage = 31.13 years, SD = 9.19) recruited online were included in the present study. Psychometric network analysis was performed. Exploratory graph analysis (EGA) identified four dimensions, which were well separated in the estimated network. The network structure showed excellent stability and metric measurement invariance (i.e., network loadings) across men and women. Furthermore, several items on the IES‐2 were identified as key nodes in the network of the IES‐2 that may be important for the development and maintenance of intuitive eating. For example, two items (i.e., "I trust my body to tell me when to eat," and "I trust my body to tell me when to stop eating") related to reliance on body cues were the most impactful nodes in the complete network. The findings of our study provide a greater understanding of the IES‐2 from the perspective of network analysis and have implications for applications of intuitive eating interventions for general populations. [ABSTRACT FROM AUTHOR]

Introduction: The social isolation imposed by the COVID-19 pandemic has contributed to a sedentary lifestyle and increased the consumption of ultra-processed foods. Objective: To evaluate the consumption of unhealthy foods and their connection with levels of stress, anxiety and sleep quality in students of a Higher Education Institution during the Covid-19 quarantine period. Materials and Methods: Cross-sectional study, with university academics. The following variables were evaluated: sociodemographic and clinical; changes in behavior related to lifestyle during the pandemic and food consumption through the instrument of the Food and Nutritional Surveillance System (SISVAN). Statistical analysis was performed using the SPSS® version 21 program, with p<0.05 being considered statistically significant. Results and discussion: 130 students participated, 88.7% female, mean age 25 (±7.6) years. Among the participants, 43.9% reported weight gain and 18.5% weight loss in this period. Consumption of fried and salty foods for two days or more was associated with reduced sleep quality and higher prevalence of stress and anxiety levels (p<0.05). Conclusion: The association found between consumption of unhealthy foods and increased levels of stress, anxiety and reduced quality of sleep, highlight the close relationship between emotional triggers and food choices. This reinforces the importance of nutritional education with a view to eating behavior, aiming at intuitive eating in the face of stressful situations. [ABSTRACT FROM AUTHOR]

Objective: This study evaluated interoceptive sensibility, intuitive and disordered eating among bariatric candidates, operated individuals and individuals with obesity seeking non‐surgical treatment. Method: We recruited 57 individuals with obesity seeking nonsurgical weight‐loss (IOB), 84 bariatric candidates (Pre) and 22 individuals post‐bariatric surgery (Post) who responded to questionnaires: Multidimensional Assessment of Interoceptive Awareness, Intuitive Eating Scale‐2 (IES‐2), Dutch Eating Behaviour Questionnaire, Binge Eating Scale, State‐Trait Anxiety Inventory, Beck's Depression Inventory. Results: Overall, the Post group manifested higher scores on 'Body‐Listening' (F = 4.95, p = 0.01), 'Emotional Awareness' (F = 8.83, p < 0.001) and 'Trusting' (F = 6.71, p = 0.002) interoceptive dimensions, on the IES‐2 total score (F = 5.48, p = 0.007) and 'Reliance on hunger and satiety cues' (F = 31.3, p < 0.001) when age was controlled. The IOB group presented higher scores on emotional (F = 3.23, p = 0.047) and binge eating (F = 5.99, p = 0.004). Among operated individuals, intuitive eating mediated the relationship between interoceptive sensibility dimensions and binge eating: 'Attention regulation' (54%) 'Self‐regulation' (75.1%), 'Body listening' (94.09%) and 'Trusting' (84.9%). Conclusions: Our results suggest the therapeutic potential of interoceptive sensibility and intuitive eating in obesity management in/beyond the bariatric context. Highlights: Few studies address interoceptive sensibility, disordered and intuitive eating in relation to obesity management in and beyond the bariatric context.The present study assessed and demonstrated group differences and interrelations between interoceptive sensibility dimensions, disordered and intuitive eating among bariatric candidates, operated individuals and individuals with obesity seeking nonsurgical weight loss.Interoceptive sensibility and intuitive eating appear to be promising psychotherapeutic targets in disordered eating and weight management in obesity and obesity surgery. [ABSTRACT FROM AUTHOR]

Abstract Objective Intuitive eating is an eating behavior that has recently come to use mainly in the young population. Knowing that the Lebanese cultural diet differs from other countries, the purpose of this study was to investigate if there is a relationship between self-esteem, interoceptive awareness, and motivation for healthy eating in a sample of Lebanese adults using a Latent Profile Analysis approach. Design Cross-sectional study. Setting Lebanese governorates. Participants 359 Lebanese participants enrolled in this study (mean age: 22.75 ± 7.04 years, 40.1% males), through convenience sampling in several Lebanese governorates. Participants were asked to fill anonymously the following scales: The Intuitive Eating Scale (IES-2), the Rosenberg Self-Esteem Scale, the Multidimensional Assessment of Interoceptive Awareness Scale (MAIA), and the Motivation for Healthy Eating Scale (MHES). Results Our findings revealed four profiles: profile 1 (n = 67; 18.66%) characterized by high SE and intermediate interoceptive awareness and motivation for healthy eating; profile 2 (n = 86; 23.97%) presented high SE, interoceptive awareness, and motivation for healthy eating; profile 3 (n = 86; 23.96%) characterized by high SE, interoceptive awareness, and motivation for healthy eating; class 4 (n = 108; 30.08) described by low SE, intermediate interoceptive awareness, and motivation for healthy eating One-way analysis of variance did not observe a significant difference between the four profiles based on intuitive eating (F = 1.810; p = 0.145; ɳp2 = 0.015). Conclusions Among a sample of Lebanese people, four profiles of interoceptive awareness, motivation for healthy eating, and self-esteem were observed, with no difference concerning intuitive eating.

Lean bodybuilder athletes may encounter challenges in adapting their eating habits during ad libitum refeed, either intuitively or consciously. Aims: This paper investigates whether there is a relationship between adaptive eating and energy intake coping strategies in a refeed model for bodybuilders. Methods: Fourteen male bodybuilders (29.6 ± 3.1 years; 85.6 ± 6.8 kg, ≥6 competitions) completed a 4-week regimen consisting of 5 days of energy restriction followed by 2 days of refeed. Dietary assessment, body composition (ultrasound), recovery stress questionnaire (REST-Q) and Brunel mood scale (BRUMS) were utilized pre- and post-regimen. Coping function questionnaire (CFQ), mindful eating scale version 2 (MES 2) and the intuitive eating scale-2 (IES-2) were evaluated at the 4th week. Results: Compared to the initial values, the refeed day resulted in a daily caloric increase of 44% compared to the average energy intake on the energy restriction days, culminating in a weekly calorie deficit of 27% and a drop in body mass of 3.1 ± 1.4%. Most participants showed reduced body fat and preserved or gained lean mass. The energy consumption during the refeed maintained an inverse relationship with the perception of satiety (r = −0.9; p < 0.01), the IES 2 total scores (r = −0.82; p < 0.01), as well as the confidence in hunger and satiety cues (r = −0.62; p = 0.02) and congruence in food–body choice dimensions (r = −0.56; p = 0.04). Emotional coping maintained an inverse relationship with the IES 2 total scores (r = 0.54; p < 0.05) and an inverse relationship with energy intake during refeed (r = −0.42; p < 0.05). Conclusion: The results suggest that a heightened perception of internal hunger and satiety signals and higher scores in intuitive eating may contribute to adequate energy intake, even when high scores of emotional coping are present.

This study explores relationships between experiences of embodiment and intuitive eating, and with the psychological resources of life satisfaction, affect, optimism, and self-compassion. A central aim is to increase understanding of positive dimensions of embodiment, eating behaviour, and wellbeing beyond a deficit-based framework and is the first to quantitatively explore experiences of embodiment and intuitive eating. Experience of embodiment describes phenomenological experiences regarding existing within a body within socio-cultural environments. Intuitive eating represents a positive relationship with eating on the opposite side of the spectrum to disordered eating. A community sample of women (n = 278; mage 34.9 ± 11.8 years; 81% Caucasian) completed measures of experiences of embodiment, intuitive eating, life satisfaction, positive and negative affect, optimism, and self-compassion. Experiences of embodiment were significantly correlated with intuitive eating and all psychological resources. Only intuitive eating, satisfaction with life, positive and negative affect, and pessimism contributed to a significant unique portion of the variance when intuitive eating, satisfaction with life, positive and negative affect, optimism and pessimism, self-compassion, and age were included in a model predicting experiences of embodiment. All intuitive eating subscales were significantly correlated with experiences of embodiment. Two intuitive eating subscales uniquely predicted experiences of embodiment in multiple linear regression modelling: Eating for Physical Rather than Emotional Reasons and Body-Food Choice Congruence. This greater understanding of relationships between embodiment, intuitive eating, and psychological resources expands our understanding of women's embodied realities and strengthens the argument for integrating an embodiment lens in psychology, public heath, and social discourse. [ABSTRACT FROM AUTHOR]

Objective: Intuitive eating is an eating behavior that has recently come to use mainly in the young population. Knowing that the Lebanese cultural diet differs from other countries, the purpose of this study was to investigate if there is a relationship between self-esteem, interoceptive awareness, and motivation for healthy eating in a sample of Lebanese adults using a Latent Profile Analysis approach. Design: Cross-sectional study. Setting: Lebanese governorates. Participants: 359 Lebanese participants enrolled in this study (mean age: 22.75 ± 7.04 years, 40.1% males), through convenience sampling in several Lebanese governorates. Participants were asked to fill anonymously the following scales: The Intuitive Eating Scale (IES-2), the Rosenberg Self-Esteem Scale, the Multidimensional Assessment of Interoceptive Awareness Scale (MAIA), and the Motivation for Healthy Eating Scale (MHES). Results: Our findings revealed four profiles: profile 1 (n = 67; 18.66%) characterized by high SE and intermediate interoceptive awareness and motivation for healthy eating; profile 2 (n = 86; 23.97%) presented high SE, interoceptive awareness, and motivation for healthy eating; profile 3 (n = 86; 23.96%) characterized by high SE, interoceptive awareness, and motivation for healthy eating; class 4 (n = 108; 30.08) described by low SE, intermediate interoceptive awareness, and motivation for healthy eating One-way analysis of variance did not observe a significant difference between the four profiles based on intuitive eating (F = 1.810; p = 0.145; ɳp2 = 0.015). Conclusions: Among a sample of Lebanese people, four profiles of interoceptive awareness, motivation for healthy eating, and self-esteem were observed, with no difference concerning intuitive eating. [ABSTRACT FROM AUTHOR]

Intuitive eating (IE) is a non-dieting approach that promotes listening to internal cues of hunger and satiety, rather than adhering to external dietary restrictions aimed at weight loss. However, the role of IE in dieting behaviors related to weight-loss approaches is still unclear. To address this issue, the aim of this study was to compare IE levels between dieting and non-dieting individuals, exploring the relationship between IE and dieting-related psychological and physical factors. A sample of 2059 females was recruited via social media and self-reported questionnaires were administered to measure IE, eating psychopathology, self-efficacy, and quality of life. Individuals with a history of dieting exhibited lower IE levels, a higher BMI, and a greater eating psychopathology, as well as a reduced self-efficacy and quality of life, compared to non-dieters. IE showed a protective effect against dieting behaviors, with higher IE levels being associated with a lower likelihood of dieting. Additionally, higher BMI and eating psychopathology were predictors of dieting. Promoting IE could represent a relevant clinical target strategy to address disordered eating and enhance overall well-being, underscoring the need for interventions that foster a healthier relationship with food and bodily internal sensations. [ABSTRACT FROM AUTHOR]

BACKGROUND: Motivational eating behavior traits (i.e. eating motivations and intuitive eating) have an important role in body weight regulation, as do food reward processes. Their associations might help explain different responses to food stimulus in the current environment but have never been explored. This study's primary goal was to investigate food reward associations with eating motivations, intuitive eating dimensions and body mass index in former Portuguese elite athletes with overweight/obesity. As a first step, a cultural adaptation of the Leeds Food Preference Questionnaire (LFPQ) was created and validated in an online‐surveyed Portuguese sample. RESULTS: Step 1: Analysis from an online survey (N = 348; 69.8% female) conducted to validate the food images from the cultural adaptation of the LFPQ showed that most food images were properly recognized in terms of their fat and sweet content by the Portuguese population, except for some savory items. Step 2: Regarding our primary analysis in 94 former elite athletes with overweight/obesity, self‐determined motivations to regulate eating and (to a lower extent) more body–food congruent choices (both markers for healthier eating behaviors) were associated with more favorable food reward outcomes, as opposed to non‐self‐determined motivations. Less emotional (more intuitive) eaters presented higher implicit wanting for low‐fat sweet foods compared to more emotional eaters. CONCLUSION: These findings suggest LFPQ usefulness to evaluate food preferences and detect relevant associations between food reward and motivational eating behavior traits in former elite athletes with overweight/obesity. Health professionals are encouraged to create need‐supportive environments that foster self‐determined motivations and help individuals make healthier food choices. © 2023 Society of Chemical Industry. [ABSTRACT FROM AUTHOR]

Objective: Intuitive eating (IE) is an emerging health promotion framework which has shown promise in the prevention and early intervention of disordered eating (DE) behavior in adults. This study sought to extend this work by assessing the feasibility and preliminary efficacy of a 5‐week IE intervention, "Your Body is Your Home," delivered in school classrooms for early adolescents aged 11–13. Methods: The present study utilized a quasi‐experimental design. Eligibility criteria were defined a priori and published in a registered protocol. Four classrooms (n = 128 student participants) were recruited into two streams, and self‐report questionnaires were administered at pre‐test, post‐test, and 4‐week follow‐up. The questionnaires included the Intuitive Eating Scale for Early Adolescents (IES‐2‐EA), the Body Appreciation Scale (BAS‐2), and the WHO Wellbeing Index (WHO‐5). Linear mixed models were used to conduct preliminary efficacy testing. Results: The results indicate that a brief classroom‐based IE intervention is feasible and acceptable for both students and teaching staff; retention, fidelity, and attendance targets were achieved. Students and teachers rated all five sessions of the intervention as a highly feasible method of health promotion. Further, preliminary efficacy data suggest IE interventions aimed at early adolescents may be a feasible way of improving certain aspects of IE (p <.001) in male and female participants, and body appreciation (p <.001) in male participants. Discussion: The study provides preliminary support for the implementation and evaluation of an IE intervention as part of school‐based health promotion and offers preliminary effect size estimates for a larger‐scale randomized trial. Public Significance: Existing evidence suggests that IE may be a useful framework through which relationships with food and the body can be improved. The present study seeks to extend this work by adapting the framework for early adolescents (among whom the framework is not well understood) and examining feasibility, acceptability, and preliminary changes to several health and well‐being metrics following a 5‐week school‐based intervention. [ABSTRACT FROM AUTHOR]

Eating-related behaviors are affected by many factors such as genetics, environment, emotional state, sociodemographic characteristics, religious and cultural beliefs, media, and body perception. As stated, eating behavior, which is affected by many factors, appears to be closely related to emotional factors such as excitement, boredom, happiness and stress. Nowadays, the importance of developing intuitive eating skills in ensuring the formation of healthy eating behaviors instead of unhealthy eating behaviors is emphasized and the use of intuitive eating as an intervention technique is considered important. It is thought that intuitive eating can be an alternative to calorie-restricted diets in the prevention, treatment and body weight management of eating disorders and can also be used together with traditional methods. In this review, literature information about the concept of intuitive eating and its effect on body weight and eating disorders will be presented. [ABSTRACT FROM AUTHOR]

The aim of this study was to evaluate the relationship between the nutritional habits, use of nutritional supplements and intuitive eating of healthcare professionals between the ages of 18 and 65 living in Türkiye during the COVID-19 pandemic. This study was conducted with a total of 252 participants (208 female, 44 male) between February 1 and May 1, 2021. Data were obtained from an online questionnaire form, which included a questionnaire consisting of questions about the socio-demographic characteristics of the participants, their nutritional habits, anthropometric measurements and nutritional supplements and the Intuitive Eating Scale-2 (IES). While the mean IES score of the participants was 3.35±0.44, it was 3.46±0.39 for males and 3.33±0.44 for females. The mean scores of participants from Unconditional Permission to Eat, Eating For Physical Rather Than Emotional Reasons, Reliance on Hunger and Satiety Cues and Body-Food Choice Congruence sub-dimensions of the scale were 3.16±0.67, 3.21±0.82, 3.58±0.79 and 3.59±0.70, respectively. A total of 27.8% of the participants were found to use nutritional supplements. There was no statistically significant relationship between the total score of IES and the sub-dimension mean scores and the status of the use of nutritional supplements. As a result of the study, a negative statistically significant relationship was found between the Body Mass Index values of the participants and the IES (p<0.001). In other words, as the BMI value increases, intuitive eating levels decrease. Improving the level of intuitive eating would be a helpful factor in controlling body weight. [ABSTRACT FROM AUTHOR]

Parental restrictive feeding and pressure to eat have been negatively associated with intuitive eating. However, parental feeding practices that promote intuitive eating are less understood. To examine caregiver feeding practices that may promote intuitive eating and the moderating effect of gender. A cross-sectional survey with 941 U.S. adults who completed the Intuitive Eating Scale-2 and recalled their primary childhood caregiver(s)' feeding practices. Ensuring the availability of healthful foods at home was associated with higher intuitive eating among both female (b = 0.147, P <.001) and male (b = 0.091, P =.018) participants. Encouraging diet diversity (b = 0.095, P =.009) was associated with higher intuitive eating among female participants only, whereas honoring children's hunger and satiety feelings (b = 0.136, P =.001) was associated with higher intuitive eating among male participants only (adjusted for participants' current age, education, and income). Findings established links between positive caregiver feeding practices and higher intuitive eating, with gender playing a moderating role. The design and results of the study relate to the National Commission for Health Education Credentialing Inc. responsibilities, competencies, and subcompetencies (areas I, II, IV, and V). A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) [ABSTRACT FROM AUTHOR]

Intuitive eating involves following body signals to guide eating decisions and avoiding restrictive diets. Mindful eating is paying full attention to sensory experiences and fostering nonjudgmental awareness. We aimed to elucidate potential relationships between beverage intake and intuitive and mindful eating scores. This cross-sectional exploratory study (October 2021–December 2022) enrolled adult male and female participants who provided sociodemographic and health-related information and subsequently completed the Beverage Intake Questionnaire, the Mindful Eating Questionnaire (MEQ-30), and the Intuitive Eating Scale (IES-2). Bidirectional relationships were observed between beverage intake and intuitive and mindful eating scores. The total beverage intake of males was double compared with that of females, with the intake being mainly derived from sugar-sweetened beverages (p = 0.000). Increased total water intake was positively correlated with IES-2 and its subscale scores and was negatively correlated with MEQ-30 scores in both sexes (p < 0.05). Alcoholic beverage intake was associated with reductions in IES-2 and MEQ-30 scores, whereas unconditional permission to eat increased by 18.3% in males. In females, the consumption of milk-based beverages decreased the IES-2 scores. Understanding the complex relationships between beverage intake and intuitive and mindful eating may deepen our understanding of individual dietary behaviors and inform dietary interventions. [ABSTRACT FROM AUTHOR]

Background: The role of mindful eating (ME) and intuitive eating (IE) in improving eating behavior, diet quality, and health is an area of increasing interest. Objective: The objective of this review was to identify the instruments used to assess ME and IE among higher education students and outcomes related to these dimensions. Methods: This review was carried out according to the PRISMA statement, through systematic searches in PubMed, Web of Science, PsycInfo, and Scopus. The inclusion criteria selected for higher education students, levels of ME and/or IE reported, and observational and clinical studies. The exclusion criteria selected against reviews, qualitative studies, and case studies. Quality was assessed using the Academy of Nutrition and Dietetics Quality Criteria Checklist. Results: A total of 516 initial records were identified, from which 75 were included. Cross-sectional studies were the most common research design (86.7%). Most studies were conducted with samples that were predominantly female (90.7%), White (76.0%), aged 18 to 22 years (88.4%), with BMI < 25 kg/m2 (83.0%), and in the United States (61.3%). The Intuitive Eating Scale (IES), the Mindful Eating Questionnaire (MEQ), and their different versions were the most used instruments. The outcomes most studies included were eating behavior and disorders (77.3%), anthropometric assessments (47.8%), mental health (42.0%), and body image (40.6%). Regarding the quality of studies, 34.7% of studies were assigned a positive, 1.3% a negative, and 64.0% a neutral rate. Conclusions: IES and MEQ were the most used instruments. RCT and cohort studies are scarce, and future research with a higher level of quality is needed, especially on the topics of food consumption, diet quality, and biochemical markers. [ABSTRACT FROM AUTHOR]

Pre-pregnancy overweight and obesity are associated with increased risk for adverse outcomes, such as gestational diabetes mellitus (GDM). This study investigated weight trajectories, eating behaviors, and metabolic consequences in women with GDM during pregnancy and postpartum according to pre-pregnancy BMI. We prospectively included 464 women with GDM. Intuitive eating (Intuitive Eating Scale-2 questionnaire), gestational weight gain (GWG), postpartum weight retention (PPWR) at 6–8 weeks and 1-year postpartum, and glucose intolerance (prediabetes and diabetes) at 1-year were assessed. Women with obesity (WOB) had lower GWG but gained more weight in the postpartum (p < 0.0001). PPWR at 1-year did not differ across BMI categories (p = 0.63), whereas postpartum weight loss was most pronounced in women with normal weight (p < 0.0001), and within this category, in their lowest tertile (p < 0.05). Intuitive eating was not linked to perinatal weight changes but differed among BMI categories. PPWR predicted a 2.5-fold increased risk of glucose intolerance at 1-year independent of pre-pregnancy BMI (p < 0.001), and the adverse metabolic impact of PPWR was most pronounced in WOB with odds of increased risk of glucose intolerance 8.9 times higher (95% CI 2.956;26.968). These findings suggest an adaptive capacity to relatively rapid weight changes in the perinatal period that is less present with higher BMI. [ABSTRACT FROM AUTHOR]

The World Health Organisation (WHO) has highlighted the need for immediate action regarding the escalating global prevalence of overweight and obesity. Based on the need for long-term strategies supporting dietary behaviour changes, the concept of 'interoception' (i.e., sensing the body's internal state) has been proposed as promising for understanding and controlling food intake behaviours. As eating behaviours are motivated by the need for securing energy demands as well as the desire for pleasure, investigating the bodily sensations perceived in relation to food consumption can support our understanding of human food and eating behaviours. Here, a consumer study was conducted on 286 Danish consumers to explore the interoceptive experience of snack food consumption. This study included an investigation of the consumers' interoceptive capabilities and ability to feel pleasure, intuitive eating behaviours, snack food consumption frequency, the drivers of snack food consumption, food-related pleasure, and post-ingestive sensations linked to snack food consumption. The study was conducted on consumers with different Body Mass Index (BMI) levels to study potential differences between these groups. The study showed normal interoceptive capabilities and abilities to feel pleasure, with no differences between BMI groups. Regarding intuitive eating, the study found intuitive eating to be more prevalent among the group holding normal BMI. No significant differences between BMI groups were found in terms of snack intake frequency. However, differences between BMI groups were found in terms of: the drivers of snack consumption, the aspects bringing food-related pleasure from snack consumption, and the post-ingestive sensations felt after eating snack foods. [ABSTRACT FROM AUTHOR]

The aims of this study were to compare, between pregnant individuals with and without bariatric surgery: (1) eating behaviors, (2) intuitive eating components and, (3) attitudes towards weight gain. This retrospective study included data collected in healthy pregnant individuals with and without previous bariatric surgery who were recruited at the Centre Hospitalier Universitaire (CHU) de Québec-Université Laval. Pregnant individuals who underwent bariatric surgery (biliopancreatic bypass with duodenal switch [n = 14] or sleeve gastrectomy [n = 5]) were individually matched, for age (±0.4 years) and body mass index (BMI) (±0.3 kg/m2), with pregnant individuals who have not received bariatric surgery. In the second trimester, participants completed the Three Factor Eating Questionnaire (TFEQ) and the Intuitive Eating Scale 2 (IES-2). In the third trimester, participants completed the French version of the Pregnancy Weight Gain Attitude Scale assessing attitudes towards weight gain. Pregnant individuals who have had bariatric surgery had a higher score for flexible restraint and a lower score for situational susceptibility to disinhibition compared to individuals who have not had undergone bariatric surgery (2.89 ± 1.15 vs. 1.95 ± 1.31; p = 0.04 and 1.11 ± 1.29 vs. 2.79 ± 1.44, respectively; p < 0.001). Regarding intuitive eating, pregnant individuals who experienced bariatric surgery had a higher score for reliance on internal hunger and satiety cues and a lower one for unconditional permission to eat compared with those who had not experienced bariatric surgery (3.99 ± 0.81 vs. 3.30 ± 1.03; p = 0.02 and 3.28 ± 0.54 vs. 3.61 ± 0.68, respectively; p = 0.03). No difference in attitudes towards weight gain was observed between groups. Overall, pregnant individuals who had undergone bariatric surgery had different eating behaviors and intuitive eating components compared to pregnant individuals without bariatric surgery. These results need to be confirmed in further studies with larger sample sizes. [ABSTRACT FROM AUTHOR]

BackgroundOutside of pregnancy, intuitive eating (IE) is associated with lower body weight, blood glucose, and higher positive mood. However, little was known about the relationship between IE and anxiety-depression in the GDM population. Thus, this study aimed to investigate the association of IE with anxiety and depression, pregnancy weight and pregnancy blood glucose in the first and second GDM visit.MethodsData from 310 pregnant women with GDM from the Fujian Maternal and Child Health Hospital Trial (Approval Number: 2020Y9133) were analyzed. IE was assessed using the Intuitive Eating Scale-2 subscales of Eating for Physiological Reasons rather than Emotional Reasons (EPR), Relying on Hunger and Satiety Cues (RHSC) and Body-Food Choice Consistency (B-FCC). Observations included weight, body mass index (BMI), fasting plasma glucose (FPG) and 2-h postprandial blood glucose; the Hospital Anxiety and Depression Scale (HADS) was used to assess the level of anxiety and depression in pregnant women with GDM. Linear regression analysis was used to assess the correlation between IE and anxiety, depression, pregnancy blood glucose and weight.ResultsThe cross-sectional analysis showed that the EPR eating behavior was negatively correlated with anxiety and depression, and the B-FCC eating behavior was negatively correlated with depression at both the first and second GDM visit; in addition, the B-FCC eating behavior was associated with lower BMI in the third trimester (all p

Introduction: This article reviews a number of studies that have sought to determine what are risk factors that may cause eating disorders in the pediatric population, taking into account the age and gender of the subjects. This study focuses on issues related to purging, bulimic behaviors, and psychological orthorexia and what impact the most common risk factors for these behaviors have in the pediatric population. Aim of study: The aim of the study is to present a comprehensive review of some of the most common risk factors predisposing to the development of eating disorders in the pediatric population, and how these factors have a direct impact on each other and are intertwined, by using available knowledge, paying particular attention to a new potential risk factor - social media. Materials and methods: Materials used in this study were found in the PubMed database, using the following keywords: ,,Social media”, ,,Mass media”, ,,Peers”, ,,Family”, ,,Orthorexia nervosa”, ,,Social media”, ,,Children”, ,,Adolescence”. Conclusion: Eating disorders are a growing problem. Our research focuses on potential risk factors, with the greatest emphasis on a relatively new risk factor: social media and screen time, and how these two factors influence young minds, what impact they have on the eating habits of children and adolescents, and what can be done to prevent eating disorders in the pediatric population.

Unhealthy cognitive–emotional relationships with exercise can hinder positive treatment outcomes when left unaddressed. However, clinicians lack validated tools to monitor this aspect of treatment. This study examined the 14-item Intuitive Exercise Scale with 165 patients in the United States (Mage = 26.48 years) who were receiving treatment for an eating disorder. The original factor structure was inadequate for the current sample, and exploratory factor analysis generated three factors—emotional exercise, body intuition, and exercise variety. The three-factor solution yielded strong internal consistency and partial support for the scale's validity. Furthermore, patients scored lowest in body intuition, confirming low awareness of bodily cues common in patients with eating disorders. This study informs how clinicians may integrate and monitor patients' cognitive–emotional relationship with exercise as part of holistic and intuitive eating disorder treatment approaches. [ABSTRACT FROM AUTHOR]

Emotion regulation difficulties are a significant concern in the realm of eating disorders, serving as either contributing factors or ongoing challenges. While extensive research has explored these issues within prominent eating disorders like anorexia (AN) and bulimia nervosa (BN), there is a noticeable gap when it comes to understanding emotion regulation difficulties (ERD) and intuitive eating (IE) characteristics in the context of orthorexia nervosa (ON). This study aims to bridge this knowledge gap by introducing a quantitative approach to investigate ERD and IE in a Turkish population affected by ON, involving 159 participants. The study's primary findings reveal that ON represents a non-adaptive eating behavior inherently marked by ERD. Notably, a significant gender difference was observed, indicating that men exhibit a higher likelihood of displaying orthorexic tendencies compared to women . Prior research has highlighted the importance of ERD and the absence of IE in the context of AN and BN. This study extends these findings to assert that these emotional factors also constitute critical criteria in the understanding and treatment of ON. Thus, clinicians should be attentive to the emotional aspects when addressing individuals affected by ON.

The Preference for Intuition and Deliberation in Food Decision-Making Scale (E-PID) was developed to evaluate both intuitive and deliberative food decision-making within a single instrument. However, its psychometric properties have only been assessed among German-speaking participants. The main aim of the present study was to evaluate evidence of validity and reliability of the E-PID among 604 Brazilian adult women. Exploratory (n = 289) and confirmatory factor analyses (n = 315) were conducted to evaluate the factor structure of the E-PID. Convergent validity was assessed correlating the E-PID with measures of eating behaviors (Tree-Factor Eating Questionnaire-18), intuitive eating (Intuitive Eating Scale-2), and a measure of beliefs and attitudes towards food (Food-Life Questionnaire-SF). McDonald’s Omega coefficient (ω) was used to test the internal consistency of the E-PID. Results from an exploratory and confirmatory factor analysis supported a two-factor structure with seven items. We found good internal consistency (McDonald’s ω = 0.77–0.81). Furthermore, the E-PID demonstrated adequate convergent validity with measures of intuitive, restrictive, emotional and uncontrolled eating, and beliefs and attitudes towards food. Results support the use of the E-PID as a measure of intuition and deliberation in food decision-making among Brazilian adult women, expanding the literature on eating decision-making styles.

Introduction: This work aims to understand the experience of participating in the Food and Nutrition Education Program workshops with Sensory and Cognitive Exercises (PESC) and measure its impact on eating behavior. Methods: The PESC consists of four workshops with exercises stimulating perception and reflection on bodily sensations triggered in eating situations. It was developed to promote consciousness of eating experiences in women who reported difficulty in controlling their body weight and who increased over 5% of their body weight in the previous year. This is a mixed-methods study designed as a controlled trial. The intervention group (n = 19) was evaluated before the first workshop (T0) and after the last workshop (T1) and the control group (n = 18), which did not participate in the workshops, was evaluated twice (T0 and T1), with an interval of 3 to 4 weeks. At T0 and T1, it was applied the Intuitive Eating Scale (IES-2) and the Three Factor Eating Questionnaire (TFEQ-R21). In T1, the intervention group also participated in a qualitative interview. Results: After participating in the PESC, the intervention group showed an increase in the IES-2 total score (95% Confidence Interval = (0.10, 0.39)) and a decrease in the emotional eating scale score (95% Confidence Interval = (-16.03; -3.85)). The interviews' analysis revealed the participants' selfobservation process, which led to the perception of their practices, priorities, intentions, eating difficulties, and the connection between these aspects and environmental issues. The following themes were considered: Food management/control, Body dissatisfaction, Reflection/re-signification, and Different ways of being in familiar contexts. Discussion: The results allow us to infer that, after participating in the PESC, the intention to manage food intake became more effective, less susceptible to oscillations imposed by the external environment, and more supported by internal resources. [ABSTRACT FROM AUTHOR]

Our bodies and food consumption are increasingly becoming markers of social identity in contemporary societies. We often participate in "diet culture" by monitoring and controlling our food intake through eating restrictions and physical exercise to keep a bulging body in check. This contemporary "diet culture" has been criticized for embodying impossible fitness ideals and producing a pathological obsession with food. In this article, we will analyze the growing contemporary phenomenon of intuitive eating (IE) as an alternative to diet culture and explore how it is explained, promoted, and legitimized on the social media platform TikTok. By using the Foucauldian concept of self-transformative practices, we illustrate how self-discipline is performed by IE content creators. The analysis shows that the IE approach is psychologized as part of a therapeutic discourse and, at the same time, it is a way for young women to resist the "diet culture" to become empowered in their self-transformation. The analysis illustrates how the IE approach can be understood as a part of a self-transformative project, and how achieving the position as an "intuitive eater" requires an increase in self-awareness. As such, we argue that the content creators produce a specific psychologized discourse of hunger and an affectively-disciplined subject, all represented as "freedom from diet culture." [ABSTRACT FROM AUTHOR]

Objective: Because eating, nutrition, and weight management patterns adopted during pregnancy may persist beyond the postpartum period, pregnancy provides an opportunity for health education that affects the future health of the pregnant person, the fetus, and the family. This systematic review aimed to find nutrition and weight management behaviors that could be used safely during pregnancy to optimize gestational weight gain. Methods: PubMed, MEDLINE, andWeb of Science were searched for research or systematic reviews published in English from 2018 to 2023 using terms including gestational weight gain maintenance, weight, management, pregnancy, behavior, strategy, and strategies. Excluded research used pediatric or adolescent populations, restrictive diets such as no carbohydrate or no fat diets, fasting, bariatric surgery, weight loss medications, private industry, or profit-earning programs using food brands or specific diet programs. Results: The abstracts reviewed in these areas: excessive gestational weight gain (1019), low-glycemic index diet (640), Mediterranean diet (220), MyPlate diet (2), the Dietary Approaches to Stop Hypertension (DASH) diet (50), portion control (6), home meal preparation (6), mindful eating (13), intuitive eating (10), self-weighing (10), and motivational interviewing during pregnancy (107), were reduced to 102 studies. Studies in those 10 areas were reviewed for nutrition and eating behaviors that are safe to use during pregnancy and could be used along with motivational interviewing. Conclusion: Clinicians can discuss these behaviors using motivational interviewing techniques to assist clients in optimizing gestational weight gain. Dialogue examples pairing these strategies with motivational interviewing principles are included. [ABSTRACT FROM AUTHOR]

Intuitive Eating (IE) theory posits eating in response to internal hunger, and satiety cues minimize impulses to over-consume foods. To assess this relationship, 758 university students (55% male) completed the Intuitive Eating Scale 2 (IES-2) and the Diet History Questionnaire II (DHQ). The IES-2 includes a total score and four subscale scores; unconditional permission to eat (UPE), reliance on hunger and satiety cues (RHSC), eating for physical rather than emotional reasons (EPR), and body food choice congruence (BFCC). Using multiple regression analysis, IE total was not related to diet quality. EPR (ß =0.10, p≤.01) and BFCC (ß =0.29, p≤.001) were positively related to diet quality. UPE (ß=-0.15, p≤.001) and RHSC (ß =-0.08, p≤.05) were negatively related to diet quality. This study found an antipodal relationship between the subscales of IE and diet quality among university students. [ABSTRACT FROM AUTHOR]