Öz
Purpose:This study was carried out to evaluate the effect of intuitive eating behavior on body composition and some biochemical parameters.
Patients and Methods:This research was carried out at Prof. Dr. Türkan Saylan Medical Center between June 2018 and September 2018 with 172 clients. Anthropometric measurements of individuals, body mass index (BMI), waist hip ratio (CSO), fasting blood glucose, triglyceride, total cholesterol, LDL, HDL, ferritin, Vitamin D, TSH, some biochemical parameter values such as, intuitive eating Scale-2 (IES-2) scores, beck depression inventory scores were calculated.The data were assesed using the descriptive statistics, one way varianca and correlation analysis.
Results:The mean age of the participants was 38.56. The body mass index average of the participants was 28.74. Participants were 0.6% weak, 15.1% normal weight, 51.2% overweight, 24.4% obese, 8.1% moderate obese and 0.6% morbid obese. Significant positive correlations were found between the scores of the participants reliance on internal hunger and satiety cues, and intuitive eating total and eating for physical rather than emotional reasons and eating scores (r=0.82 ve r=0.43 p<0.01). When the relationship between intuitive eating total scores and depression scale scores was evaluated, a statistically significant negative relation was found (r=-0.15, p<0.05). There was no statistically significant correlation between the scores of the participants on the intuitive eating scale and the triglyceride, LDL-K, HDL-K, TSH, ferritin and vitamin D from the biochemical parameters (p> 0.05). Statistically significant negative relationships were found between the total cholestrol values of the participants and intuitive eating total, eating for physical rather than emotional reasons and eating, reliance on internal hunger and satiety cues (r=-0.17; r=-0.16 ve r=-0.15; p<0.05).
Conclusion:Intuitive eating intervention may be a more promising and realistic alternative to traditional weight loss treatments to prevent obesity.
Anahtar Kelimeler
Kaynakça
- 1.World Health World Health Organization. Obesity and Overweight Fact Sheet No:311.WHO https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight Erişim Tarihi:24.09.2019
- 2.Sarnali TT. “Obesity and Disease Association: A Review, AKMMC,2010,1(2), pp.21-24
- 3.Leclerc J, Bonneville N, Auclair A, Bastien M, Leblanc, M. E, & Poirier P. If not dieting, how to lose weight? Tips and tricks for a better global and cardiovascular health. Postgraduate medicine, 2015; 127(2), 173-185.
- 4.Bacon, L, Stern, J. S, Van Loan, M. D, & Keim, N. L. Size acceptance and intuitive eating improve health for obese, female chronic dieters. Journal of the American Dietetic Association, 2005; 105(6), 929-936.
- 5.Kratina K. Health at every size: Clinical applications. Healthy Weight J. 2003;17:19-23
- 6.Tylka TL. Development and psychometric evaluation of a measure of intuitive eating. Journal of Counseling Psychology 2006; 53(2):226-240.
- 7.Cadena-Schlam L, López-Guimer G. Intuitive eating: An emerging approach to eating behavior. Nutr Hosp. 2015; 31(3):995-1002.
- 8. Hawks, S. R. , Madanat, H. , Hawks, J. , & Harris, A. The relationship between intuitive eating and health indicators among college women. American Journal of Health Education, 2005; 36, 331-336.
- 9.Dyke Van N, Drinkwater EJ. Relationships between intuitive eating and health indicators: Literature Review. Public Health Nutrition 2013; 17(8): 1757–1766.
- 10.Barrada, J. R., Cativiela, B., Van Strien, T., & Cebolla, A. Intuitive Eating: A Novel Eating Style? Evidence from a Spanish sample. European Journal of Psychological Assessment, 2018; 1(1), 1-13.
- 11.Mathieu, J. What should you know about mindful and intuitive eating. Journal of the American Dietetic Association, 2009; 109(12), 1982
- 12.Polivy J, Herman CP. Distress and eating: Why do dieters overeat? Int J Eat Disord 1999; 26(2): 153 - 64.
- 13.Herman, C. P, Polivy, J, Lank, C. N, & Heatherton, T. F. Anxiety, hunger, and eating behavior. Journal of Abnormal Psychology, 1987; 96, 264 –269.
- 14.Saunders JF, Nichols-Lopez KA, Frazier LD. Psychometric properties of the intuitive eating scale-2 (IES-2) in a culturally diverse Hispanic American sample. Eat Behav. 2018; 28: 1-7.
- 15.Denny, K. N., Loth, K., Eisenberg, M. E., & Neumark-Sztainer, D. Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors, Appetite, 2013; 60, 13-19.
- 16. Avalos, L. C, & Tylka, T. L. Exploring a model of intuitive eating with college women. Journal of Counseling Psychology, 2006; 53(4), 486.
- 17.Bacon L, Keim N. L, Van Loan M. D, Derricote M, Gale B, Kazaks A. Evaluating a ‘non-diet’ wellness intervention for improvement for metabolic fitness, psychological well-being and eating and activity behaviors. International Journal of Obesity, 2002; 26, 854-865.
- 18.Tylka TL. Development and psychometric evaluation of a measure of intuitive eating. Journal of Counseling Psychology 2006; 53(2):226-240.
- 19.Tylka, T. L, & Kroon Van Diest, A. M. The Intuitive Eating Scale–2: Item refinement and psychometric evaluation with college women and men. Journal of Counseling Psychology, 2013; 60(1), 137.
- 20.Bas M, Karaca K. E, Saglam D, Arıtıcı G, Cengiz E, Köksal S, & Buyukkaragoz A. H. Turkish version of the ıntuitive eating scale-2: Validity and reliability among university students. Appetite, 2017; 114, 391-397.
- 21. BMI classification. World Health Organization. http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Erişim Tarihi: 24/09/2019.
- 22.WHO Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. Technical Report series No:829. Geneva: World Health Organization, 2000.
- 23.Bacon L, Keim N. L, Van Loan M. D, Derricote M, Gale B, Kazaks A. Evaluating a ‘non-diet’ wellness intervention for improvement for metabolic fitness, psychological well-being and eating and activity behaviors. International Journal of Obesity, 2002; 26, 854-865.
- 24.Schaefer, J. T, & Magnuson, A. B. A review of interventions that promote eating by internal cues. Journal of the Academy of Nutrition and Dietetics, 2014; 114, 734e760.a
- 25.Smith, T., & Hawks, S. R. Intuitive eating, diet composition, and the meaning of food in healthy weight promotion. American Journal of Health Education, 2006; 37(3),130–136.
- 26.Gast, J, Nielson, A. C, Hunt, A, & Leiker, J. J. Intuitive eating: associations with physical activity motivation and BMI. American Journal of Health Promotion, 2015; 29(3), e91-e99.
- 27.Liebman, M., Pelican, S., Moore, S. A., Holmes, B., Wardlaw, M. K., Melcher, L. M., Haynes, G. W. Dietary intake, eating behavior, and physical activityrelated determinates of high body mass index in the 2003 Wellness IN the Rockies cross-sectional study. Nutrition Research, 2006; 26, 111-117.
- 28.Denny, K. N., Loth, K., Eisenberg, M. E., & Neumark-Sztainer, D. Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors, Appetite, 2013; 60, 13-19.
- 29.Saunders JF, Nichols-Lopez KA, Frazier LD. Psychometric properties of the intuitive eating scale-2 (IES-2) in a culturally diverse Hispanic American sample. Eat Behav. 2018; 28: 1-7.
- 30.Gravel, K., Deslauriers, A., Watiez, M., Dumont, M., Bouchard, A. A. D., & Provencher, V. Sensory-based nutrition pilot intervention for women. Journal of the Academy of Nutrition and Dietetics, 2014; 114(1), 99-106.
- 31.Anglin, J. C. Assessing the effectiveness of intuitive eating for weight losspilot study. Nutrition and Health, 2012; 21, 107e115.
- 32.Alberts, H. J. E. M, Thewissen, R, & Raes, L. Dealing with problematic eating behavior. The effects of a mindfulness-based intervention on eating behavior, 2012; 396.
- 33.Bourdier L, Orri M, Carre A, Gearhardt AN, Romo L, Dantzer C, et al. Are emotionally driven and addictive-like eating behaviors the missing links between psychological distress and greater body weight? Appetite. 2017; 120:536-546.
- 34.Ruzanska UA, Warschburger P. Psychometric evaluation of the German version of the Intuitive Eating Scale-2 in a community sample. Appetite. 2017; 117:126-134.
- 35.Gast J, Hawks SR. Weight Loss Education: The Challenge of a New Paradigm. Health Education & Behavior. 1998; 25(4): 464 -473.
Öz
Amaç: Araştırmanın amacı sezgisel yeme davranışının vücut kompozisyonu ve bazı biyokimyasal parametreler üzerine etkisini değerlendirmektir.
Hastalar ve Yöntem:Araştırma Prof. Dr. Türkan Saylan Tıp Merkezinde Haziran 2018-Eylül 2018 tarihleri arasında 172 danışan dahil edilerek yapılmıştır. Bireylerin antropometrik ölçümleri, vücut kütle indeksleri(BKİ), bel kalça oranı (BKO), açlık kan şekeri, trigliserid, total kolesterol, LDL, HDL, ferritin, Vitamin D, TSH gibi bazı biyokimyasal parametre değerleri, sezgisel yeme ölçeği-2 (IES-2) puanları, beck depresyon envanteri puanları değerlendirilmiştir. Verilerin analizinde tanımlayıcı istatistikler, tek yönlü varyans ve korelasyon analizi kullanılmıştır.
Bulgular:Katılımcıların yaş ortalaması 38.56 yıldır. Katılımcıların beden kütle indeks ortalamaları 28.74kg/m2’dir. Katılımcıların %0.6 zayıf, %15.1 normal kilolu, %51.2 fazla kilolu, %24.4 hafif obez, %8.1 orta derecede obez ve %0.6 morbid obez şeklindedir. Katılımcıların açlık ve doygunluk ipuçlarına güvenme puanları ile sezgisel yeme toplam ve duygusal değil fiziksel sebeplerle yeme puanları arasında istatiksel olarak anlamlı pozitif ilişkiler bulunmuştur. (sırasıyla r=0.82 ve r=0.43 p<0.01). Sezgisel yeme toplam puanları ile depresyon ölçek puanları arasında istatiksel olarak anlamlı negatif bir ilişki bulunmuştur (r=-0.15, p<0.05). Katılımcıların sezgisel yeme ölçeğinden alınan puanlar ile biyokimyasal parametrelerden trigliserid, LDL-K, HDL-K, TSH, ferritin ve D vitamini arasındaki ilişkilerin istatiksel olarak anlamlı olmadığı görülmüştür (p>0.05). Katılımcıların total kolesterol değerleri ile sezgisel yeme toplam, duygusal değil fiziksel sebeplerle yeme, açlık ve doygunluk ipuçlarına güvenme puanları arasında istatiksel olarak anlamlı negatif ilişkiler bulunmuştur (sırasıyla r=-0.17; r=-0.16 ve r=-0.15; p<0.05).
Sonuç:Sezgisel yeme müdahalesi, obeziteyi önlemeye çalışan geleneksel ağırlık kaybı tedavilerinden daha umut verici ve gerçekçi bir alternatif olabilir.
Anahtar Kelimeler
Kaynakça
- 1.World Health World Health Organization. Obesity and Overweight Fact Sheet No:311.WHO https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight Erişim Tarihi:24.09.2019
- 2.Sarnali TT. “Obesity and Disease Association: A Review, AKMMC,2010,1(2), pp.21-24
- 3.Leclerc J, Bonneville N, Auclair A, Bastien M, Leblanc, M. E, & Poirier P. If not dieting, how to lose weight? Tips and tricks for a better global and cardiovascular health. Postgraduate medicine, 2015; 127(2), 173-185.
- 4.Bacon, L, Stern, J. S, Van Loan, M. D, & Keim, N. L. Size acceptance and intuitive eating improve health for obese, female chronic dieters. Journal of the American Dietetic Association, 2005; 105(6), 929-936.
- 5.Kratina K. Health at every size: Clinical applications. Healthy Weight J. 2003;17:19-23
- 6.Tylka TL. Development and psychometric evaluation of a measure of intuitive eating. Journal of Counseling Psychology 2006; 53(2):226-240.
- 7.Cadena-Schlam L, López-Guimer G. Intuitive eating: An emerging approach to eating behavior. Nutr Hosp. 2015; 31(3):995-1002.
- 8. Hawks, S. R. , Madanat, H. , Hawks, J. , & Harris, A. The relationship between intuitive eating and health indicators among college women. American Journal of Health Education, 2005; 36, 331-336.
- 9.Dyke Van N, Drinkwater EJ. Relationships between intuitive eating and health indicators: Literature Review. Public Health Nutrition 2013; 17(8): 1757–1766.
- 10.Barrada, J. R., Cativiela, B., Van Strien, T., & Cebolla, A. Intuitive Eating: A Novel Eating Style? Evidence from a Spanish sample. European Journal of Psychological Assessment, 2018; 1(1), 1-13.
- 11.Mathieu, J. What should you know about mindful and intuitive eating. Journal of the American Dietetic Association, 2009; 109(12), 1982
- 12.Polivy J, Herman CP. Distress and eating: Why do dieters overeat? Int J Eat Disord 1999; 26(2): 153 - 64.
- 13.Herman, C. P, Polivy, J, Lank, C. N, & Heatherton, T. F. Anxiety, hunger, and eating behavior. Journal of Abnormal Psychology, 1987; 96, 264 –269.
- 14.Saunders JF, Nichols-Lopez KA, Frazier LD. Psychometric properties of the intuitive eating scale-2 (IES-2) in a culturally diverse Hispanic American sample. Eat Behav. 2018; 28: 1-7.
- 15.Denny, K. N., Loth, K., Eisenberg, M. E., & Neumark-Sztainer, D. Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors, Appetite, 2013; 60, 13-19.
- 16. Avalos, L. C, & Tylka, T. L. Exploring a model of intuitive eating with college women. Journal of Counseling Psychology, 2006; 53(4), 486.
- 17.Bacon L, Keim N. L, Van Loan M. D, Derricote M, Gale B, Kazaks A. Evaluating a ‘non-diet’ wellness intervention for improvement for metabolic fitness, psychological well-being and eating and activity behaviors. International Journal of Obesity, 2002; 26, 854-865.
- 18.Tylka TL. Development and psychometric evaluation of a measure of intuitive eating. Journal of Counseling Psychology 2006; 53(2):226-240.
- 19.Tylka, T. L, & Kroon Van Diest, A. M. The Intuitive Eating Scale–2: Item refinement and psychometric evaluation with college women and men. Journal of Counseling Psychology, 2013; 60(1), 137.
- 20.Bas M, Karaca K. E, Saglam D, Arıtıcı G, Cengiz E, Köksal S, & Buyukkaragoz A. H. Turkish version of the ıntuitive eating scale-2: Validity and reliability among university students. Appetite, 2017; 114, 391-397.
- 21. BMI classification. World Health Organization. http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Erişim Tarihi: 24/09/2019.
- 22.WHO Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. Technical Report series No:829. Geneva: World Health Organization, 2000.
- 23.Bacon L, Keim N. L, Van Loan M. D, Derricote M, Gale B, Kazaks A. Evaluating a ‘non-diet’ wellness intervention for improvement for metabolic fitness, psychological well-being and eating and activity behaviors. International Journal of Obesity, 2002; 26, 854-865.
- 24.Schaefer, J. T, & Magnuson, A. B. A review of interventions that promote eating by internal cues. Journal of the Academy of Nutrition and Dietetics, 2014; 114, 734e760.a
- 25.Smith, T., & Hawks, S. R. Intuitive eating, diet composition, and the meaning of food in healthy weight promotion. American Journal of Health Education, 2006; 37(3),130–136.
- 26.Gast, J, Nielson, A. C, Hunt, A, & Leiker, J. J. Intuitive eating: associations with physical activity motivation and BMI. American Journal of Health Promotion, 2015; 29(3), e91-e99.
- 27.Liebman, M., Pelican, S., Moore, S. A., Holmes, B., Wardlaw, M. K., Melcher, L. M., Haynes, G. W. Dietary intake, eating behavior, and physical activityrelated determinates of high body mass index in the 2003 Wellness IN the Rockies cross-sectional study. Nutrition Research, 2006; 26, 111-117.
- 28.Denny, K. N., Loth, K., Eisenberg, M. E., & Neumark-Sztainer, D. Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors, Appetite, 2013; 60, 13-19.
- 29.Saunders JF, Nichols-Lopez KA, Frazier LD. Psychometric properties of the intuitive eating scale-2 (IES-2) in a culturally diverse Hispanic American sample. Eat Behav. 2018; 28: 1-7.
- 30.Gravel, K., Deslauriers, A., Watiez, M., Dumont, M., Bouchard, A. A. D., & Provencher, V. Sensory-based nutrition pilot intervention for women. Journal of the Academy of Nutrition and Dietetics, 2014; 114(1), 99-106.
- 31.Anglin, J. C. Assessing the effectiveness of intuitive eating for weight losspilot study. Nutrition and Health, 2012; 21, 107e115.
- 32.Alberts, H. J. E. M, Thewissen, R, & Raes, L. Dealing with problematic eating behavior. The effects of a mindfulness-based intervention on eating behavior, 2012; 396.
- 33.Bourdier L, Orri M, Carre A, Gearhardt AN, Romo L, Dantzer C, et al. Are emotionally driven and addictive-like eating behaviors the missing links between psychological distress and greater body weight? Appetite. 2017; 120:536-546.
- 34.Ruzanska UA, Warschburger P. Psychometric evaluation of the German version of the Intuitive Eating Scale-2 in a community sample. Appetite. 2017; 117:126-134.
- 35.Gast J, Hawks SR. Weight Loss Education: The Challenge of a New Paradigm. Health Education & Behavior. 1998; 25(4): 464 -473.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 16 Aralık 2020 |
| Gönderilme Tarihi | 2 Ağustos 2019 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 12 Sayı: 1 |
