TY - JOUR
T1 - Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors
T2 - findings from EAT 2010–2018
AU - Hazzard, Vivienne M.
AU - Telke, Susan E.
AU - Simone, Melissa
AU - Anderson, Lisa M.
AU - Larson, Nicole I.
AU - Neumark-Sztainer, Dianne
N1 - Publisher Copyright:
© 2020, Springer Nature Switzerland AG.
PY - 2021/2
Y1 - 2021/2
N2 - Purpose: To examine longitudinal associations of intuitive eating (IE), defined as eating according to internal hunger and satiety cues, with psychological health outcomes and disordered eating behaviors. Methods: Data from a diverse sample of 1491 participants (54.1% female, 19.7% non-Hispanic white) followed from adolescence (baseline; Mage= 14.5 years) into young adulthood (follow-up; Mage = 22.2 years) came from the population-based EAT 2010–2018 (Eating and Activity over Time) study. Logistic regression models predicting psychological health outcomes and disordered eating behaviors at follow-up simultaneously included baseline IE and change in IE from baseline to follow-up as predictors, adjusting for demographic covariates, body mass index, and outcome at baseline. Results: Greater baseline IE and increases in IE from baseline to follow-up were both associated with lower odds of high depressive symptoms, low self-esteem, high body dissatisfaction, unhealthy weight control behaviors (e.g., fasting, skipping meals), extreme weight control behaviors (e.g., taking diet pills, vomiting), and binge eating at 8-year follow-up. Particularly strong protective associations were observed for binge eating, such that a one-point higher IE score at baseline was associated with 74% lower odds of binge eating at follow-up, and a one-point higher increase in IE score from baseline to follow-up was associated with 71% lower odds of binge eating at follow-up. Conclusions: These results indicate that IE longitudinally predicts better psychological and behavioral health across a range of outcomes and suggest that IE may be a valuable intervention target for improving psychological health and reducing disordered eating behaviors, particularly binge eating. Level of evidence: Level III, cohort study.
AB - Purpose: To examine longitudinal associations of intuitive eating (IE), defined as eating according to internal hunger and satiety cues, with psychological health outcomes and disordered eating behaviors. Methods: Data from a diverse sample of 1491 participants (54.1% female, 19.7% non-Hispanic white) followed from adolescence (baseline; Mage= 14.5 years) into young adulthood (follow-up; Mage = 22.2 years) came from the population-based EAT 2010–2018 (Eating and Activity over Time) study. Logistic regression models predicting psychological health outcomes and disordered eating behaviors at follow-up simultaneously included baseline IE and change in IE from baseline to follow-up as predictors, adjusting for demographic covariates, body mass index, and outcome at baseline. Results: Greater baseline IE and increases in IE from baseline to follow-up were both associated with lower odds of high depressive symptoms, low self-esteem, high body dissatisfaction, unhealthy weight control behaviors (e.g., fasting, skipping meals), extreme weight control behaviors (e.g., taking diet pills, vomiting), and binge eating at 8-year follow-up. Particularly strong protective associations were observed for binge eating, such that a one-point higher IE score at baseline was associated with 74% lower odds of binge eating at follow-up, and a one-point higher increase in IE score from baseline to follow-up was associated with 71% lower odds of binge eating at follow-up. Conclusions: These results indicate that IE longitudinally predicts better psychological and behavioral health across a range of outcomes and suggest that IE may be a valuable intervention target for improving psychological health and reducing disordered eating behaviors, particularly binge eating. Level of evidence: Level III, cohort study.
KW - Appetite regulation
KW - Body image
KW - Depression
KW - Feeding and eating disorders
KW - Self-concept
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U2 - 10.1007/s40519-020-00852-4
DO - 10.1007/s40519-020-00852-4
M3 - Article
C2 - 32006391
AN - SCOPUS:85078846877
SN - 1124-4909
VL - 26
SP - 287
EP - 294
JO - Eating and Weight Disorders
JF - Eating and Weight Disorders
IS - 1
ER -