The Effect of Physical Activity Level on Intuitive Eating and Mindful Eating

Öz

Physical activity (PA) can provide self-control in regulating individuals’ nutritional behaviors and physically active individuals tend to adopt healthier dietary habits compared to less physically active ones. There is a growing interest in the concept of mindful eating (ME) and intuitive eating (IE) in modulating healthy dietary habits. The significance of PA on IE and ME as well as the relationship between them is not clear in the literature. Thus, this study evaluated the effects of PA level on IE and ME. Using convenience sampling, a total of 423 participants, with n = 205 healthy females (M =26.00, SD =7.33 years; M =21.96, SD =3.40 kg/m−2) and n= 218 healthy males (M =25.95, SD =6.32 years; M =24.56, SD =3.41 kg/m−2), participated in this study. Participants completed the International Physical Activity Questionnaire-Short Form, Intuitive Eating Scale-2, Mindful Eating Questionnaire, and Eating Attitudes Test. Student’s t-test or Mann–Whitney U test for two-group comparisons, as well as Kruskal–Wallis H test or one-way ANOVA for three-group comparisons, were conducted for statistical analyses, and a multiple linear regression analysis was used. However, IE and ME total scores were not significantly different among inactive, minimally active, and sufficiently active participants in both genders. According to multiple linear regression analysis, the effect of the total PA score on IE and ME was not found to be significant. The relationship between PA, IE, and ME is not visible. Thus, further studies are needed to develop effective intervention strategies in both general and clinical populations.

Anahtar Kelimeler

• Physical activity
• Intuitive eating
• Mindful eating

Fiziksel Aktivite Düzeyinin Sezgisel Yeme ve Yeme Farkındalığı Üzerine Etkisi

Öz

Fiziksel aktivite bireylerin beslenme davranışlarını düzenlemede özdenetim sağlayabilir. Fiziksel olarak aktif bireyler, daha az aktif olanlara göre sağlıklı beslenme alışkanlıklarını benimseme eğilimindedir. Sağlıklı beslenme alışkanlıklarını düzenlemede yeme farkındalığı ve sezgisel yeme kavramlarına olan ilgi artmaktadır. Fiziksel aktivitenin sezgisel yeme ve yeme farkındalığı üzerindeki rolü ve aralarındaki ilişki literatürde net olarak belirtilmemiştir. Bu çalışmanın amacı, fiziksel aktivite düzeyinin sezgisel yeme ve yeme farkındalığı üzerindeki etkilerini değerlendirmektir. Çalışmaya kolayda örnekleme yöntemi ile toplam 423 sağlıklı kadın (n=205) (Ort. =26.00, S =7.33 yıl; Ort. =21.96, S =3.40 kg/m2) ve erkek (n=218) (Ort. =25.95, S =6.32 yıl; Ort. =24.56, S =3.41 kg/m2) katılmıştır. Bireylere Uluslararası fiziksel aktivite anketi-kısa form, sezgisel yeme ölçeği-2, yeme farkındalığı ölçeği ve yeme tutum testi-kısa form uygulanmıştır. İki grup karşılaştırmalarında Student t-testi veya Mann Whitney U testi, üç grup karşılaştırmalarında Kruskal Wallis H testi veya tek yönlü ANOVA yapılmıştır. Ayrıca çoklu doğrusal regresyon analizi uygulanmıştır. Her iki cinsiyette de aktif olmayan, minimal aktif ve aktif bireyler arasında sezgisel yeme ve yeme farkındalığı toplam puanlarında anlamlı bir farklılık bulunmamıştır. Çoklu doğrusal regresyon analizine göre toplam fiziksel aktivite puanının sezgisel yeme ve yeme farkındalığı üzerindeki etkisi anlamlı değildir. Hem genel hem de klinik popülasyonda etkili müdahale stratejileri geliştirmek için daha fazla çalışmaya ihtiyaç vardır.

Anahtar Kelimeler

• Fiziksel aktivite
• Sezgisel yeme
• Yeme farkındalığı

Kaynakça

1. Andrade, A. M., Coutinho, S. R., Silva, M. N., Mata, J., Vieira, P. N., Minderico, C. S., Melanson, K. J., Baptista, F., Sardinha, L. B., & Teixeira, P. J. (2010). The effect of physical activity on weight loss is mediated by eating self-regulation. Patient Education and Counseling, 79(3), 320-326. https://doi.org/10.1016/j.pec.2010.01.006
2. Bardone-Cone, A. M., Higginsa, M. K., St. George, S. M., Rosenzweig, I., Schaeferc, L. M., Fitzsimmons-Craft, E. E., Henninga, T. M., & Preston, B. F. (2016). Behavioral and psychological aspects of exercise across stages of eating disorder recovery. Eating Disorders, 24(5), 424-439. https://doi.org/10.1080/10640266.2016.1207452
3. Baş, M., Karaca, K. E., Saglam, D., Arıtıcı, G., Cengiz, E., Köksal, S., & Büyükkaragöz, A, H. (2017). Turkish version of the intuitive eating Scale-2: Validity and reliability among university students. Appetite, 114, 391-397. https://doi.org/10.1016/j.appet.2017.04.017
4. Blakely, F., Dunnagan, T., Haynes, G., Moore, S., & Pelican, S. (2004). Moderate physical activity and its relationship to select measures of a healthy diet. The Journal of Rural Health, 20(2), 160-165. https://doi.org/10.1111/j.1748-0361.2004.tb00023.x
5. Bruce, L, J., & Ricciardelli, L. A. (2016). A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite, 96, 454-472. https://doi.org/10.1016/j.appet.2015.10.012
6. Camilleri, G. M., Méjean, C., Bellisle, F., Andreeva, V. A., Kesse-Guyot, E., Hercberg, S., & Péneau, S. (2017). Intuitive eating dimensions were differently associated with food intake in the general population–based NutriNet-Santé study. The Journal of Nutrition, 147(1), 61-69. https://doi.org/10.3945/jn.116.234088
7. Carraça, E. V., Leong, S. L., & Horwath, C. C. (2019). Weight-focused physical activity is associated with poorer eating motivation quality and lower intuitive eating in women. Journal of the Academy of Nutrition and Dietetics, 119(5), 750-759. https://doi.org/10.1016/j.jand.2018.09.011
8. Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 35(8), 1381-1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB

9. Fleig, L., Küper, C., Lippke, S., Schwarzer, R., & Wiedemann, A. U. (2015). Cross-behavior associations and multiple health behavior change: A longitudinal study on physical activity and fruit and vegetable intake. Journal of Health Psychology, 20(5), 525-534. https://doi.org/10.1177/1359105315574951
10. Framson, C., Kristal, A. R., Schenk, J. M., Littman, A. J., Zeliadt, S., & Benitez, D. (2009). Development and validation of the mindful eating questionnaire. Journal of the American Dietetic Association, 109(8), 1439-1444. https://doi.org/10.1016/j.jada.2009.05.006
11. Fuentes Artiles, R., Staub, K., Aldakak, L., Eppenberger, P., Rühli, F., & Bender, N. (2019). Mindful eating and common diet programs lower body weight similarly: Systematic review and meta‐analysis. Obesity Reviews, 20(11), 1619-1627. https://doi.org/10.1111/obr.12918
12. Fuezeki, E., Engeroff, T., & Banzer, W. (2017). Health benefits of light-intensity physical activity: a systematic review of accelerometer data of the National Health and Nutrition Examination Survey (NHANES). Sports Medicine, 47(9), 1769-1793. https://doi.org/10.1007/s40279-017-0724-0
13. 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. https://doi.org/10.1017/S0033291700030762
14. Gast, J., Madanat, H., & Nielson, A. C. (2012). Are men more intuitive when it comes to eating and physical activity? American Journal of Men's Health, 6(2), 164-171. https://doi.org/10.1177/1557988311428090
15. Gast, J., Nielson, A. C., Hunt, A., & Leiker, J. J. (2015). Intuitive eating: associations with physical activity motivation and BMI. American Journal of Health Promotion, 29(3), e91-e99. https://doi.org/10.4278/ajhp.130305-QUAN-97
16. Gauthier, A.C., Guimarães, R. d. F., Namiranian, K., Drapeau, V., & Mathieu, M. E. (2020). Effect of physical exercise on taste perceptions: A systematic review. Nutrients, 12(9), 2741. https://doi.org/10.3390/nu12092741
17. Grider, H. S., Douglas, S. M., & Raynor, H. A. (2020). The Influence of Mindful Eating and/or Intuitive Eating Approaches on Dietary Intake: A Systematic Review. Journal of the Academy of Nutrition and Dietetics, 121(4), 709-727. https://doi.org/10.1016/j.jand.2020.10.019
18. Horwath, C., Hagmann, D., & Hartmann, C. (2019). Intuitive eating and food intake in men and women: Results from the Swiss food panel study. Appetite, 135, 61-71. https://doi.org/10.1016/j.appet.2018.12.036
19. Joseph, R. J., Alonso‐Alonso, M., Bond, D. S., Pascual‐Leone, A., & Blackburn, G. L. (2011). The neurocognitive connection between physical activity and eating behaviour. Obesity reviews, 12(10), 800-812. https://doi.org/10.1111/j.1467-789X.2011.00893.x
20. King, J. A., Wasse, L. K., & Stensel, D. J. (2011). The acute effects of swimming on appetite, food intake, and plasma acylated ghrelin. Journal of Obesity, 2011, Article 351628. https://doi.org/10.1155/2011/351628
21. King, K. M., Gonzalez, G. B., & Mitchell, A. M. (2021). Strategies for implementing mindfulness and mindful eating into health and fitness professionals’ practice. ACSM's Health & Fitness Journal, 25(2), 43-47. https://doi.org/10.1249/FIT.0000000000000649
22. Köse, G., Tayfur, M., Bi̇ri̇nci̇oğlu, İ., & Dönmez, A. (2016). Adaptation study of the mindful eating questiıonnare (MEQ) into Turkish. Journal of Cognitive-Behavioral Psychotherapy and Research, 5(3), 125-134. https://doi.org/10.5455/JCBPR.250644
23. Martin, R., Prichard, I., Hutchinson, A, D., & Wilson, C. (2013). The role of body awareness and mindfulness in the relationship between exercise and eating behavior. Journal of Sport and Exercise Psychology, 35(6), 655-660. https://doi.org/10.1123/jsep.35.6.655
24. Martins, C., Morgan, L., & Truby, H. (2008). A review of the effects of exercise on appetite regulation: an obesity perspective. International Journal of Obesity, 32(9), 1337-1347. https://doi:10.1038/ijo.2008.98
25. Mata, J., Silva, M. N., Vieira, P. N., Carraça, E. V., Andrade, A. M., Coutinho, S. R., Sardinha, L. B., Teixeira, P. J. (2011). Motivational “spill-over” during weight control: Increased self-determination and exercise intrinsic motivation predict eating self-regulation. Sport, Exercise. and Performance Psychology, 1(S), 49–59. https://doi.org/10.1037/2157-3905.1.S.49
26. Moor, K. R., Scott, A. J., & McIntosh, W. D. (2013). Mindful eating and its relationship to body mass index and physical activity among university students. Mindfulness, 4(3), 269-274. https://doi.org/10.1007/s12671-012-0124-3
27. Moy, J., Petrie, T. A., Dockendorff, S., Greenleaf, C., & Martin, S. (2013). Dieting, exercise, and intuitive eating among early adolescents. Eating Behaviors, 14(4), 529-532. https://doi.org/10.1016/j.eatbeh.2013.06.014
28. Nielson, A. C. (2009). Intuitive eating and its relationship with physical activity motivation. Unpublished Master Thesis, Utah State University, Logan, Utah.
29. Posadzki, P., Pieper, D., Bajpai, R., Makaruk, H., Könsgen, N., Neuhaus, A. L., & Semwal, M. (2020). Exercise/physical activity and health outcomes: an overview of Cochrane systematic reviews. BMC Public Health, 20(1), 1-12. https://doi.org/10.1186/s12889-020-09855-3
30. Sağlam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., & Tokgozoglu, L. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and Motor Skills, 111(1), 278-284. https://doi.org/10.2466/06.08.PMS.111.4.278-284
31. Savaşır, I., & Erol, N. (1989). Eating attitude test: anorexia nervosa symptom index. Psikoloji Dergisi, 7, 19-25. Schaefer, J. T., & Magnuson, A. B. (2014). A review of interventions that promote eating by internal cues. Journal of the Academy of Nutrition and Dietetics, 114(5), 734-760. https://doi.org/10.1016/j.jand.2013.12.024
32. Tylka, T. L. (2006). Development and psychometric evaluation of a measure of intuitive eating. Journal of Counseling Psychology, 53(2), 226-240. https://doi.org/10.1037/0022-0167.53.2.226
33. Tylka, T. L., & Homan, K. J. (2015). Exercise motives and positive body image in physically active college women and men: Exploring an expanded acceptance model of intuitive eating. Body Image, 15, 90-97. https://doi.org/10.1016/j.bodyim.2015.07.003
34. 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), 137-153. https://doi.org/10.1037/a0030893
35. Van Dyke, N., & Drinkwater, E. J. (2014). Review article relationships between intuitive eating and health indicators: literature review. Public Health Nutrition, 17(8), 1757-1766. https://doi.org/10.1017/S1368980013002139
36. Warren, J. M., Smith, N., & Ashwell, M. (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. https://doi.org/10.1017/S0954422417000154