Is intuitive eating linked to waist circumference and the waist-to-height ratio, both of which are risk factors for cardiometabolic disease?

Main Article Content

Yağmur Yaşar Fırat
Betul Cicek

Keywords

Intuitive Eating Scale-2, waist circumference, waist-to-height ratio, body mass index, college students.

Abstract

Background and aim: Intuitive eating is related to lower BMI, blood triglyceride levels and cardiovascular risk and also it decreases the symptomatology of eating disorders and improves psychological health criteria. In this study, it was aimed to examine the relationship between the intuitive eating, waist circumference and waist-to-height ratio of college students.


Methods: This study was conducted on 1708 students. A questionnaire was used for socio-demographic characteristics, and nutritional habits. the Intuitive Eating Scale-2. Anthropometric measurements were measured by researcher and body mass index and waist-to-height ratio were calculated.


Results: Total intuitive eating scores and eating for physiological rather than emotional reasons subscale scores were significantly higher in the normal waist circumference and the risk groups than in the high-risk group. Total intuitive eating scores and eating for physiological rather than emotional reasons subscale scores were significantly higher in the non-increased risk and increased risk groups, compared to very-high risk group.


Conclusions: As the waist circumference and waist-to-height ratio values approach the normal limits, the intuitive eating score also increases. Waist circumference and waist-to-height ratio may be considered as indicators of intuitive eating.

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References

1. Petermann-Rocha F, Ulloa N, Martínez-Sanguinetti MA, Leiva AM, Martorell M, Villagrán M, et al. Is waist-to-height ratio a better predictor of hypertension and type 2 diabetes than body mass index and waist circumference in the Chilean population? Nutrition. 2020; 79: 110932.
2. Klein S, Allison DB, Heymsfield SB, Kelley DE, Leibel RL, Nonas C, et al. Waist circumference and cardiometabolic risk: a consensus statement from shaping America’s health: Association for Weight Management and Obesity Prevention; NAASO, the Obesity Society; the American Society for Nutrition; and the American Diabetes Associat. Am J Clin Nutr. 2007;85(5):1197–202.
3. Fang H, Berg E, Cheng X, Shen W. How to best assess abdominal obesity. Curr Opin Clin Nutr Metab Care. 2018;21(5):360.
4. Jeffery RW, Epstein LH, Wilson GT, Drewnowski A, Stunkard AJ, Wing RR. Long-term maintenance of weight loss: current status. Heal Psychol. 2000;19(1S):5.
5. Marchesini G, Cuzzolaro M, Mannucci E, Dalle Grave R, Gennaro M, Tomasi F, et al. Weight cycling in treatment-seeking obese persons: data from the QUOVADIS study. Int J Obes. 2004;28(11):1456–62.
6. Chu D-T, Nguyet NTM, Nga VT, Lien NVT, Vo DD, Lien N, et al. An update on obesity: Mental consequences and psychological interventions. Diabetes Metab Syndr Clin Res Rev. 2019;13(1):155–60.
7. Hill AJ. Obesity and eating disorders. Obes Rev. 2007; 8: 151–5.
8. Neumark-Sztainer D, Wall M, Guo J, Story M, Haines J, Eisenberg M. Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later? J Am Diet Assoc. 2006;106(4):559–68.
9. de Vos JA, LaMarre A, Radstaak M, Bijkerk CA, Bohlmeijer ET, Westerhof GJ. Identifying fundamental criteria for eating disorder recovery: a systematic review and qualitative meta-analysis. J Eat Disord. 2017;5(1):34.
10. Deering S. Eating disorders: recognition, evaluation, and implications for obstetrician/gynecologists. Prim Care Update Ob Gyns. 2001;8(1):31–5.
11. Carbonneau E, Carbonneau N, Lamarche B, Provencher V, Bégin C, Bradette-Laplante M, et al. Validation of a French-Canadian adaptation of the Intuitive Eating Scale-2 for the adult population. Appetite. 2016; 105:37–45.
12. Tylka TL. Development and psychometric evaluation of a measure of intuitive eating. J Couns Psychol. 2006;53(2):226.
13. Tylka TL, Kroon Van Diest AM. The Intuitive Eating Scale–2: Item refinement and psychometric evaluation with college women and men. J Couns Psychol. 2013;60(1):137.
14. Tribole E, Resch E. Intuitive eating: a recovery book for the chronic dieter: rediscover the pleasures of eating and rebuild your body image. 2nd ed. New York: St. Martin’s Press; 1995.
15. Dalen J, Smith BW, Shelley BM, Sloan AL, Leahigh L, Begay D. Pilot study: Mindful Eating and Living (MEAL): weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. Complement Ther Med. 2010;18(6):260–4.
16. Bacon L, Stern JS, Van Loan MD, Keim NL. Size acceptance and intuitive eating improve health for obese, female chronic dieters. J Am Diet Assoc. 2005;105(6):929–36.
17. Provencher V, Bégin C, Tremblay A, Mongeau L, Corneau L, Dodin S, et al. Health-at-every-size and eating behaviors: 1-year follow-up results of a size acceptance intervention. J Am Diet Assoc. 2009;109(11):1854–61.
18. Boucher S, Edwards O, Gray A, Nada-Raja S, Lillis J, Tylka TL, et al. Teaching intuitive eating and acceptance and commitment therapy skills via a web-based intervention: a pilot single-arm intervention study. JMIR Res Protoc. 2016;5(4): e5861.
19. Tylka TL, Calogero RM, Daníelsdóttir S. Intuitive eating is connected to self-reported weight stability in community women and men. Eat Disord. 2020;28(3):256–64.
20. Denny KN, Loth K, Eisenberg ME, Neumark-Sztainer D. Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors? Appetite. 2013; 60:13–9.
21. Oh KH, Wiseman MC, Hendrickson J, Phillips JC, Hayden EW. Testing the acceptance model of intuitive eating with college women athletes. Psychol Women Q. 2012;36(1):88–98.
22. Almansour FD, Allafi AR, Al-Haifi AR. Impact of nutritional knowledge on dietary behaviors of students in Kuwait University. Acta Bio Medica Atenei Parm. 2020;91(4).
23. WHO. Global Database on Body Mass Index. 2008.
24. WHO. Waist Circumference and Waist-Hip Ratio. 2008.
25. Ashwell M, Gibson S. Waist-to-height ratio as an indicator of ‘early health risk’: simpler and more predictive than using a ‘matrix’based on BMI and waist circumference. BMJ Open. 2016;6(3):e010159.
26. Camilleri GM, Méjean C, Bellisle F, Andreeva VA, Sautron V, Hercberg S, et al. Cross-cultural validity of the Intuitive Eating Scale-2. Psychometric evaluation in a sample of the general French population. Appetite. 2015; 84:34–42.
27. Bas M, Karaca KE, Saglam D, Arıtıcı G, Cengiz E, Köksal S, et al. Turkish version of the intuitive eating Scale-2: Validity and reliability among university students. Appetite. 2017; 114:391–7.
28. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al. 2013 AHA/ACC/ TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. J Am Coll Cardiol. 2014;63(25 Part B):2985–3023.
29. Hawks SR, Madanat HN, Christley HS. Psychosocial associations of dietary restraint: Implications for healthy weight promotion. Ecol Food Nutr. 2008;47(5):450–83.
30. Van Dyke N, Drinkwater EJ. Review article relationships between intuitive eating and health indicators: literature review. Public Health Nutr. 2014;17(8):1757–66.
31. Schoenefeld SJ, Webb JB. Self-compassion and intuitive eating in college women: Examining the contributions of distress tolerance and body image acceptance and action. Eat Behav. 2013;14(4):493–6.
32. Herbert BM, Blechert J, Hautzinger M, Matthias E, Herbert C. Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite. 2013; 70:22–30.
33. Anderson LM, Reilly EE, Schaumberg K, Dmochowski S, Anderson DA. Contributions of mindful eating, intuitive eating, and restraint to BMI, disordered eating, and meal consumption in college students. Eat Weight Disord Anorexia, Bulim Obes. 2016;21(1):83–90.
34. Peschel SK V, Tylka TL, Williams DP, Kaess M, Thayer JF, Koenig J. Is intuitive eating related to resting state vagal activity? Auton Neurosci. 2018; 210:72–5.
35. Ford ES. Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence. Diabetes Care. 2005;28(7):1769–78.
36. Ghandehari H, Le V, Kamal-Bahl S, Bassin SL, Wong ND. Abdominal obesity and the spectrum of global cardiometabolic risks in US adults. Int J Obes. 2009;33(2):239–48.
37. Forkert ECO, Rendo-Urteaga T, Nascimento-Ferreira MV, de Moraes ACF, Moreno LA, de Carvalho HB. Abdominal obesity and cardiometabolic risk in children and adolescents, are we aware of their relevance? Nutrire. 2016;41(1):1–9.
38. Després J-P, Lemieux I, Bergeron J, Pibarot P, Mathieu P, Larose E, et al. Abdominal obesity and the metabolic syndrome: contribution to global cardiometabolic risk. Arterioscler Thromb Vasc Biol. 2008;28(6):1039–49.
39. Corrêa MM, Facchini LA, Thumé E, Oliveira ERA de, Tomasi E. The ability of waist-to-height ratio to identify health risk. Rev Saude Publica. 2019;53.
40. Ashwell M, Gunn P, Gibson S. Waist‐to‐height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta‐analysis. Obes Rev. 2012;13(3):275–86.
41. Özkan N, Bilici S. Are anthropometric measurements an indicator of intuitive and mindful eating? Eat Weight Disord Anorexia, Bulim Obes. 2021;26(2):639–48.