J Acad Nutr Diet. 2014 Jan;114(1):99-106. doi: 10.1016/j.jand.2013.06.354. Epub 2013 Sep 12.
Negative effects of restrained eating (ie, concerns about dieting and weight control) have been observed in eating behaviors. Such findings underscore the need to develop more positive approaches to promote healthy eating behaviors. The objectives of this pilot randomized controlled trial were to investigate and determine whether sensory-based intervention influenced eating-related attitudes and behaviors among restrained women, as well as reliance on physical signals for hunger and satiety. Between January and September 2011, data were collected using validated questionnaires (Restraint Scale, Three-Factor Eating Questionnaire, Mindful Eating Questionnaire, and Intuitive Eating Scale) at baseline (T=1), the end of the intervention period (T=2), and 12 weeks post intervention (T=3). At T=1, women (n=50) from Quebec City, Canada, were randomly assigned to an intervention group (sensory-based intervention) or a waiting list control group. Statistical analyses were conducted using mixed models, including the group, time, and group-by-time interaction. Women from the intervention group showed a significant decrease in Three-Factor Eating Questionnaire-Disinhibition and a significant increase in Mindful Eating Questionnaire-Disinhibition at T=2 vs T=3 (P=0.02 and P=0.02, respectively) and at T=3 vs T=1 (P=0.003 and P=0.002, respectively). Women from the intervention group also showed a significant increase in Intuitive Eating Scale-Unconditional Permission to Eat at T=2 vs T=1 (P<0.0001) and at T=3 vs T=1 (P<0.0001). These preliminary data suggest that sensory-based intervention can be a promising approach to improve eating-related attitudes and behaviors among restrained women, without exacerbating other behaviors such as restrained eating.
限制进食(即对节食和体重控制的担忧)对进食行为产生了负面影响。这些发现强调了需要开发更积极的方法来促进健康的进食行为。本初步随机对照试验的目的是调查和确定基于感官的干预是否会影响限制饮食的女性的饮食相关态度和行为,以及对饥饿和饱腹感的身体信号的依赖。2011 年 1 月至 9 月期间,使用经过验证的问卷(限制量表、三因素饮食问卷、正念饮食问卷和直觉饮食量表)在基线(T=1)、干预期结束时(T=2)和干预后 12 周(T=3)收集数据。在 T=1 时,来自加拿大魁北克市的女性(n=50)被随机分配到干预组(基于感官的干预)或候补名单对照组。使用混合模型进行统计分析,包括组、时间和组间时间交互作用。与 T=3 相比,干预组女性在 T=2 时,三因素饮食问卷-抑制因子显著下降(P=0.02),在 T=3 时,正念饮食问卷-抑制因子显著增加(P=0.02);与 T=1 相比,干预组女性在 T=2 时,三因素饮食问卷-抑制因子显著下降(P=0.003),在 T=3 时,正念饮食问卷-抑制因子显著增加(P=0.002)。干预组女性在 T=2 时,直觉饮食量表-无条件进食许可显著增加(P<0.0001),在 T=3 时,也显著增加(P<0.0001)。这些初步数据表明,基于感官的干预可能是一种改善限制饮食女性饮食相关态度和行为的有前途的方法,而不会加剧其他行为,如限制饮食。