Department of Pediatrics, University of Minnesota, USA.
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Finland.
Appetite. 2021 May 1;160:105093. doi: 10.1016/j.appet.2021.105093. Epub 2021 Jan 9.
Intuitive eating has been associated with markers of better health in cross-sectional studies, but less is known about long-term associations between intuitive eating and subsequent eating and weight-related behaviors. This study assessed how intuitive eating in early adulthood is related to weight status, dieting, healthy and unhealthy weight control behaviors, and binge eating with loss of control five years later. Young adults (N = 1660) were asked about intuitive eating as part of the 2008-2009 third wave of the Project EAT (Eating and Activity in Teens and Young Adults) longitudinal cohort study. Weight status, dieting, healthy and unhealthy weight control behaviors, and binge eating with loss of control were assessed during both the third (EAT-III: mean age 25.3 ± 1.5) and fourth (EAT-IV mean age 31.1 ± 1.5) waves. In analyses adjusted for sociodemographic characteristics, both male and female intuitive eaters had a lower prevalence of high weight status and lower engagement in dieting, unhealthy weight control behaviors, and binge eating at the 5-year follow-up, compared to non-intuitive eaters. Among women, after additional adjustment for EAT-III values for the respective outcome measures, intuitive eating was unrelated to any of the behaviors studied at 5-year follow-up. Among men, intuitive eating predicted a lower likelihood of engaging in unhealthy weight control behaviors (intuitive eaters: 30.0% vs. non-intuitive: 41.9%, p = 0.002) and binge eating (intuitive eaters: 0.9% vs. non-intuitive: 1.5%, p = 0.046) independent of participating in these behaviors at EAT-III. In a population-based sample of young adults, intuitive eating was associated with better markers of eating and weight-related behaviors five years later, suggesting intuitive eating may have potential long-term benefits.
直觉饮食已与横断面研究中的更好健康指标相关，但关于成年早期的直觉饮食与随后的饮食和与体重相关的行为之间的长期关联，了解较少。本研究评估了成年早期的直觉饮食如何与五年后体重状况、节食、健康和不健康的体重控制行为以及暴饮暴食与失控相关。作为青少年和年轻人饮食与活动研究（EAT）的 2008-2009 年第三波纵向队列研究的一部分，年轻人（N=1660）被问及直觉饮食。在第三波（EAT-III：平均年龄 25.3±1.5）和第四波（EAT-IV：平均年龄 31.1±1.5）期间评估了体重状况、节食、健康和不健康的体重控制行为以及暴饮暴食与失控。在调整了社会人口统计学特征后，与非直觉饮食者相比，男性和女性直觉饮食者在 5 年随访时，高体重状况和低节食、不健康的体重控制行为以及暴饮暴食的发生率较低。在女性中，在进一步调整了各自结局指标的 EAT-III 值后，在 5 年随访时，直觉饮食与所研究的任何行为均无关。在男性中，直觉饮食可预测不太可能参与不健康的体重控制行为（直觉饮食者：30.0%，而非直觉饮食者：41.9%，p=0.002）和暴饮暴食（直觉饮食者：0.9%，而非直觉饮食者：1.5%，p=0.046），而与 EAT-III 时参与这些行为无关。在基于人群的年轻成年人样本中，五年后，直觉饮食与更好的饮食和与体重相关的行为指标相关，这表明直觉饮食可能具有潜在的长期益处。
