Intuitive eating
Intuitive eating is an approach to eating that focuses on the body's response to cues of hunger and satisfaction.[1][2] It aims to foster a positive relationship with food as opposed to pursuing "weight control".[3] Additionally, intuitive eating aims to change users' views about dieting, health, and wellness, instilling a more holistic approach.[4] It also helps to create a positive attitude and relationship towards food, physical activity, and the body.[3]
The term "intuitive eating", coined by registered dietitians Evelyn Tribole and Elyse Resch, first appeared in a 1990s peer-reviewed journal article.[5] In 2012, Tribole's and Resch's book Intuitive Eating: A Revolutionary Program that Works was published, identifying ten components of intuitive eating and reviewing the scientific research that has been conducted on it.[4]
Characteristics
Unlike most diets, intuitive eating does not try to ban or restrict certain foods, with its mindset being that food should not be looked at as "good or bad". Practitioners are instead encouraged to listen to their body and eat what feels right for them.[6]
Intuitive eating follows 10 guidelines:[2][4]
- Reject the diet mentality
- Honor your hunger
- Make peace with food
- Challenge the food police
- Feel your fullness
- Discover the satisfaction factor
- Cope with your emotions without using food
- Respect your body
- Exercise
- Honor your health
Research
Weight loss and chronic disease control
Intuitive eating is not designed with an intention to lose weight (as a HAES aligned approach); however, some studies suggest it may lead to some short-term weight loss, and to decrease weight significantly more than in control groups that had no diet intervention, most likely caused by healing relationship with food and reduced eating for non-physical hunger.[5] Long-term weight loss from intuitive eating might be possible, but this possibility is not yet well-studied.[5]
Based on observational studies, intuitive eating is associated with less frequent overeating and better self-regulation in terms of calorie consumption. Due to the methodology of those studies, causality cannot be inferred and intuitive eating could be a consequence of low body weight rather than its prerequisition.[7][8]
Intuitive eating may be equally effective as a diabetes self-management education (DSME) and a lifestyle weight loss program, although further research is needed, as only similar approaches such as mindfulness eating were tested in clinical trials.[9]
In overweight or obese pregnant women, mindfulness eating was shown to lower glucose levels.[10][11] Whether these results can be extrapolate to the similar, but still different approach of intuitive eating, is unclear.
Intuitive eating may help to lower cholesterol and fasting glucose levels, improve HbA1C levels, and lower systolic and diastolic blood pressure.[9][12]
In a study from 2022 a lifestyle intervention that focused on weight loss resulted in a similar increase in intuitive eating as the control group. Weight loss correlated with two out of four subdomains of intuitive eating (body–food choice congruence and unconditional permission to eat). However, this results leaves open whether stronger intuitive eating was a result of weight loss or its requirement.[13]
Disordered eating and body acceptance
Intuitive eating may help to decrease eating disorder symptoms and behaviors as well as decrease weight stigma and concerns about weight.[2][12][14]
A 2022 review found that intuitive eating helped to decrease dieting.[2]
A 2016 review found that it correlated with self-esteem and self-compassion.[3] Another review found that it could lead to improved quality of life, body image, and body appreciation.[3][2]
A 2019 study revealed that women who followed intuitive eating patterns were able to let go of the concepts of "good" and "bad" foods that are commonly promoted by diet culture, allowing them to eat a more balanced, sustainable, and non-restrictive diet.[15]
Drawbacks and limitations
Intuitive eating has shown growth as a possible method for losing weight and yielding health benefits. However, researchers warn that there is not enough research to support that it can assist with weight loss long-term, or with maintaining weight loss. Furthermore, doctors and registered dietitians warn that this "non-diet" diet approach will yield different results for different people.[16]
People with certain health conditions may be instructed by their doctor to follow a particular diet, eliminating the choice to follow an intuitive eating diet. Critics have also argued that because intuitive eating is so broad, with no given diet plan or food restrictions, it can be hard for some users to know what to eat and how much to eat. It can be a steep learning curve to accurately respond to one's hunger and fullness cues.[17]
See also
References
- ^ Bédard, Alexandra; Lamarche, Pierre-Olivier; Grégoire, Lucie-Maude; Trudel-Guy, Catherine; Provencher, Véronique; Desroches, Sophie; Lemieux, Simone (2020-12-21). "Can eating pleasure be a lever for healthy eating? A systematic scoping review of eating pleasure and its links with dietary behaviors and health". PLOS ONE. 15 (12) e0244292. Bibcode:2020PLoSO..1544292B. doi:10.1371/journal.pone.0244292. ISSN 1932-6203. PMC 7751982. PMID 33347469.
- ^ a b c d e Babbott, Katie M; Cavadino, Alana; Brenton-Peters, Jennifer; Consedine, Nathan S; Roberts, Marion (2022-04-09). "Outcomes of intuitive eating interventions: a systematic review and meta-analysis". Eating Disorders. 31 (1): 33–63. doi:10.1080/10640266.2022.2030124. ISSN 1064-0266. PMID 35400300. S2CID 248074243.
- ^ a b c d Bruce, Lauren J.; Ricciardelli, Lina A. (January 2016). "A systematic review of the psychosocial correlates of intuitive eating among adult women". Appetite. 96: 454–472. doi:10.1016/j.appet.2015.10.012. ISSN 0195-6663. PMID 26474781. S2CID 22806269.
- ^ a b c Tribole, Evelyn (2012). Intuitive eating- A Revolutionary Program that Works. Elyse Resch (3rd ed.). New York: St. Martin's Griffin. ISBN 978-1-250-00404-8. OCLC 793689026.
- ^ a b c Fuentes Artiles, Ruben; Staub, Kaspar; Aldakak, Lafi; Eppenberger, Patrick; Rühli, Frank; Bender, Nicole (August 2019). "Mindful eating and common diet programs lower body weight similarly: Systematic review and meta-analysis". Obesity Reviews. 20 (11): 1619–1627. doi:10.1111/obr.12918. ISSN 1467-7881. PMID 31368631. S2CID 199057284.
- ^ Sreenivas, Shishira. "What Is Intuitive Eating?". WebMD. Retrieved 2023-02-27.
- ^ Lovan, Padideh; George, Florence; Campa, Adriana; Huffman, Fatma; Coccia, Catherine (2022-05-04). "The Effect of Mood Change and Intuitive Eating Skills on Self-Regulation of Food Intake among Undergraduate College Students". American Journal of Health Education. 53 (3): 149–160. doi:10.1080/19325037.2022.2048748. ISSN 1932-5037.
- ^ Giacone, Luana; Sob, Cynthia; Siegrist, Michael; Hartmann, Christina (January 2024). "Intuitive eating and its influence on self-reported weight and eating behaviors". Eating Behaviors. 52 101844. doi:10.1016/j.eatbeh.2024.101844. hdl:20.500.11850/657629. ISSN 1471-0153. PMID 38280314.
- ^ a b Hayashi, Lauren C.; Benasi, Giada; St-Onge, Marie-Pierre; Aggarwal, Brooke (2021-12-16). "Intuitive and mindful eating to improve physiological health parameters: a short narrative review of intervention studies". Journal of Complementary and Integrative Medicine. 20 (3): 537–547. doi:10.1515/jcim-2021-0294. ISSN 2194-6329. PMC 10098784. PMID 34913327. S2CID 245145586.
- ^ Youngwanichsetha, Sununta; Phumdoung, Sasitorn; Ingkathawornwong, Thitiporn (November 2014). "The effects of mindfulness eating and yoga exercise on blood sugar levels of pregnant women with gestational diabetes mellitus". Applied nursing research: ANR. 27 (4): 227–230. doi:10.1016/j.apnr.2014.02.002. ISSN 1532-8201. PMID 24629718.
- ^ Epel, E.; Laraia, B.; Coleman-Phox, K.; Leung, C.; Vieten, C.; Mellin, L.; Kristeller, J. L.; Thomas, M.; Stotland, N.; Bush, N.; Lustig, R. H.; Dallman, M.; Hecht, F. M.; Adler, N. (October 2019). "Effects of a Mindfulness-Based Intervention on Distress, Weight Gain, and Glucose Control for Pregnant Low-Income Women: A Quasi-Experimental Trial Using the ORBIT Model". International Journal of Behavioral Medicine. 26 (5): 461–473. doi:10.1007/s12529-019-09779-2. ISSN 1532-7558. PMC 6785577. PMID 30993601.
- ^ a b Hensley-Hackett, Katie; Bosker, Josephine; Keefe, Ashleigh; Reidlinger, Dianne; Warner, Molly; D'Arcy, Anna; Utter, Jennifer (October 2022). "Intuitive Eating Intervention and Diet Quality in Adults: A Systematic Literature Review". Journal of Nutrition Education and Behavior. 54 (12): 1099–1115. doi:10.1016/j.jneb.2022.08.008. ISSN 1499-4046. PMID 36274010. S2CID 253067042.
- ^ Nunes, Catarina L.; Carraça, Eliana V.; Jesus, Filipe; Finlayson, Graham; Francisco, Rúben; Silva, Marlene N.; Santos, Inês; Bosy-Westphal, Anja; Martins, Paulo; Minderico, Cláudia; Sardinha, Luís B.; Silva, Analiza M. (May 2022). "Changes in food reward and intuitive eating after weight loss and maintenance in former athletes with overweight or obesity". Obesity. 30 (5): 1004–1014. doi:10.1002/oby.23407. ISSN 1930-7381. PMID 35347875.
- ^ Schmid, Jane; Linxwiler, Ashley; Owen, Erica; Caplan, Heather; Jenkins, Kristi Rahrig; Bauer, Katherine W.; Zawistowski, Matthew; Weeks, Heidi M.; Sonneville, Kendrin R. (January 2024). "Weight-inclusive, intuitive eating-based workplace wellness program associated with improvements in intuitive eating, eating disorder symptoms, internalized weight stigma, and diet quality". Eating Behaviors. 52 101840. doi:10.1016/j.eatbeh.2023.101840. ISSN 1471-0153. PMC 11002983. PMID 38134818.
- ^ Barraclough, Emma Louise; Hay-Smith, E Jean C; Boucher, Sara E; Tylka, Tracy Lynn; Horwath, Caroline Christine (2019-02-01). "Learning to eat intuitively: A qualitative exploration of the experience of mid-age women". Health Psychology Open. 6 (1) 2055102918824064. doi:10.1177/2055102918824064. ISSN 2055-1029. PMC 6360478. PMID 30746153.
- ^ "What is Intuitive Eating? 10 Principles to Follow". Cleveland Clinic. June 8, 2022.
- ^ "What is Intuitive Eating and Is It Healthy?". News-Medical.net. 2019-09-22. Retrieved 2023-01-29.