Association between intuitive eating and health outcomes in outpatients with type 2 diabetes: a cross-sectional study.

Purpose: To evaluate the association between intuitive eating and health outcomes in patients with type 2 diabetes in a cross-sectional study. Methods: Consecutively, outpatients attending at university hospital underwent clinical, laboratory, lifestyle, and eating behavior evaluations. Intuitive ea...

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Publicado en:European Journal of Nutrition Vol. 63; no. 5; pp. 1623 - 1635
Autores principales: Koller, Olívia Garbin, Menezes, Vanessa Machado, Busanello, Aline, de Almeida, Jussara Carnevale
Formato: research tables/charts Journal Article
Publicado: Springer Nature Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-024-03361-7
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        atl: Association between intuitive eating and health outcomes in outpatients with type 2 diabetes: a cross-sectional study.
      aug:
        au:
          Koller, Olívia Garbin
          Menezes, Vanessa Machado
          Busanello, Aline
          de Almeida, Jussara Carnevale
        affil: https://ror.org/041yk2d64 Graduate Program in Nutrition, Food and Health, Universidade Federal do Rio Grande do Sul, Porto Alegre (RS), Brazil
      sug:
        subj:
          Diabetes Mellitus, Type 2 Diet Therapy
          Intuitive Eating
          Eating Behavior
          Glycemic Control
          Human
          Male
          Female
          Adult
          Middle Age
          Brazil
          Cross Sectional Studies
          Diabetes Mellitus, Type 2 Diagnosis
          Glycated Hemoglobin Blood
          Blood Glucose Analysis
          Comparative Studies
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: To evaluate the association between intuitive eating and health outcomes in patients with type 2 diabetes in a cross-sectional study. Methods: Consecutively, outpatients attending at university hospital underwent clinical, laboratory, lifestyle, and eating behavior evaluations. Intuitive eating was assessed using the Intuitive Eating Scale-2 (IES-2), and the Three Factor Eating Questionnaire-21 was adopted as a confirmatory tool for disordered eating behavior. Optimized health outcomes were considered according to the American Diabetes Association criteria for BMI, HbA1c, lipid profile, and blood pressure values, and the International Diabetes Federation criteria for waist circumference. Considering the answers of the IES-2 items, patients were grouped by latent class analysis, and their characteristics were compared by appropriate tests. Results: In total, 267 patients were evaluated: 62.2% women, with 60 (53–65) years, BMI 31.9 ± 5.4 kg/m², diabetes duration of 16 ± 9 years, HbA1c 8.5 ± 1.5%, and an IES-2 total score of 58 (50–67)%. Three intuitive eating groups were identified: higher intuitive eating, nonemotional-oriented coping, and lower intuitive eating. Patients with higher intuitive eating have higher chances of having optimized BMI and serum triglycerides values compared to patients with lower intuitive eating. Also, the 10-point increase on IES-2 was associated with a 0.62 kg/m² reduction on BMI values (95%CI -1.18;-0.06), 1.90 cm on waist circumference (95%CI -3.26;-0.54), and 23 mg/dL in serum triglycerides values (95%CI -38.27;-7.40) after adjustment for age, sex, psychotropic drug use, medication effect score, smoking, and BMI. Conclusion: Intuitive eating seems to be associated with optimized health outcomes and may contribute to better personalized interventions in nutritional treatment that promote adaptive behaviors in diabetes management, but should be tested.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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