Factors that determine intuitive eating and mindful eating in university students
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Keywords

Feeding behavior
Intuitive eating
Mindful eating
Weight prejudice

How to Cite

1.
Agama-Sarabia A, Flores-Peña Y. Factors that determine intuitive eating and mindful eating in university students. SANUS Rev Enf [Internet]. 2025 Jan. 15 [cited 2025 Jan. 17];10(21):e525. Available from: https://sanus.unison.mx/index.php/Sanus/article/view/525

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Abstract

Introduction: The stigma facets, that is, experienced, internalized, stigma awareness, and anticipation, can change adaptive eating behaviors such as intuitive eating and mindful eating. Objective: Verify if the stigma facets, adaptive eating behaviors, body mass index and body weight perception are different according to gender; verify the relationship between stigma facets and adaptive eating behaviors with body mass index and body weight perception; identify factors that explain adaptive eating behaviors. Methodology: Correlational, predictive, cross-sectional study. 782 university students between the ages of 18 and 25 participated, enrolled in the period 2023-2024. A survey was applied with various questionnaires and anthropometric measurements were carried out. Descriptive and inferential statistics were used. Approval of Ethics Committee No.19-CEI-004-20180614. Results: 67.6% of participants were female. Significant differences were found between stigma awareness, anticipated stigma, mindful eating and body weight perception according to gender. A correlation was identified between stigma facets and adaptive eating behaviors. Experienced stigma, internalized, anticipated stigma and body weight perception explain intuitive eating behavior R2= 0.122, p< 0.001. Internalized, anticipated stigma and gender explain mindful eating behavior R2= 0.143, p< 0.001. Conclusion: The stigma facets, adaptive eating behaviors and body weight perception were different according to gender; they are related and explain adaptive eating behaviors. Interventions are recommended to reduce weight stigma, promote accuracy weight perception, and adaptive eating behaviors.

https://doi.org/10.36789/sanusrevenf..vi21.525
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References

Sánchez-Carracedo D. Obesity stigma and its impact on health: A narrative review. Endocrinología, Diabetes y Nutrición [Internet]. 2022 [citado 29 ago 2024];69(10):868-877. Disponible en: https://doi.org/10.1016/j.endien.2021.12.007

Puhl MR, Lessard LM, Himmelstein MS, Foster GD. The roles of experienced and internalized weight stigma in healthcare experiences: Perspectives of adults engaged in weight management across six countries. PLoS One [Internet]. 2021 [citado 18 ene 2024];16(6):e0251566. Disponible en: https://doi.org/10.1371/journal.pone.0251566

Instituto Nacional de Estadística y Geografía (INEGI). Discriminación en México [Internet]. México: INEGI; 2024 [citado 29 ago 2024]. Disponible en: https://www.inegi.org.mx/tablerosestadisticos/discriminacion/

Rubino F, Puhl RM, Cummings DE, Eckel RH, Ryan DH, Mechanick JI, et al. Joint international consensus statement for ending stigma of obesity. Nat Med [Internet]. 2020 [citado 20 ago 2024];26(4):485-497. Disponible en: https://doi.org/10.1038/s41591-020-0803-x

Levinson JA, Kinkel-Ram S, Myers B, Hunger JM. A systematic review of weight stigma and disordered eating cognitions and behaviors. Body Image [Internet]. 2024 [citado 02 mar 2024];48:101678. Disponible en: https://doi.org/10.1016/j.bodyim.2023.101678

Lee KM, Hunger JM, Tomiyama AJ. Weight stigma and health behaviors: evidence from the Eating in America Study. Int J Obes [Internet]. 2021 [citado 08 abr 2024];45(7):1499-1509. Disponible en: https://doi.org/10.1038/s41366-021-00814-5

Reinka MA, Quinn DM, Puhl RM. Examining the relationship between weight controllability beliefs and eating behaviors: The role of internalized weight stigma and BMI. Appetite [Internet]. 2021 [citado 20 abr 2024];164:105257. Disponible en: https://doi.org/10.1016/j.appet.2021.105257

Keirns NG, Keirns BH, Tsotsoros CE, Sciarrillo CM, Emerson SR, Hawkins MA. Associations between internalized weight stigma and visceral adipose tissue status are observed in women but not men. Stigma Health [Internet]. 2022 [citado 31 mar 2024];7(2):161-168. Disponible en: https://doi.org/10.1037/sah0000381

Lin CY, Latner JD, Rozzell-Voss K, Huang PC, Tsai YC, Pakpour AH, et al. Association of quality of life with internet use and weight stigma across individuals with obesity and those without obesity: Role of self-perception. Acta Psychol [Internet]. 2024 [citado 24 abr 2024];244:104203. Disponible en: https://doi.org/10.1016/j.actpsy.2024.104203

Jackson A, Sano Y, Parker L, Cox AE, Lanigan J. Intuitive eating and dietary intake. Eat Behav [Internet]. 2022 [citado 24 abr 2024];45:101606. Disponible en: https://doi.org/10.1016/j.eatbeh.2022.101606

Ayylldlz F, Akbulut G, Karaçil EM, Acar TN. Emotional and intuitive eating: an emerging approach to eating behaviours related to obesity. J Nutr Sci [Internet]. 2023 [citado 22 abr 2024];12:1-7. Disponible en: https://doi.org/10.1017/jns.2023.11

Yoon CY, Hazzard VM, Emery RL, Mason SM, Neumark-Sztainer D. Everyday discrimination as a predictor of maladaptive and adaptive eating: Findings from EAT 2018. Appetite [Internet]. 2022 [citado 13 mar 2023];170:105878. Disponible en: https://doi.org/10.1016/j.appet.2021.105878

Basinger ED, Cameron SJ, Allen G. Stigma, self-care, and intuitive eating in black americans with type 2 diabetes. J Racial Ethn Health Disparities [Internet]. 2024 [citado 30 ago 2024];11: 3162-3171. Disponible en: https://doi.org/10.1007/s40615-023-01772-6

Romano KA, Heron KE. Daily weight stigma experiences, and disordered and intuitive eating behaviors among young adults with body dissatisfaction. International Journal of Eating Disorders [Internet]. 2023 [citado 14 mar 2024];56(3):538-550. Disponible en: https://doi.org/10.1002/eat.23859

Braun TD, Unick JL, Abrantes AM, Dalrymple K, Conboy LA, Schifano E, et al. Intuitive eating buffers the link between internalized weight stigma and body mass index in stressed adults. Appetite [Internet]. 2022 [citado 18 mar 2024];169:105810 Disponible en: https://doi.org/10.1016/j.appet.2021.105810

Braun TD, Riley KE, Kunicki ZJ, Finkelstein-Fox L, Conboy LA, Park CL, et al. Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion. Health Psychol Behav Med [Internet]. 2021 [citado 07 oct 2023];9(1):933-950. Disponible en: https://doi.org/10.1080/21642850.2021.1992282

Murray K, Rieger E, Brown PM, Brichacek A, Walker I. Body image explains differences in intuitive eating between men and women: Examining indirect effects across negative and positive body image. Body Image [Internet]. 2023 [citado 14 nov 2023];45:369-381. Disponible en: https://doi.org/10.1016/j.bodyim.2023.03.018

Ruzanska UA, Warschburger P. Intuitive eating mediates the relationship between self-regulation and BMI - Results from a cross-sectional study in a community sample. Eat Behav [Internet]. 2019 [citado 04 feb 2024];33:23-29. Disponible en: https://doi.org/10.1016/j.eatbeh.2019.02.004

Grider HS, Douglas SM, Raynor HA. The Influence of Mindful Eating and/or Intuitive Eating Approaches on Dietary Intake: A Systematic Review. J Acad Nutr Diet [Internet]. 2021 [citado 25 ago 2024];121(4):709-727. Disponible en: https://doi.org/10.1016/j.jand.2020.10.019

Eaton M, Probst Y, Foster T, Messore J, Robinson L. A systematic review of observational studies exploring the relationship between health and non-weight-centric eating behaviours. Appetite [Internet]. 2024 [citado 24 abr 2024];199(1):107361. Disponible en: https://doi.org/10.1016/j.appet.2024.107361

Ortiz MS, Gómez-Pérez, D. Psychometric properties of a brief Spanish version of Stigmatizing Situations Inventory. Revista Mexicana de Trastornos Alimentarios [Internet]. 2019 [citado 17 oct 2024];10(1):1-9. Disponible en: https://doi.org/10.22201/fesi.20071523e.2019.1.538

Andrés A, Fornieles-Deu A, Sepúlveda AR, Beltrán-Garrayo L, Montcada-Ribera A, Bach-Faig A, et al. Spanish validation of the Modified Weight Bias Internalization Scale (WBIS-M) for adolescents. Eating and Weight Disorders [Internet]. 2022 [citado 17 oct 2024];27(8):3245-3256. Disponible en: https://doi.org/10.1007/s40519-022-01453-z

Magallares A, De Valle PB, Irles A, Recio P, Jáuregui-Lobera I. Psychometric properties of the Spanish version of the weight self-stigma questionnaire (S-WSSQ) in a sample of participants with obesity seeking weight loss treatment. Eating and Weight Disorders [Internet]. 2022 [citado 06 abr 2024];27:3685-3693. Disponible en: https://doi.org/10.1007/s40519-022-01511-6

Strizzi J, Fernández-Agis I, Parrón-Carreño T, Alarcón-Rodríguez R. Enacted sexual stigma, stigma consciousness, and subjective happiness scale adaptation: A two-country study. Journal of Interpersonal Violence [Internet]. 2016 [citado 17 oct 2024];31(2):316-338. Disponible en: https://doi.org/10.1177/0886260514555372

Flores-Quijano ME, Mota-González C, Rozada G, León-Rico JC, Gómez-López ME, Vega-Sánchez R. The intuitive eating scale-2 adapted for Mexican pregnant women: Psychometric properties and influence of sociodemographic variables. Nutrients [Internet]. 2023 [citado 17 oct 2024];15(22):4837. Disponible en: https://doi.org/10.3390/nu15224837

Olvera-Ruvalcaba AJ, Gómez-Peresmitré G, Velasco-Rojano, E. Construcción y validación de una escala de alimentación con atención plena: una primera aproximación en población mexicana. Revista Mexicana de Trastornos Alimentarios [Internet]. 2019 [citado 17 oct 2024];10(2):162-172. Disponible en: https://doi.org/10.22201/fesi.20071523e.2019.2.547

Kanellakis S, Sidiropoulou S, Apostolidou E, Skoufas E, Bountouvi E, Prelorentzou T, et al. Association of dietary intake underreporting with body image perception. Clinical Nutrition Open Science [Internet]. 2021 [citado 20 ago 2024];40:30-37. Disponible en: https://doi.org/10.1016/j.nutos.2021.09.002

Duan W, Wang Z. Mindfulness capability mediates the association between weight-based stigma and negative emotion symptoms. Mindfulness [Internet]. 2019 [citado 13 ago 2024];10(6):1074-1081. Disponible en: https://doi.org/10.1007/s12671-018-1039-4

Lee MK, Wang C, Du H, Hunger J, Tomiyama AJ. Weight stigma as a stressor: A preliminary multi-wave, longitudinal study testing the biobehavioral pathways of the cyclic obesity/weight-based stigma (COBWEBS) model. Appetite [Internet]. 2024 [citado 26 mar 2024];201:107573. Disponible en: https://doi.org/10.1016/j.appet.2024.107573

Chew QH, Chia FL, Ng WK, Lee WC, Tan PL, Wong CS, et al. Perceived stress, stigma, traumatic stress levels and coping responses amongst residents in training across multiple specialties during covid-19 pandemic longitudinal study. Int J Environ Res Public Health [Internet]. 2020 [citado 20 ago 2024];17(18):1-13. Disponible en: https://doi.org/10.3390/ijerph17186572

Cordero ED. Weight-problem perception, depression, and emotional eating among Latinas in the U.S. Eat Behav [Internet]. 2021 [citado 21 mar 2024];41:101494. Disponible en: https://doi.org/10.1016/j.eatbeh.2021.101494

Madalosso MM, Schaan B, Cureau FV. Association between body weight perception and quality of diet in brazilian adolescents. Revista Paulista de Pediatria [Internet]. 2020 [citado 22 abr 2024];38:e2020057. Disponible en: https://doi.org/10.1590/1984-0462/2020/38/2020057

Jacob JS, Panwar N. Effect of age and gender on dietary patterns, mindful eating, body image and confidence. BMC Psychol [Internet]. 2023 [citado 19 jun 2024];11(1):1-13. Disponible en: https://doi.org/10.1186/s40359-023-01290-4

Feng X, Wilson A. Association between community average body mass index and perception of overweight. Soc Sci Med [Internet]. 2022 [citado 13 ago 2024];294:114694. Disponible en: https://doi.org/10.1016/j.socscimed.2021.114694

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