Effect of an intuitive eating intervention on disordered eating behaviours and dietary quality in young adult Canadian women: A randomized controlled trial

IF 2.8 3区医学 Q2 PSYCHIATRY

Eating behaviors Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI:10.1016/j.eatbeh.2025.102067

Juliette Casgrain , Pressila Njeim , Guy Hajj-Boutros , Antony D. Karelis

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引用次数: 0

Abstract

Background

Disordered eating behaviours (DEBs) are common among young adult women and increase the risk of developing eating disorders. Intuitive eating (IE), a weight-inclusive model emphasizing responsiveness to internal cues (e.g., hunger and satiety signals) and self-compassion, has emerged as a promising approach, but evidence from randomized controlled trials (RCTs) remains limited. Thus, the purpose of the present study was to examine the effect of an IE intervention on intuitive eating, DEBs, and dietary quality in young women.

Methods

In this parallel-group RCT, 106 physically active women (18–35 years) with at least one DEB were randomized to an 8-week group-based IE intervention (N = 53) or wait-list control (N = 53). Weekly sessions were delivered virtually by registered dietitians. Outcomes included IE (IES-2), DEBs (EDE-Q global and Restraint scores, frequency of binge eating, loss-of-control eating, purging, and compensatory exercise), and dietary quality (short Healthy Eating Index).

Results

The intervention significantly improved IE global scores. DEBs decreased significantly, with reductions in global EDE-Q and Restraint scores and in the frequency of binge eating, loss-of-control eating, purging, and compensatory exercise. Dietary quality remained unchanged. Retention was high (89 %), and participants reported very high satisfaction towards the intervention and facilitators (mean score 9.6/10).

Conclusions

This study provides evidence that an IE intervention could meaningfully increase IE and reduce DEBs in young adult women across a wide BMI range. Findings support IE's feasibility, acceptability, and potential as a weight-inclusive strategy for prevention and health promotion.

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直觉饮食干预对加拿大年轻成年女性饮食失调行为和饮食质量的影响：一项随机对照试验

饮食失调行为（DEBs）在年轻成年女性中很常见，并增加了患饮食失调的风险。直觉饮食（IE）是一种体重包容模型，强调对内部信号（如饥饿和饱腹感信号）和自我同情的反应，已成为一种有希望的方法，但随机对照试验（rct）的证据仍然有限。因此，本研究的目的是检验IE干预对年轻女性直觉饮食、DEBs和饮食质量的影响。方法在该平行组随机对照试验中，106名至少有一种DEB的体力活动女性（18-35岁）被随机分为8周的IE干预组（N = 53）或等候名单对照组（N = 53）。每周的课程由注册营养师虚拟授课。结果包括IE （IES-2）、DEBs （ed - q全局和克制评分、暴食频率、饮食失控、排便和代偿性运动）和饮食质量（健康饮食指数）。结果干预显著提高了IE总分。DEBs显著下降，整体ed - q和克制评分降低，暴食、饮食失控、排便和代偿性运动的频率降低。饮食质量保持不变。保留率很高（89%），参与者对干预和辅导员的满意度非常高（平均得分9.6/10）。本研究提供的证据表明，在大BMI范围内的年轻成年女性中，IE干预可以显著增加IE并减少DEBs。研究结果支持IE的可行性、可接受性和作为预防和促进健康的体重包容性策略的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Eating behaviors Multiple-

CiteScore

4.20

自引率

3.60%

发文量

审稿时长

60 days

期刊介绍： Eating Behaviors is an international peer-reviewed scientific journal publishing human research on the etiology, prevention, and treatment of obesity, binge eating, and eating disorders in adults and children. Studies related to the promotion of healthy eating patterns to treat or prevent medical conditions (e.g., hypertension, diabetes mellitus, cancer) are also acceptable. Two types of manuscripts are encouraged: (1) Descriptive studies establishing functional relationships between eating behaviors and social, cognitive, environmental, attitudinal, emotional or biochemical factors; (2) Clinical outcome research evaluating the efficacy of prevention or treatment protocols.