Advertisement

Intuitive Eating Intervention and Diet Quality in Adults: A Systematic Literature Review

Published:October 21, 2022DOI:https://doi.org/10.1016/j.jneb.2022.08.008

      Abstract

      Introduction

      Intuitive eating interventions aim to improve individual health and promote sustainable changes to one's relationship with food. However, there is no evidence-based consensus on the impact of intuitive eating interventions on diet quality. This systematic review aimed to investigate intuitive eating interventions and their impact on diet quality.

      Method

      PubMed, Embase, CINAHL, PsycInfo, and Cochrane databases were systematically searched to October 2021 for studies reporting interventions that encompassed the principles of intuitive eating and measured diet quality. Other health outcomes were used for secondary analysis. Findings were synthesized narratively.

      Results

      Seventeen papers reporting 14 intervention studies (n = 3,960) were included in the review. All studies found a positive or neutral effect on diet quality following an intuitive eating intervention. A favorable change in eating behavior following these interventions was also observed.

      Discussion

      Intuitive eating promotes an attunement to the body, which aids in improving diet quality because of increased awareness of physiological cues. The reduction of emotional and binge eating may also increase diet quality.

      Implications for Research and Practice

      Findings from the current review suggest that intuitive eating interventions are most effective face-to-face, in a group setting, and sustained for at least 3 months.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access

      SNEB Member Login

      SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.

      Subscribe:

      Subscribe to Journal of Nutrition Education and Behavior
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Ardies CM. Diet, Exercise, and Chronic Disease: The Biological Basis of Prevention. Taylor & Francis; 2014.

        • GBD 2017 Diet Collaborators
        Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017.
        Lancet. 2019; 393: 1958-1972
        • de Ridder D
        • Kroese F
        • Evers C
        • Adriaanse M
        • Gillebaart M.
        Healthy diet: health impact, prevalence, correlates, and interventions.
        Psychol Health. 2017; 32: 907-941
        • Bruce LJ
        • Ricciardelli LA.
        A systematic review of the psychosocial correlates of intuitive eating among adult women.
        Appetite. 2016; 96: 454-472
      2. Tribole E, Resch E, Tylka T. The Intuitive Eating Workbook: Ten Principles for Nourishing a Healthy Relationship With Food. New Harbinger Publications; 2017.

        • Tylka TL.
        Development and psychometric evaluation of a measure of intuitive eating.
        J Couns Psychol. 2006; 53: 226-240
        • Dugmore JA
        • Winten CG
        • Niven HE
        • Bauer J.
        Effects of weight-neutral approaches compared with traditional weight-loss approaches on behavioral, physical, and psychological health outcomes: a systematic review and meta-analysis.
        Nutr Rev. 2020; 78: 39-55
        • Spadine M
        • Patterson MS.
        Social influence on fad diet use: a systematic literature review.
        Nutr Health. 2022; 28: 369-388
        • Faw MH
        • Davidson K
        • Hogan L
        • Thomas K.
        Corumination, diet culture, intuitive eating, and body dissatisfaction among young adult women.
        Pers Relationship. 2021; 28: 406-426
        • PietilÄInen KH
        • Saarni SE
        • Kaprio J
        • Rissanen A
        Does dieting make you fat? A twin study.
        Int J Obes (Lond). 2012; 36: 456-464
        • Zou H
        • Yin P
        • Liu L
        • et al.
        Association between weight cycling and risk of developing diabetes in adults: A systematic review and meta-analysis.
        J Diabetes Investig. 2021; 12: 625-632
        • Tylka TL
        • Annunziato RA
        • Burgard D
        • et al.
        The weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss.
        J Obes. 2014; 2014983495
        • Clifford D
        • Ozier A
        • Bundros J
        • Moore J
        • Kreiser A
        • Morris MN.
        Impact of non-diet approaches on attitudes, behaviors, and health outcomes: a systematic review.
        J Nutr Educ Behav. 2015; 47 (e1): 143-155
        • Matheson EM
        • King DE
        • Everett CJ.
        Healthy lifestyle habits and mortality in overweight and obese individuals.
        J Am Board Fam Med. 2012; 25: 9-15
        • Carrière K
        • Khoury B
        • Günak MM
        • Knäuper B.
        Mindfulness-based interventions for weight loss: a systematic review and meta-analysis.
        Obes Rev. 2018; 19: 164-177
        • Fuentes Artiles R
        • Staub K
        • Aldakak L
        • Eppenberger P
        • Rühli F
        • Bender N.
        Mindful eating and common diet programs lower body weight similarly: systematic review and meta-analysis.
        Obes Rev. 2019; 20: 1619-1627
        • 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. 2021; 121 (e1): 709-727
        • Linardon J
        • Tylka TL
        • Fuller-Tyszkiewicz M.
        Intuitive eating and its psychological correlates: a meta-analysis.
        Int J Eat Disord. 2021; 54: 1073-1098
        • Rogers JM
        • Ferrari M
        • Mosely K
        • Lang CP
        • Brennan L.
        Mindfulness-based interventions for adults who are overweight or obese: a meta-analysis of physical and psychological health outcomes.
        Obes Rev. 2017; 18: 51-67
        • Warren JM
        • Smith N
        • Ashwell M.
        A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated potential mechanisms.
        Nutr Res Rev. 2017; 30: 272-283
        • Higgins JPT TJ
        • Chandler J
        • Cumpston M
        • Li T
        • Page MJ
        • Welch VA
        Cochrane Handbook for Systematic Reviews of Interventions.
        Cochrane. 2022;
        • McGowan J
        • Sampson M
        • Salzwedel DM
        • Cogo E
        • Foerster V
        • Lefebvre C.
        PRESS Peer Review of Electronic Search Strategies: 2015 guideline statement.
        J Clin Epidemiol. 2016; 75: 40-46
        • Tylka TL
        • Kroon Van Diest AM
        The Intuitive Eating Scale-2: item refinement and psychometric evaluation with college women and men.
        J Couns Psychol. 2013; 60: 137-153
        • Kennedy ET
        • Ohls J
        • Carlson S
        • Fleming K.
        The Healthy Eating Index.
        J Am Diet Assoc. 1995; 95: 1103-1108
        • Wirt A
        • Collins CE.
        Diet quality–what is it and does it matter?.
        Public Health Nutr. 2009; 12: 2473-2492
        • Hong QN
        • Fàbregues S
        • Bartlett G
        • et al.
        The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers.
        Educ Inf. 2018; 34: 285-291
        • Beintner I
        • Emmerich OLM
        • Vollert B
        • Taylor CB
        • Jacobi C.
        Promoting positive body image and intuitive eating in women with overweight and obesity via an online intervention: results from a pilot feasibility study.
        Eat Behav. 2019; 34101307
        • Carbonneau E
        • Bégin C
        • Lemieux S
        • et al.
        A Health at Every Size intervention improves intuitive eating and diet quality in Canadian women.
        Clin Nutr. 2017; 36: 747-754
        • Cole RE
        • Horacek T.
        Effectiveness of the “My Body Knows When” intuitive-eating pilot program.
        Am J Health Behav. 2010; 34: 286-297
        • Dimitrov Ulian M
        • Pinto AJ
        • de Morais
        • Sato P
        • et al.
        Effects of a new intervention based on the Health at Every Size approach for the management of obesity: the “Health and Wellness in Obesity” study.
        PLoS One. 2018; 13e0198401
        • Hawley G
        • Horwath C
        • Gray A
        • et al.
        Sustainability of health and lifestyle improvements following a non-dieting randomised trial in overweight women.
        Prev Med. 2008; 47: 593-599
        • Ingraham N
        • Eliason MJ
        • Garbers S
        • et al.
        Effects of mindfulness interventions on health outcomes in older lesbian/bisexual women.
        Womens Health Issues. 2016; 26: S53-S62
        • Ingraham N
        • Harbatkin D
        • Lorvick J
        • Plumb M
        • Minnis AM.
        Women's health and mindfulness (WHAM): A randomized intervention among older lesbian/bisexual women.
        Health Promot Pract. 2017; 18: 348-357
        • Järvelä-Reijonen E
        • Karhunen L
        • Sairanen E
        • et al.
        The effects of acceptance and commitment therapy on eating behavior and diet delivered through face-to-face contact and a mobile app: a randomized controlled trial.
        Int J Behav Nutr Phys Act. 2018; 15: 22
        • Järvelä-Reijonen E
        • Puttonen S
        • Karhunen L
        • et al.
        The effects of acceptance and commitment therapy (ACT) intervention on inflammation and stress biomarkers: a randomized controlled trial.
        Int J Behav Med. 2020; 27: 539-555
        • Kattelmann KK
        • Bredbenner CB
        • White AA
        • et al.
        The effects of Young Adults Eating and Active for Health (YEAH): a theory-based web-delivered intervention.
        J Nutr Educ Behav. 2014; 46: S27-S41
        • Kattelmann KK
        • White AA
        • Greene GW
        • et al.
        Development of Young Adults Eating and Active for Health (YEAH) internet-based intervention via a community-based participatory research model.
        J Nutr Educ Behav. 2014; 46: S10-S25
        • Leblanc V
        • Provencher V
        • Bégin C
        • Corneau L
        • Tremblay A
        • Lemieux S.
        Impact of a Health-At-Every-Size intervention on changes in dietary intakes and eating patterns in premenopausal overweight women: results of a randomized trial.
        Clin Nutr. 2012; 31: 481-488
        • Mensinger JL
        • Calogero RM
        • Stranges S
        • Tylka TL.
        A weight-neutral versus weight-loss approach for health promotion in women with high BMI: a randomized-controlled trial.
        Appetite. 2016; 105: 364-374
        • Miller CK
        • Kristeller JL
        • Headings A
        • Nagaraja H.
        Comparison of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a randomized controlled trial.
        Health Educ Behav. 2014; 41: 145-154
        • Miller CK
        • Kristeller JL
        • Headings A
        • Nagaraja H
        • Miser WF.
        Comparative effectiveness of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a pilot study.
        J Acad Nutr Diet. 2012; 112: 1835-1842
        • Ulian MD
        • Gualano B
        • Benatti FB
        • et al.
        Now I Can Do Better”: a study of obese women's experiences following a nonprescriptive nutritional intervention.
        Clin Med Insights Womens Health. 2015; 8: 13-24
        • Wilson RE
        • Marshall RD
        • Murakami JM
        • Latner JD.
        Brief non-dieting intervention increases intuitive eating and reduces dieting intention, body image dissatisfaction, and anti-fat attitudes: A randomized controlled trial.
        Appetite. 2020; 148104556
      3. Hong QN, Fàbregues S, Bartlett G, et al.The Mixed Methods Appraisal Tool (MMAT) Version 2018 for Information Professionals and Researchers. User Guide. Education for Information; 2018. http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf. Accessed November 4, 2021.

        • O'Reilly SL
        • McCann LR.
        Development and validation of the Diet Quality Tool for use in cardiovascular disease prevention settings.
        Aust J Prim Health. 2012; 18: 138-147
        • Zarrin R
        • Ibiebele TI
        • Marks GC.
        Development and validity assessment of a diet quality index for Australians.
        Asia Pac J Clin Nutr. 2013; 22: 177-187
        • Olendzki B
        • Hurley TG
        • Hebert JR
        • et al.
        Comparing food intake using the dietary risk assessment with multiple 24-hour dietary recalls and the 7-day dietary recall.
        J Am Diet Assoc. 1999; 99: 1433-1439
        • Rifas-Shiman SL
        • Willett WC
        • Lobb R
        • Kotch J
        • Dart C
        • Gillman MW.
        PrimeScreen, a brief dietary screening tool: reproducibility and comparability with both a longer food frequency questionnaire and biomarkers.
        Public Health Nutr. 2001; 4: 249-254
        • Ulian MD
        • Benatti FB
        • de Campos-Ferraz PL
        • et al.
        The effects of a “health at every size(®)”-based approach in obese women: a pilot-trial of the “health and wellness in obesity” study.
        Front Nutr. 2015; 2: 34
        • Karlsson J
        • Persson LO
        • SjÖStrÖM L
        • Sullivan M
        Psychometric properties and factor structure of the three-factor eating questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study.
        Int J Obes Relat Metab Disord. 2000; 24: 1715-1725
        • Framson C
        • Kristal AR
        • Schenk JM
        • Littman AJ
        • Zeliadt S
        • Benitez D.
        Development and validation of The Mindful Eating Questionnaire.
        J Am Diet Assoc. 2009; 109: 1439-1444
        • Lombardo C
        • Cerolini S
        • Alivernini F
        • et al.
        Eating self-efficacy: validation of a new brief scale.
        Eat Weight Disord. 2021; 26: 295-303
        • Van Dyke N
        • Drinkwater EJ.
        Relationships between intuitive eating and health indicators: literature review.
        Public Health Nutr. 2014; 17: 1757-1766
        • Yau YHC
        • Potenza MN.
        Stress and eating behaviors.
        Minerva Endocrinol. 2013; 38: 255-267
        • Fong M
        • Li A
        • Hill AJ
        • et al.
        Mood and appetite: their relationship with discretionary and total daily energy intake.
        Physiol Behav. 2019; 207: 122-131
        • Tabatabai M
        • Holland J
        • Curtis L
        • Morris MN
        The relationship between intuitive eating and diet quality in a college population.
        Calif J Health Promot. 2021; 19: 34-43
        • Atalay S
        • Bas M
        • Eren B
        • Karaca E
        • Bas D.
        Intuitive eating, diet quality, body mass index and abnormal eating: A cross sectional study in young Turkish women.
        Prog Nutr. 2021; 22e2020074
        • Katterman SN
        • Kleinman BM
        • Hood MM
        • Nackers LM
        • Corsica JA.
        Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: a systematic review.
        Eat Behav. 2014; 15: 197-204
        • Dambha-Miller H
        • Day AJ
        • Strelitz J
        • Irving G
        • Griffin SJ.
        Behaviour change, weight loss and remission of type 2 diabetes: a community-based prospective cohort study.
        Diabet Med. 2020; 37: 681-688