Evaluation of the Relationship Between Weight Bias, Intuitive Eating, and Physical Activity Among University Students
DOI:
https://doi.org/10.14306/renhyd.30.4.2793Keywords:
Intuitive Eating, Weight Bias, Physical Activity, Eating Behaviour, Body ImageAbstract
Objective: Intuitive eating has emerged as a health-promoting approach associated with improved eating behaviors and psychological well-being. Despite growing interest in intuitive eating, the interplay between intuitive eating, physical activity levels, and weight bias internalization (WBI) among university students has not been fully elucidated. This study aimed to examine the relationships between intuitive eating, physical activity levels, and WBI, as well as the associations between WBI and the subdimensions of intuitive eating among university students.
Methods: This descriptive cross-sectional study included 776 university students aged 19–31 years selected through stratified sampling at Mersin University. Data were collected using a Personal Information Form, the International Physical Activity Questionnaire–Short Form (IPAQ-SF), the Two-Factor Weight Bias Internalization Scale, and the Intuitive Eating Scale–2 (IES-2). Descriptive statistics, Mann–Whitney U tests, Kruskal–Wallis tests, and Spearman correlation analyses were performed. Statistical significance was set at p < 0.05.
Results: The study sample consisted predominantly of female students (81.3%). Total intuitive eating scores were significantly lower among overweight and obese participants than among underweight and normal-weight participants (p < 0.001), whereas WBI scores were significantly higher (p < 0.001). Total intuitive eating scores were significantly higher among men than women (p < 0.001), although no gender differences were observed for most intuitive eating subscales(p > 0.05). Intuitive eating scores and subscale scores did not significantly differ according to physical activity level (p > 0.05). Body mass index was negatively correlated with total intuitive eating score (r = −0.289, p < 0.001) and positively correlated with WBI (r = 0.300, p < 0.001). WBI was negatively correlated with total intuitive eating (r = −0.282, p < 0.001), Eating for Physical Rather Than Emotional Reasons (r = −0.284, p < 0.001), and Reliance on Hunger and Satiety Cues (r = −0.250, p < 0.001).
Conclusion: Weight bias internalization was significantly associated with lower intuitive eating scores among university students. Higher levels of WBI were particularly related to reduced reliance on hunger and satiety cues and lower tendencies to eat for physical rather than emotional reasons. These findings underscore the importance of addressing body-related attitudes and weight-related self-stigma when promoting intuitive eating behaviors among university students.
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1. Lee MS, Gonzalez BD, Small BJ, Thompson JK. Internalized Weight Bias and Psychological Wellbeing: An Exploratory Investigation of a Preliminary Model. PLoS One. 2019;14(5):e0216324. doi: 10.1371/journal.pone.0216324 DOI: https://doi.org/10.1371/journal.pone.0216324
2. Pearl RL, Puhl RM, Dovidio JF. Differential Effects of Weight Bias Experiences and Internalization on Exercise among Women with Overweight and Obesity. J Health Psychol. 2015;20(12):1626–1632. doi: 10.1177/1359105313520338 DOI: https://doi.org/10.1177/1359105313520338
3. Pearl RL, Puhl RM. Weight Bias Internalization and Health: A Systematic Review. Obes Rev. 2018;19(8):1141–1163. doi: 10.1111/obr.12701 DOI: https://doi.org/10.1111/obr.12701
4. Mensinger JL, Calogero RM, Tylka TL. Internalized Weight Stigma Moderates Eating Behavior Outcomes in Women with High BMI Participating in a Healthy Living Program. Appetite. 2016;102:32–43. doi: 10.1016/j.appet.2016.01.033 DOI: https://doi.org/10.1016/j.appet.2016.01.033
5. Rezende F, Oliveira BM, Poinhos R. Assessment of Intuitive Eating and Mindful Eating among Higher Education Students: A Systematic Review. Healthcare (Basel). 2024;12(5):572. doi: 10.3390/healthcare12050572 DOI: https://doi.org/10.3390/healthcare12050572
6. Tylka TL. Development and Psychometric Evaluation of a Measure of Intuitive Eating. J Couns Psychol. 2006;53(2):226–240. doi: 10.1037/0022-0167.53.2.226 DOI: https://doi.org/10.1037/0022-0167.53.2.226
7. Linardon J, Tylka TL, Fuller-Tyszkiewicz M. Intuitive Eating and Its Psychological Correlates: A Meta-Analysis. Int J Eat Disord. 2021;54(7):1073–1098. doi: 10.1002/eat.23509 DOI: https://doi.org/10.1002/eat.23509
8. Hazzard VM, Telke SE, Simone M, Anderson LM, Larson NI, Neumark-Sztainer D. Intuitive Eating Longitudinally Predicts Better Psychological Health and Lower Use of Disordered Eating Behaviors. Eat Weight Disord. 2021;26(1):287–294. doi: 10.1002/eat.23224 DOI: https://doi.org/10.1007/s40519-020-00852-4
9. Brochu PM, Mensinger JL, Moss LB, Rothenberg SL. Weight Bias Internalization Statistically Mediates the Association between Positive Body Image and Intuitive Eating: A Cross-Sectional Study. J Acad Nutr Diet. 2025;125(12):1899-1906, doi: 10.1016/j.jand.2024.12.007. DOI: https://doi.org/10.1016/j.jand.2024.12.007
10. Braun TD, Unick JL, Abrantes AM, Dalrymple K, Conboy LA, Schifano E, Lazar SW, et al. Intuitive Eating Buffers the Link between Internalized Weight Stigma and Body Mass Index in Stressed Adults. Appetite. 2022;169:105810. doi: 10.1016/j.appet.2021.105810 DOI: https://doi.org/10.1016/j.appet.2021.105810
11. Potterton R, Richards K, Allen K, Schmidt U. Eating Disorders during Emerging Adulthood: A Systematic Scoping Review. Front Psychol. 2020;10:3062. doi: 10.3389/fpsyg.2019.03062 DOI: https://doi.org/10.3389/fpsyg.2019.03062
12. Lipson SK, Sonneville KR. Eating Disorder Symptoms among Undergraduate and Graduate Students at 12 US Colleges and Universities. Eat Behav. 2017;24:81–88. doi: 10.1016/j.eatbeh.2016.12.003 DOI: https://doi.org/10.1016/j.eatbeh.2016.12.003
13. Biberoğlu FM, Güven S, Yenipınar ZG. Determining the Relationship between Physical Activity and Intuitive Eating and Mindful Eating in University Students. Int J Agric Environ Food Sci. 2024;8(2):301–314. doi: 10.31015/jaefs.2024.2.7 DOI: https://doi.org/10.31015/jaefs.2024.2.7
14. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International Physical Activity Questionnaire: 12-Country Reliability and Validity. Med Sci Sports Exerc. 2003;35(8):1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB DOI: https://doi.org/10.1249/01.MSS.0000078924.61453.FB
15. Öztürk M. Üniversitede eğitim-öğretim gören öğrencilerde uluslararası fiziksel aktivite anketinin geçerliliği ve güvenirliği ve fiziksel aktivite düzeylerinin belirlenmesi [master's thesis]. Ankara: Hacettepe University, Institute of Health Sciences; 2005.
16. Pearl RL, Puhl RM. Measuring Internalized Weight Attitudes across Body Weight Categories: Validation of the Modified Weight Bias Internalization Scale. Body Image. 2014;11(1):89–92. doi: 10.1016/j.bodyim.2013.09.005 DOI: https://doi.org/10.1016/j.bodyim.2013.09.005
17. Apay SE, Yılmaz E, Aksoy M, Akalın H. Validity and Reliability Study of Modified Weight Bias Internalization Scale in Turkish. Int J Caring Sci. 2017;10(3):1341–1347.
18. 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(1):137–153. doi: 10.1037/a0030893 DOI: https://doi.org/10.1037/a0030893
19. Bas M, Karaca KE, Saglam D, Arıtıcı G, Cengiz E, Köksal S, Buyukkaragoz AH. Turkish Version of the Intuitive Eating Scale-2: Validity and Reliability among University Students. Appetite. 2017;114:391–397. doi: 10.1016/j.appet.2017.04.017 DOI: https://doi.org/10.1016/j.appet.2017.04.017
20. 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. 2023;45:369–381. doi: 10.1016/j.bodyim.2023.03.018 DOI: https://doi.org/10.1016/j.bodyim.2023.03.018
21. Van Dyke N, Drinkwater EJ. Relationships between Intuitive Eating and Health Indicators: Literature Review. Public Health Nutr. 2014;17(8):1757–1766. doi: 10.1017/S1368980013002139 DOI: https://doi.org/10.1017/S1368980013002139
22. Yılmaz HÖ, Arpa Zemzemoglu TE. The Relationship between Body Mass Index and Eating Disorder Risk and Intuitive Eating among Young Adults. Int J Nutr Sci. 2021;6(4):180–188. doi: 10.30476/ijns.2021.91438.1138
23. Macho S, Andrés A, Saldaña C. Weight Discrimination, BMI, or Weight Bias Internalization? Testing the Best Predictor of Psychological Distress and Body Dissatisfaction. Obesity (Silver Spring). 2023;31(8):2178–2188. doi: 10.1002/oby.23802 DOI: https://doi.org/10.1002/oby.23802
24. Prunty A, Clark MK, Hahn A, Edmonds S, O’Shea A. Enacted Weight Stigma and Weight Self-Stigma Prevalence among Adults. Obes Res Clin Pract. 2020;14(5):421–427. doi: 10.1016/j.orcp.2020.09.003 DOI: https://doi.org/10.1016/j.orcp.2020.09.003
25. Durso LE, Latner JD, Ciao AC. Weight Bias Internalization in Treatment-Seeking Overweight Adults: Psychometric Validation and Associations with Self-Esteem, Body Image, and Mood Symptoms. Eat Behav. 2016;21:104–108. doi: 10.1016/j.eatbeh.2016.01.011 DOI: https://doi.org/10.1016/j.eatbeh.2016.01.011
26. Schvey NA, White MA. The Internalization of Weight Bias Is Associated with Severe Eating Pathology among Lean Individuals. Eat Behav. 2015;17:1–5. doi: 10.1016/j.eatbeh.2014.11.001 DOI: https://doi.org/10.1016/j.eatbeh.2014.11.001
27. Dinçer MG, Toktaş N, Bayhan B, Balcı C. The Effect of Physical Activity Level on Intuitive Eating and Mindful Eating. J Sport Sci Res. 2023;8(2):339–353. doi: 10.25307/jssr.1267065 DOI: https://doi.org/10.25307/jssr.1267065
28. Carraça EV, Leong SL, Horwath CC. Weight-Focused Physical Activity Is Associated with Poorer Eating Motivation Quality and Lower Intuitive Eating in Women. J Acad Nutr Diet. 2019;119(5):750–759. doi: 10.1016/j.jand.2018.09.011 DOI: https://doi.org/10.1016/j.jand.2018.09.011
29. Souto CR, Salaroli LB, da Silva GG, Cattafesta M, Silva YFR, Soares FLP. Intuitive Eating Has Reduced the Chances of Being Overweight in University Students during the COVID-19 Pandemic. Front Nutr. 2024;11:1329788. doi: 10.3389/fnut.2024.1329788 DOI: https://doi.org/10.3389/fnut.2024.1329788
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