Intuitive Eating Intervention After Bariatric Surgery
Effects of an Intuitive Eating Intervention on Body Weight, Body Image, and Eating Attitudes in Women Who Regained Weight After Bariatric Surgery
This study evaluated the validity and reliability of the Turkish version of the Intuitive Eating Scale-2 (IES-2) in individuals who had undergone bariatric surgery and examined the effects of a 6-week online intuitive eating intervention. The study consisted of two stages. In the first stage, 297 adults aged 18-65 years who had undergone bariatric surgery were included to evaluate the psychometric properties of the Turkish IES-2. Exploratory and confirmatory factor analyses, internal consistency, and test-retest reliability were assessed. In the second stage, a 6-week prospective, non-randomized controlled intervention study was conducted among 60 individuals who had undergone bariatric surgery at least two years previously and had regained at least 20% of their maximum weight loss. Participants received either an online intuitive eating intervention or standard nutritional counseling. Outcomes included intuitive eating behaviors, eating attitudes, body perception, body weight, and body mass index (BMI). The Turkish IES-2 demonstrated a valid and reliable three-factor, 17-item structure. The intervention was associated with improvements in intuitive eating behaviors and reductions in eating attitude scores, while no significant changes were observed in body weight or BMI. The findings suggest that an online intuitive eating intervention may improve intuitive eating behaviors and some eating attitudes among individuals who regain weight after bariatric surgery.
調査の概要
状態
詳細な説明
Bariatric surgery is an effective treatment for severe obesity; however, weight regain may occur in a proportion of individuals following surgery and may be accompanied by difficulties in eating behaviors, body perception, and eating attitudes. Intuitive eating is an approach that emphasizes responding to internal hunger and satiety cues, reducing reliance on restrictive eating rules, and developing a more adaptive relationship with food. This approach may be relevant to individuals who experience weight regain after bariatric surgery.
This study was designed in two stages. The first stage focused on evaluating the psychometric properties of the Turkish version of the Intuitive Eating Scale-2 (IES-2) among individuals who had undergone bariatric surgery. The second stage investigated whether a 6-week online intuitive eating intervention could improve intuitive eating behaviors and eating-related outcomes in individuals who had experienced weight regain following bariatric surgery.
The intervention was based on the principles of intuitive eating and was delivered online over six weeks. The intervention aimed to support participants in recognizing and responding to internal hunger and satiety cues, reducing rigid dietary rules, developing a more positive relationship with food and body, and increasing awareness of eating-related behaviors and emotions. The intervention group was compared with participants receiving standard nutritional counseling.
The study was conducted to provide evidence regarding the applicability of intuitive eating as a behavioral approach for individuals experiencing weight regain after bariatric surgery and to contribute to the assessment of intuitive eating in this population using a culturally appropriate measurement instrument.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
-
Istanbul、トルコ（Türkiye）、34752
- Acibadem University
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Female participants aged 18 to 65 years.
- Previous sleeve gastrectomy performed at least 2 years before enrollment.
- Regain of at least 20% of the maximum weight lost after bariatric surgery.
- Voluntary participation in the study.
- Provision of written informed consent before participation.
Exclusion Criteria:
- Stenosis related to the bariatric surgical procedure during or after surgery.
- Any surgical complication that could affect nutritional intake.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Intuitive Eating Intervention
Participants in this arm received a 6-week intuitive eating intervention designed to improve intuitive eating behaviors and eating-related attitudes following weight regain after bariatric surgery. The intervention focused on recognizing internal hunger and satiety cues, reducing rigid dietary rules, increasing awareness of eating behaviors and emotions, and developing a more adaptive relationship with food and body. |
A 6-week intuitive eating intervention consisting of weekly online group sessions, individual intuitive eating counseling sessions, and supportive materials delivered through an online messaging platform. The intervention was adapted for individuals who had undergone bariatric surgery and addressed intuitive eating principles, hunger and satiety awareness, eating behaviors, emotional eating, body respect, self-compassion, mindful eating, joyful movement, and gentle nutrition. |
|
アクティブコンパレータ：Standard Nutritional Counseling
Participants in this arm received standard nutritional counseling during the study period. The counseling represented the usual nutritional guidance provided to individuals who had undergone bariatric surgery and was used as the comparison condition for the online intuitive eating intervention. |
Weekly one-on-one nutrition counseling provided by an experienced bariatric dietitian for 6 weeks. Standard nutritional recommendations for weight regain following bariatric surgery were provided throughout the follow-up period. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in Intuitive Eating Score
時間枠：Baseline and immediately after the 6-week intervention
|
Change in total score of the Turkish 17-item Intuitive Eating Scale for Bariatric Surgery (IES-BS) from baseline to post-intervention. |
Baseline and immediately after the 6-week intervention
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in Eating Attitudes
時間枠：Baseline and immediately after the 6-week intervention
|
Change in the total score of the Eating Attitudes Test-26 (EAT-26) from baseline to post-intervention. Higher scores indicate more problematic eating attitudes. |
Baseline and immediately after the 6-week intervention
|
|
Change in Body Image
時間枠：Baseline and immediately after the 6-week intervention
|
Change in body image/body perception score from baseline to post-intervention, assessed using Body Perception Scale . |
Baseline and immediately after the 6-week intervention
|
|
Change in Body Mass Index
時間枠：Baseline and immediately after the 6-week intervention
|
Change in body mass index (BMI), calculated as body weight in kilograms divided by height in meters squared (kg/m²), from baseline to post-intervention. |
Baseline and immediately after the 6-week intervention
|
協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。