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Repeated measures of eating competence over a 12‐month nutrition education program revealed rebound following early decline: Implications for interventions planned to enhance eating competence
Author(s) -
Psota Tricia,
Lohse Barbara,
KrisEtherton Penny
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.626.6
Subject(s) - psychological intervention , overweight , medicine , waist , obesity , competence (human resources) , emotional eating , eating behavior , physical therapy , psychology , psychiatry , social psychology
Eating competence (EC), an intra‐individual approach to eating and food behaviors that entrains positive biopsychosocial outcomes, is measured with the Satter EC Inventory (ecSI). Early studies show a decline in EC after short (< 4 mo) interventions, possibly resulting from increased awareness/discomfort with eating behavior. A 26‐lesson, Dietary Guidelines ‐based education intervention with lower‐fat and moderate‐fat versions was assessed at baseline (BL), 4 mo, and 12 mo in overweight/obese premenopausal women (n=101) with a set of biomedical measures that included the ecSI. EC and biomedical findings did not differ between intervention groups or those completing 3 (n=40; 39.7 ± 6.2 y; BMI: 30.7 ± 4.2 kg/m 2 ), or < 3 assessments (n=61; 38.4 ± 6.5 y; BMI: 30.9 ± 4.3 kg/m 2 ). Replicating earlier studies, EC women had or tended toward lower BMI (P=.095), waist circumference (P=.04), uncontrolled (P=.07) and emotional eating (P=.09). ecSI decreased from BL to 4 mo (26.2 ± 1.0 to 24.9 ± 1.3) and rebounded at 12 mo (31.4 ± 1.0; P<.001, compared to BL and 4 mo). This pattern persisted for those in the lower‐fat group and when controlling for weight change. ecSI remained the same at 4 mo in the moderate‐fat group; however scores significantly increased by 12 mo (P<.001, compared to BL and 4 mo). Findings support increased intervention dosage and serial measures to accurately portray intervention effect on EC status. Funded by USDA.