Relação entre alimentação consciente, fome hedônica e obesidade
Palavras-chave:
Ingestão de energia, Comer com atenção plena, Nutrição, ObesidadeResumo
Objetivo
A fome hedônica conduz ao desenvolvimento da obesidade, encorajando o consumo excessivo de alimentos e o consequente aumento da ingestão de energia. Prevê-se que a alimentação consciente ajude a manter um peso saudável, reduzindo os níveis de fome hedônica. Este estudo teve como objetivo analisar a associação entre a alimentação consciente, a fome hedônica e a obesidade em adultos residentes na Turquia.
Métodos
Este estudo transversal foi realizado entre março e abril de 2023 usando um método de pesquisa presencial entre indivíduos com idades entre 19 e 65 anos na Turquia. A alimentação consciente foi definida com o Mindful Eating Questionnaire. Pontuações mais elevadas na escala indicam uma alimentação mais consciente. A fome hedônica foi determinada com a Power of Food Scale. Uma pontuação mais elevada na Power of Food Scale indica uma maior tendência para a fome hedônica. Foram avaliadas as medidas de peso corporal, altura e perímetro da cintura e foi calculado o índice de massa corporal. Foi efetuado um registo alimentar de 24 horas para determinar a ingestão de energia e de nutrientes dos participantes.
Resultados
Participaram 787 voluntários (média de idade: 31,2±11,9 anos). Um aumento de uma unidade na pontuação total do Mindful Eating Questionnaire foi associado a uma diminuição de 0,81 unidades na pontuação total do Power of Food Scale (p < 0,001) e a uma diminuição de 134.38 kcal na ingestão de energia (p < 0,01). Escores totais de Mindful Eating Questionnaire mais altos foram associados a menores chances de ter risco/alto risco de saúde de acordo com a circunferência da cintura (p < 0,001) e a relação cintura/altura (p < 0,05), e associados a menores chances de ser obeso (p < 0,001).
Conclusão
Uma alimentação consciente mais elevada está inversamente associada à fome hedônica, à ingestão de energia e à obesidade nos adultos. A alimentação consciente pode ser benéfica para alterar a fome hedônica e a ingestão de energia, reduzindo assim a obesidade.
Referências
Mantzios M. (Re) defining mindful eating into mindful eating behaviour to advance scientific enquiry. Nutr Health. 2021;27:367-71.
Kawasaki Y, Akamatsu R, Fujiwara Y, Omori M, Sugawara M, Yamazaki Y, et al. Is mindful eating sustainable and healthy? A focus on nutritional intake, food consumption, and plant-based dietary patterns among lean and normal-weight female university students in Japan. Eat Weight Disord. 2021;26(7):2183-99.
Aoun A, Ghoussoub C, Farsoun C, Al Mallah A, Ayoub F, Trezia N, et al. Examining the Efficacy of mindfulnessbased interventions in treating obesity, obesity-related eating disorders, and diabetes mellitus. J Am Nutr Assoc. 2025;44(4):292-305. doi: https://doi.org/10.1080/27697061.2024.2428290
Dutt S, Keyte R, Egan H, Hussain M, Mantzios M. Healthy and unhealthy eating amongst stressed students: considering the influence of mindfulness on eating choices and consumption. Health Psychol Rep. 2019;7(2):113-20.
Mason AE, Epel ES, Kristeller J, Moran PJ, Dallman M, Lustig RH, et al. Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial. J Behav Med. 2016;39:201-13.
Sagui-Henson SJ, Radin RM, Jhaveri K, Brewer JA, Cohn M, Hartogensis W, et al. Negative Mood and food craving strength among women with overweight: implications for targeting mechanisms using a mindful eating intervention. Mindfulness. 2021;12:2997-3010.
Hussain M, Egan H, Keyte R, Mantzios M. Mindful construal reflections: reducing unhealthier eating choices. Mindfulness. 2021;12(7):1757-67.
Monroe JT. Mindful eating: principles and practice. Am J Lifestyle Med. 2015;9(3):217-20.
Hagan S, Niswender KD. Neuroendocrine regulation of food intake. Pediatr Blood Cancer. 2012;58:149-53.
Izundegui DG, Singh S, Acosta A. Food intake regulation: relevance to bariatric and metabolic endoscopic therapies. Tech Innov Gastrointest Endosc. 2020;22:100-8.
Lowe MR, Butryn ML. Hedonic hunger: a new dimension of appetite? Physiol Behav. 2007;91(4):432-9.
Horwath CC, Hagmann D, Hartmann C. The Power of Food: self-control moderates the association of hedonic hunger with overeating, snacking frequency and palatable food intake. Eat Behav. 2020;38:101393. doi: https://doi.org/10.1016/j.eatbeh.2020.101393
Luquet S, Magnan C. The central nervous system at the core of the regulation of energy homeostasis. Front Biosci. 2009;1:448-65.
Chmurzynska A, Mlodzik-Czyzewska MA, Radziejewska A, Wiebe DJ. Hedonic Hunger Is associated with intake of certain high-fat food types and BMI in 20- to 40-year-old adults. J Nutr. 2021;151(4):820-5.
Kaur K, Jensen CD. Does hedonic hunger predict eating behavior and body mass in adolescents with overweight or obesity? Child Health Care. 2021;51(2):184-98.
Mead BR, Boyland EJ, Christiansen P, Halford JCG, Jebb SA, Ahern AL. Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial. Plos One. 2021;16(6):e0252110. doi: https:// 10.1371/journal.pone.0252110
Mathieu J. What should you know about mindful and intuitive eating? J Am Diet Assoc. 2009;109(12):1982-7.
Mantzios M, Wilson JC. Mindfulness, eating behaviours, and obesity: a review and reflection on current findings. Curr Obes Rep. 2015;4:141-6.
Ljubičić M, Matek Sarić M, Klarin I, Rumbak I, Colić Barić I, Ranilović J. Emotions and food consumption: emotional eating behavior in a european population. Foods. 2023;12(4):872.
Casadei K, Kiel J. Anthropometric Measurement. 2022 Sep 26. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Sep 11]. Available from: https://pubmed.ncbi.nlm.nih.gov/30726000/
WHO Consultation on Obesity, World Health Organization Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva: WHO; 2000 [cited 2024 Sep 11]. Available from: https://iris.who.int/handle/10665/42330
World Health Organization. Waist Circumference and Waist–Hip Ratio. Report of a WHO expert consultation. Geneva: WHO; 2008 [cited 2024 Sep 11]. Available from: https://iris.who.int/bitstream/handle/10665/44583/9789241501491_eng.pdf?sequence=1
Ashwell M. Charts Based on body mass index and waist-to-height ratio to assess the health risks of obesity: a review. Open Obes J. 2011;3:78-84.
Cappelleri JC, Bushmakin AG, Gerber RA, Leidy NK, Sexton CC, Karlsson J, et al. Evaluating the Power of Food Scale in obese subjects and a general sample of individuals: development and measurement properties. Int J Obes (London). 2009;33(8):913-22.
Lowe MR, Butryn ML, Didie ER, Annunziato RA, Thomas JG, Crerand CE, et al. The Power of Food Scale: a new measure of the psychological influence of the food environment. Appetite. 2009;53:114-8.
Ulker I, Ayyildiz F, Yildiran H. Validation of the Turkish version of the power of food scale in adult population. Eat Weight Disord. 2021;26:1179-86.
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(8):1439-44.
Köse G, Tayfur M, Birincioğlu İ, Dönmez A. Adaptation study of the Mindful Eating Questiıonnare (MEQ) into Turkish. JCBPR. 2016;3:125-34.
BeBiS version 8.2. Nutrition Information System-BeBIS. Istanbul, Türkiye: Pacific Company; 2019.
Ozkan N, Bilici S. Are anthropometric measurements an indicator of intuitive and mindful eating? Eat Weight Disord. 2021;26(2):639-48.
Demirbas N, Kutlu R, Kurnaz A. The relationship between mindful eating and body mass index and body compositions in adults. Ann Nutr Metab. 2021;77(5):262-70.
Durukan A, Gül A. Mindful eating: differences of generations and relationship of mindful eating with BMI. Int J Gastron Food Sci. 2019;18:100172. doi: https://doi.org/10.1016/j.ijgfs.2019.100172
Adams CE, McVay MA, Kinsaul J, Benitez L, Vinci C, Stewart DW, et al. Unique relationships between facets of mindfulness and eating pathology among female smokers. Eat Behav. 2012;13:390-3.
Ferreira-Pêgo C, Rodrigues J, Costa A, Sousa B. Eating behavior: the influence of age, nutrition knowledge, and Mediterranean diet. Nutr Health. 2020;26:303-9.
Mahlo L, Windsor TD. Older and more mindful? Age differences in mindfulness components and wellbeing. Aging Ment Health. 2021;25:1320-31.
Fisher N, Lattimore P, Malinowski P. Attention with a mindful attitude attenuates subjective appetitive reactions and food intake following food-cue exposure. Appetite. 2016;99:10-6.
Allirot X, Miragall M, Perdices I, Baños RM, Urdaneta E, Cebolla A. Effects of a brief mindful eating induction on food choices and energy intake: external eating and mindfulness state as moderators. Mindfulness (N Y). 2018;9:750-60.
Harb AA, Shechter A, Koch PA, St-Onge MP. Ultra-processed foods and the development of obesity in adults. Eur J Clin Nutr. 2023:77(6):619-27.
Mankad M, Gokhale D. Not Hungry, but still snacking: the association between hedonic hunger and snacking behaviour among young adults in Vadodara, Gujarat. Cureus. 2023;15(9):e44814. doi: https://doi.org/10.7759/cureus.44814
Mantzios M, Egan H, Hussain M, Keyte R, Bahia H. Mindfulness, self-compassion, and mindful eating in relation to fat and sugar consumption: an exploratory investigation. Eat Weight Disord. 2018;23(6):833-40.
Bejarano CM, Cushing CC. Dietary Motivation and hedonic hunger predict palatable food consumption: an intensive longitudinal study of adolescents. Ann Behav Med. 2018;52(9):773-86.
Salvo V, Sanudo A, Kristeller J, Schveitzer MC, Martins P, Favarato ML, et al. Mindful eating for overweight and obese women in Brazil: an exploratory mixed-methods pilot study. Nutr Health. 2022;28(4):591-601.
Woo JM, Lee GE, Lee JH. Attentional bias for high-calorie food cues by the level of hunger and satiety in individuals with binge eating behaviors. Front Neurosci. 2023;17:1149864. doi: https://doi.org/10.3389/fnins.2023.1149864
Xiao H, Song J, Han X, Ye Z, Serier KN, Belon KE, et al. Assessing hedonic hunger among Chinese adults using the power of Food Scale: psychometric properties and cross-cultural invariance between China and the US. Eat Behav. 2023;48:101703. doi: https://doi.org/10.1016/j.eatbeh.2023.101703
Karamizadeh M, Akbarzadeh M, Gargari BP, Mahdavi R, Nikniaz Z. Association between hedonic hunger and body mass index in adults: A systematic review and meta-analysis. Appetite. 2024;199:107395. doi: https://doi.org/10.1016/j.appet.2024.107395
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Copyright (c) 2025 Gökçe Ünal, Yasemin Açar, Sevtap Kabalı, Melahat Sedanur Macit-Çelebi, Zeynep Uzdil, Yasemin Ertaş-Öztürk

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