Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion

Purpose Internalized weight stigma (IWS) is common in the United States of America across body weight categories, and is implicated in the development of distress and unhealthy eating behaviors (e.g. overeating, disordered eating) that can foster poor cardiometabolic health. While emerging intervent...

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Autores principales:	Tosca D. Braun, Kristen E. Riley, Zachary J. Kunicki, Lucy Finkelstein-Fox, Lisa A. Conboy, Crystal L. Park, Elizabeth Schifano, Ana M. Abrantes, Sara W. Lazar
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	yoga intuitive eating internalized weight bias or internalized weight stigma mindfulness self-compassion Medicine R Psychology BF1-990
Acceso en línea:	https://doaj.org/article/632b9a3192714acc9b5633b99d25c659
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spelling	oai:doaj.org-article:632b9a3192714acc9b5633b99d25c6592021-11-26T11:19:49ZInternalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion2164-285010.1080/21642850.2021.1992282https://doaj.org/article/632b9a3192714acc9b5633b99d25c6592021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/21642850.2021.1992282https://doaj.org/toc/2164-2850Purpose Internalized weight stigma (IWS) is common in the United States of America across body weight categories, and is implicated in the development of distress and unhealthy eating behaviors (e.g. overeating, disordered eating) that can foster poor cardiometabolic health. While emerging intervention research shows early promise in reducing IWS, long-term efficacy is unclear and novel strategies remain needed. This analysis examined whether participation in a mindful yoga intervention was associated with reduced IWS and increased intuitive eating, an adaptive eating behavior, and whether these changes correlated with each other or with changes in mindfulness and self-compassion. Methods Participants were stressed adults with low fruit and vegetable intake (N = 78, 64.1% White, M. Body Mass Index 25.59 ± 4.45) enrolled in a parent clinical trial of a 12-week mindful yoga intervention. Validated self-report measures of IWS, intuitive eating, mindfulness, and self-compassion were administered at pre-treatment, mid-treatment (8 weeks), post-treatment (12 weeks), and 4-month follow-up (24 weeks). Results Linear mixed modeling revealed significant improvements in IWS and intuitive eating across the four timepoints (p < .001). Reduced IWS correlated with increased intuitive eating pre- to post-treatment (p = .01). Improved self-compassion and mindfulness correlated with intuitive eating (both p = . 04), but not IWS (p = .74 and p = .56, respectively). Conclusion This study offers preliminary support for the hypothesis that mindful yoga may promote intuitive eating and reduce IWS among stressed adults with poor diet, and suggests that changes in these factors may co-occur over time. Further investigation with controlled designs is necessary to better understand the temporality and causality of these relationships. Trial registration: ClinicalTrials.gov identifier: NCT02098018.Tosca D. BraunKristen E. RileyZachary J. KunickiLucy Finkelstein-FoxLisa A. ConboyCrystal L. ParkElizabeth SchifanoAna M. AbrantesSara W. LazarTaylor & Francis Grouparticleyogaintuitive eatinginternalized weight bias or internalized weight stigmamindfulnessself-compassionMedicineRPsychologyBF1-990ENHealth Psychology and Behavioral Medicine, Vol 9, Iss 1, Pp 933-950 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	yoga intuitive eating internalized weight bias or internalized weight stigma mindfulness self-compassion Medicine R Psychology BF1-990
spellingShingle	yoga intuitive eating internalized weight bias or internalized weight stigma mindfulness self-compassion Medicine R Psychology BF1-990 Tosca D. Braun Kristen E. Riley Zachary J. Kunicki Lucy Finkelstein-Fox Lisa A. Conboy Crystal L. Park Elizabeth Schifano Ana M. Abrantes Sara W. Lazar Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion
description	Purpose Internalized weight stigma (IWS) is common in the United States of America across body weight categories, and is implicated in the development of distress and unhealthy eating behaviors (e.g. overeating, disordered eating) that can foster poor cardiometabolic health. While emerging intervention research shows early promise in reducing IWS, long-term efficacy is unclear and novel strategies remain needed. This analysis examined whether participation in a mindful yoga intervention was associated with reduced IWS and increased intuitive eating, an adaptive eating behavior, and whether these changes correlated with each other or with changes in mindfulness and self-compassion. Methods Participants were stressed adults with low fruit and vegetable intake (N = 78, 64.1% White, M. Body Mass Index 25.59 ± 4.45) enrolled in a parent clinical trial of a 12-week mindful yoga intervention. Validated self-report measures of IWS, intuitive eating, mindfulness, and self-compassion were administered at pre-treatment, mid-treatment (8 weeks), post-treatment (12 weeks), and 4-month follow-up (24 weeks). Results Linear mixed modeling revealed significant improvements in IWS and intuitive eating across the four timepoints (p < .001). Reduced IWS correlated with increased intuitive eating pre- to post-treatment (p = .01). Improved self-compassion and mindfulness correlated with intuitive eating (both p = . 04), but not IWS (p = .74 and p = .56, respectively). Conclusion This study offers preliminary support for the hypothesis that mindful yoga may promote intuitive eating and reduce IWS among stressed adults with poor diet, and suggests that changes in these factors may co-occur over time. Further investigation with controlled designs is necessary to better understand the temporality and causality of these relationships. Trial registration: ClinicalTrials.gov identifier: NCT02098018.
format	article
author	Tosca D. Braun Kristen E. Riley Zachary J. Kunicki Lucy Finkelstein-Fox Lisa A. Conboy Crystal L. Park Elizabeth Schifano Ana M. Abrantes Sara W. Lazar
author_facet	Tosca D. Braun Kristen E. Riley Zachary J. Kunicki Lucy Finkelstein-Fox Lisa A. Conboy Crystal L. Park Elizabeth Schifano Ana M. Abrantes Sara W. Lazar
author_sort	Tosca D. Braun
title	Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion
title_short	Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion
title_full	Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion
title_fullStr	Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion
title_full_unstemmed	Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion
title_sort	internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/632b9a3192714acc9b5633b99d25c659
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Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion

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