Effect of a Nutritional Behavioral Intervention on Intuitive Eating in Overweight Women With Chronic Kidney Disease

Author(s)

Pereira, Raissa Antunes ; Alvarenga, Marle dos Santos ; de Andrade, Laila Santos ; Teixeira, Renata Rodrigues ; Teixeira, Paula Costa ; daSilva, Wanderson Roberto ; Cuppari, Lilian

• Document type: Journal article
• Source: JOURNAL OF RENAL NUTRITION; v. 33, n. 2, p. 9-pg., 2023-03-21.

Abstract

Objectives: This study aimed to evaluate the impact of a nutritional behavioral intervention on intuitive eating (IE) scores of overweight non-dialysis-dependent women with chronic kidney disease and to investigate the relationship of IE scores with demographic, nutri-tional, and quality of life parameters in this group. Design and Methods: This is a prospective noncontrolled clinical trial of a behavioral multisession group intervention for dietary man-agement. Each group comprised five to eight participants in 14 weekly or biweekly sessions lasting about 90 minutes each. The IE prin-ciples were discussed during the meetings. The IE scale 2, translated and adapted to the study population, with a four-factor model was applied to assess IE attitudes. The 36-Item Short-Form Health Survey questionnaire was applied to assess health-related quality of life. Results: Of the 33 patients who began participation in the study, 23 patients (median [interquartile range]: age = 62.0 years [58.0-68.0]; 52.2% with diabetes; body mass index = 32.6 kg/m2 [30.2-39.3]; estimated glomerular filtration rate = 28.0 mL/min/1.73 m2 [22.0-31.0]) completed the intervention. Except for the IE subscale Body-Food Choice Congruence, the IE total score and all its sub-scales (Unconditional Permission to Eat, Eating for Physical Rather than Emotional Reasons, Reliance on Hunger and Satiety Cues, and Body-Food Choice Congruence) improved after the intervention. In a cross-sectional analysis, more intuitive eaters were older and had better scores for health-related quality of life. Conclusions: The nutritional behavioral intervention embracing IE principles was effective to improve IE attitudes for this group of chronic kidney disease patients. These results are promising and may contribute to a paradigm change in the strategies to enhance motivation and adherence to dietary recommendations in this population. (AU)

• FAPESP's process: 17/15506-8 - Behavioral nutritional intervention in non-dialysis dependent Chronic Kidney Disease overweight women
• Grantee: Raíssa Antunes Pereira
• Support Opportunities: Scholarships in Brazil - Doctorate