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Examining Intuitive Eating Behavior Across Metabolic and Bariatric Surgery and Non-Surgical Patients
Viviane Fornasaro-Donahue1, Ceren Gunsoy2, Kathleen J Melanson3
1Center for Medical and Surgical Weight Loss, Brown University Health, Providence, RI; University of Rhode Island. Department of Psychology, Behavioral Sciences, Kingston, RI.
Rhode Island Medical Journal (2013)
|November 24, 2025
Summary
Intuitive Eating (IE) scores improved slightly in patients undergoing obesity treatment. Factors like obesity management medication, physical activity, and sleep positively impacted IE, while depression worsened it, highlighting the need for integrated care.
Area of Science:
- Obesity Medicine
- Behavioral Science
- Psychology
Background:
- Intuitive Eating (IE) scales measure reliance on internal hunger/satiety cues versus external factors.
- Limited IE data exists for patients in obesity management, particularly those undergoing metabolic and bariatric surgery (MBS).
Purpose of the Study:
- To analyze changes in Intuitive Eating Assessment Scale-2 (IEAS-2) scores in patients receiving obesity treatment.
- To investigate the influence of individual factors, including obesity management medication (OMM), on IEAS-2 score changes.
Main Methods:
- Retrospective analysis of 168 IEAS-2 responses from 84 patients at an obesity medicine clinic.
- Utilized linear mixed-effects models to assess IEAS-2 subscale changes and associations with OMM, MBS status, depression, sleep, and physical activity.
Main Results:
- Total IEAS-2 scores showed marginal improvement over time (p = .054), independent of MBS status.
- Obesity management medication (OMM) use (p < .001), physical activity (p = .019), and sleep (p = .065) correlated with better IE scores.
- Depression (p < .001) was associated with poorer IE outcomes.
Conclusions:
- Improvements in intuitive eating appear more influenced by individual factors (OMM, lifestyle, mental health) than treatment type alone.
- Emphasizes the critical role of interdisciplinary obesity care, integrating medical, psychological, and behavioral support for enhanced patient outcomes.
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