Body Image, Eating Behaviors, Well-Being, Psychological, Young Adult Females
Conditions
Keywords
Non-diet approach, Intuitive eating, Body acceptance, Body image, Eating behavior, Psychological well-being, Young adult women, Nutrition education, Randomized controlled trial
Brief summary
The goal of this clinical trial is to evaluate whether a non-diet nutrition education program can improve eating behaviors, body image, and well-being in normal-BMI women aged 19-35 years. The main questions it aims to answer are: * Does participation in an 8-week non-diet nutrition education program improve eating behavior, body image, and well-being over time in the intervention group compared to the control group? * Is there a significant difference between the intervention and control groups in eating behavior, body image, and well-being after the intervention? Researchers will compare an intervention group receiving an 8-week non-diet nutrition education with a control group receiving no intervention, to see if the program leads to improvements in psychological and behavioral outcomes without focusing on weight loss. Participants will: * Complete pre- and post-intervention assessments, including validated questionnaires on eating behavior (DEBQ, FCQ, IES-2), body image (BAS, Stunkard Figure Rating Scale), and psychological well-being (WHO-5, Rosenberg Self-Esteem Scale), as well as a 3-day food diary. * Be randomly assigned to either the intervention group (8-week online non-diet nutrition education sessions) or the control group (no intervention). * Engage in 8 weekly, 60-minute sessions focused on intuitive eating, body acceptance, and health-promoting nutrition.
Interventions
The intervention is an 8-week online nutrition education program based on non-diet approaches, including intuitive eating, rejecting diet mentality, honoring hunger, body acceptance, and well-being. Each weekly session is 60 minutes long and involves interactive discussions and home practices.
Sponsors
Study design
Masking description
Participants are blind to the group assignment and the primary aim of the study. The study is designed as a single-blind randomized controlled trial.
Intervention model description
Participants will be randomly assigned to either an intervention group receiving an 8-week online non-diet nutrition education program or a control group receiving no intervention.
Eligibility
Inclusion criteria
* Female, * Aged between 19-35 years, * Body Mass Index (BMI) between 18.5-24.9,
Exclusion criteria
* Pregnant or breastfeeding, * Diagnosed eating disorder or other psychiatric condition, * Currently enrolled in a weight loss program, * Following a restrictive diet due to medical conditions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Eating Behavior | Baseline and 8 weeks after intervention | Assessed using the Dutch Eating Behavior Questionnaire (DEBQ): 33 items with three subscales (Restrained Eating, Emotional Eating, External Eating), rated on a 5-point Likert scale (1 = never, 5 = very often). Higher subscale scores indicate greater tendency toward that eating behavior. |
| Food Choice Motivation | Baseline and 8 weeks after intervention | Assessed using the Food Choice Questionnaire (FCQ): 36 items, 9 subscales (Health, Mood, Convenience, Sensory Appeal, Natural Content, Price, Weight Control, Familiarity, Ethical Concern), rated on a 4-point Likert scale (1 = not at all important, 4 = very important). Higher scores indicate greater importance assigned to that factor in food choice. |
| Intuitive Eating | Baseline and 8 weeks after intervention | Assessed using the Intuitive Eating Scale-2 (IES-2): 23 items, 4 subscales (Unconditional Permission to Eat, Eating for Physical Rather Than Emotional Reasons, Reliance on Hunger and Satiety Cues, Body-Food Choice Congruence), rated on a 5-point Likert scale (1 = strongly disagree, 5 = strongly agree). Higher scores reflect more intuitive eating. |
| Body Appreciation | Baseline and 8 weeks after intervention | Assessed using the Body Appreciation Scale (BAS): 9 items, no subscales, rated on a 5-point Likert scale (1 = never, 5 = always). Higher scores indicate greater body appreciation. |
| Body Dissatisfaction | Baseline and 8 weeks after intervention | Assessed using the Stunkard Figure Rating Scale: visual selection of perceived vs. ideal body silhouette (1-9 scale). Body dissatisfaction is calculated as the difference between the actual and ideal figure selections. |
| Well-Being | Baseline and 8 weeks after intervention | Assessed using the WHO-5 Well-Being Index: 5 items, no subscales, scored 0-5 (0 = at no time, 5 = all the time); raw scores are converted to a 0-100 scale. Higher scores indicate better well-being. |
| Self-Esteem | Baseline and 8 weeks after intervention | Assessed using the Rosenberg Self-Esteem Scale (RSES): 10 items, no subscales, rated on a 4-point Likert scale (1 = strongly disagree, 4 = strongly agree). Higher scores reflect greater self-esteem. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dietary Intake | Baseline and 8 weeks after intervention | Description: Assessed via 3-day food record (2 weekdays and 1 weekend day). Food items are recorded by participants using visual portion guides. Analysis performed using eBebis (Turkish Nutrition Database software). Unit of Measure: * Energy intake (kilocalories/day) * Macronutrient intake (grams/day) |
Countries
Turkey (Türkiye)