Skip to main content
Log in

Helpful or harmful? The comparative value of self-weighing and calorie counting versus intuitive eating on the eating disorder symptomology of college students

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Objective

The current study evaluated the comparative implications of self-weighing and calorie counting versus intuitive eating (IE) on the eating disorder (ED) severity of college students.

Methods

In this cross-sectional study, college students in the US [N = 902; 68% female; mean body mass index (BMI) = 24.3] completed the web-based Healthy Bodies Study in 2015.

Results

A hierarchical multiple regression analysis revealed that elevated BMI, more frequent self-weighing and calorie counting, and lower IE scores predicted increased ED severity. The results of Kruskal–Wallis H tests indicated that participants with elevated weight statuses engaged in self-weighing and calorie counting more frequently, and possessed lower IE scores, than their lower weight counterparts.

Conclusion

Engaging in self-weighing and calorie counting was adversely associated with ED severity among the present sample of college students. Cultivating IE within health promotion efforts may, instead, lead to favorable eating-related outcomes that may translate to the holistic health of this population.

Level of Evidence

V cross-sectional descriptive study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Lipson SK, Sonneville KR (2017) Eating disorder symptoms among undergraduate and graduate students at 12 US colleges and universities. Eat Behav 24:81–88. https://doi.org/10.1016/j.eatbeh.2016.12.003

    Article  CAS  PubMed  Google Scholar 

  2. Peckmezian T, Hay P (2017) A systematic review and narrative synthesis of interventions for uncomplicated obesity: weight loss, well-being and impact on eating disorders. J Eat Disord 5:1–15. https://doi.org/10.1186/s40337-017-0143-5

    Article  Google Scholar 

  3. Sánchez-Carracedo D, Neumark-Sztainer D, López-Guimera G (2012) Integrated prevention of obesity and eating disorders: barriers, developments and opportunities. Public Health Nutr 15:2295–2309. https://doi.org/10.1017/S1368980012000705

    Article  PubMed  Google Scholar 

  4. Jensen MD, Ryan DH, Apovian CM et al (2014) 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the Obesity Society. Circulation 129:S102–S138. https://doi.org/10.1161/01.cir.0000437739.71477.ee

    Article  PubMed  Google Scholar 

  5. Bacon L, Aphramor L (2011) Weight science: evaluating the evidence for a paradigm shift. Nutr J 10:9–22. https://doi.org/10.1186/1475-2891-10-9

    Article  PubMed  PubMed Central  Google Scholar 

  6. Montani JP, Schutz Y, Dulloo AG (2015) Dieting and weight cycling as risk factors for cardiometabolic diseases: who is really at risk? Obes Rev 16:7–18. https://doi.org/10.1111/obr.12251

    Article  PubMed  Google Scholar 

  7. Tylka TL, Annunziato RA, Burgard D, Daníelsdóttir S, Shuman E, Davis C, Calogero RM (2014) The weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss. J Obes 2014:1–18. https://doi.org/10.1155/2014/983495

    Article  Google Scholar 

  8. Tylka TL, Kroon Van Diest AM (2013) The Intuitive Eating Scale-2: item refinement and psychometric evaluation with college women and men. J Couns Psychol 60:137–153. https://doi.org/10.1037/a0030893

    Article  PubMed  Google Scholar 

  9. Butryn ML, Phelan S, Hill JO, Wing RR (2007) Consistent self-monitoring of weight: a key component of successful weight loss maintenance. Obesity 15:3091–3096. https://doi.org/10.1038/oby.2007.368

    Article  PubMed  Google Scholar 

  10. LaRose JG, Fava JL, Steeves EA, Hecht J, Wing RR, Raynor HA (2014) Daily self-weighing within a lifestyle intervention: impact on disordered eating symptoms. Health Psychol 33:297–300. https://doi.org/10.1037/a0034218

    Article  PubMed  Google Scholar 

  11. VanWormer JJ, French SA, Pereira MA, Welsh EM (2008) The impact of regular self-weighing on weight management: a systematic literature review. Int J Behav Nutr Phys Act 5:54–64. https://doi.org/10.1186/1479-5868-5-54

    Article  PubMed  PubMed Central  Google Scholar 

  12. Burke LE, Wang J, Sevick MA (2011) Self-monitoring in weight loss: a systematic review of the literature. J Am Diet Assoc 111:92–102. https://doi.org/10.1016/j.jada.2010.10.008

    Article  PubMed  PubMed Central  Google Scholar 

  13. Dombrowski SU, Knittle K, Avenell A, Araujo-Soares V, Sniehotta FF (2014) Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials. BMJ 348:1–12. https://doi.org/10.1136/bmj.g2646

    Article  CAS  Google Scholar 

  14. Mintz LB, Awad GH, Stinson RD, Bledman RA, Coker AD, Kashubeck-West S, Connelly K (2013) Weighing and body monitoring among college women: the scale number as an emotional barometer. J Coll St Psychother 27:78–91. https://doi.org/10.1080/87568225.2013.739039

    Article  Google Scholar 

  15. Ogden JE, Whyman C (1997) The effects of repeated weighing on psychological state. Eur Eat Disord Rev 5(199706):121–130. https://doi.org/10.1002/(SICI)1099-0968(199706)5:2%3C121::AID-ERV167%3E3.0.CO;2-N

    Article  Google Scholar 

  16. Quick V, Loth K, MacLehose R, Linde JA, Neumark-Sztainer D (2013) Prevalence of adolescents’ self-weighing behaviors and associations with weight-related behaviors and psychological well-being. J Adolesc Health 52:738–744. https://doi.org/10.1016/j.jadohealth.2012.11.016

    Article  PubMed  PubMed Central  Google Scholar 

  17. Mercurio A, Rima B (2011) Watching my weight: self-weighing, body surveillance, and body dissatisfaction. Sex Roles 65:47–55. https://doi.org/10.1007/s11199-011-9980-x

    Article  Google Scholar 

  18. Quick V, Larson N, Eisenberg ME, Hannan PJ, Neumark-Sztainer D (2012) Self-weighing behaviors in young adults: tipping the scale toward unhealthy eating behaviors? J Adolesc Health 51:468–474. https://doi.org/10.1016/j.jadohealth.2012.02.008

    Article  PubMed  PubMed Central  Google Scholar 

  19. Pacanowski CR, Linde JA, Neumark-Sztainer D (2015) Self-weighing: helpful or harmful for psychological well-being? A review of the literature. Curr Obes Rep 4:65–72. https://doi.org/10.1007/s13679-015-0142-2

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Lucan SC, DiNicolantonio JJ (2015) How calorie-focused thinking about obesity and related diseases may mislead and harm public health: an alternative. Public Health Nutr 18:571–581. https://doi.org/10.1017/S1368980014002559

    Article  PubMed  Google Scholar 

  21. Williams EP, Mesidor M, Winters K, Dubbert PM, Wyatt SB (2015) Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. Curr Obes Rep 4:363–370. https://doi.org/10.1007/s13679-015-0169-4

    Article  PubMed  Google Scholar 

  22. Fairburn CG (2008) Cognitive behavior therapy and eating disorders. Guilford, New York

    Google Scholar 

  23. Strohacker K, McFarlin BK (2009) Influence of obesity, physical inactivity, and weight cycling on chronic inflammation. Front Biosci 2:98–104. https://doi.org/10.2741/e70

    Article  Google Scholar 

  24. Bacon L, Keim NL, Van Loan MD, Derricote M, Gale B, Kazaks A, Stern JS (2002) Evaluating a “non-diet” wellness intervention for improvement of metabolic fitness, psychological well-being and eating and activity behaviors. Int J Obes 26:854–865. https://doi.org/10.1038/sj.ijo.0802012

    Article  CAS  Google Scholar 

  25. Gillen MM, Markey CN, Markey PM (2012) An examination of dieting behaviors among adults: links with depression. Eat Behav 13:88–93. https://doi.org/10.1016/j.eatbeh.2011.11.014

    Article  PubMed  Google Scholar 

  26. Pietiläinen KH, Saarni SE, Kaprio J, Rissanen A (2012) Does dieting make you fat?: a twin study. Int J Obes 36:456–464. https://doi.org/10.1038/ijo.2011.160

    Article  Google Scholar 

  27. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, D.C.

    Book  Google Scholar 

  28. Bacon L, Stern JS, Van Loan MD, Keim NL (2005) Size acceptance and intuitive eating improve health for obese, female chronic dieters. J Am Diet Assoc 105:929–936. https://doi.org/10.1016/j.jada.2005.03.011

    Article  PubMed  Google Scholar 

  29. Mensinger JL, Calogero RM, Stranges S, Tylka TL (2016) A weight-neutral versus weight-loss approach for health promotion in women with high BMI: a randomized-controlled trial. Appetite 105:364–374. https://doi.org/10.1016/j.appet.2016.06.006

    Article  PubMed  Google Scholar 

  30. Schaefer JT, Magnuson AB (2014) A review of interventions that promote eating by internal cues. J Acad Nutr Diet 114:734–760. https://doi.org/10.1017/S1368980012000705

    Article  PubMed  Google Scholar 

  31. Anderson LM, Reilly EE, Schaumberg K, Dmochowski S, Anderson DA (2016) Contributions of mindful eating, intuitive eating, and restraint to BMI, disordered eating, and meal consumption in college students. Eat Weight Disord 21:83–90. https://doi.org/10.1007/s40519-015-0210-3

    Article  PubMed  Google Scholar 

  32. Denny KN, Loth K, Eisenberg ME, Neumark-Sztainer D (2013) Intuitive eating in young adults: who is doing it, and how is it related to disordered eating behaviors? Appetite 60:13–19. https://doi.org/10.1016/j.appet.2012.09.029

    Article  PubMed  Google Scholar 

  33. Van Dyke N, Drinkwater EJ (2014) Review article relationships between intuitive eating and health indicators: literature review. Public Health Nutr 17:1757–1766. https://doi.org/10.1017/S1368980013002139

    Article  PubMed  Google Scholar 

  34. Bruce LJ, Ricciardelli LA (2016) A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite 96:454–472. https://doi.org/10.1016/j.appet.2015.10.012

    Article  PubMed  Google Scholar 

  35. Nelson MC, Story M, Larson NI, Neumark-Sztainer D, Lytle LA (2008) Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change. Obesity 16:2205–2211. https://doi.org/10.1038/oby.2008.365

    Article  PubMed  Google Scholar 

  36. Fairburn CG, Beglin SJ (2008) Eating Disorder Examination Questionnaire (6.0). In: Fairburn CG (ed) Cognitive behavior therapy and eating disorders. Guilford, New York, pp 309–314

    Google Scholar 

  37. Healthy Bodies Study (2015) Survey research. http://healthybodiesstudy.org. Accessed 5 May 2018

  38. Berg KC, Peterson CB, Frazier P, Crow SJ (2012) Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int J Eat Disord 45:428–438. https://doi.org/10.1002/eat.20931

    Article  PubMed  Google Scholar 

  39. Dunn OJ (1964) Multiple comparisons using rank sums. Technometrics 6:241–252. https://doi.org/10.1080/00401706.1964.10490181

    Article  Google Scholar 

  40. Linde JA, Jeffery RW, Finch EA et al (2007) Relation of body mass index to depression and weighing frequency in overweight women. Prev Med 45:75–79. https://doi.org/10.1016/j.ypmed.2007.03.008

    Article  PubMed  PubMed Central  Google Scholar 

  41. Hartmann-Boyce J, Johns DJ, Jebb SA, Aveyard P (2014) Effect of behavioural techniques and delivery mode on effectiveness of weight management: systematic review, meta-analysis and meta-regression. Obes Rev 15:598–609. https://doi.org/10.1111/obr.12165

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We wish to thank the Healthy Bodies Study research team at the University of Michigan for the use of their data to further this research.

Funding

This research did not receive any specific Grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kelly A. Romano.

Ethics declarations

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

All participants provided informed consent prior to participating in the present study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Romano, K.A., Swanbrow Becker, M.A., Colgary, C.D. et al. Helpful or harmful? The comparative value of self-weighing and calorie counting versus intuitive eating on the eating disorder symptomology of college students. Eat Weight Disord 23, 841–848 (2018). https://doi.org/10.1007/s40519-018-0562-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-018-0562-6

Keywords

Navigation