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19/1/2015
Impression
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Outcomes of a Health­At­Every­Size intervention in local health centers across the
province of Quebec
Crée le 16 janvier 2015
Health­At­Every­Size (HAES), a non­dieting approach, promotes the regulation of eating based on the decrease of
dietary restraint, and the appropriation of internal cues of hunger and satiety (intuitive eating), as well as self­acceptance.
Controlled studies have demonstrated that HAES interventions improve physiological and psychological functioning of
participants. The Québec government recently implemented a HAES intervention called “Choisir de Maigrir?” in local
health and social services centers (HSSC). In the context of scarce resources devoted to public health, the aims of the
present study are to document the efficacy of this intervention and to verify whether the core dimensions of HAES are
actually associated with putative benefits. Outcomes were core dimensions of the HAES approach (restraint, intuitive
eating, body esteem), eating behaviors, psychological distress, and body mass index (BMI). Within 33 HSSC, 216
women receiving the HAES intervention and 110 women on a waiting list were tested. Participants completed self­
reported questionnaires before and after the intervention, as well as one year later. Linear mixed models analyses
computed according to a group (HAES vs. control) by time (baseline, post­test, follow­up) design revealed significant
group by time effects for restraint, intuitive eating, body esteem, eating behaviors, and psychological distress but not for
BMI. Positive changes were maintained
in the long­term in the HAES group. Increase in intuitive eating was associated with generalized improvement among
HAES participants in the short and the long term, whereas
changes in restraint were related only to short­term changes in eating behaviors. The HAES intervention showed
sustained improvement on core HAES dimensions, psychological profile and eating behaviors. Intuitive eating seems to
play a central role in the
beneficial changes that were observed among participants.
Auteurs : GAGNON­GIROUARD, Marie­Pierre 1; BÉGIN, Catherine 2; PROVENCHER, Véronique 3; TURCOTTE, Mylène 3; CÔTÉ, Marilou 2;
PAQUETTE, Marie­Claude 4; MONGEAU, Lyne 5; Mots clés : Health­At­Every­Size; dietary restraint; intuitive eating; body esteem; BMI
Type de communication : communication affichée (poster)
Axe de communication : clinique
Courriel : [email protected]
1 Département de psychologie, Université du Québec à Trois­Rivières; 2 École de psychologie, Université Laval; 3 Institut de la nutrition et des aliments fonctionnels,
Université Laval; 4 Institut de recherche en santé publique, Université de Montréal; 5 Ministère de la Santé et des Services Sociaux;
http://www.sqrp.ca/print.php?p=101&id=1963
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