{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:53:31Z","timestamp":1779893611764,"version":"3.53.1"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:00:00Z","timestamp":1734480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Issue Addressed<\/jats:title><jats:p>People with severe mental illness (SMI) are at higher risk of preventable diseases than the general population; poor diet contributes to heightened risk. Adaptive approaches designed to improve intuitive eating may improve dietary behaviours in people with SMI. Aims of this study were to investigate predictors of, and assess the impact of a nutrition program on, intuitive eating in people with SMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective analysis of an exercise and nutrition program for people with SMI. The primary outcome was intuitive eating assessed using the Intuitive Eating Scale 2 (IES2); psychological distress was measured using the Kessler\u20106 scale. Regression analyses were conducted on baseline data; change in intuitive eating was assessed using Wilcoxon tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 93 participants had complete data for regression analyses, and 32 completed pre\/post\u2010assessments. The most common mental health diagnosis was psychotic disorder (35%); 74% had BMI\u2009&gt;\u200925\u2009kg\/m<jats:sup>2<\/jats:sup>. The regression model significantly predicted total IES2 score and three intuitive eating domains. Body mass index (BMI) was negatively associated with these outcomes (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22120.234 to \u22120.248; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Both BMI and psychological distress were negatively associated with body\u2010food choice congruence (B\u2010FCC), and only B\u2010FCC was improved at post\u2010intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Higher BMI and psychological distress were associated with lower intuitive eating in people with SMI. Nutrition interventions may improve B\u2010FCC in people with SMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>So What?<\/jats:title><jats:p>Given the interrelatedness of BMI and psychological distress with psychosocial stressors, nutritional interventions should be implemented alongside holistic approaches to improve health equality.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.935","type":"journal-article","created":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T02:29:29Z","timestamp":1734575369000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Intuitive eating predictors and outcomes in people with severe mental illness participating in a lifestyle intervention"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6426-9912","authenticated-orcid":false,"given":"Irene","family":"Henry","sequence":"first","affiliation":[{"name":"Addiction and Mental Health Service Metro South Health  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1414-1050","authenticated-orcid":false,"given":"Nicole","family":"Korman","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Service Metro South Health  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7126-7824","authenticated-orcid":false,"given":"Donni","family":"Johnston","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Service Metro South Health  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6769-8421","authenticated-orcid":false,"given":"Scott","family":"Teasdale","sequence":"additional","affiliation":[{"name":"School of Psychiatry University of New South Wales  Sydney Australia"},{"name":"Mindgardens Neuroscience Network  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4529-5872","authenticated-orcid":false,"given":"Tetyana","family":"Rocks","sequence":"additional","affiliation":[{"name":"The Institute for Mental and Physical Health and Clinical Translation (IMPACT), Food and Mood Centre, School of Medicine, Barwon Health Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Childs","sequence":"additional","affiliation":[{"name":"Queensland Alliance for Mental Health  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneliese","family":"Russell","sequence":"additional","affiliation":[{"name":"Adaptablity Therapy  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2958-2783","authenticated-orcid":false,"given":"Justin","family":"Chapman","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Service Metro South Health  Brisbane Australia"},{"name":"School of Pharmacy and Medical Science, Centre for Mental Health Griffith University  Brisbane Australia"},{"name":"Psychiatric Genetics QIMR Berghofer Medical Research Institute  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-012088520-6.50007-X"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.177.2.149"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-037869"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20384"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.2502"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2011.06.008"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbs050"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbs151"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-21295-0"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2018.09.021"},{"key":"e_1_2_11_12_1","first-page":"2163","volume-title":"Psychological distress and cardiovascular risk: what are the links?","author":"K\u00e4nel R","year":"2008"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2007.01416.x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20571"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13113820"},{"key":"e_1_2_11_16_1","first-page":"943998","article-title":"Nutrition and mental health: a review of current knowledge about the impact of diet on mental health. 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