Intuitive eating (IE) is an adaptive eating behavior that involves paying attention to the body's physiological signals, including eating when hungry and stopping when feeling full. A growing body of literature has examined the effect of IE on the development of maladaptive eating behaviors and body weight, even though IE is not centered around the latter. However, longitudinal observation studies among the general population are still rare. Therefore, this study aimed to longitudinally examine the links between IE and changes in body weight, maladaptive eating behaviors (reward, external, restrained eating), and overeating frequency over time. For this purpose, we used data from the first (2017) and the fourth waves (2020) of the Swiss Food Panel 2.0 survey, which included 1821 randomly selected Swiss participants. The same participants completed a self-administered questionnaire annually, measuring their self-reported eating behaviors and weight status. IE was measured with the Intuitive Eating Scale-2. Results showed that women with high IE scores were more likely to maintain their body weights (within ±2 kg) and less likely to gain weight (>2 kg) than women with low IE scores. No such effects were found for men. Furthermore, IE was linked to a reduction in maladaptive eating behaviors and overeating frequency over time in both genders. Results suggest that IE may counteract maladaptive eating behaviors, which can promote weight stability over time. Therefore, the encouragement of IE patterns seems to be a promising strategy to address problematic eating behaviors and the challenges associated with controlling food intake and prevention of overeating.

直觉饮食（IE）是一种适应性饮食行为，涉及关注身体的生理信号，包括饥饿时进食和感觉饱时停止。越来越多的文献研究了 IE 对适应不良饮食行为和体重发展的影响，尽管 IE 并不以后者为中心。然而，针对普通人群的纵向观察研究仍然很少。因此，本研究旨在纵向研究 IE 与体重变化、适应不良饮食行为（奖励、外部、克制饮食）以及随时间的暴饮暴食频率之间的联系。为此，我们使用了瑞士食品小组 2.0 调查第一波（2017 年）和第四波（2020 年）的数据，其中包括随机选择的 1821 名瑞士参与者。这些参与者每年都会完成一份自填问卷，测量他们自我报告的饮食行为和体重状况。IE 使用直觉饮食量表 2 进行测量。结果显示，与 IE 得分低的女性相比，IE 得分高的女性更有可能保持体重（±2 公斤以内），并且体重增加（>2 公斤）的可能性更小。对男性没有发现这样的影响。此外，随着时间的推移，IE 与男女适应不良饮食行为和暴饮暴食频率的减少有关。结果表明，IE 可以抵消适应不良的饮食行为，从而随着时间的推移促进体重稳定。因此，鼓励 IE 模式似乎是解决有问题的饮食行为以及与控制食物摄入和预防暴饮暴食相关的挑战的一种有前途的策略。