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. 2025 May 30;12:1458082. doi: 10.3389/fnut.2025.1458082

Table 4.

Direct and indirect effects of IES-2 and MEQ sub-dimensions and FMQ components on mental distress among all individuals using SEM.

Relationship Mediators Direct effect of X on Mental distress Association between X and mediators Mediation or Indirect effect Coefficient of explanation Mediation effect
C path (SE) A path (SE) C path (95% CI) R 2
EPR
Inline graphic
Mental Distress
Exercise −0.388 (0.027) 0.275 (0.031) −0.053 [−0.077– (−0.035)] 0.230 Partial
Breakfast −0.345 (0.028) 0.340 (0.029) −0.096 [−0.123– (−0.073)] 0.266 Partial
Dairy −0.317 (0.032) 0.419 (0.029) −0.125[−0.158– (−0.098)] 0.282 Partial
Fruit −0.322 (0.019) 0.325 (0.021) −0.120[−0.148– (−0.095)] 0.338 Partial
DGLV −0.310 (0.025) 0.357 (0.029) −0.131[−0.160– (−0.105)] 0.313 Partial
UPE
Inline graphic
Mental distress
Dairy −0.191 (0.029) 0.263 (0.027) −0.100[−0.128– (−0.076)] 0.220 Full
RHSC
Inline graphic
Mental distress
Exercise −0.378 (0.032) 0.318 (0.030) −0.058[−0.083– (−0.037)] 0.219 Partial
Breakfast −0.339 (0.030) −0.339 (0.031) −0.097[−0.124– (−0.075)] 0.263 Partial
Dairy −0.316 (0.032) 0.387 (0.027) −0.119[−0.150– (−0.094)] 0.271 Partial
Fruit −0.310 (0.031) 0.340 (0.028) −0.126[−0.154– (−0.100)] 0.310 Partial
DGLV −0.298 (0.031) 0.375 (0.027) −0.137[−0.112– (−0.166)] 0.305 Partial
B-FCC
Inline graphic
Mental distress
Dairy −0.229 (0.030) 0.338 (0.029) −0.119[−0.093– (−0.149)] 0.232 Full
Fruits −0.224 (0.029) 0.307 (0.028) −0.125[−0.099 (−0.154)] 0.272 Full
Disinhibition.
Inline graphic
Mental distress
Breakfast −0.315 (0.026) 0.316 (0.031) −0.095[−0.072– (−0.122)] 0.249 Partial
DGLV −0.289 (0.027) 0.311 (0.029) −0.121[−0.093– (−0.149)] 0.304 Partial

B-FCC, Body-food choice congruence; DGLV, Dark green leafy vegetables; EPR, Eating for physical rather than emotional reasons; RHSC, Reliance on hunger and satiety cues; UPE, Unconditional permission to eat. Detailed direct and indirect associations between intuitive eating scale (IES-2) sub-dimensions (Eating for Physical rather than Emotional Reasons [EPR], Unconditional Permission to Eat [UPE], Reliance on Hunger and Satiety Cues [RHSC], Body-Food Choice Congruence [B-FCC]) and mental distress, mediated by specific dietary and lifestyle components. Standardized regression coefficients (C path, A path, C' path), 95% confidence intervals, explained variance (R2), and mediation type (partial/full) are reported. Partial mediation means that the mediating variable explains part of the relationship between the independent and dependent variables, while full mediation means that the mediating variable fully explains this relationship and eliminates the direct effect. All standardized path coefficients and standardized residual covariance shown were significant except for the direct effect between UPE and B-FCC to mental stress.