Eating and Weight Disorders-Studies on Anorexia Bulimia and Obesity

Correction: Intrinsic and extrinsic motivations as moderators of the association between exercise frequency and exercise behavior
Staples C, Palermo M and Rancourt D
The risk of kidney dysfunction in metabolically healthy/unhealthy population with normal weight or overweight/obesity: a systematic review and meta-analysis
Valizadeh M, Ahmadi AR, Abbaspour F, Valizadeh A, Syed Hasani AH, Moteshakereh SM, Nikoohemmat M and Abiri B
Chronic kidney disease (CKD) is a major global health concern with increasing prevalence and associated complications. Obesity and obesity-related metabolic disorders have been linked to chronic kidney disease (CKD), although the evidence is still inconsistent. To investigate the relationship between different obesity phenotypes and the risk of CKD, we conducted a systematic review and meta-analysis.
Transcultural adaptation and validation of the Eating Self-Efficacy Brief Scale (ESEBS): the Brazilian version
Feoli AMP, da Silva TL, de Souza Urbanetto J, D'Amico M, Cerolini S and Lombardo C
This study aimed to develop and validate the Brief Eating Self-Efficacy Scale (ESEBS-BR) in Brazilian Portuguese, addressing the lack of tools to assess eating self-efficacy beliefs in Portuguese-speaking populations.
The Dutch Body Shape Questionnaire among patients with binge-eating disorder: psychometrics and norms of the full version (BSQ34) and the short version (BSQ8C)
Melisse B, de Mooij L, de Jonge M, Schlochtermeier D and de Beurs E
This study examined the psychometric properties and provided normative data of the Dutch Body Shape Questionnaire (BSQ34) and its shortened BSQ8C among patients with binge-eating disorder.
Embracing a different outlook: Strengths and goals of individuals currently in treatment for anorexia nervosa
Dann KM, Harrison A, Veldre A, Hay P and Touyz S
Developing personal goals beyond weight and shape, and promoting the agency to pursue those goals, could aid in treatment and recovery from anorexia nervosa (AN). This research explores the strengths, interests and goals of individuals currently receiving treatment for AN and evaluates how treatment services are supporting them to work towards personal goals across all areas of everyday life.
Randomized study of the effects of empagliflozin and topiramate dual therapy on anthropometric and metabolic indices in non-diabetic individuals with overweight/obesity on a calorie-restricted diet
Abiri B, Ramezani Ahmadi A, Hosseinpanah F, Valizadeh A, Zarghi A and Valizadeh M
The objective of this study was to evaluate the effectiveness of the combined use of empagliflozin (EMPA) and topiramate (TPM) versus a placebo in overweight/obese individuals without diabetes on a calorie-restricted diet.
Adverse childhood experiences and profiles of healthy orthorexia versus orthorexia nervosa: towards an explanatory model of orthorexia as a multidimensional eating style
Rzeszutek M, Kowalkowska J, Dragan M, Schier K, Lis-Turlejska M, Holas P, Drabarek K, Van Hoy A, Maison D, Wdowczyk G, Litwin E, Wawrzyniak J, Znamirowska W, Szumiał S and Desmond M
Orthorexia is a complex phenomenon comprising distinct dimensions, including orthorexia nervosa (ON) and healthy orthorexia (HO). However, little is known about the factors influencing these dimensions, their disparities, and the psychological factors underlying orthorexia behaviours.
Differences in body dissatisfaction between individuals with and without stigma toward obesity: A study of preadolescents and adolescents
Amaya-Hernández A, Ortega-Luyando M, Mancilla-Diaz JM, Alvarez-Rayón G, Cruz-Navarro M and Pérez-Ortiz A
Previous studies have focused on understanding the biopsychosocial implications of obesity stigma and have made proposals to minimize its negative consequences, as well as recommendations to eliminate or reduce this stigma; however, knowing which individuals stigmatize obesity and why will allow us to have a broader picture of stigmatization and thus help in planning interventions with greater impact.
Multidimensional perfectionism and orthorexia: a systematic review and meta-analysis
Pratt VB, Hill AP and Madigan DJ
We provide the first systematic review and meta-analysis of research examining multidimensional perfectionism-perfectionistic strivings and perfectionistic concerns-and orthorexia.
Correction: Optimising healthcare transition of adolescents and young adults to adult care: a perspective statement of the Italian Society of Obesity
Morandi A, Umano GR, Vania A, Guglielmi V, Muscogiuri G, Maffeis C, Busetto L, Buscemi S, Cherubini V, Barazzoni R and Manco M
Emotional food craving across the eating disorder spectrum: an ecological momentary assessment study
Arend AK, Blechert J, Yanagida T, Voderholzer U and Reichenberger J
Emotional eating during negative emotions might underlie disordered eating behavior (i.e., binge eating and food restriction). Positive emotions, by contrast, seem to promote healthier eating behavior. Naturalistic research on the links between emotions and eating across individuals with binge-eating disorder (BED), bulimia nervosa (BN), binge-purge anorexia nervosa (AN-BP), and restrictive anorexia nervosa (AN-R) is, however, lacking.
Religiosity in adolescence and body satisfaction and disordered eating in adolescence and young adulthood: cross-sectional and longitudinal findings from project EAT
Baltaci A, Burnette CB, Laska MN and Neumark-Sztainer D
This research identified whether adolescent religiosity was associated with body satisfaction and disordered eating in adolescence and early adulthood and explored gender/sex differences in these associations.
Past body shaming experiences and food and alcohol disturbance in young adults: indirect effects via psychological distress
Di Tata D, Bianchi D, Rossi F, Fatta LM, Sette S and Laghi F
This study investigated the associations between retrospective reports of body image victimization (i.e. body shaming) perpetrated by peers and by parents during childhood or adolescence, and food and alcohol disturbance (FAD) in young adulthood, considering the possible mediating role of psychological distress (i.e. subthreshold symptoms of anxiety and depression).
Position statement of Italian Society of Obesity (SIO): Gestational Obesity
Barrea L, Camastra S, Garelli S, Guglielmi V, Manco M, Velluzzi F, Barazzoni R, Verde L and Muscogiuri G
Gestational obesity (GO) presents a multifaceted challenge to maternal and fetal health, with an escalating prevalence and far-reaching consequences extending beyond pregnancy. This perspective statement by the Italian Society of Obesity (SIO) provides current insights into the diagnosis, maternal and fetal impacts, and treatment strategies for managing this pressing condition.
Validation of the Chilean version of the Yale food addiction scale 2.0 in a non-clinical sample
Díaz-Torrente X, Palacio A, Valenzuela C, Vergés A and Gearhardt AN
The aim was to translate and culturally adapt the Yale Food Addiction Scale 2.0 (YFAS 2.0) to the Chilean population, evaluate its psychometric properties in a non-clinical sample, and assess the correlations between symptoms count of food addiction (FA) with demographic and anthropometric variables.
Dietary inflammatory index and its relationship with obesity phenotypes: a cross- sectional analysis from RaNCD cohort study
Pasdar Y, Sharifi M, Saber A, Soleimani D, Moradi S, Cheshmeh S, Rezaeian S and Najafi F
The potential dietary inflammatory index (DII) and the phenomenon of obesity have been linked in recent studies, but it is unclear whether this connection is dependent on metabolic status. Therefore, it was thought that this research would be useful in establishing the relationship between obesity phenotypes and DII.
Screen time, problematic screen use, and eating disorder symptoms among early adolescents: findings from the Adolescent Brain Cognitive Development (ABCD) Study
Chu J, Ganson KT, Testa A, Al-Shoaibi AAA, Jackson DB, Rodgers RF, He J, Baker FC and Nagata JM
Emerging research evidence suggests positive relationships between higher screen time and eating disorders. However, few studies have examined the prospective associations between screen use and eating disorder symptoms in early adolescents and how problematic screen use may contribute to symptom development.
Optimising healthcare transition of adolescents and young adults to adult care: a perspective statement of the Italian Society of Obesity
Morandi A, Umano GR, Vania A, Gugliemi V, Muscogiuri G, Maffeis C, Busetto L, Buscemi S, Cherubini V, Barazzoni R and Manco M
The transition to adult health care (HCT, Health Care Transition), is the purposeful, planned movement of patients from paediatric to adult services. For the adolescent living with obesity (ALwO), the HCT represents a crucial window for effective intervention that can help improve body weight, adiposopathy, and metabolic complications. Nevertheless, no transition guidelines, models, and tools have been developed for these patients. The present statement of the Italian Society of Obesity examines the critical transition of ALwO from paediatric to adult healthcare. It synthesises current knowledge and identifies gaps in HCT of ALwO. Drawing on successful practices and evidence-based interventions worldwide, the paper explores challenges, including disparities and barriers, while advocating for patient and family involvement. Additionally, it discusses barriers and perspectives within the Italian health care scenario. The need for specialised training for healthcare providers and the impact of transition on healthcare policies are also addressed. The conclusions underscore the significance of well-managed transitions. The SIO recognises that without proper support during this transition, ALwOs risk facing a gap in healthcare delivery, exacerbating their condition, and increasing the likelihood of complications. Addressing this gap requires concerted efforts to develop effective transition models, enhance healthcare provider awareness, and ensure equitable access to care for all individuals affected by obesity. The document concludes by outlining avenues for future research and improvement.
Mindfulness-based eating awareness training versus itself plus implementation intention model: a randomized clinical trial
Zergani MJ, Taghdisi MH, Seirafi M, Malihialzackerin S and Kojidi HT
Obesity causes many physical and mental illnesses. This study compares mindfulness-based eating awareness training (MB-EAT) versus MB-EAT plus implementation intention model for effectiveness on body mass index (BMI), weight self-efficacy, and physical activity in obese women with BMIs ≤ 25 (n = 52).
Assessing prevalence, factors and health consequences and academic performance of undergraduate students with breakfast skipping during COVID-19 using statistical modeling: a cross-sectional study
Kadir DH, Saleem MF, Galali Y, Khudr AM, Balaky HH, Hassanzadeh H and Ghanbarzadeh B
The study was conducted in order to study breakfast skipping (BKS) frequency, factors associated with, health consequence and undergraduate students academic performance during Covid-19 pandemic as earliest studies focusing on this area. A cross-sectional study was carried out among 2225 of undergraduate students. The study was carried between the period of 15/1/2020 to 3/4/2020 using an online self-report Breakfast Eating Habit Survey (BEHS). The BEHS survey was divided into two sections. The first sections included sociodemographic information (gender, BMI, age, smoking, residency, parental education, family income, studying system and stage (public or private), and studying institution (university or institute) academic performance. The second part included questions regarding breakfast eating habits including frequency of skipping meals, factors related to BKS health consequences and types of snacks. Logistic regression is a common technique used for modeling outcomes that fall into the range of 1 and 0. For this purpose, a logistic regression was performed to find adjusted odds ratio and crude odds ratio. The results showed that the majority of participants were female (1238, 55.7%). Out of 2,224 students, 2059 are aged between 18 to 24 years. Most of the participants were from first level (26.5%), second level (32.8%), third level (17.6%) or the fourth level (21.3%). Over 92% of participants were single and about 68% came from families of medium income families. The statistical analysis showed that the odds of BKS is reduced among students who live in accommodation by 54% (odds ratio = 54%, CI (41-71%), p value = 0.000). It seems that students with low income and normal or higher BMI are more likely to skip breakfast more regularly. The odds of skipping breakfast among students with BMI of 18-24.9 is reduced by 41% (odds ratio = 59%, CI (27%-93%), p value = 0.027) and the odds of BKS is reduced among students with BMI of 25-29.9 by 45% (odds ratio = 55%, CI (31-95%). Additionally, students with medium or high incomes are more likely to skip breakfast as much as twofold in comparison with students with low income (medium income (odds ratio = 1.85, CI (1.08-3.17), p-value = 0.024), high income (odds ratio = 1.98, CI (1.12-3.51), p-value = 0.019). The most common reasons for skipping breakfast included include time constraint, not hungry, breakfast is not ready, afraid to be overweight and lack of appetite. The consequences of skipping breakfast were feeling hungry throughout the day, feeling tired, and not paying attention in class and low academic performance. To concluded, BKS during Covid-19 is more common among students with higher BMI, higher income and living in accommodation. The main reason is time constraint and the most common health problems are being tired and luck of attention.
Early adaptive schemas, emotional regulation, and cognitive flexibility in eating disorders: subtype specific predictors of eating disorder symptoms using hierarchical linear regression
Mitchell JS, Huckstepp T, Allen A, Louis PJ, Anijärv TE and Hermens DF
Understanding how early adaptive schemas, cognitive flexibility, and emotional regulation influence eating disorder (ED) symptoms, and whether this differs across diagnostic subtypes is critical to optimising treatment. The current study investigated the relationship between these variables and ED symptomology in individuals self-reporting an ED diagnosis and healthy controls.
Parental styles are associated with eating disorder symptoms, anxiety, interpersonal difficulties, and nucleus accumbens response
Sahota N, Shott ME and Frank GKW
Eating disorders (EDs) typically emerge during adolescence. Parental bonding has a lasting impact on a child's mental health during those developmentally critical years. There remains uncertainty over whether parental bonding is a risk factor for developing or maintaining specifically EDs or, rather, general psychopathology and the associated underlying brain function.
Gender stereotypes in eating disorder recognition
Sala M, Coll S and Flamer R
Eating disorder (ED) awareness is low. We assessed if ED symptom recognition, perceived need for treatment, perceived distress, perceived acceptability, and perceived prevalence differed depending on the gender of the individual with the ED.
Assessment of eating disorder symptoms, compulsive exercise, body dissatisfaction and depression in Swedish national team gymnasts, with a one-year follow-up
Edlund K, Forsberg N, Källberg H and Melin A
The purpose of this study was to explore changes in symptoms of eating disorders, compulsive exercise, and depression, between two assessments 12 months apart, among elite gymnasts.
Cortical thickness and childhood eating behaviors: differences according to sex and age, and relevance for eating disorders
Breton E, Khundrakpam B, Jeon S, Evans A and Booij L
This study investigated the association between childhood eating behaviors and cortical morphology, in relation to sex and age, in a community sample.
Effect of bariatric surgery on nutritional and metabolic parameters: does the type of antidepressant medication matter?
Schwenger KJP, Ghorbani Y, Alkass F, Patel T, Jackson TD, Okrainec A and Allard JP
Depression is prevalent in patients undergoing bariatric surgery (BSx). Long-term use of antidepressant is associated with weight gain, particularly the use of selective serotonin reuptake inhibitors (SSRIs). Little is known about whether different types of antidepressants affect the response to BSx. The purpose of this study was to determine the relationship between SSRI use and nutritional and biochemical measurements in those with obesity pre-/post-BSx.
Using item response theory to identify key symptoms of insomnia in a sample of university students with probable eating disorders
Pacella KAC, Richson BN, Short NA, Bottera AR, Irish LA, Perko VL and Forbush KT
Researchers have theorized that interactions between appetitive and circadian disruptions result in increased eating disorder (ED) symptoms and insomnia. However, it is unclear how specific insomnia symptoms present among people with EDs and if the latent structure of insomnia in this population is similar to that of people with insomnia disorder.
"I don't know how, if, it's ever going to end": narratives of caring for someone with an enduring eating disorder
Burman C, Rhodes P, Vatter S and Miskovic-Wheatley J
Families and carers are pivotal in supporting loved ones experiencing eating disorders. This role can bring immense distress and burden, yet the experience of caring for someone with an enduring eating disorder has had minimal research focus. Thus, the purpose of this study is to give voice to carers empowering their stories to increase awareness and understanding, which could inform support to carers and consequently people with a lived and/or living experience of eating disorders.
Mediation role of interpersonal problems between insecure attachment and eating disorder psychopathology
Carfagno M, Barone E, Arsenio E, Bello R, Marone L, Volpicelli A, Cascino G and Monteleone AM
Although insecure attachment and interpersonal problems have been acknowledged as risk and maintaining factors of eating disorders (EDs), the mediating role of interpersonal problems between attachment style and ED psychopathology has been poorly explored. The purpose of this study was to investigate the mediating role of interpersonal problems between insecure attachment and ED psychopathology.
Higher orthorexia tendency among female fashion models: an empirical international study
Bogár N, Dukay-Szabó S, Simon D and Túry F
Female fashion models are more at risk for developing eating disorders than non-models due to the intense occupational pressure they face. The present study focuses on assessing whether female models are more prone to report orthorexia nervosa signs and symptoms than non-models.