Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity最新文献

{"title":"Validation of a core beliefs model of disordered eating in adults with an eating disorder.","authors":"Amaani H Hatoum, Amy L Burton, Maree J Abbott","doi":"10.1007/s40519-025-01787-4","DOIUrl":"10.1007/s40519-025-01787-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to validate a core beliefs model of disordered eating in a sample of adults with a current eating disorder diagnosis. This model outlines important processes and pathways from maladaptive eating disorder core beliefs to dietary restraint, objective binge eating and compensatory behaviours.</p><p><strong>Methods: </strong>Participants were adults (N = 232) living in English-speaking countries who self-reported having a current eating disorder diagnosis given by a healthcare professional. Preliminary analyses included examining correlations between included variables and internal consistency. Path analysis was conducted in R to test the core beliefs model.</p><p><strong>Results: </strong>The original model demonstrated poor to acceptable fit to the observed data. Minor modifications were utilised to remove non-significant paths to improve fit, including the removal of 'perfectionism' as a mediating variable in the model. The final modified model indicated acceptable model fit. This model demonstrates specific pathways that maladaptive core beliefs contribute to the development of dietary restraint, objective binge eating and compensatory behaviours, through either increased pre-occupation with eating, weight and shape, or through increased negative affect, emotional dysregulation and meta-cognitive beliefs about binge eating.</p><p><strong>Conclusions: </strong>The present study provides partial validation of a core beliefs model of disordered eating and extends the current understanding of how maladaptive core beliefs may impact the development of key disordered eating symptomatology.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"78"},"PeriodicalIF":2.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social media use, eating attitudes, orthorexia nervosa and well-being: testing a moderated mediation model.","authors":"Ayşen Kovan, Murat Yıldırım","doi":"10.1007/s40519-025-01753-0","DOIUrl":"10.1007/s40519-025-01753-0","url":null,"abstract":"<p><strong>Purpose: </strong>Currently, there is a growing awareness among individuals about health and nutrition. Therefore, it is important to comprehend the factors that influence eating habits and attitudes. This study aims to investigate the potential mediation effect of eating attitudes in the relationship between social media use and well-being, as well as to explore whether the moderating effect of the level of orthorexia nervosa influences this relationship.</p><p><strong>Methods: </strong>The sample consisted of 599 adults (M_age = 29.82, SD = 9.39; 68% female) from Turkey and Northern Cyprus. Participants were recruited via convenience sampling through university networks, reflecting a culturally diverse context rooted in Mediterranean and Middle Eastern dietary norms. The study used the Social Media Usage Purposes, Eating Attitudes Test Short Form, Orthorexia nervosa Questionnaire-11, and the WHO-Five Well-being Index. A cross-sectional design was employed, and data were analysed using Hayes' Process Macro (Model 58) to test for moderated mediation.</p><p><strong>Results: </strong>The study found that eating attitudes played a partial mediating role in the relationship between social media use and well-being among adults. Social media use positively predicted eating attitudes (β = .83, p < .001) and well-being (β = 1.05, p < .05), and eating attitudes significantly predicted well-being (β = .94, p < .001). Also, orthorexia nervosa moderated the mediating effect of eating attitudes in the relationship between social media use and well-being. Interestingly, the moderating effect was stronger among individuals with low levels of orthorexia nervosa, contrary to initial expectations.</p><p><strong>Conclusions: </strong>The current study suggests that eating attitudes are a key behavioral mechanism linking social media use and well-being, and this pathway is influenced by individuals' orthorexia nervosa tendencies. These findings could aid in the development of interventions for eating disorders at both clinical and social levels and guide individuals towards healthier lifestyles. Importantly, while orthorexia nervosa moderated the indirect relationship between social media use and well-being, the study did not find a direct association between orthorexia nervosa and social media use.</p><p><strong>Level of evidence: </strong>Level III. Evidence obtained from well-designed cohort or case-control analytic studies.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"79"},"PeriodicalIF":2.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health of children and young people with pre-existing eating problems during the COVID-19 pandemic.","authors":"Johanna Lee, Natalia K Rojas, Snehal M Pinto Pereria, Terence Stephenson, Jennifer McGowan, Trudie Chalder, Emma Dalrymple, Tamsin Ford, Isobel Heyman, Shamez Ladhani, Kelsey McOwat, Ruth Simmons, Olivia Swann, Roz Shafran","doi":"10.1007/s40519-025-01788-3","DOIUrl":"10.1007/s40519-025-01788-3","url":null,"abstract":"<p><strong>Objective: </strong>The study sought to explore mental health trajectories of children and young people (CYP) who retrospectively reported eating problems prior to the pandemic, over a 2-year period (2021-23). Given the rapid increase in eating disorder presentations during the pandemic, these CYP may be particularly susceptible to pandemic-related challenges, including social and functional restrictions.</p><p><strong>Methods: </strong>Data on 2023 CYP from the Children and Young People with Long COVID (CLoCk) study recruited Jan-March 2021 who completed questionnaires at 3-, 6-, 12-, and 24-months post SARS-CoV-2 PCR-testing were analysed. Associations between baseline eating problems (N = 241) and emotional and behavioural symptoms (measured by the Strengths and Difficulties Questionnaire (SDQ) total difficulties and impact scores) at each time-point were examined by regression models. Multi-level models were used to determine whether SDQ total and impact trajectories of those with/without prior self-reported eating problems differed.</p><p><strong>Results: </strong>Compared to CYP who did not report pre-existing eating problems, those that did had more mental health difficulties at all time points: reflected in significantly higher SDQ total difficulties and impact scores. However, mental health scores of CYP reporting pre-pandemic eating problems were stable over time. Whereas, CYP without eating problems had a slight increase in mental health difficulties over time. Differences between groups diminished but remained significant when controlling for potential confounding variables including prior mental health difficulties.</p><p><strong>Discussion: </strong>Young people with eating problems had more emotional and behavioural symptoms during 2021-23, compared with those that did not have eating problems. However, mental health did not worsen over time amongst CYP with pre-existing eating problems, providing evidence of some relative resilience to the effects of the pandemic in this population.</p><p><strong>Public significance: </strong>Eating disorders are a major public health concern and presentations have remained high since the Covid-19 pandemic. Understanding how eating difficulties relate to mental health symptomology over time has implications for service planning.</p><p><strong>Level of evidence: </strong>Level III: Evidence obtained from well-designed cohort study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"77"},"PeriodicalIF":2.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of naltrexone and bupropion combination in patients with binge eating disorder: a systematic review and meta-analysis.","authors":"Seyedeh Narjes Roudbaraki, Mostafa Salimi, Sina Esmailpour, Farzaneh Mohammadi","doi":"10.1007/s40519-025-01786-5","DOIUrl":"10.1007/s40519-025-01786-5","url":null,"abstract":"<p><strong>Purpose: </strong>Binge Eating Disorder (BED) is a prevalent condition with limited evidence-based treatments. Naltrexone and Bupropion Combination (NB) targets neurobiological pathways implicated in BED. The Objective of this paper is to evaluate the efficacy of NB for BED in adults through a systematic review and meta-analysis.</p><p><strong>Methods: </strong>Following PRISMA guidelines, we searched major databases and trial registries (up to Feb 2025) for randomized controlled trials (RCTs) comparing NB to placebo or usual care in adults with BED. The primary outcome was binge eating frequency; secondary outcomes included weight loss and BMI. Risk of bias (ROB2) and certainty of evidence (GRADE) were assessed. A fixed-effects meta-analysis was performed.</p><p><strong>Results: </strong>Four RCTs (n = 444 participants) met inclusion criteria. Meta-analysis of three studies indicated NB did not significantly reduce binge eating frequency compared to controls (Mean Difference [MD] - 1.49, 95% CI - 3.63 to 0.64, p = 0.17). However, NB significantly reduced weight (MD -3.57 kg, 95% CI - 4.86 to - 2.27, p < 0.001) and BMI (MD - 1.24 kg/m², 95% CI - 1.79 to - 0.70, p < 0.001). The certainty of evidence was assessed as moderate for binge frequency and low for weight and BMI outcomes.</p><p><strong>Conclusion: </strong>NB aids weight reduction in adults with BED, but current evidence is insufficient to confirm its efficacy for reducing binge eating frequency. Further high-quality RCTs are warranted.</p><p><strong>Level of evidence: </strong>Level I, systematic reviews and meta-analyses.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"75"},"PeriodicalIF":2.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rupture of the external iliac and bilateral femoral arteries in a patient with anorexia nervosa.","authors":"Kan Goto, Takeaki Sato, So Sampei, Yasuhiro Sato, Motoyori Kanazawa, Shigeki Kushimoto, Shin Fukudo","doi":"10.1007/s40519-025-01789-2","DOIUrl":"10.1007/s40519-025-01789-2","url":null,"abstract":"<p><strong>Background: </strong>Severe anorexia nervosa can result in life-threatening systemic complications. However, arterial rupture in the context of anorexia nervosa has not been reported.</p><p><strong>Case report: </strong>A 31-year-old woman who had developed anorexia nervosa in her early teens and had extreme malnutrition with a body mass index of 8.5 kg/m² was admitted to our hospital with impaired consciousness due to hypoglycemia. During the management of hypoglycemia and refeeding syndrome, the patient developed hematochezia and shock. Contrast-enhanced computed tomography revealed rupture of the right external iliac and bilateral femoral arteries. Nonocclusive mesenteric ischemia was also detected. Surgical interventions for the ruptured arteries and the intestinal lesion were not indicated due to her poor condition with coagulopathy, as well as the presumed vascular fragility suggested by the presence of multiple arterial ruptures. The patient died later that day.</p><p><strong>Conclusions: </strong>This case highlights a previously unreported and fatal vascular complication of anorexia nervosa. Extreme malnutrition may cause vascular fragility, increasing the risk of arterial rupture due to structural collapse of the vessel wall. Clinicians should be aware of this rare but life-threatening complication when treating patients with severe anorexia nervosa.</p><p><strong>Level of evidence: </strong>Level V, case report.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"76"},"PeriodicalIF":2.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflection of therapy progress in virtual reality for individuals affected by obesity: a pilot study.","authors":"Tatjana Anne Korbanka, Sandra Schild, Isabelle Mack, Katrin Elisabeth Giel, Simone Claire Behrens","doi":"10.1007/s40519-025-01780-x","DOIUrl":"10.1007/s40519-025-01780-x","url":null,"abstract":"<p><strong>Purpose: </strong>Obesity is a major health challenge, requiring the development of more effective interventions. Setting realistic goals and developing detailed plans that anticipate potential challenges can be helpful strategies for bridging the intention-behavior gap. Immersive technologies, such as virtual reality (VR), are considered to further support closing this gap by reducing the distance to one's future self.</p><p><strong>Methods: </strong>This study investigates a novel VR-supported reflection exercise as an additional treatment module within a conservative obesity treatment regime. It examines its feasibility, acceptance and short- and medium-term effects on participants' therapy motivation, body dissatisfaction, self-esteem, depressive symptoms, and eating behavior. 23 participants (BMI: M = 43.44 kg/m², SD = 4.42) were presented with a real-time animated body avatar that had the average body shape for their individual height, initial weight, and realistic target weight (- 10%), and standard appearance matched in terms of hair and skin color. The avatar could be viewed from first-person and mirror perspectives. The exercise included reflective questions about their experience, well-being, daily life, and eating and movement behavior.</p><p><strong>Results: </strong>Participation and dropout rates of the VR-supported reflection exercise, user experience ratings, assessments on general discomfort and qualitative feedback demonstrated good feasibility and acceptance of the VR exercise. There were no measurable effects of a single session on clinical outcomes, including motivation to change, eating disorder psychopathology, self-esteem and depressive symptoms.</p><p><strong>Conclusions: </strong>The VR-based reflection exercise was feasible and well-accepted. The sample was highly burdened with multimorbidity, severe obesity (grade III), and psychological stress. A clinical trial with sufficient dosage would be required to infer about clinical effects.</p><p><strong>Level of evidence: </strong>Level 4.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"74"},"PeriodicalIF":2.8,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-bariatric surgery quality-of-life decline: analysis of the gut-brain axis.","authors":"Yuxuan Jiao, Shaohui Zhu, Huichao Xue, Yihao Wang, Yanfang Wang, Dong Hou","doi":"10.1007/s40519-025-01784-7","DOIUrl":"10.1007/s40519-025-01784-7","url":null,"abstract":"<p><strong>Purpose: </strong>Bariatric surgery has proven effective in enhancing metabolic health and achieving sustainable weight loss for individuals with obesity. However, some patients experience adverse psychological outcomes and reduced quality-of-life post-surgery, potentially linked to changes in the gut-brain axis. This review aims to synthesize current evidence on the interplay between bariatric surgery-induced gut-brain axis modifications and patients' psychological status.</p><p><strong>Methods: </strong>A systematic literature search was conducted across PubMed, Web of Science, and Embase, prioritizing clinical studies, mechanistic investigations, and meta-analyses. Inclusion criteria encompassed English-language articles examining psychological parameters, gut-derived hormones, and gut microbiota in adults after Roux-en-Y gastric bypass or sleeve gastrectomy.</p><p><strong>Results: </strong>Bariatric surgery fundamentally reprograms gut-brain communication through anatomical, endocrine, and neural plasticity mechanisms, a process associated with dual-edged metabolic benefits and neuropsychiatric risks. Mechanistic analyses suggest that postoperative dysregulation of GLP-1/PYY secretion, altered vagal afferent signaling, and sustained microbiota dysbiosis (reduced Bifidobacterium, elevated Proteobacteria) may represent potential correlates of these outcomes.</p><p><strong>Conclusions: </strong>Studies have demonstrated significant associations between mood, quality of life, psychological status, and gut-derived hormones or microbiota. A comprehensive understanding of how bariatric surgery impacts gut-brain signaling pathways is critical for optimizing long-term therapeutic outcomes and enhancing patient quality of life.</p><p><strong>Level of evidence: </strong>This manuscript is a Narrative Review. According to the grading criteria of the Oxford Centre for Evidence-Based Medicine (OCEBM), this manuscript is categorized as Level III-IV evidence.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"73"},"PeriodicalIF":2.8,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seasonal body image dissatisfaction: a bi-hemispheric panel analysis of social media users across 4 years.","authors":"Justin Thomas, Timothy Regan, Rana Samad, Yasmin Aljedawi, Dahlia AlJuboori, Alex Wells","doi":"10.1007/s40519-025-01782-9","DOIUrl":"https://doi.org/10.1007/s40519-025-01782-9","url":null,"abstract":"<p><strong>Purpose: </strong>Seasonal body image refers to within-person variations in body image satisfaction that correspond with climatic seasonality (winter, spring, summer, and autumn). Previous cross-sectional research involving male participants from northern (UK, USA, and Canada) and southern hemisphere (Australia) nations reports a peak in body image dissatisfaction during the summertime, with a decrease in the wintertime. Big Data extracted from social media platforms provides a novel means of further exploring the seasonal body image hypothesis in a larger and more diverse sample across several years.</p><p><strong>Methods: </strong>This study utilised panel data drawn from X/Twitter, a social media platform, to investigate the posts (N = 12,017,766) of users/authors (N = 1534) between 2020 and 2023. The panel consisted of authors from countries in both the northern and southern hemispheres. A template-driven search algorithm identified expressions of body image dissatisfaction (BID) in users' posts.</p><p><strong>Results: </strong>The rate of BID (relative to the overall number of posts) was calculated for each calendar month. A statistically significant summer spike was observed in the Northern hemisphere, while the data were non-significant but directionally supportive of a similar summer spike in the Southern hemisphere.</p><p><strong>Conclusions: </strong>This study partially supports the seasonal body image hypothesis, adding nuance to the current understanding of seasonality. This research has implications for the timing of public health initiatives aimed at preventing body image issues and eating disorders.</p><p><strong>Level of evidence iv: </strong>Evidence obtained from multiple time series without intervention.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"72"},"PeriodicalIF":2.8,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of glucagon-like peptide-1 receptor agonists in weight regain treatment or prevention after bariatric surgery: a systematic review and meta-analysis.","authors":"Asma Mousavi, Shayan Shojaei, Alireza Azarboo, Razman Arabzadeh Bahri, Sara Mohammadi, Sanam Alilou, Shaygan Yousefifar, Saba Maleki, Hanieh Radkhah","doi":"10.1007/s40519-025-01770-z","DOIUrl":"10.1007/s40519-025-01770-z","url":null,"abstract":"<p><strong>Background: </strong>Weight regain (WR) and insufficient weight loss (WL) occur in 20-25% of patients after bariatric surgery due to various factors. Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have shown promise in promoting WL; however, evidence regarding their effectiveness in managing WL and preventing WR post-bariatric surgery remains limited.</p><p><strong>Objective: </strong>This study aims to evaluate the role of GLP-1RAs in treating and preventing WR following bariatric surgery.</p><p><strong>Methods: </strong>A systematic search was conducted across PubMed, Scopus, and Web of Science for studies assessing the impact of GLP-1RAs on WR after bariatric surgery.</p><p><strong>Results: </strong>Our search identified 27 original studies, with 10 included in the meta-analysis involving 769 participants (392 treated with GLP-1RAs). The mean age was 44.05 years, with 30.47% male. The time interval from surgery to the initiation of GLP-1RAs treatment ranged from 1.5 to 86.7 months, with treatment durations between 4 and 12 months. The analysis showed significantly greater WL in the GLP-1RAs group compared to placebo (SMD = 0.82, 95% CI 0.23 to 1.42). Subgroup analysis for treatment durations ≤ 6 months indicated a higher WL in the GLP-1RAs group (SMD = 0.79, 95% CI 0.25 to 1.34). Adverse events were primarily gastrointestinal, with nausea significantly more frequently in the GLP-1RAs group (OR = 2.01, 95% CI 1.24 to 3.27).</p><p><strong>Conclusion: </strong>GLP-1RAs effectively promote WL among participants experiencing WR after bariatric surgery. Initiating GLP-1RAs therapy shortly after surgery may help prevent WR. Further research is warranted to explore long-term outcomes and optimize treatment protocols for this patient population.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"70"},"PeriodicalIF":2.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pitfalls in the diagnosis of eating disorders: a case series from infancy to adolescence.","authors":"Adele Fiordelisi, Micol Stivala, Roberta Pellegrino, Elisabetta Innocenti, Sandra Trapani","doi":"10.1007/s40519-025-01781-w","DOIUrl":"https://doi.org/10.1007/s40519-025-01781-w","url":null,"abstract":"<p><strong>Purpose: </strong>Eating disorders, encompassing a spectrum of conditions, significantly affect individuals throughout their lifespan, especially children and adolescents. Because of their rising incidence, misdiagnosis remains a challenge in paediatrics.</p><p><strong>Methods: </strong>This study presents an educational case series documenting organic disorders that were initially misdiagnosed as feeding and eating disorders.</p><p><strong>Results: </strong>Through comprehensive assessments, including medical history, physical examinations, and specialized evaluations, we stress the importance of ruling out medical conditions that can mimic an eating disorder at presentation. Timely recognition and referral to specialized care are essential for improved outcomes.</p><p><strong>Conclusion: </strong>We highlight the crucial role of continuous reassessment, particularly in cases of evolving symptoms or inadequate response to treatments. A multidisciplinary approach in diagnosing and managing paediatric feeding and eating disorders is of fundamental importance to ensure prompt identification and adequate referral.</p><p><strong>Level of evidence iv: </strong></p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"71"},"PeriodicalIF":2.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}