Diane Vizthum, Carrie P Earthman, Freda Patterson, Melissa M Melough, Kelly C Allison, Carly R Pacanowski
{"title":"Four-week time restricted eating intervention is associated with improvements in cardiometabolic risk factors and dysregulated eating among emerging adult women: a single-armed trial.","authors":"Diane Vizthum, Carrie P Earthman, Freda Patterson, Melissa M Melough, Kelly C Allison, Carly R Pacanowski","doi":"10.1007/s40519-026-01814-y","DOIUrl":"https://doi.org/10.1007/s40519-026-01814-y","url":null,"abstract":"<p><strong>Purpose: </strong>Time restricted eating (TRE) improves cardiometabolic (CM) health. However, TRE's usefulness as a preventative intervention, particularly among women at risk for dysregulated eating is unknown. This single-arm study examined the impact of a 4-week TRE intervention on eating behaviors, body composition, and dietary intake in women at risk for dysregulated eating.</p><p><strong>Methods: </strong>36 emerging adult women with eating windows ≥ 12 h and moderate-high dietary restraint completed 1 baseline week and 4 weeks of TRE (10 h eating window ending by 8 pm). Participants completed the Dutch Eating Behavior Questionnaire, 3-day food logs, anthropometric measurements, and DXA scans at baseline and post-intervention. Ecological momentary assessments (EMA) were administered 5x/day during baseline and weeks 1 and 4 of TRE to assess eating in the absence of hunger (EAH).</p><p><strong>Results: </strong>Adherence with TRE and EMA was above 85%. Significant decreases occurred in emotional eating (p = 0.009, Cohen's d = - 0.470), caloric intake (p < 0.001, Cohen's d = - 0.750), body weight (p < 0.001, Cohen's d = - 0.649), and visceral fat (p = 0.026, Cohen's d = - 0.452) between baseline and end of TRE. The odds of EAH were significantly lower during TRE than baseline (week 1 OR: 0.48, 95% CI 0.32-0.71; week 4 OR: 0.46, 95% CI 0.29-0.71, both p < 0.001). Compared to baseline, EAH decreased during fasting and the first 4 h of the eating window (p = 0.002-0.033), but not later in the eating window (p = 0.579-0.763).</p><p><strong>Conclusions: </strong>A brief TRE intervention reduced emotional eating and visceral fat in emerging adult women. However, results are preliminary and caution is still warranted when implementing restrictive interventions in this population.</p><p><strong>Clinicaltrials: </strong>gov identifier: NCT06145009, submitted 10/17/2023.</p><p><strong>Level iii: </strong>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":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emma Bui, Musa Jemal Negash, Georgia Burnham, Jia Xian Liew, Nhi Tran Phuong, Isabel Krug
{"title":"Artists and eating disorders: what do we know? A systematic review of the evidence and gaps.","authors":"Emma Bui, Musa Jemal Negash, Georgia Burnham, Jia Xian Liew, Nhi Tran Phuong, Isabel Krug","doi":"10.1007/s40519-026-01863-3","DOIUrl":"https://doi.org/10.1007/s40519-026-01863-3","url":null,"abstract":"<p><strong>Objectives: </strong>Although artists are often considered at higher risk for eating disorders (EDs), evidence remains limited. We therefore conducted a systematic review of ED occurrence, risk, body image concerns, and general psychopathology in artistic populations.</p><p><strong>Method: </strong>Following PRISMA guidelines, PsycINFO, Medline, and Web of Science were searched for English-language studies published in any year. Fifteen studies met inclusion criteria and were narratively synthesised.</p><p><strong>Results: </strong>The review encompassed a broad range of artistic groups (e.g., musicians, actors, circus and drag performers, and theatre artists). Four studies reported lifetime ED diagnoses (2.9% to 22.5%; mean ≈ 12.1%), while three studies assessed current ED diagnoses (1.4% to 18.7%; mean ≈ 7.5%). Six studies reported ED risk levels, which varied substantially (8% to 70.7%; mean ≈ 27.8%), reflecting considerable heterogeneity in samples and methodologies. Importantly, these estimates were largely derived from self-report or non-standardised assessments rather than validated structured clinical interviews, limiting their interpretability and comparability. Despite these limitations, most studies indicated elevated ED-related indicators and body dissatisfaction in artistic populations relative to general population benchmarks, although such comparisons should be interpreted with caution. Across studies, body image concerns were consistently associated with ED symptoms, and anxiety and depression were positively related to eating pathology.</p><p><strong>Discussion: </strong>Artists may represent a population at elevated risk for eating- and body-related psychopathology. However, methodological limitations and heterogeneity highlight the need for more rigorous, diverse, and longitudinal research to clarify mechanisms of vulnerability and inform targeted prevention and early intervention.</p><p><strong>Level of evidence: </strong>Level I, systematic review and meta-analysis.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147835179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jana Katharina Throm, Denise Schilling, Annica Franziska Dörsam, Christiane Gödecke, Katrin Elisabeth Giel
{"title":"How do male partners experience the pre- and postpartum period depending on maternal anorexia nervosa? Findings from a qualitative interview study.","authors":"Jana Katharina Throm, Denise Schilling, Annica Franziska Dörsam, Christiane Gödecke, Katrin Elisabeth Giel","doi":"10.1007/s40519-026-01862-4","DOIUrl":"10.1007/s40519-026-01862-4","url":null,"abstract":"<p><strong>Purpose: </strong>The transition to fatherhood constitutes a substantial life event that can profoundly impact individuals and their relationships. This influence may be amplified when an anorexia nervosa (AN) is present within the family. This study aimed to examine paternal experiences during the pre- and postpartum period and assess how maternal AN influences these experiences.</p><p><strong>Methods: </strong>Six semi-structured qualitative interviews were conducted with three male partners of women with and without AN, to explore their prepartum perspectives on the paternal role, their postpartum eating behaviors, overall well-being, and the impact of the AN on their relationship. The data was analyzed in accordance with the principles of qualitative content analysis as proposed by Mayring.</p><p><strong>Results: </strong>The analysis yielded six main categories that were deductively identified from the interview guide, with several sub-categories generated from the interview data. Many topics were raised by both groups and are in support of previous research. Group-specific aspects also emerged, such as a lower level of reflection on fatherhood among partners of women with AN. All partners of women with AN noted that the disorder affected the relationship, for example by causing conflicts.</p><p><strong>Conclusion: </strong>The partly distinct experiences reported by the two groups highlight the impact of maternal AN on family dynamics and emphasize the need to incorporate paternal perspectives in eating disorder research during the transition to parenthood. Integrating fathers' experiences can enhance understanding of familial dynamics and inform the development of targeted interventions to support all family members during this critical period.</p><p><strong>Level of evidence iii: </strong>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":"31 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812309","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":"Food addiction as a transdiagnostic feature associated with binge-eating symptoms in eating disorders: prevalence and rehabilitation outcomes in an Italian inpatient population.","authors":"Margherita Boltri, Letizia Oprandi, Silvamaria Mastrocola, Giulia Cera, Federico Brusa, Carolina Gabutti, Valentina Villa, Francesca Manzo, Alberto Scalia, Emanuela Apicella, Sandra Savino, Gianluca Castelnuovo, Leonardo Mendolicchio","doi":"10.1007/s40519-026-01861-5","DOIUrl":"https://doi.org/10.1007/s40519-026-01861-5","url":null,"abstract":"<p><p>Food addiction (FA) is an emerging construct describing a compulsive and dysregulated pattern of food consumption that parallels mechanisms observed in substance-related addictions. This study aimed to investigate the prevalence and clinical correlates of FA in a sample of 141 Italian adult inpatients diagnosed with eating disorders (ED). Participants completed standardized self-report instruments assessing FA (YFAS 2.0), binge-eating behaviours (BES), ED-related psychopathology (EDI-3), body image distress (BUT), and general psychological symptoms (SCL-90) at admission (T0) and discharge (T1) from a multidisciplinary ED rehabilitation program. FA showed a high prevalence (85.6%), with more than half of the participants (51.1%) classified as severe. YFAS 2.0 scores were significantly higher among patients with binge eating disorder (BED) and bulimia nervosa (BN). FA severity was strongly associated with bulimic and binge-eating symptoms and interoceptive deficits, but not with body dissatisfaction. Regression analyses indicated that FA at admission was significantly associated with the severity of bulimic and binge-eating symptoms, independently of age, BMI, and illness duration. Overall, findings suggest that FA may reflect a dimensional feature associated with symptom severity across eating disorders, particularly in binge-spectrum presentations. Routine assessment of FA could therefore serve as a potentially useful clinical indicator and guide personalized interventions aimed at reducing compulsive eating behaviours and preventing relapse.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruixue Li, Tianqi Liu, Wei Xin, Zi Liang, Chenguang Zhao, Zinan Zhao, Tian Zhang, Fei Zhao, Wenfeng Xu, Pengfei Jin
{"title":"Association of the skeletal muscle mass-to-visceral fat area ratio with cardiovascular disease: a cross-sectional study based on NHANES.","authors":"Ruixue Li, Tianqi Liu, Wei Xin, Zi Liang, Chenguang Zhao, Zinan Zhao, Tian Zhang, Fei Zhao, Wenfeng Xu, Pengfei Jin","doi":"10.1007/s40519-026-01865-1","DOIUrl":"https://doi.org/10.1007/s40519-026-01865-1","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the association between the skeletal muscle mass-to-visceral fat area ratio (SVR) and prevalent cardiovascular disease (CVD) in a nationally representative U.S.</p><p><strong>Population: </strong></p><p><strong>Methods: </strong>We analyzed data from the U.S. National Health and Nutrition Examination Survey (NHANES), 2011-2018. Associations of SVR with composite CVD and its subtypes (heart failure [HF], coronary heart disease [CHD], angina pectoris [AP], myocardial infarction [MI], or stroke) were estimated using multivariable logistic models; linear trend across SVR tertiles was tested, and nonlinearity was assessed using restricted cubic spline (RCS) models. Subgroup analyses assessed heterogeneity.</p><p><strong>Results: </strong>The sample comprised 9,997 participants. In multivariable-adjusted logistic models, higher SVR was associated with lower odds of CVD (Model 4: OR = 0.44; 95% CI 0.29-0.67; P < 0.001), with a dose-response (P for trend = 0.001). In subtype analyses, the highest SVR category was associated with lower odds of HF (OR = 0.42, 95% CI 0.18-0.96; P = 0.047), CHD (OR = 0.28, 95% CI 0.11-0.71; P = 0.011), and MI (OR = 0.33, 95% CI 0.11-0.94; P = 0.045), with significant trends for all three outcomes (P for trend < 0.05). RCS models showed nonlinear associations of SVR with composite CVD, CHD, and MI, but not with HF, stroke or AP. Subgroup analyses detected interactions for poverty-income ratio (PIR) and BMI strata (both P for interaction = 0.005).</p><p><strong>Conclusion: </strong>Higher SVR may be a potential CVD risk marker, whereas associations with AP and stroke were weak or non-significant. Prospective validation is warranted.</p><p><strong>Level of evidence: </strong>Level V-cross-sectional observational study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valentina Pellegatta, Claudia Piciocchi, Francesco Frigerio, Alessandra Arcuri, Antonella Coletta, Laura Tanase, Massimo Pasquini, Armando Cotugno, Caterina Lombardo, Eleonora Poggiogalle
{"title":"Sweet taste hedonic response in anorexia nervosa: connections with nutritional status and psychopathology.","authors":"Valentina Pellegatta, Claudia Piciocchi, Francesco Frigerio, Alessandra Arcuri, Antonella Coletta, Laura Tanase, Massimo Pasquini, Armando Cotugno, Caterina Lombardo, Eleonora Poggiogalle","doi":"10.1007/s40519-026-01854-4","DOIUrl":"https://doi.org/10.1007/s40519-026-01854-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed at investigating whether taste sensitivity is reduced in patients with anorexia nervosa (AN) and at examining the relationship between sweet taste perception, anthropometric and psychopathological parameters.</p><p><strong>Methods: </strong>In this case-control study, 15 female patients aged 12-24 years with eating disorders-comprising 13 with AN and 2 with atypical anorexia nervosa (aAN)-and 9 age-matched healthy controls underwent the assessment of taste sensitivity using 5 mL of a 17% sucrose solution on a visual analog scale (VAS) ranging from 0 to 100. Anthropometric parameters, bioimpedance measures and questionnaires were collected.</p><p><strong>Results: </strong>Patients with AN exhibited significantly lower VAS scores than controls (p < 0.05). VAS scores were inversely correlated with BSCL test scores for both the anxiety and depression subscales and the total score (anxiety r<sub>s</sub> = - 0.489, p < 0.05; depression r<sub>s</sub> = - 0.658, p < 0.01; GSI r<sub>s</sub> = - 0.590, p < 0.01), and with the SCL-90 for the same domains (anxiety r<sub>s</sub> = - 0.529, p < 0.05; depression r<sub>s</sub> = - 0.602, p < 0.01; GSI r<sub>s</sub> = - 0.614, p < 0.01). Negative correlations were identified for the EDE-Q subscales of restraint (r<sub>s</sub> = - 0.429, p < 0.05), weight concern (r<sub>s</sub> = - 0.473, p < 0.05), and body shape concern (r<sub>s</sub> = - 0.501, p < 0.05), as well as starvation symptoms on the SSI (r<sub>s</sub> = - 0.435, p = 0.030).</p><p><strong>Conclusion: </strong>Our findings suggest a blunted hedonic response to sweet taste in patients with AN, particularly among those with poorer nutritional status and higher anxiety and depression traits. Longitudinal studies with larger sample sizes are necessary to evaluate prognostic relevance of assessments of taste sensitivity.</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":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychobehavioral profiles of eating risk: schema-emotion regulation patterns differ in central adiposity with genotype (FTO rs9939609) as external validator-a pilot study.","authors":"Małgorzata Obara-Gołębiowska","doi":"10.1007/s40519-026-01853-5","DOIUrl":"https://doi.org/10.1007/s40519-026-01853-5","url":null,"abstract":"<p><strong>Purpose: </strong>To identify person-centered psychological profiles of eating-related risk based on early maladaptive schemas (EMS), emotion regulation difficulties, and eating behaviors, and to examine their external validation using anthropometric indices (BMI, waist circumference, WC) and the FTO rs9939609 genotype.</p><p><strong>Methods: </strong>Fifty women aged 18-35 years (approximately balanced between normal weight and overweight/obese groups) completed the YSQ-S3, DERS-36, and QERB. Standardized variables were clustered with k-means (k = 2-4); the optimal solution was selected via silhouette and BIC with stability checks. BMI and WC were used for external validation; FTO rs9939609 (AA/AT/TT) was examined using χ<sup>2</sup>/Fisher's tests.</p><p><strong>Results: </strong>A two-cluster solution best fit the data. Cluster 1 (n = 23) showed higher EMS, greater emotion dysregulation, and higher emotional/habitual overeating, alongside higher restraint, whereas Cluster 2 (n = 27) showed a consistently lower-risk profile. Cluster 1 presented higher WC (M = 92.74 cm, SD = 12.86) and BMI (M = 30.44, SD = 5.18) than Cluster 2 (WC: M = 75.19 cm, SD = 18.60; BMI: M = 22.65, SD = 4.15); differences were significant in parametric and nonparametric tests (all p < 0.001; Hedges' g = 1.07-1.65). The FTO genotype distribution did not differ between clusters (χ<sup>2</sup>(2) = 0.33, p = 0.848).</p><p><strong>Conclusions: </strong>Distinct schema-emotion regulation profiles may be observable in young women and appear to align with central adiposity and BMI. While FTO rs9939609 did not differentiate clusters, person-centered profiling may help inform hypothesis generation regarding schema- and regulation-focused strategies in weight-related risk, with potential relevance for both clinical and educational contexts.</p><p><strong>Level of evidence: </strong>Level III, observational analytic (cross-sectional) study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bríd Áine Davis, Claire O'Dwyer, Alan Carr, Kathy Looney
{"title":"A systematic review of psychometric scales that assess familial, lifestyle, and behavioural factors for children living with overweight or obesity, or at risk of developing obesity.","authors":"Bríd Áine Davis, Claire O'Dwyer, Alan Carr, Kathy Looney","doi":"10.1007/s40519-026-01860-6","DOIUrl":"https://doi.org/10.1007/s40519-026-01860-6","url":null,"abstract":"<p><p>Over the past four decades, global childhood obesity rates have risen significantly. Modifiable factors such as diet, physical activity, family dynamics, and screen time play an important role in childhood obesity and are often targeted in interventions. However, no comprehensive review of instruments assessing these factors has been published, prompting this study. A systematic review following PRISMA guidelines was conducted to identify validated multidimensional lifestyle assessment instruments (defined as those assessing at least two constructs) for children aged 2-12 years living with overweight or obesity. Four databases (Pubmed, PsychINFO, CINAHL, and Embase) were searched for studies from 1980 to 2024. First, 7844 studies were screened by title and abstract by two independent reviewers. The resultant 141 full-text studies were also independently reviewed by 2 reviewers. Study quality was assessed and data on psychometric properties were extracted. Thirteen papers covering eight instruments were included: Healthy Kids (Niños Sanos), Family Health Behaviour Scale, Lifestyle Behaviour Checklist, Family Nutrition Physical Activity screening tool, Family Eating and Activity Habits Questionnaire, Home Environment Survey, Child Obesity Risk Questionnaire 2-5, and Energy Retention Behaviour Scale for Children. These instruments assessed various factors, including diet, mealtime routines, physical activity, sedentary behaviour, sleep, parental beliefs and the home environment. The instruments showed significant heterogeneity, with no single instrument covering the entire 2-12 years age range or measuring the same constructs comprehensively. The quality of the reviewed studies varied, particularly in the range of psychometric properties examined. Based on the results of this review, there is no one measure shown to be validated specifically for children living with overweight/obesity that addresses a broad range of domains that respond to change over time.Level II: Evidence obtained from well-designed controlled trials without randomisation.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anita V Chaphekar, Qing Duan, Janet Zahner, Andrew F Beck
{"title":"The changing landscape of eating disorders between the years 2015 through 2023.","authors":"Anita V Chaphekar, Qing Duan, Janet Zahner, Andrew F Beck","doi":"10.1007/s40519-026-01855-3","DOIUrl":"https://doi.org/10.1007/s40519-026-01855-3","url":null,"abstract":"<p><strong>Purpose: </strong>Despite the introduction of new eating disorder diagnoses in 2013 with the DSM-5, the characterization of population-level trends and sociodemographic patterns of these expanded eating disorder definitions remain limited. This study examined temporal changes in eating disorder diagnoses and sociodemographic characteristics among adolescents and young adults between the years 2015 and 2023 using the Epic Cosmos database, an aggregate of electronic health records across various healthcare systems.</p><p><strong>Methods: </strong>This is a retrospective cohort study using Epic Cosmos data, identifying individuals aged 9 years-25 years with an ICD-10 code consistent with an eating disorder diagnosis. Adjusted multivariable regression models assessed temporal changes and associations between sociodemographic characteristics and specific eating disorder diagnoses.</p><p><strong>Results: </strong>Among 195,015 individuals, the most common eating disorder diagnoses during the study period were unspecified eating disorder (31%), other specified eating disorder (20%), and anorexia nervosa (20%). Avoidant restrictive food intake disorder had the fastest annual increase followed by binge eating disorder. Significant differences in diagnostic trends were observed by sex, race, ethnicity, and preferred language, with notable increases in avoidant restrictive food intake disorder among females and in anorexia nervosa among Hispanic/Latino and non-English-speaking individuals.</p><p><strong>Conclusion: </strong>The diagnosis patterns of eating disorders are changing, with increases in avoidant restrictive food intake disorder and binge eating disorder as well as changes based on sociodemographic characteristics. These findings highlight the need for improved and continued surveillance of the \"newer\" eating disorder diagnoses and warrant further investigation for treatment capacity and long-term outcomes.</p><p><strong>Level of evidence: </strong>Level V, based on descriptive study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lorenzo M Donini, Maria D Ballesteros-Pomar, John A Batsis, Yves Boirie, Gianluca Gortan Cappellari, Eleonora Poggiogalle, Rocco Barazzoni
{"title":"Obesity is always a clinically relevant chronic disease.","authors":"Lorenzo M Donini, Maria D Ballesteros-Pomar, John A Batsis, Yves Boirie, Gianluca Gortan Cappellari, Eleonora Poggiogalle, Rocco Barazzoni","doi":"10.1007/s40519-026-01820-0","DOIUrl":"10.1007/s40519-026-01820-0","url":null,"abstract":"<p><p>Interest in obesity has grown exponentially over the last years, with the availability of highly effective new pharmacological treatment options. The increasing use of pharmacological treatment options has stimulated debates on several fundamental issues, including (1) full recognition of obesity as a disease, and (2) optimization of the diagnostic criteria of obesity and the timing for offering different treatment options. We aim at critically discussing here the similarities, discrepancies, and potential misunderstandings suggested by the European Association for the Study of Obesity (EASO) and Lancet Diabetes Endocrinology Commission statements. In particular, two aspects are discussed: (1) the BMI limitations and the necessity to include visceral fat and, more in general, body composition assessment in the diagnosis of obesity; (2) the opportunity to consider obesity always as a clinically relevant chronic disease due to its biological, psychological, and social characteristics.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"31 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716479","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}