Eating behaviors最新文献

{"title":"Youth's energy intake during a laboratory-based loss-of-control eating paradigm: Associations with reported current dieting","authors":"Megan N. Parker ,&nbsp;Nasreen A. Moursi ,&nbsp;Praise E. Adekola ,&nbsp;Bess F. Bloomer ,&nbsp;Jennifer Te-Vazquez ,&nbsp;Ejike E. Nwosu ,&nbsp;Julia Lazareva ,&nbsp;Jeremiah L. Jones ,&nbsp;Shanna B. Yang ,&nbsp;Sara A. Turner ,&nbsp;Sheila M. Brady ,&nbsp;Kong Y. Chen ,&nbsp;Marian Tanofsky-Kraff ,&nbsp;Jack A. Yanovski","doi":"10.1016/j.eatbeh.2024.101877","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101877","url":null,"abstract":"<div><p>Dieting is theorized as a risk factor for loss-of-control (LOC)-eating (i.e., feeling a sense of lack of control while eating). Support for this association has largely relied on retrospective self-report data, which does not always correlate with objectively assessed eating behavior in youth. We hypothesized that during a laboratory-based LOC-eating paradigm, children and adolescents who reported current (at the time of the visit) dieting would consume meals consistent with LOC-eating (greater caloric intake, and intake of carbohydrates and fats, but less intake of protein). Participants were presented with a buffet-style meal and instructed to “Let yourself go and eat as much as you want.” Current dieting (i.e., any deliberate change to the amount or type of food eaten to influence shape or weight, regardless of how effective the changes are) was assessed via interview. General linear models were adjusted for fat mass (%), lean mass (kg), height, sex, protocol, race and ethnicity, pre-meal hunger and minutes since consumption of a breakfast shake. Of 337 participants (M_age 12.8 ± 2.7y; 62.3 % female; 45.7 % non- Hispanic White and 26.1 % non-Hispanic Black; M_BMIz 0.78 ± 1.11), only 33 (9.8 %) reported current dieting. Current dieting was not significantly associated with total energy intake (<em>F</em> <span>=</span> 1.63, <em>p</em> = .20, η_p² = 0.005), or intake from carbohydrates (<em>F</em> = 2.45, <em>p</em> = .12, η_p² = 0.007), fat (<em>F</em> = 2.65, <em>p</em> = .10, η_p² = 0.008), or protein (<em>F</em> = 0.39, <em>p</em> = .53, η_p² = 0.001). Contrary to theories that dieting promotes LOC-eating, current dieting was not associated with youth's eating behavior in a laboratory setting. Experimental approaches for investigating dieting are needed to test theories that implicate dieting in pediatric LOC-eating.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618729","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":"Repeated exposure to models' positive facial expressions whilst eating a raw vegetable increases children's consumption of the modelled vegetable","authors":"Katie L. Edwards ,&nbsp;Jason M. Thomas ,&nbsp;Suzanne Higgs ,&nbsp;Jacqueline Blissett","doi":"10.1016/j.eatbeh.2024.101872","DOIUrl":"10.1016/j.eatbeh.2024.101872","url":null,"abstract":"<div><p>Exposing children to adults eating a raw vegetable with positive facial expressions (‘positive modelling’) increases children's consumption of the modelled vegetable. However, whether repeated versus a single exposure to positive modelling enhances this effect, and whether it generalises to a non-modelled vegetable, remains to be examined. Hence, this study examined the effect of a single exposure, versus repeated, exposure to positive modelling on children's acceptance and intake of a modelled and non-modelled vegetable. Children aged 5–6 years (<em>N</em> = 153; 81 males, 72 females) were randomised to one of three conditions in which they had i) a single or ii) repeated exposure to a video of adults eating raw broccoli with positive facial expressions or iii) were exposed to a no-food control video. Children's acceptance (measured as willingness to try and number of tastes), intake and liking of a modelled (raw broccoli) and non-modelled vegetable (raw mangetout) were measured. Children had greater raw broccoli consumption and liking if they had received repeated exposure to positive modelling, compared to children who had received a single exposure, but not compared to children in the control condition. Children's mangetout intake was greater in the single (versus repeated) positive condition, but this effect was not dependent on time. There was no effect on children's vegetable acceptance. Repeatedly exposing children to adults enjoying a vegetable encourages children's intake of the modelled vegetable in comparison to a single exposure. Thus, repeated exposure to others' food enjoyment may be a practical and useful strategy to encourage children's vegetable consumption.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S147101532400031X/pdfft?md5=04aec380dc5a3667bc77cc415d91a806&pid=1-s2.0-S147101532400031X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282812","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":"Exploring relationships among appetitive traits, negative affect, and binge eating in adults with overweight or obesity","authors":"Ellen K. Pasquale ,&nbsp;David R. Strong ,&nbsp;Michael A. Manzano ,&nbsp;Dawn M. Eichen ,&nbsp;Carol B. Peterson ,&nbsp;Kerri N. Boutelle","doi":"10.1016/j.eatbeh.2024.101871","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101871","url":null,"abstract":"<div><p>Binge eating (BE) is a significant public health concern due to its prevalence and impact on mental and physical health. While research has suggested both negative affect and appetitive traits are associated with BE, few studies have investigated these constructs concurrently. Structural equation modeling (SEM) evaluated relationships between negative affect, reward-related appetitive traits, and BE among 293 adults with overweight or obesity (OW/OB) seeking treatment for BE, overeating, and weight management (m age = 46.6; m body mass index[BMI] = 34.5; 81.2 % female; 20.1 % Latinx, 60.8 % White non-Latinx). BE was related to negative affect (<em>β</em> = 0.53; <em>p</em> &lt; 0.01) and appetitive traits (<em>β</em> = 1.53; <em>p</em> &lt; 0.001). Negative affect and appetitive traits were related to one another (<em>r</em> = 0.42; <em>p</em> &lt; 0.001), and the full model accounted for 77 % of the variance in BE. In an exploratory follow-up analysis, multigroup SEM evaluated the above relationships in models stratified by sex. Exploratory findings demonstrated both negative affect and appetitive traits were related to BE across sex, particularly when examining BE cognitions and behaviors. However, relationships in men depended upon BE assessment tool. These findings highlight that both negative affect and appetitive traits are related to BE, and jointly may represent significant risk and maintenance factors, particularly in adults with OW/OB. Our findings also highlight the importance of future investigation of sex differences in BE and the potential impact of assessment method.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000308/pdfft?md5=5a4b15c5197a6a06b6cd569c2aa513f5&pid=1-s2.0-S1471015324000308-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187192","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":"Development and usability testing of a cognitive-behavioral therapy-guided self-help mobile app and social media group for the post-acute treatment of anorexia nervosa","authors":"Agatha A. Laboe ,&nbsp;Claire G. McGinnis ,&nbsp;Molly Fennig ,&nbsp;Kianna Zucker ,&nbsp;Ellis Wu ,&nbsp;Jillian Shah ,&nbsp;Julie Levitan ,&nbsp;Marie-Laure Firebaugh ,&nbsp;Anna M. Bardone-Cone ,&nbsp;Kathleen M. Pike ,&nbsp;C. Barr Taylor ,&nbsp;Denise E. Wilfley ,&nbsp;Ellen E. Fitzsimmons-Craft","doi":"10.1016/j.eatbeh.2024.101865","DOIUrl":"10.1016/j.eatbeh.2024.101865","url":null,"abstract":"<div><h3>Objective</h3><p>Anorexia nervosa (AN) is often treated in the acute setting, but relapse after treatment is common. Cognitive-behavioral therapy (CBT) is useful in the post-acute period, but access to trained providers is limited. Social support is also critical during this period. This study utilized a user-centered design approach to develop and evaluate the usability of a CBT-based mobile app and social networking component for post-acute AN support.</p></div><div><h3>Method</h3><p>Participants (<em>N</em> = 19) were recently discharged from acute treatment for AN. Usability testing of the intervention was conducted over three cycles; assessments included the System Usability Scale (SUS), the Usefulness, Satisfaction, and Ease of Use Questionnaire (USE), the Mobile Application Rating Scale (MARS), a social media questionnaire, and a semi-structured interview.</p></div><div><h3>Results</h3><p>Interview feedback detailed aspects of the app that participants enjoyed and those needing improvement. Feedback converged on three themes: Logistical App Feedback, boosting recovery, and Real-World App/Social Media Use. USE and MARS scores were above average and SUS scores were “good” to “excellent” across cycles.</p></div><div><h3>Conclusion</h3><p>This study provides evidence of feasibility and acceptability of an app and social networking feature for post-acute care of AN. The intervention has potential for offering scalable support for individuals with AN in the high-risk period following discharge from acute care.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093592","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":"Parent childhood experiences, parenting strategies, and youth health-related outcomes in Hispanic families with unhealthy weight: An intergenerational study","authors":"Padideh Lovan ,&nbsp;Estefany Saez-Clarke ,&nbsp;Beck Graefe ,&nbsp;Sarah E. Messiah ,&nbsp;Guillermo Prado","doi":"10.1016/j.eatbeh.2024.101870","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101870","url":null,"abstract":"<div><p>We aimed to examine whether (a) parents' childhood family mealtime experiences (CFM) (e.g., mealtime communication-based stress) and parents' socio-demographic characteristics (e.g., education level) predict parents' health-related parenting strategies (e.g., discipline), (b) health-related parenting strategies for eating and physical activity predict youth's health-related outcomes (e.g., dietary intake), (c) parenting strategies mediate the relationship between CFM and youth outcomes. A path model was used to examine the above-mentioned relationships. Data were obtained from the baseline assessment of a randomized clinical trial evaluating the efficacy of a family-based intervention to promote quality diet and increase physical activity. Participants were 280 Hispanic youth (52.1 % female, M_age = 13.01 ± 0.83) with unhealthy weight (M_{Body Mass Index %tile} = 94.55 ± 4.15) and their parents (88.2 % female, M_age = 41.87 ± 6.49). Results indicated that childhood mealtime communication-based stress and mealtime structure were positively associated with control. Appearance weight control was positively associated with monitoring, discipline, limit-setting, and reinforcement. Parental mealtime control had positive associations with discipline, control, and limit-setting. Emphasis on mother's weight was positively associated with reinforcement. We also found positive associations between parental monitoring and youth's physical QOL and between parental discipline and fruits and vegetables intake. No mediating effect was found. Findings demonstrated significant effects of parents' childhood experience on parenting strategies, which in turn was associated with the youths' health-related outcomes. These results suggest the intergenerational effects of parent's childhood experience on their youth's health-related outcomes.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066689","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":"Fear of negative evaluation and intolerance of uncertainty: Assessing potential internalizing correlates of eating disorder-related clinical impairment and differences across diagnostic presentations","authors":"Angeline R. Bottera ,&nbsp;Elizabeth N. Dougherty ,&nbsp;Sophia Todorov ,&nbsp;Jennifer E. Wildes","doi":"10.1016/j.eatbeh.2024.101869","DOIUrl":"10.1016/j.eatbeh.2024.101869","url":null,"abstract":"<div><p>The Hierarchical Taxonomy of Internalizing Dimensions for Eating Disorders model positions eating disorder (ED) symptoms on an internalizing dimension alongside anxiety and mood symptoms. Symptom dimensions falling under the internalizing subfactors of distress (e.g., social anxiety) and fear/avoidance (e.g., panic, compulsions, checking) may differentially guide treatment. We examined relations between fear of negative evaluation and intolerance of uncertainty (core features of social anxiety and obsessive-compulsive disorder, respectively) and ED-related impairment and potential diagnostic differences. We hypothesized that: (a) fear of negative evaluation and intolerance of uncertainty would be related to ED-related impairment, (b) the relation between fear of negative evaluation and impairment would be strongest among individuals with “binge-eating syndromes” (i.e., bulimia nervosa [BN], binge-eating disorder [BED]), and (c) the relation between intolerance of uncertainty and impairment would be strongest among individuals with “weight-phobic syndromes” (i.e., anorexia nervosa [AN], BN, atypical AN). Participants (<em>N</em> = 236) included children/adolescents and adults evaluated for outpatient ED treatment. Participants completed questionnaires and semi-structured diagnostic interviews. Greater fear of negative evaluation and greater intolerance of uncertainty were related to greater clinical impairment, and the strength of these relations depended on ED diagnosis. Fear of negative evaluation was related to impairment among individuals with AN and atypical AN, and intolerance of uncertainty was related to impairment for individuals with AN, BN, and atypical AN. We identified fear of negative evaluation and intolerance of uncertainty as correlates of clinical impairment, highlighting the potential utility of developing treatments to target these internalizing constructs, especially for individuals with weight-phobic syndromes.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140086988","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":"Behavioral weight management use in the Veterans Health Administration: Sociodemographic and health correlates","authors":"Jessica Y. Breland ,&nbsp;Ivan Raikov ,&nbsp;Katherine J. Hoggatt ,&nbsp;Ciaran S. Phibbs ,&nbsp;Shira Maguen ,&nbsp;Christine Timko ,&nbsp;Fay Saechao ,&nbsp;Susan M. Frayne","doi":"10.1016/j.eatbeh.2024.101864","DOIUrl":"10.1016/j.eatbeh.2024.101864","url":null,"abstract":"<div><h3>Introduction</h3><p>Over 40 % of United States Veterans Health Administration (VHA) primary care patients have obesity. Few patients use VHA's flagship weight management program, MOVE! and there is little information on other behavioral weight management program use.</p></div><div><h3>Methods</h3><p>The national United States cohort included over 1.5 million primary care patients with obesity, age 18–79, based on VHA administrative data. Gender stratified multivariable logistic regression identified correlates of weight management use in the year after a patient's first primary care appointment (alpha of 0.05). Weight management use was defined as MOVE! or nutrition clinic visits.</p></div><div><h3>Results</h3><p>The cohort included 121,235 women and 1,521,547 men with 13 % and 7 % using weight management, respectively. Point estimates for specific correlates of use were similar between women and men, and across programs. Black patients were more likely to use weight management than White patients. Several physical and mental health diagnoses were also associated with increased use, such as sleep apnea and eating disorders. Age and distance from VHA were negatively associated with weight management use.</p></div><div><h3>Conclusions</h3><p>When assessing multiple types of weight management visits, weight management care in VHA appears to be used more often by some populations at higher risk for obesity. Other groups may need additional outreach, such as those living far from VHA. Future work should focus on outreach and prevention efforts to increase overall use rates. This work could also examine the benefits of tailoring care for populations in greatest need.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140047483","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":"Weak central coherence, cognitive rigidity and disordered eating in a community sample","authors":"Ka Ka Chong,&nbsp;Cristina Martinelli","doi":"10.1016/j.eatbeh.2024.101866","DOIUrl":"10.1016/j.eatbeh.2024.101866","url":null,"abstract":"<div><p>Recent evidence has highlighted that a moderate degree of disordered eating has become the norm among the general population. While previous research has demonstrated that individuals with eating disorders exhibit heightened weak central coherence (i.e., attention to detail) and cognitive rigidity, and this plays a key role in the development and maintenance of the disorders, less is known about the relationship between disordered eating and these cognitive styles in subclinical community samples. A community sample of females completed self-report measures of weak central coherence, cognitive rigidity and eating disorder pathology. Unlike previous studies in the area, we first excluded participants with a diagnosis of eating disorder and then confined the analyses to those without clinically significant disordered eating. In line with the clinical literature, we found both cognitive rigidity and weak central coherence to correlate with severity and frequency of disordered eating behaviours and cognitions, suggesting the relationship also exists in subclinical samples. If replicated and expanded upon, these findings may bear important implications for the prevention and early identification of disordered eating in the community.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000254/pdfft?md5=1f7287c7dc477ea35c19409cf164f436&pid=1-s2.0-S1471015324000254-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140047477","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":"A sociocultural model of the relationships between social media use and body image in midlife women","authors":"Rachel F. Rodgers ,&nbsp;Ruthann C. Hewett ,&nbsp;Genevieve P. Nowicki","doi":"10.1016/j.eatbeh.2024.101867","DOIUrl":"10.1016/j.eatbeh.2024.101867","url":null,"abstract":"<div><p>The use of photo-based social media has been associated with body image concerns among young women. Women in midlife are increasingly experiencing appearance pressures, and these pressures might be particularly strong on social media. However, to date, most of the research on social media use has focused on younger women, and this constitutes an important gap. The purpose of this study was therefore to examine a model of the relationships among social media use and body image among women aged 40 and over. A convenience sample of 192 women aged 40–73 years completed an online survey assessing selfie investment, social media appearance pressures, thin-ideal internalization, appearance comparison, weight and shape concerns, facial satisfaction, drive for youthfulness and drive for muscularity. The final sociocultural model was a good fit to the data, and thin-ideal internalization and appearance comparisons mediated the pathways between the social media variables and the body image ones.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140047409","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":"Prevalence of eating disorder symptoms in people with insulin-dependent-diabetes: A systematic review and meta-analysis","authors":"Pia E. Niemelä ,&nbsp;Hanna A. Leppänen ,&nbsp;Ari Voutilainen ,&nbsp;Essi M. Möykkynen ,&nbsp;Kirsi A. Virtanen ,&nbsp;Anu A. Ruusunen ,&nbsp;Reeta M. Rintamäki","doi":"10.1016/j.eatbeh.2024.101863","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101863","url":null,"abstract":"<div><h3>Aims</h3><p>To examine the prevalence of eating disorder symptoms (EDS) in 16 years and older individuals with insulin-dependent diabetes including both clinical and subclinical eating disorder symptoms.</p></div><div><h3>Methods</h3><p>We searched PubMed, Embase, Scopus, PsycINFO, and CINAHL databases to discover studies reporting prevalence of eating disorder symptoms in patients with insulin-dependent diabetes (both type 1 and type 2). We performed a meta-analysis to estimate the pooled prevalence of eating disorder symptoms and an independent meta-analysis to estimate the prevalence of insulin omission.</p></div><div><h3>Results</h3><p>A total of 45 studies were included in the meta-analysis of eating disorder symptoms. Diabetes Eating Problem Survey (DEPS-R) was the most frequently used screening tool (in 43 % of studies, <em>n</em> = 20). The pooled prevalence of eating disorder symptoms was 24 % (95 % CI 0.21–0.28), whereas in studies using DEPS-R, it was slightly higher, 27 % (95 % CI 0.24–0.31), with the prevalence ratio (PR) of 1.1. The prevalence differed between screening tools (χ² = 85.83, df = 8, <em>p</em> &lt; .0001). The sex distribution was associated with the observed prevalences; in studies with a higher female prevalence (&gt;58 %), the pooled eating disorder symptom prevalence was higher [30 % (95 % CI 0.26–0.34) vs. 18 % (95 % Cl 0.14–0.22), PR 1.7]. The prevalence of insulin omission was 21 % (95 % CI 0.13–0.33).</p></div><div><h3>Conclusions</h3><p>Eating disorder symptoms and insulin omission are common in patients with insulin-dependent diabetes regardless of age. DEPS-R is the most used screening tool. Studies with a higher proportion of female participants report higher prevalence rates.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000229/pdfft?md5=4baa3eaa31c6a2d44e17cf06af4c73ec&pid=1-s2.0-S1471015324000229-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140042467","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}