Journal of Eating Disorders最新文献

{"title":"Weight discrimination and eating disorder symptoms in early adolescence: a prospective cohort study.","authors":"Jason M Nagata, Arianna Thompson, Christiane K Helmer, Kyle T Ganson, Alexander Testa, Wesley R Barnhart, Jinbo He, Fiona C Baker, Jason M Lavender","doi":"10.1186/s40337-025-01404-w","DOIUrl":"10.1186/s40337-025-01404-w","url":null,"abstract":"<p><strong>Background: </strong>Weight discrimination is associated with adverse outcomes, including eating disorder (ED) symptoms, but few longitudinal studies have investigated this relationship in early adolescence. We examined the prospective association of weight discrimination with ED symptoms one year later in early adolescents, and the extent to which this association was moderated by body mass index (BMI) percentile and sex.</p><p><strong>Methods: </strong>We analyzed prospective data from Year 2 (2018-2020) and Year 3 (2019-2021) of the Adolescent Brain Cognitive Development (ABCD) Study (N = 9,079). To estimate the associations between self-reported experiences of weight discrimination in Year 2 and ED symptoms in Year 3, we conducted multiple logistic and ordinal logistic regression analyses, controlling for potential covariates, including ED symptoms in Year 2. Weight discrimination was measured using the Perceived Discrimination Scale. Presence of various ED symptoms was assessed via parent report using the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5). Participant BMI percentile and sex were also investigated as potential moderators.</p><p><strong>Results: </strong>Weight discrimination was prospectively associated with higher odds of worry about weight gain (adjusted odds ratio [aOR] 2.12, 95% confidence interval [CI] 1.08-4.14, p = 0.028), self-worth tied to weight (aOR 3.75, 95% CI 2.54-5.55, p < 0.001), inappropriate compensatory behaviors to prevent weight gain (aOR 2.75, 95% CI 2.02-3.74, p < 0.001), binge eating symptoms (aOR 1.72, 95% CI 1.10-2.68, p = 0.018), and distress about binge eating (aOR 2.26, 95% CI 1.33-3.85, p = 0.002) one year later. Weight discrimination was also associated with higher odds of a greater number of overall ED symptoms one year later (aOR 2.21, 95% CI 1.61-3.03, p < 0.001). A significant interaction by BMI percentile was also found: in adolescents with BMI of 5th to < 85th percentile, weight discrimination was more strongly and prospectively associated with higher odds of binge eating symptoms (aOR 3.32, 95% CI 1.27-8.68, p = 0.015) and binge eating distress (aOR 5.11, 95% CI 2.10-12.44, p < 0.001).</p><p><strong>Conclusions: </strong>Results support a prospective relationship between perceived weight discrimination and ED symptoms in early adolescents, and the differential associations based on BMI percentile highlight the need for interventions that address weight stigma across the weight spectrum.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"216"},"PeriodicalIF":4.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193525","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 pilot study investigating the acceptability and feasibility of a group intervention for parents of autistic young people with anorexia nervosa within a specialist eating disorders service.","authors":"Sofia Loizou, Kate Beresford, Julian Baudinet, Paula Herrera-Gener, Danielle Oregan, Colleen Alford, Kate Tchanturia, Catherine Stewart","doi":"10.1186/s40337-025-01399-4","DOIUrl":"10.1186/s40337-025-01399-4","url":null,"abstract":"<p><strong>Background: </strong>Many children and young people presenting with anorexia nervosa will also be autistic. While autistic children and young people may have similar physical health outcomes compared to their neurotypical peers, they are more likely to experience poorer recovery, requiring more intensive treatments. Similarly, parents report needing additional support from mental health services. Parents may benefit from a group intervention as an adjunct to family therapy to help them effectively care for their children and to reduce the psychological impact this may have on them. This study aimed to provide an overview of the group intervention and evaluate its feasibility and acceptability.</p><p><strong>Methods: </strong>Attendance rates were used to evaluate the feasibility of the group. Parents were invited to evaluate the acceptability of the group with brief quantitative measures each session. Individual qualitative interviews were conducted with six parents to evaluate both feasibility and acceptability. Recordings were transcribed verbatim and analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>17 parents (mothers n = 8, fathers n = 8, stepmother n = 1) from eight families took part in two pilot groups (group 1 n = 8, group 2 n = 9). Total attendance rate was 66.5%, with one parent from each family attending 85.7% of sessions. On average, sessions were rated highly relevant, useful and improved parents' understanding of their child. From qualitative interviews conducted with six parents (group 1 n = 4, group 2 n = 2), two main themes were generated: (1) A space for connection and support, (2) From knowledge to practice. Parents spoke of the way the group helped them feel less isolated, gain skills and begin to practice implementing new learning at home. Not all aspects of the group were helpful, and recommendations were made regarding the resources, structure and intensity of the intervention.</p><p><strong>Discussion: </strong>Findings suggest that the intervention is feasible and acceptable. This pilot study replicates previous findings about benefits of additional support for carers.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"217"},"PeriodicalIF":4.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193494","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":"Correction: Validation of the parent version of the eating disorder examination‑questionnaire adapted for children in parent-child dyads with children with and without loss of control eating.","authors":"Caroline Lange, Ricarda Schmidt, Anja Hilbert","doi":"10.1186/s40337-025-01417-5","DOIUrl":"10.1186/s40337-025-01417-5","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"218"},"PeriodicalIF":4.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193484","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 relationship between disordered eating behaviours and narrative identity in university students: a novel narrative experience sampling methodology.","authors":"Jennifer X Chen, Elisabeth L de Moor","doi":"10.1186/s40337-025-01403-x","DOIUrl":"10.1186/s40337-025-01403-x","url":null,"abstract":"<p><strong>Background: </strong>Disordered Eating Behaviours (DEBs) are health-compromising patterns that are associated with and are predictive of clinical eating disorders. A high prevalence is found within the student population, especially during the transition to university made by undergraduate students. This is also a salient period for the formation of students' narrative identity, which is the internalised story that individuals construct to shape their identity. Across daily life, individuals may tell \"small stories\" about their experiences, which may become part of the self through explicit connections between parts of the self and experienced events, called self-event connections. In the current study, a novel combination of narrative research methods and Experience Sampling Methodology was applied to examine the realistic presentation of DEBs, and how they may impact the formation of self-event connections. It was hypothesised that a higher degree of DEBs is associated with a higher likelihood of making negative self-event connections.</p><p><strong>Method: </strong>For seven days, 54 first-year university students (48 female, 5 male, 1 non-binary) were tasked to provide narratives four times a day. The collected narratives (N = 4400) were coded for the presence of DEBs and negatively valenced self-event connections. These were analysed through a multilevel logistic regression model with the negative self-event connections as binary outcome, and DEBs per day as a predictor.</p><p><strong>Results: </strong>In line with the main hypothesis, the presence of DEBs in the narratives was on average associated with an increased likelihood of making a negative self-event connection (OR = 2.87, 95% CI[1.68, 4.88], p < .001). This implies that students who mention DEBs in their narratives were 2.87 times more likely to also make a negative self-event connection.</p><p><strong>Conclusions: </strong>DEBs may be key experiences that may be linked to the self through \"small stories\" at a daily level. Focusing on individual experiences of DEBs may be important in promoting healthier narrative identity development in the long run, while also contributing to personalised assessment of subclinical eating disorder symptoms.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"214"},"PeriodicalIF":4.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193505","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":"Changes in eGFR in adolescent and young adult inpatients receiving nutritional rehabilitation for a restrictive eating disorder: a five-year clinical audit.","authors":"Kirsten Thompson, Elizabeth Kumiko Parker, Michael R Kohn, Anita Stefoska-Needham","doi":"10.1186/s40337-025-01405-9","DOIUrl":"10.1186/s40337-025-01405-9","url":null,"abstract":"<p><strong>Background: </strong>Impaired renal function may be observed in individuals with a restrictive eating disorder, yet its prevalence and underlying pathophysiological mechanisms are inadequately characterised. The impact of elevated protein intake on estimated glomerular filtration rate (eGFR) in this demographic remains unclear, leading to a lack of specific guidelines regarding protein prescriptions during inpatient treatment. This study describes changes in eGFR as a marker of renal function among adolescents and young adults receiving inpatient care for restrictive eating disorders and evaluates protein prescriptions during nutritional rehabilitation.</p><p><strong>Methods: </strong>A retrospective audit of adolescent and young adults hospitalised with restrictive eating disorders (2016-2020) on a specialised medical ward was conducted. Data collected included anthropometric measurements, age, serum creatinine, blood urea, energy and protein prescriptions, medical stability upon admission, and hospital length-of-stay. The eGFR was calculated using the CKiDU25 equation. A random intercepts model was employed to assess the relationship between protein intake and eGFR changes during hospitalisation, controlling for confounding variables including age, sex, %mBMI, medical instability, and purging history.</p><p><strong>Results: </strong>Among the 187 admissions that met inclusion criteria, the mean age was 17.0 ± 1.2 years, 90.9% (n = 170) were females, and mean %mBMI was 80.1 ± 9.5% at admission. Impaired renal function (eGFR < 90 mL/min/1.73 m²) was observed in 35.3% of patients at admission, and 3.2% of patients at discharge. Protein intake increased from 1.9 ± 0.4 g/kg/day on admission to 2.7 ± 0.6 g/kg/day at discharge.</p><p><strong>Conclusions: </strong>Impaired renal function was observed in approximately one third of this sample of adolescents and young adults hospitalised with restrictive eating disorders and typically resolves during the admission. A high protein prescription of 1.9-2.7 g/kg/day did not deleteriously affect renal function, with eGFR levels improving with nutritional rehabilitation. Prospective studies are needed to confirm the optimal protein prescription during nutritional rehabilitation in patients hospitalised with restrictive eating disorders, and to further explore outcomes in the small subgroup of patients who remain with renal impairment at discharge.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"213"},"PeriodicalIF":4.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193561","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":"Dietary assessment methodologies in eating disorders: a pilot comparative validation study exploring the diet history method.","authors":"Melissa Hart, Kirrilly Pursey, Tracy Burrows, David Sibbritt","doi":"10.1186/s40337-025-01392-x","DOIUrl":"10.1186/s40337-025-01392-x","url":null,"abstract":"<p><strong>Objective: </strong>Dietary intake and sub-optimal nutrition have a significant impact on clinical risk, outcomes and mortality in people with an eating disorder. Despite the range of dietary patterns and nutritional issues, there is limited evidence to guide effective use of dietary assessment methods. The aim of this pilot study was to examine the validity of the diet history against routine nutritional biomarkers in female adults with an eating disorder attending a regional outpatient service.</p><p><strong>Method: </strong>This secondary data analysis utilised demographics, nutrient intakes from diet history and nutritional biomarker data. Spearman's rank correlation, simple and quadratic weighted kappa statistics and the Bland-Altman method were used to explore validity of the diet history compared to nutritional biomarkers.</p><p><strong>Results: </strong>Thirteen female participants (median age 24 years; median BMI 19 kg/m²) with an eating disorder were included. Energy-adjusted dietary cholesterol and serum triglycerides showed moderate agreement (simple kappa K = 0.56, p = 0.04), and dietary iron and serum total iron-binding capacity showed moderate-good agreement (simple kappa K = 0.48, p = 0.04; weighted kappa K = 0.68, p = 0.03). Dietary iron and serum total iron-binding capacity were only significantly correlated when dietary supplements were included (r = 0.89, p = 0.02). Dietary estimates of protein and iron improved with larger intakes.</p><p><strong>Conclusions: </strong>This pilot study suggests the diet history may be useful for assessing dietary intake in people with an eating disorder and highlights the importance of targeted questioning around dietary supplement use. Determining the validity of dietary assessment methods across ages, diagnoses and settings is required.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"215"},"PeriodicalIF":4.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193573","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 mouth, a site of control and pain: a patient-centered qualitative study on oral health experiences in anorexia nervosa.","authors":"Luna Desnot, Monelle Bertrand, Sara Laurencin-Dalicieux, Stéphanie Brayer, Patrick Ritz, Jean-Noël Vergnes, Charlotte Thomas","doi":"10.1186/s40337-025-01396-7","DOIUrl":"10.1186/s40337-025-01396-7","url":null,"abstract":"<p><strong>Introduction: </strong>Anorexia nervosa (AN) is a severe eating disorder with profound psychosocial and physical impacts, including oral health consequences. Despite the documented oral health issues in AN, limited research explores patients' perceptions of their oral health, care and needs.</p><p><strong>Methods: </strong>The DENT'ANOREXIE study employed a qualitative design, conducting semi-structured interviews with 12 female participants (ages 18-57) diagnosed with AN, at a single French hospital. Data were analyzed thematically using Braun and Clarke's six-step framework.</p><p><strong>Results: </strong>Three key themes emerged: (1) symbolic and functional perceptions of the mouth, influenced by control and denial; (2) personalized oral hygiene practices shaped by AN behaviors ; and (3) challenges in accessing dental care, including feelings of judgment and financial barriers. Participants highlighted the need for integrated, empathetic, and person-centered dental care to address their complex oral health needs.</p><p><strong>Discussion: </strong>This study underscores the importance of systemic and interdisciplinary approaches to oral health care for individuals with AN. Further research is needed into strategies to enhance early identification and management of oral health problems of people with AN. These may include enhancing the training of healthcare providers in eating disorders and the fostering of collaborative frameworks.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"206"},"PeriodicalIF":4.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179409","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":"Psychometric evaluation of the 'Caregiver Factors Influencing Treatment' (Care-FIT) Inventory for child and adolescent eating disorders.","authors":"Alex McCord, Adam J Rock, Ryan Davies, Kylie Rice","doi":"10.1186/s40337-025-01398-5","DOIUrl":"10.1186/s40337-025-01398-5","url":null,"abstract":"<p><strong>Background: </strong>The Caregiver Factors Influencing Treatment (Care-FIT) Inventory is a self-report measure containing two subscales, each with a three-factor structure, that respectively assess strengths and challenges present for adult caregivers of children and adolescents with eating disorders. This study examined the psychometric properties of the Care-FIT in a clinical sample.</p><p><strong>Method: </strong>A sample of 141 participants completed the Care-FIT and comparison measures including the Parents versus Eating Disorders scale (PvED) and the Personal Wellbeing Index (PWI). Participants were adult caregivers who currently or recently participated in eating disorder treatment for a child or adolescent aged 6-18 years. Confirmatory factor analysis (CFA) was performed and receiver operator characteristic (ROC) curves were produced for each subscale, with Pearson correlations and Fisher's r-to-z transformations run to assess convergent and discriminant validity.</p><p><strong>Results: </strong>Items that did not meet thresholds were removed, resulting in a 20-item measure which included two subscales: an 11-item Strengths scale and a 9-item Challenges scale. CFA yielded a three-factor structure for each scale that was a strong fit to the data, with good to high internal consistency and reliability (McDonald's omega for Strengths ω = 0.81 and Challenges ω = 0.70). Care-FIT Strengths scores were significantly positively correlated to PvED scores and Challenge scores were significantly negatively correlated to PWI scores with significant Fisher's r-to-z comparisons.</p><p><strong>Conclusion: </strong>These results provide preliminary support for use of the Care-FIT during child and adolescent eating disorder treatment, with the intent of helping to inform clinical decision-making and treatment planning such as whether supportive or adjunctive treatments might benefit a particular family.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"208"},"PeriodicalIF":4.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179463","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":"Evaluating the use of body mass index change as a proxy for anorexia nervosa recovery: a machine learning perspective.","authors":"Tianfei Yu, Haolan Zhang, Yunhan Zhang, Ming Li","doi":"10.1186/s40337-025-01416-6","DOIUrl":"10.1186/s40337-025-01416-6","url":null,"abstract":"<p><p>This paper critically examines the study by Brizzi et al., which applied explainable machine learning to predict short-term treatment outcomes in patients hospitalized for anorexia nervosa (AN). While the study presents an innovative and promising methodological framework, important conceptual and practical issues warrant further scrutiny. Chief among these is the reliance on body mass index (BMI) change as the sole proxy for treatment efficacy. This unidimensional metric, though pragmatic in acute inpatient settings, fails to capture the broader psychological and behavioral dimensions integral to AN recovery. The paper also interrogates the clinical applicability of machine learning tools, emphasizing both their potential to illuminate complex predictive patterns and the challenges they pose in terms of data sufficiency, interpretability, and real-world integration. Moreover, the identification of body uneasiness, interpersonal difficulties, and personal alienation as key predictive factors aligns with established theoretical models of AN, reinforcing the need for targeted psychotherapeutic interventions. However, further research is needed to explore how such predictors interact with specific treatment modalities and influence long-term outcomes. Overall, this paper underscores the value of integrating psychological variables into predictive modeling while cautioning against reductive interpretations of recovery in complex psychiatric disorders.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"212"},"PeriodicalIF":4.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179386","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":"Prevalence and associated factors of eating disorders in adults with type 2 diabetes: a systematic review.","authors":"Aycan Celik Esmer, Zahraa Jalal, Ping Guo, Muzeyyen Seckin","doi":"10.1186/s40337-025-01391-y","DOIUrl":"10.1186/s40337-025-01391-y","url":null,"abstract":"<p><strong>Background: </strong>People with type 2 diabetes (T2DM) have a higher risk of eating disorders, specifically binge eating disorders (BED) and night eating syndrome (NES) which may affect the diabetes management and long-term outcomes of T2DM. There is limited evidence to determine the prevalence and associated factors of this condition for targeted interventions. Our study aimed to systematically synthesise existing evidence exploring the prevalence of eating disorders and associated factors among adults with T2DM.</p><p><strong>Methods: </strong>This review was pre-registered with PROSPERO (CRD42024587276). A systematic review was undertaken searching Embase, Medline, PsycINFO, Cochrane Central database. The National Institutes of Health Quality Assessment tool for Observational Cohort and Cross-Sectional Studies was used to evaluate the quality of eligible studies. Given the insufficient number of studies assessing the targeted outcomes, a meta-analysis was not attempted. A narrative synthesis was conducted.</p><p><strong>Results: </strong>Twelve studies were included with cross-sectional studies. BED and NES were the two most common eating disorders in people with T2DM. Point prevalence was 2.5-29.6% for BED and 1.6-8.4% for NES. No data were available on the prevalence of bulimia and anorexia nervosa. Having eating disorders in T2DM was associated with a low level of psychological well-being, greater depression, anxiety symptoms, and high levels of BMI and HbA1c.</p><p><strong>Conclusion: </strong>There are psychological, physical and social factors associated with to high prevalence of eating disorders in T2DM. The current literature on eating disorders in T2DM is relatively limited, with few studies applying rigorous methods. Further studies are needed for large, high-quality studies that focus on the management, diagnosis, physical and psychosocial effects, and long-term outcomes of eating disorders in adults with T2DM.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"211"},"PeriodicalIF":4.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179453","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}