Journal of Eating Disorders最新文献

{"title":"Harnessing precision nutrition to individualize weight restoration in anorexia nervosa.","authors":"Isabel Rodriguez, Laura M Huckins, Cynthia M Bulik, Jiayi Xu, Daria Igudesman","doi":"10.1186/s40337-025-01209-x","DOIUrl":"10.1186/s40337-025-01209-x","url":null,"abstract":"<p><p>Anorexia nervosa (AN) is a severe psychiatric disorder for which effective treatment and sustained recovery are contingent upon successful weight restoration, yet the efficacy of existing treatments is suboptimal. This narrative review considers the potential of precision nutrition for tailoring dietary interventions to individual characteristics to enhance acute and longer-term weight outcomes in AN. We review key factors that drive variation in nutritional requirements, including energy expenditure, fecal energy loss, the gut microbiota, genetic factors, and psychiatric comorbidities. Although scientific evidence supporting precision nutrition in AN is limited, preliminary findings suggest that individualized nutrition therapies, particularly those considering duration of illness and the gut microbiota, may augment weight gain. Some patients may benefit from microbiota-directed dietary plans that focus on restoring microbial diversity, keystone taxa, or functions that promote energy absorption, which could enhance weight restoration-although stronger evidence is needed to support this approach. Furthermore, accounting for psychiatric comorbidities such as depression and anxiety as well as genetic factors influencing metabolism may help refine nutrition prescriptions improving upon existing energy estimation equations, which were not developed for patients with AN. Given the reliance on large sample sizes, costly data collection, and the need for computationally intensive artificial intelligence algorithms to assimilate deep phenotypes into personalized interventions, we highlight practical considerations related to the implementation of precision nutrition approaches in clinical practice. More research is needed to identify which factors, including metabolic profiles, genetic markers, demographics, and habitual lifestyle behaviors, are most critical to target for individualizing weight restoration, and whether personalized recommendations can be practicably applied to improve and sustain patient recovery from this debilitating disorder with high relapse and mortality rates.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"29"},"PeriodicalIF":3.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442340","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":"Avoidant/restrictive food intake disorder (ARFID) symptoms in gender diverse adults and their relation to autistic traits, ADHD traits, and sensory sensitivities.","authors":"Kai S Thomas, Jennifer Keating, Avalon A Ross, Kate Cooper, Catherine R G Jones","doi":"10.1186/s40337-025-01215-z","DOIUrl":"10.1186/s40337-025-01215-z","url":null,"abstract":"<p><strong>Background: </strong>There is emerging evidence to suggest gender diverse people are overrepresented in avoidant/restrictive food intake disorder (ARFID) samples. However, the mechanisms underlying elevated risk for ARFID in this group are currently unknown. Gender diversity and neurodivergence commonly co-occur, with elevated sensory sensitivities reported to be a shared experience common across autism, attention deficit hyperactivity disorder (ADHD), and ARFID. We aimed to examine the unique contribution of sensory sensitivities, including hypo- and hyper-sensitivity, in predicting ARFID symptoms in gender diverse adults, whilst controlling for autistic and ADHD traits.</p><p><strong>Methods: </strong>Gender diverse adults (N = 182; 142 assigned female at birth; M age = 28.6 years) in the UK participated in an online survey. We examined correlations between their self-reported ARFID symptoms, sensory sensitivities, autistic traits (not including sensory sensitivities), and ADHD traits whilst controlling for weight and shape concerns. We then used hierarchical multiple regression to investigate the unique contribution of sensory sensitivities to ARFID symptoms whilst controlling for the other neurodivergent traits.</p><p><strong>Results: </strong>In our gender diverse sample, higher levels of ARFID symptoms were associated with higher levels of sensory sensitivities, autistic traits, and ADHD traits, after controlling for weight and shape concerns. Furthermore, sensory sensitivities, specifically hyper-sensitivity, uniquely predicted levels of ARFID symptoms once we accounted for autistic and ADHD traits.</p><p><strong>Conclusions: </strong>When considering neurodivergence, sensory hyper-sensitivities may be particularly relevant to ARFID symptomatology in gender diverse adults. Future research should explore associations between ARFID presentations and sensory sensitivities in large samples of gender diverse adults, to enable separate analyses by gender identity.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"33"},"PeriodicalIF":3.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442271","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":"Equity in eating disorders: a dialectical approach to stigma, expertise, and the coproduction of knowledge.","authors":"James Downs, Marissa Adams, Anita Federici, Sam L Sharpe, Agnes Ayton","doi":"10.1186/s40337-024-01176-9","DOIUrl":"10.1186/s40337-024-01176-9","url":null,"abstract":"<p><p>Within mental health research, there has been a growing recognition of the importance of the knowledge obtained through lived experiences of illness, treatment, recovery, and health. In recent years, the field of eating disorders has seen an emergence of co-produced knowledge, in particular in the co-design of patient-facing materials for use in clinical settings, and a growing body of rich qualitative research by those who may straddle the identities of clinician, researcher and person with lived/living experience. However, there are significant variations in how expertise by experience is defined and utilised within research and clinical practice, and persisting inequities in the extent to which people with lived experience are afforded the agency to define their illnesses and treatment. This paper's authorship is a collaboration between those with personal and professional relationships with the subject of eating disorders, bringing to life the concept of sharing power and decision-making across multiple viewpoints and identities. Situating knowledge about eating disorders and stigma within a wider historical and philosophical context, the authors argue that persisting inequities in research and clinical practice are rooted in multiple stigmas. To address this, a 'dialectical' stance is proposed, which draws upon Dialectical Behaviour Therapy and broader principles of coproduction to offer a practical approach to operationalising epistemic justice and dismantling stigma in the field.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"31"},"PeriodicalIF":3.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442337","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":"Redefining prevention and early intervention to include longstanding and severe eating disorders.","authors":"James Leonard Downs","doi":"10.1186/s40337-025-01203-3","DOIUrl":"10.1186/s40337-025-01203-3","url":null,"abstract":"<p><p>There is a lack of agreement over the usefulness and coherence of the term 'severe and enduring' to denote a sub-category of illness amongst patients with eating disorders. Nonetheless, a proportion of patients experience longstanding and severe illnesses, often as a result of a lack of treatment altogether, or poor responses to currently available treatments as they are delivered within existing specialist services. This paper is written from the perspective of lived experience and published research. It calls for a re-imagination of existing principles within the field of eating disorders which have underpinned recent demonstrable improvements in clinical practice and outcomes for patients, namely prevention and early intervention. These concepts can also be applied in the development of more effective and inclusive care pathways for patients with longstanding and severe eating disorders. The author reminds us of the importance of language in the description and categorisation of illness, and the essential requirement that those with lived/living experience of illness share equitable decision-making power in defining their condition and designing the healthcare provision they receive.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"28"},"PeriodicalIF":3.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426501","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":"Excessive vitamin B₁₂ concentrations are more common than deficiency in patients with anorexia nervosa: a cross-sectional study.","authors":"Yusuke Saito, Toshinori Shirata, Keisuke Noto, Haruka Muraosa, Konoka Nomura, Toshiki Obata, Shohei Kawai, Akihito Suzuki","doi":"10.1186/s40337-025-01217-x","DOIUrl":"10.1186/s40337-025-01217-x","url":null,"abstract":"<p><strong>Background: </strong>Vitamin B₁₂ is an essential cofactor for one-carbon metabolism. Deficiency of this vitamin is known to cause various physical and neurological conditions. Several guidelines recommend the intake of multivitamin supplements in patients with anorexia nervosa (AN) in order to avoid these conditions. Excessive blood vitamin B₁₂ concentrations have also been reported in patients with AN. This study examines the relationship between blood vitamin B₁₂ concentrations and clinical, biochemical, and hematological characteristics in patients with AN.</p><p><strong>Methods: </strong>This retrospective study analyzed data from 71 Japanese female patients with AN. Biological and hematological data were measured before nutritional therapy. Spearman's rank correlation, Fisher's exact test, Mann-Whitney U test, and binary logistic regression analysis were used to explore the relationships between vitamin B₁₂ concentrations and other variables.</p><p><strong>Results: </strong>The blood vitamin B₁₂ concentrations of 2 patients were below the normal range, while 22 had concentrations exceeding the normal range. The remaining 47 patients had concentrations within the normal range. In the Spearman's rank correlation analyses, significant positive correlations of vitamin B₁₂ concentrations were found with liver enzymes, i.e., aspartate aminotransferase, alanine aminotransferase, and gamma-glutamyl transferase, age, and blood urea nitrogen, whereas a negative correlation was found with body mass index (BMI). Binary logistic regression analysis showed that the high vitamin B₁₂ group was linked with higher alanine aminotransferase, total protein, creatinine, and age, but not BMI.</p><p><strong>Conclusions: </strong>This study demonstrated that excessive vitamin B₁₂ concentrations are more prevalent than deficiency in patients with AN, suggesting that the routine administration of vitamin B₁₂ to patients with AN should be reconsidered. Elevated vitamin B₁₂ concentrations might be associated with starvation-induced autophagy in the liver. Its potential role in physical complications warrants further investigation.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"27"},"PeriodicalIF":3.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415884","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":"Intersectionality in help-seeking for eating disorders: a systematic scoping review.","authors":"Jessica Wilkins, Muhammad Ahmed, Karina Allen, Ulrike Schmidt","doi":"10.1186/s40337-025-01202-4","DOIUrl":"10.1186/s40337-025-01202-4","url":null,"abstract":"<p><strong>Background: </strong>Individuals with marginalised social characteristics (e.g. by race/ethnicity, gender, body weight) report experiencing eating disorder (ED) symptoms but do not proportionally access treatment. There may be unique factors experienced by individuals with multiple marginalised social characteristics which are not included in our current understanding of help-seeking for EDs. The present review sought to examine the extent of evidence exploring help-seeking and service utilisation for (EDs) by people with more than one marginalised social characteristic or identity. MAIN: A systematic scoping review was conducted in accordance with the Joanna Briggs Institute guidelines for scoping reviews. Four databases (PsycINFO, PubMED, Embase, Medline) were searched for papers explicitly examining help-seeking or service utilisation for people with more than one marginalised social characteristic or identity (e.g. race/ethnicity, sexual orientation, weight status). Included studies underwent qualitative synthesis employing an existing model of help-seeking adapted for this review. The most common ED investigated was binge eating disorder (BED) and the most frequently reported marginalised characteristics were overweight/obesity and race/ethnicity. Other intersectional characteristics identified included socioeconomic status (SES), gender, and sexual orientation. People with marginalised social identities such as race/ethnicity or gender were more likely to seek help for BED when they also experienced a higher BMI. There was consensus across studies included in this review that help-seeking rates are low for people with an ED.</p><p><strong>Conclusion: </strong>Mental health literacy and cultural beliefs about help-seeking are important factors affecting the experiences of people with intersectional identities and this may impact their likelihood to seek help. Results suggest that future studies should consider the interaction between social characteristics and identities in their analyses of outcomes in EDs as this is an emerging area of research, extension of our findings is also needed. The protocol for this review is registered via PROSPERO number CRD42024525849.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"26"},"PeriodicalIF":3.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415888","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":"Emotion regulation difficulties and disordered eating in adolescents and young adults: a meta-analysis.","authors":"Ruoyu Zhou, Lei Zhang, Ziqi Liu, Bing Cao","doi":"10.1186/s40337-025-01197-y","DOIUrl":"10.1186/s40337-025-01197-y","url":null,"abstract":"<p><p>Eating disorders and difficulties in regulating emotions are frequent among adolescents and serve as risk factors for several health issues. Nonetheless, the relationship remains ambiguous; investigating this connection will not only elucidate the associations between the two illnesses. Nevertheless, it will offer theoretical backing for interventions targeting the pertinent illnesses. This study seeks to examine the relationship between emotion management and disordered eating while assessing the moderating influences of Body Mass Index (BMI) and gender to enhance future interventions for eating disorders. We conducted a search in April 2024 and updated it in November of the same year, encompassing literature published from 2010 to November 2024 across five English and Chinese databases. A random effects model was conducted to analyze research outcomes. This meta-analysis encompassed 23 research, demonstrating a medium positive connection between difficulties in regulating emotions and disordered eating (r = 0.418). Subgroup analyses revealed medium positive relationships between difficulties in emotion regulation and disordered eating (r = 0.428), loss-of-control eating disorders (r = 0.410), and emotional eating (r = 0.370). The meta-regression analysis revealed that gender significantly moderates this association, but BMI does not. The present study indicated that adolescents or young adults with difficulties in emotional regulation are susceptible to displaying symptoms of eating disorders in both sexes; however, in females, emotional regulation issues are more likely to be associated with eating disorders. Future longitudinal or experimental researches are needed to reveal the causal relationship between the two variables and the similarities and variations between genders during adolescence and early adulthood.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"25"},"PeriodicalIF":3.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411233","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":"Behavioral, neuronal, and physiological facets of multidimensional body image in anorexia nervosa: a scoping review.","authors":"Monica Di Giuliano, Feliberto de la Cruz, Andy Schumann, Regine Zopf, Karl-Jürgen Bär","doi":"10.1186/s40337-025-01191-4","DOIUrl":"10.1186/s40337-025-01191-4","url":null,"abstract":"<p><p>Body image is a core identity facet in anorexia nervosa (AN). Current literature outlines body image as a multidimensional construct, characterized by perceptual, cognitive, and emotional components, which explain how individuals perceive, think, and behave in relation to their body. The purpose of this scoping review is to uncover neuropsychological disturbances in AN related to body image by focusing on its different behavioral and neuronal assessments, aiming to provide a broad overview of common findings and limitations. Additionally, we explore the role of somato-sensory/somato-motor components and physiological markers underlying body image disturbances, which have not been extensively examined in previous studies. Literature screening was performed across three databases (PubMed, PsycINFO, Scopus). We classified behavioral, physiological, and neuroimaging studies according to their degree of involvement with body image dimensions and discussed the primary findings for each component. A total of 4015 studies were identified, of which 107 were eligible (84 behavioral and 23 neuroimaging studies) based on eligibility criteria, covering research from 1973 to 2024. Notably, of those which specified the following factors: 16 studies focused on the restrictive subtype (AN-r), two on the binge-eating/purging subtype (AN-b/p), and 19 examined both AN-r and AN-b/p; finally four on the atypical subtype; 11 on the weight-recovered state (WR) and three included also male participants. The mean age across all studies was 20.1 years (SD = 3.79). Our findings reveal that body image disturbances in AN are not limited to the overestimation of body size but also encompass cognitive, emotional, and somato-sensory aspects. A strong drive for thinness emerged as a prominent cognitive factor in maintaining the disturbance, along with altered autobiographical recall, executive function, and attentional biases toward body-related stimuli. Emotional regulation difficulties, altered interoceptive awareness, and distorted somato-sensory aspects-reflected in tactile and motor processes-were highlighted. In addition, increased autonomic reactivity to body image stimuli, indicating a sympathetic/parasympathetic imbalance, is supported by specific cortical-subcortical functional alterations. Our review emphasizes that body image distortion in AN should not be viewed merely as a perceptual deficit but rather as a complex cognitive-emotional and somato-sensory process.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"23"},"PeriodicalIF":3.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392221","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 hybrid space in eating disorder treatment: towards a personalized approach to integrating telehealth and in-person care.","authors":"Kaylee Novack, Nicholas Chadi","doi":"10.1186/s40337-025-01211-3","DOIUrl":"10.1186/s40337-025-01211-3","url":null,"abstract":"<p><p>The combination of in-person and telehealth treatment for individuals with eating disorders is becoming an important clinical and research avenue. Despite this, a framework for describing such care, which is coming to be known as hybrid treatment, is lacking. We propose a definition for \"the hybrid space\" and a conceptual model that delineates the characteristics of hybrid interventions, using a person-centered approach. These characteristics include sociodemographic characteristics and social determinants of health; factors determining use; clinical characteristics; treatment context, participants, and services provided; treatment modality; and the proportion of in-person to telehealth care. Such a model may be helpful in steering development in this nascent field as it provides a framework that clinicians can flexibly adapt to their specific contexts and that researchers can investigate more rigorously. This model may contribute to the improvement of eating disorder treatment as hybrid interventions have the potential to exploit the best of both in-person and telehealth care while offering the possibility for personalizing and tailoring treatment to individuals. Ultimately, we hope that this framework will be a useful clinical tool which can lead to the development of guidelines for clinical practice.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"22"},"PeriodicalIF":3.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392185","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 association of binge eating with internet addiction, body shape concerns, and BMI among university students in the United Arab Emirates.","authors":"Hadia Radwan, Dana N Abdelrahim, Tareq Osaili, Yara Thabet, Hadeel Barakat, Mariam Khetrish, Afaf Hawa, Ayah Daoud, Omar Atef Abdelhamid Mahmoud, Hayder Hasan","doi":"10.1186/s40337-025-01205-1","DOIUrl":"10.1186/s40337-025-01205-1","url":null,"abstract":"<p><strong>Background: </strong>Binge-eating disorder (BED) is the most common eating disorder with university students being particularly vulnerable. The study aimed to investigate the association between binge eating and Internet addiction (IA), body shape (BS) concerns, and body mass index (BMI) among university students.</p><p><strong>Methods: </strong>In this cross-sectional study, 448 university students (221 males and 227 females) aged between 18 and 25 years were recruited. A multicomponent questionnaire included socio-demographic information, and validated scales such as the International Physical Activity Questionnaire (IPAQ), Binge-Eating Disorder Screener-7 (BEDS-7), Internet Addiction Test (IAT), and Body Shape Questionnaire (BSQ). Anthropometric measurements [weight, height, and waist circumference (WC)] were recorded, and BMI was calculated.</p><p><strong>Results: </strong>The findings reported that approximately 31% of the participants were at risk of BED, 24.3% had moderate/severe IA, 27.8% were moderate/marked concerned about their BS, and 41.1% were overweight/obese. The risk of BED was significantly associated with IA (OR = 1.06, 95%CI: 0.34-0.93; p < 0.005), BS concerns (OR = 1.39, 95%CI:0.90-2.16; p < 0.001), BMI (OR = 1.74, 95%CI:1.16-2.60; p < 0.005), and WC (OR = 1.78, 95%CI: 1.16-2.75; p < 0.006). Regression analysis showed that the risk of BED had a highly significant positive association with WC, BSQ, and IA with the WC identified as the strongest predictor for risk of BED (β = 0.23, p < 0.001).</p><p><strong>Conclusions: </strong>This study underscores the need for targeted national initiatives and awareness programs that promote balanced food consumption, healthy internet use, and increased physical activity among young adults of both sexes. By fostering these healthy habits, such interventions can reduce the risk of binge eating disorder and support overall mental and physical well-being in this population.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"21"},"PeriodicalIF":3.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392224","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}