Search

ABSTRACT Aim Methods Results Discussion Conclusion This study aims to determine the effect of physical activity on cognitive restraint, uncontrolled eating and emotional eating in individuals with a psychotic disorder.Twenty‐seven participants with a psychotic disorder (55% male; mean age: 30 ± 7.5 years; Caucasian: 66.7%; schizophrenia spectrum disorders: 44.4%; bipolar disorder with psychotic features: 29.6%) took part in a 6‐month bi‐weekly physical activity program (walking, running, yoga, cycling and dancing). The Three‐Factor Eating Questionnaire was used to assess participant's eating behaviours, and the frequency of completed physical activity sessions was compiled.The mixed models analysis approach revealed that the level of cognitive restraint remained unchanged (pre: 39.2 ± 18.7 vs. post: 44.1 ± 18.3; p = 0.24), while the levels of uncontrolled eating (pre: 39.7 ± 19 vs. post: 31.6 ± 19.7; p = 0.02) and emotional eating (pre: 45.5 ± 22.3 vs. post: 32.2 ± 22.2; p < 0.001) decreased at the end of the 6‐month physical activity program.This study showed that physical activity has positive effects on disordered eating behaviours in individuals with a psychotic disorder, similarly to previous studies on other populations (e.g., overweight and obese participants, postmenopausal women).Further studies are warranted to better understand the role of physical activity in moderating eating behaviours. [ABSTRACT FROM AUTHOR]

Obese people are mostly unable to maintain successful weight loss after the end of a dietary change. One reason is that conventional weight reduction concepts neglect physiological hunger and satiety perception, leading to a relapse to previous eating habits on the long run. We examined the long‐term efficacy of a psychological smartphone weight loss program, which avoids any dietary instructions and aims at relearning of satiety perception. Parameters of body weight alterations and psychological features, for example, satiety perception, food cravings, and emotional eating, were explored in a nonrandomized experimental study comprising 75 obese participants. Measurements occurred at baseline, two times during program application, as well as at 6‐ and 12‐month follow‐up. Participants displayed significant weight loss during the entire study period (p = .029) and showed an improved body composition at the 6‐month follow‐up (p = .018). These effects were associated with increased satiety perception, as well as reduced food cravings, and emotional eating habits. Notably, all improvements in measured parameters significantly sustained between the end of the program and the 12‐month follow‐up (p < .005 for all). Psychological relearning of satiety perception may outclass dietary approaches in terms of long‐term efficiency. [ABSTRACT FROM AUTHOR]

Obesity remains a medical issue of great concern. Behavioural methods attempting to induce weight loss have largely failed because of a minimal understanding of stress‐ and depression‐associated psychosocial correlates. This study extended research into the effects of exercise on weight loss through psychological pathways to improve treatments. Women with obesity (N = 108), participating in an original theory‐driven cognitive‐behavioural treatment within community‐based health promotion centres, were evaluated over 24 months. Their mean scores on anxiety, depression, and anger at baseline were significantly higher than normative data from a general sample of United States women. Three serial mediation models were specified assessing mediation of the significant exercise→dietary change relationship. These yielded two significant paths: changes in exercise→anxiety→anxiety‐associated emotional eating→self‐efficacy→diet, and changes in exercise→depression→depression‐associated emotional eating→self‐efficacy→diet; and one non‐significant path: changes in exercise→anger→anger‐associated emotional eating→self‐efficacy→diet. In a subsequent moderated moderation model, change in eating‐related self‐regulation moderated the relationship between changes in anxiety and anxiety‐associated emotional eating, where exercise‐associated self‐regulation moderated effects from eating‐related self‐regulation. Dietary improvement was significantly related to weight loss over 6 (β = −0.40), 12 (β = −0.42), and 24 (β = −0.33) months. Findings indicated an increased treatment focus on the completion of moderate amounts of exercise for weight loss and, following that, attention to improvements in anxiety, depression, anxiety‐ and depression‐associated emotional eating, self‐efficacy for controlled eating, and the transfer of exercise‐related self‐regulation to eating‐related self‐regulation. Given the scope of the obesity problem, extensions of this research within field settings are warranted to accelerate application opportunities. [ABSTRACT FROM AUTHOR]

Evaluating the factors leading to adult food addiction should shed light on potential preventive and treatment strategies for obesity and eating disorders. This research aimed to assess the relationship between food addiction, emotional eating, palatable eating motivations, and the factors that affected them. Five hundred twenty‐two adults participated in this descriptive, cross‐sectional study in Erzurum, Turkey. Participants completed a questionnaire that included a general information form, anthropometric measurements, Palatable Eating Motives Scale (PEMS), Yale Food Addiction Scale (YFAS), and Emotional Eater Questionnaire (EEQ). In total, 181 (34.7%) men and 341 (65.3%) women participated in the study. While 24.7% were overweight or obese, 65.7% had normal BMI (body mass index). Food addiction (FA) was determined in 18.2% of the participants. The FA group had significantly higher PEMS and EEQ scores (p < .001). The risk of FA was 3.18 times higher in women than in men (95% CI = 1.65, 6.13, p = .001). Significant positive associations between FA, BMI (OR = 1.06, 95% CI = 1.00, 1.11, p = .021), and EEQ (OR = 1.31, 95% CI = 1.23, 1.38, p = .000) were found. Emotional eating behavior and palatable eating motivations are more common in individuals with food addiction than nonfood addiction. Female gender, emotional eating, and high BMI values were determined as risk factors for food addiction. [ABSTRACT FROM AUTHOR]

Objective: Adolescent children of US service members (i.e., military‐dependent youth) face unique stressors that increase risk for various forms of disinhibited eating, including emotional eating. Difficulties with adaptively responding to stress and aversive emotions may play an important role in emotional eating. This study examined emotion dysregulation as a potential moderator of the association between perceived stress and emotional eating in adolescent military dependents. Method: Participants were military‐dependent youth (N = 163, 57.7% female, Mage = 14.5 ± 1.6, MBMI‐z = 1.9 ± 0.4) at risk for adult binge‐eating disorder and high weight enrolled in a randomized controlled prevention trial. Prior to intervention, participants completed questionnaires assessing perceived stress and emotional eating. Parents completed a questionnaire assessing their adolescent's emotion dysregulation. Moderation analyses were conducted using the PROCESS macro in SPSS and adjusted for theoretically relevant sociodemographic covariates. Results: The interaction between adolescent perceived stress and emotion dysregulation (parent‐reported about the adolescent) in relation to adolescent emotional eating was found to be significant, such that higher emotion dysregulation magnified the association between perceived stress and emotional eating (p =.010). Examination of simple slopes indicated that associations between perceived stress and emotional eating were strongest for youth with above‐average emotion dysregulation, and non‐significant for youth with average or below‐average emotion dysregulation. Discussion: Findings suggest that greater emotion dysregulation may increase risk for emotional eating in response to stress among military‐dependent youth at risk for binge‐eating disorder or high weight. Improving emotion regulation skills may be a useful target for eating disorder prevention among youth who are at risk for emotional eating. Public Significance: Prior research has shown that adolescent military dependents are at increased risk for eating disorders and high weight. The current study found that emotion dysregulation moderated the relationship between perceived stress and emotional eating among military‐dependent youth. There may be clinical utility in intervening on emotion regulation for adolescent dependents at particular risk for emotional eating and subsequent eating disorders. [ABSTRACT FROM AUTHOR]

Background Method Results Conclusions Maudsley Model of Anorexia nervosa (AN) Treatment for Adults (MANTRA) is recommended by NICE for the treatment of adults with AN. However, despite this fact, the approach remains relatively understudied. The aim of this study was to systematically update the research evidence regarding the use of the MANTRA in the treatment of Eating Disorders (ED).The databases used were Web of Science, Scopus, and PsycInfo, including studies up to 31 May 2023. PRISMA guidelines were followed, and Cochrane tools were used to assess the risk of bias. The search focused on identifying published articles that discussed the usefulness of MANTRA as a component of treatment for ED, following PICO criteria.Nine studies spanning the period from 2011 to 2023 were included. Findings suggested that MANTRA was effective in improving body mass index (BMI), eating symptomatology and emotional state. There were generally no significant differences compared to other treatment conditions. Limitations to interpreting this systematic review include the methodological quality of included studies and the elevated risk of bias.This review was the first to examine the effectiveness of MANTRA. The results indicate that MANTRA has shown effectiveness similar to other treatments for adults AN patients in addressing key clinical variables. It has been used in different populations (adolescents, males, inpatients) and formats (group, online) However, more research is needed to determine its effectiveness. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Methods Results Discussion Understanding the emotional context of feeding behavior may help identify causal mechanisms of food avoidance among individuals with anorexia nervosa. Although predominant food avoidance models assume fear of fat drives feeding behavior, disgust may be more theoretically and proximally relevant to moment‐to‐moment experiences of feeding. This study, therefore, aimed to examine affect and food avoidance using automated affect analysis from facial response by measuring time‐specific transitions in disgust during a laboratory eating paradigm. We hypothesized that phase transitions in disgust would distinguish temporally self‐initiated eating from food avoidance.Sixty‐three adolescents with anorexia nervosa or another low‐weight eating disorder (LWED) and 27 age‐ and sex‐matched controls were recruited as part of a larger study; 45 patients and 22 controls provided data on autonomous eating and facial affect during a laboratory meal. Dynamic structural equation models quantified moment‐to‐moment relationships between disgust and feeding behavior.Self‐initiated eating was associated with greater increases in disgust, but not fear, intensity among those with LWED relative to control participants and greater disgust intensity predicted lower likelihood of self‐initiated eating.Phasic transitions in disgust provide moment‐to‐moment evidence of affective influence on self‐initiated eating and lend credibility to the hypothesis that disgust contributes to food avoidance and initiation in individuals with LWED. [ABSTRACT FROM AUTHOR]

Summary: Food accessibility was considerably impacted by restrictions during the coronavirus disease 2019 (COVID‐19) pandemic, leading to growth in the online food retail sector, which offered contact‐free delivery. This systematic review aimed to assess the change in use of online food retail platforms during COVID‐19. The secondary aim was to identify diet‐related chronic disease risk factors including dietary intake, eating behaviors, and/or weight status associated with the use of online food retail platforms during the pandemic. The review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42022320498) and adhered to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Nine electronic databases were searched between January 2020 and October 2023. Studies that reported the frequency or change in use of online groceries, meal delivery applications, and/or meal‐kit delivery services before and during the pandemic were included. A total of 53 studies were identified, including 46 cross‐sectional studies, 4 qualitative studies, 2 longitudinal cohort studies, and 1 mixed‐methods study. Overall, 96% (43/45) of outcomes showed an increase in the use of online groceries during COVID‐19, while 55% (22/40) of outcomes showed a decrease in meal delivery applications. Eight of nine outcomes associated the use of online food retail with weight gain and emotional eating. Further research is needed to investigate the links between online food retail and obesity. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to determine the factors influencing the hedonic hunger status of overweight adults and to examine the relationship between hedonic hunger, self‐stigmatisation and self‐esteem in terms of weight. Methods: This cross‐sectional study was conducted with 353 people living with obesity who applied to the Endocrine and Internal Medicine Clinic in Samsun, Turkey, between June and October 2022. The data were collected using the Personal Information Form, Power of Food Scale (PFS), Weight Self‐Stigmatisation Questionnaire (WSSQ) and Self‐Liking/Self‐Competence Scale (SLSC) through face‐to‐face survey method. Results: About 53.3% of the participants were ≥45 years old, 80.5% were married and 69.1% had previously followed weight loss diet. It was found that those who were aged <45 years, single, those who perceived themselves as overweight, those who had used weight loss diets before and those whose waist‐hip ratio were normal had higher hedonic hunger scores (p < 0.05). A negative and significant correlation was found between PSF‐Tr general dimension scores and SLSC general dimension, whereas a significant and positive correlation was observed between PSF‐Tr general dimension scores and WSSQ general dimension (p < 0.05). Conclusion: As hedonic hunger increased in adults with overweight, self‐esteem decreased, and self‐stigmatisation in terms of weight increased. Effective interventions are needed to cope with the hedonic hunger that contributes to obesity and to prevent the stigma and low self‐esteem experienced by people living with obesity because of their excess weight. Key points: Those aged <45 years and those who think they are overweight have higher hedonic hunger scores.As the hedonic hunger score increases, the self‐esteem score decreases.As the hedonic hunger score increases, the weight self‐stigmatisation score also increases.Effective interventions are needed to cope with the hedonic hunger that contributes to obesity and to prevent the stigma and low self‐esteem that people living with obesity are exposed to because of their excess weight. [ABSTRACT FROM AUTHOR]

BACKGROUND: Eating patterns such as breakfast consumption and fruit and vegetable intake have been associated with academic achievement and cognitive function. METHOD: The purpose of this study was to learn more about psychological (emotion‐driven eating) and behavioral (over‐eating) eating patterns and motives, and the roles of body image, academic achievement (reading and math), and social supports (peer acceptance and school attachment), among 378 fourth‐grade students (55% boys) from 14 classrooms across 6 schools within a large Midwestern urban area. RESULTS: Results were analyzed through a 2‐group (male and female) path analysis. Boys' overeating (R2 = 9%) was not significantly predicted. Their emotional eating (R2 = 22.2%) was negatively, significantly predicted by peer acceptance and interaction of peer acceptance and school attachment. Girls' overeating (R2 = 13.6%) was negatively, significantly predicted by positive body image. Girls' emotional eating (R2 = 24.1%) was negatively significantly predicted by positive body image, math scores, and peer acceptance. CONCLUSIONS: Boys' and girls' eating patterns are differentially affected by their school experiences. [ABSTRACT FROM AUTHOR]

Objective: Nonresponsive parental feeding practices are associated with poorer appetite self‐regulation in children. It is unknown whether this relationship extends beyond childhood to be prospectively associated with the onset of eating disorder (ED) symptoms in adolescence. This exploratory study therefore investigated prospective associations between early childhood parental feeding practices and adolescent ED symptoms and disordered eating behaviors. Methods: Data were from two population‐based cohorts with harmonized measures: Generation R (Netherlands; n = 4900) and Gemini (UK; n = 2094). Parents self‐reported their pressure to eat, restriction and instrumental feeding (i.e., using food as a reward) at child age 4–5 years. Adolescents self‐reported their compensatory behaviors (e.g., fasting, purging), binge‐eating symptoms, restrained eating, uncontrolled eating, and emotional eating at 12–14 years. Associations between feeding practices and ED symptoms were examined separately in each cohort using generalized linear models. Results: In Gemini, pressure to eat in early childhood was associated with adolescents engaging in compensatory behaviors. In Generation R, parental restriction was associated with adolescents engaging in compensatory behaviors, restrained eating, uncontrolled eating, and emotional eating. Instrumental feeding was associated with uncontrolled eating and emotional eating in Generation R. Discussion: Nonresponsive parental feeding practices were associated with a greater frequency of specific ED symptoms and disordered eating in adolescence, although effect sizes were small and findings were inconsistent between cohorts. Potentially, the cultural and developmental context in which child–parent feeding interactions occur is important for ED symptoms. Further replication studies are required to better understand parents' role in the development and maintenance of ED‐related symptoms. Public Significance: Prospective research examining how early childhood parental feeding practices might contribute to adolescent ED symptoms is limited. In two population‐based cohorts, nonresponsive feeding practices (restriction, instrumental feeding, pressure to eat) predicted increased frequency of some ED symptoms and disordered eating behaviors in adolescence, although associations were small and further replication is required. Findings support the promotion of responsive feeding practices, which may benefit young children's developing relationship with food. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine the relationship between eating behavior, eating awareness, and depression in young adults. Young adults aged between 18 and 25 years were included in the study. Questionnaires and body composition measurements were made face‐to‐face by the researcher in the interview room. The demographic characteristics were questioned through the questionnaire form. Three Factor Eating Questionnaire (TFEQ), Mindful Eating Questionnaire (MEQ), and Beck Depression Inventory (BDI) were used. It was determined that the Mindful Eating Questionnaire total score and Beck Depression Inventory total score affected emotional eating. A statistically significant positive correlation was found between the Beck Depression Inventory total score and the Three Factor Eating Questionnaire sub‐scores. There was a statistically significant negative correlation Beck Depression Inventory total score and the Mindful Eating Questionnaire total score and sub‐scores of mindless eating and emotional eating. In summary, depression seems to be a factor that triggers emotional eating, and emotional eating is a factor that negatively affects mindful eating. [ABSTRACT FROM AUTHOR]

Objective: Understanding factors that impact health‐related quality of life (HRQL) is essential to inform personalised food allergy management. However, there are inconsistencies about the impact of gender on HRQL in food allergy. This review aimed to collate all investigations of the association between gender and total or subdomain HRQL scores of individuals with food allergy and their caregivers. Design: This is a narrative systematic review. We descriptively synthesised and compared HRQL outcomes by participant and parent genders according to statistical and clinical significance. Study quality was assessed using the ROBINS‐I, inclusive of all domains. Sensitivity analysis of non‐interventional studies was conducted using the ROBINS‐E. Data Sources: A systematic search of Medline and Embase databases was conducted on 4 April 2022 and updated on 5 December 2023. Eligibility Criteria: Studies were eligible for inclusion if they reported original data on the association between any sex and/or gender and HRQL, as measured with any validated instrument, in populations with IgE‐mediated food allergy. Interventional and non‐interventional studies were eligible. Results: A comparison of 34 eligible studies (10 interventional and 24 non‐interventional) indicated females with food allergy (62.5% of studies of children, 83.3% of studies of adults) and mothers of children with food allergy (50% of studies of caregivers) experienced poorer self‐reported baseline HRQL than their counterparts, notably in domains of physical, emotional or food anxiety‐related well‐being. Gender differences in child HRQL after food allergen immunotherapy were observed. However, selective reporting in included interventional studies meant the direction of this association could not be determined. The proxy‐reported total HRQL of participants was not affected by caregiver gender, nor was caregiver HRQL likely impacted by child gender. Conclusions: Gender should be considered an important modifier of participant HRQL outcomes in food allergy studies. Purposeful exploration of HRQL in all genders is needed to fully understand the implications of this construct on the lived experience of food allergy. Systematic Review Registration: PROSPERO (CRD42022329901). [ABSTRACT FROM AUTHOR]

Objectives: Eating while distracted has been associated with a higher body mass index (BMI), whereas mindful eating and episodic memory for recent eating have shown the opposite pattern. This pre‐registered, global study (https://osf.io/rdjzk) compared the relative association between these variables (and four "positive controls": restraint, disinhibition, emotional eating, plate clearing) and self‐reported BMI. The timing of data collection (April–May 2020) during the SARS‐CoV‐2 pandemic enabled an investigation of the impact of stay‐at‐home restrictions imposed on the UK population on the measures of eating behavior. Methods: An online survey was completed, including: (i) demographic data (e.g., self‐reported BMI), (ii) Likert ratings assessing episodic memory for recent eating, mindful eating, cognitive distraction, restrained eating, emotional eating, disinhibition and plate clearing over the last 12 months and the last 7 days (during the first UK COVID‐19 lockdown), and (iii) the Mindful Eating Questionnaire (MEQ). Results: A large adult sample participated (N = 846; mean (SD) age = 33.0 (14.3) years; mean (SD) BMI = 24.6 (5.6) kg/m2). Mindful eating (MEQ‐total score) was associated with a lower self‐reported BMI (β = −0.12; 95% CI = −0.20, −0.04; p = 0.004), whereas disinhibited eating was associated with a higher self‐reported BMI (β = 0.30; 95% CI = 0.21, 0.38; p < 0.001). In UK participants (n = 520), consistent changes in eating behavior during lockdown were not found. For those that did experience change, decreases were reported in; emotional eating, disinhibited eating, focusing on taste during a meal (a measure of mindful eating), and using a smart phone while eating. Conclusions: These findings provide evidence in a large global sample for associations between BMI and (i) mindful eating, and (ii) disinhibited eating. Future research should evaluate whether mindful eating demonstrates a prospective association with body weight and should consider mechanisms of action. [ABSTRACT FROM AUTHOR]

Marketing researchers have extensively studied the causal influence of emotional state on food consumption. The present study offers a comprehensive systematic review of 111 articles related to the effect of emotions on unhealthy consumption over the past three decades—from 1993 to 2023. Applying the bibliometric coupling method identifies four main research themes in the marketing discipline: emotional eating: food as a coping mechanism, emotional eating: food as a reward, emotional eating: emotion as a multidimensional structure, and emotional eating: moderating effects of food sensory cues. Theoretical richness within each cluster is presented. In addition, the findings indicate that the marketing discipline has mainly relied on the proximate reasoning approach—explaining the causation and development of consumers' behavior—to describe the association between emotional state and food consumption choices. To broaden the scope of each research theme, we adopt the ultimate approach—explaining why a behavior exists—and focus on why unhealthy food consumption becomes a pattern of behavior. This study concludes by discussing the findings and offering several avenues for future research. [ABSTRACT FROM AUTHOR]

Introduction: Pregnancy is a major life event during which women may experience increased psychological distress and changes in eating behaviors. However, few studies have investigated the influence of psychological distress on pregnant women's eating behaviors. The primary objective of this prospective study was to examine the associations of changes in perceived stress and depressive symptoms with emotional eating and nutritional intake during pregnancy. In addition, we examined the direct and moderating effects of perceived social support. Methods: Participants were racially diverse pregnant women (14‐42 years) from 4 clinical sites in Detroit, MI, and Nashville, TN (N = 678). We used multiple linear and logistic regression models to determine if changes in stress and depressive symptoms across pregnancy were associated with changes in emotional eating and nutritional intake. We examined residualized change in stress and depressive symptoms from second to third trimester of pregnancy; positive residualized change scores indicated increased stress and depressive symptoms. Results: Participants showed significant improvement in emotional eating and nutritional intake from second to third trimester of pregnancy (P <.001 for both). At second trimester, higher depressive symptoms were associated with a greater likelihood of emotional eating (P <.001) and worse nutritional intake (P =.044) at third trimester. Increased stress and depressive symptoms during pregnancy were both associated with increased risk, whereas increased perceived social support reduced risk of emotional eating at third trimester (stress: adjusted odds ratio [AOR], 1.17; 95% CI, 1.08‐1.26; depressive symptoms: AOR, 1.05; 95% CI, 1.01‐1.08; social support: AOR, 0.93; 95% CI, 0.88‐0.99). None were associated with changes in nutritional intake. Perceived social support did not show any moderating effects. Discussion: Increased psychological distress during pregnancy may increase emotional eating. Efforts to promote healthy eating behaviors among pregnant women should consider and address mental health. [ABSTRACT FROM AUTHOR]

Background: Emotional eating (EE) is a disordered eating behaviour which may lead to overeating. It is not clear whether EE presents to an equal degree among adults, regardless of their body mass index (BMI) status. The aim of this study was to assess whether there is a difference in degree of EE between adults with healthy weight, overweight and obesity. Methods: MEDLINE and APA PsycINFO databases were searched from inception up to January 2022 for studies that reported EE scores from validated questionnaires. The quality of all included studies was assessed using the AXIS tool. Meta‐analysis used random effects and standardised mean difference (SMD). Heterogeneity was investigated using I2 statistics and sensitivity analyses. Results: A total of 11 studies with 7207 participants were included in the meta‐analysis. Degree of EE was greater in adults with a BMI above the healthy range, compared to adults with a healthy BMI (SMD 0.31, 95% CI 0.17 to 0.45; I2 = 85%). However, subgroup analysis found that degree of EE was greater only in adults with obesity (SMD 0.61, 95% CI 0.41 to 0.81; I2 = 62%), and there was no difference in degree of EE between adults with overweight and those with a healthy BMI. Conclusions: Degree of EE is greater among adults living with obesity, compared to adults with a healthy BMI, indicating a need for behavioural support to support EE among people living with obesity seeking weight management. Future research should examine the long‐term effectiveness of interventions for EE. Key points: A systematic synthesis of published studies examining emotional eating and body mass index (BMI) status has not been conducted before.This meta‐analysis found that the degree of emotional eating was greater in adults with a BMI above the healthy range, compared to adults with a healthy BMI.However, subgroup analysis found that the degree of emotional eating was greater only in adults with obesity and there was no difference between adults with overweight and those with a healthy BMI.These findings indicate a need for targeted screening and behavioural support for emotional eating among people living with obesity seeking weight management. [ABSTRACT FROM AUTHOR]

Objective: To investigate the effectiveness of a 10‐min self‐compassion writing in alleviating body dissatisfaction, self‐objectification, and emotional eating in young adult women engaged in emotional eating in the context of appearance‐related cyberbullying. Method: A total of 175 Chinese young adult women (Mage = 20.90, SD = 1.65) were randomly assigned to one of the three groups: self‐compassion, distraction, or control group. At baseline, participants completed assessments of trait and state body dissatisfaction, trait self‐objectification, trait self‐compassion, emotional eating, and positive and negative affect. Then they needed to recall an appearance‐related cyberbullying victimization experience, after which state body dissatisfaction, state self‐objectification, and positive and negative affect were measured. After the intervention, participants completed measures of state body dissatisfaction, state self‐objectification, positive and negative affect, state self‐compassion, and a food‐choosing task. At 1‐month follow‐up, participants completed measures of trait body dissatisfaction, trait self‐objectification, trait self‐compassion, and emotional eating. Results: At post‐intervention, state body dissatisfaction and negative affect were significantly lower, and positive affect was significantly higher in both the self‐compassion and distraction groups compared to control. State self‐objectification was significantly lower in the self‐compassion group than in the other two groups. At 1‐month follow‐up, the self‐compassion group showed significantly lower levels of body dissatisfaction than the control group. Discussion: The findings provide initial evidence for the potential of self‐compassion writing in reducing state self‐objectification and state body dissatisfaction in the context of appearance‐related cyberbullying. Public Significance: Appearance‐related cyberbullying, a common phenomenon in social networking sites, has been documented to associate with appearance‐related concerns and disordered eating in young adult women. However, effective interventions that can reduce these negative associations are scarce. This study preliminarily found that a brief self‐compassion writing could be a potential intervention for reducing state self‐objectification and state body dissatisfaction in young adult women who had suffered appearance‐related cyberbullying. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine the relationship between health life awareness, emotional eating, obesity awareness, and coping with stress in adolescents. Data were collected with the "Personal Information Form," "Healthy Life Awareness Scale," "Obesity Awareness Scale," "Emotional Eating Scale for Children and Adolescents," and "Styles of Coping Stress Inventory." The sample of the study consisted of 382 high school students. The emotional eating scores of the obese adolescents were higher than the thin ones (p <.05); obese adolescents had higher submissive approach scores (p <.05) in coping with stress compared to adolescents who are overweight. There was a positive relationship between obesity awareness and positive coping approaches (p <.05); awareness of healthy living and positive coping approaches (p <.05). An one‐unit increase in healthy living awareness causes an increase of 0.409 on obesity awareness. Considering these results, education and intervention studies are recommended for adolescents on healthy living, coping with stress, and obesity awareness. Practitioner Points: Adolescents' healthy life awareness increases, and their level of obesity awareness and effective coping with stress also increases.The emotional eating behavior of adolescents decreases when they cope with stress effectively.In psychological counseling and psychotherapy practice; planned awareness‐based stress training is given to adolescents, and emotional eating behaviors and obesity can be prevented. [ABSTRACT FROM AUTHOR]

The decision to consume novel foods such as plant‐based meat alternatives is often determined by emotional response. Generic food emotion lexicons are available for measuring emotional response, however, such lexicons may not capture the nuanced emotions associated with novel products. Here, an emotion lexicon specific to meat and plant‐based burger patties was developed. Discussion groups, where participants were digitally immersed in two typical burger eating environments, were used to generate relevant emotion terms toward different patties. A range of consumers contributed to the lexicon including users and nonusers of meat alternatives, two age groups, and three dietary groups. Subsequently, an on‐line sorting task followed by hierarchical clustering was used to reduce the size of the lexicon. The final lexicon contained 24 emotion categories. The lexicon shared terms with generic lexicons but notably contained other emotions associated with food neophobia, uncertainty, and deception. Practical Applications: The results of this study provide an emotion lexicon specific to burger patties of meat and plant‐based origins. Currently no emotion lexicon has been developed for plant‐based patties, or plant‐based meat alternatives in general. It provides an important tool for further research concerning links between sensory and emotional drivers of plant‐based patty consumption across different types of patty consumers and has potential to be adopted for a wider product set. [ABSTRACT FROM AUTHOR]

The prevalence of obesity among Chinese adolescents is rising rapidly, and theoretically informed, scalable weight management interventions are needed. We developed and evaluated the feasibility and preliminary effects of an mHealth nutrition education and mindful snacking intervention for weight loss and improved dietary practices among Chinese adolescents with overweight. We examined whether including implementation intention formation (using if–then plans) improved outcomes. With user consultation, we created a 3‐week mindful eating intervention delivered as 10 videos to user smartphones. Participants (n = 55) were randomly assigned to mindful eating or mindful eating + planning. Forty‐six (83.6%) participants (age = 16.35 ± 0.48 years; body mass index [BMI] = 25.79 ± 2.05 kg/m2) completed the intervention. Both groups exhibited significant pre‐ to post‐intervention weight loss (M = 1.42 and 1.79 kg, respectively); decreases in snacking frequencies, emotional eating, external eating, and trait craving; and significant increases in mindful eating and eating self‐efficacy. No significant intervention group differences were observed. User experience data (n = 16) indicated acceptability and meaningful behavior change. Findings suggest that a smartphone‐delivered mindfulness‐based intervention for Chinese adolescents living with overweight is feasible and efficacious. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to determine the association between being an evening type (ET; defined subjectively by the Morning‐Evening Questionnaire or objectively by the dim‐light melatonin onset [DLMO] timing) and reporting emotional eating (EE) behaviors. Methods: Cross‐sectional analyses were conducted in 3964 participants (four international cohorts: ONTIME and ONTIME‐MT [both Spain], SHIFT [the US], and DICACEM [Mexico]), in which chronotype (Morning‐Evening Questionnaire), EE behaviors (Emotional Eating Questionnaire), and dietary habits (dietary records or food‐frequency questionnaire) were assessed. Among 162 participants (ONTIME‐MT subsample), additional measures of DLMO (physiological gold standard of circadian phase) were available. Results: In three populations, ETs presented with a higher EE score than morning types (p < 0.02); and they made up a higher proportion of emotional eaters (p < 0.01). ETs presented with higher scores on disinhibition/overeating as well as food craving factors and experienced these behaviors more frequently than morning types (p < 0.05). Furthermore, a meta‐analysis showed that being an ET was associated with a higher EE score by 1.52 points of a total of 30 points (95% CI: 0.89–2.14). The timing of DLMO in the early, intermediate, and late objective chronotypes occurred at 21:02 h, 22:12 h, and 23:37 h, with late types showing a higher EE score (p = 0.043). Conclusions: Eveningness associated with EE in populations with different cultural, environmental, and genetic backgrounds. Individuals with late DLMO also showed more EE. [ABSTRACT FROM AUTHOR]

Background: There are well‐recognized benefits of behavioral interventions that include exercise for children and adolescents with obesity. However, such behavioral weight management programs may precipitate unintended consequences. It is unclear if different exercise modalities impact eating behaviors differently in youth with obesity. Objectives: The purpose of this study was to examine the effects of aerobic, resistance, and combined aerobic and resistance exercise training on eating attitudes and behaviors (uncontrolled eating, restrained eating, emotional eating, external eating and food craving) among adolescents with overweight and obesity. Methods: N = 304 (70% female) adolescents with overweight and obesity participated in the 6‐month Healthy Eating Aerobic and Resistance Training in Youth (HEARTY) randomized controlled trial. All participants were inactive post‐pubertal adolescents (15.6 ± 1.4 years) with a mean BMI = 34.6 ± 4.5 kg/m2. The Food Craving Inventory (food cravings), Dutch Eating Behavior Questionnaire (restrained eating, emotional eating, external eating), and the Three‐Factor Eating Questionnaire (uncontrolled eating) were used to assess eating attitudes and behaviors. Results: All exercise groups showed within‐group decreases in external eating and food cravings. Participants randomized to the Combined training group and were more adherent showed the greatest improvements in eating behaviors and cravings. Conclusions: A 6‐month exercise intervention produced improvements in disordered eating behaviors and food cravings, but effects may be gender and modality‐specific. Findings highlight the need to tailor exercise intervention to participant characteristics for the promotion of healthier eating and weight management outcomes in youth with obesity. Clinical Trial Registration # and Date: ClinicalTrials.Gov NCT00195858, September 12, 2005 [ABSTRACT FROM AUTHOR]

Objective: The primary aim of this study was to analyse the efficacy of a 'mindful eating' programme for reducing emotional eating in patients with overweight or obesity. Method: A cluster randomized controlled trial (reg. NCT03927534) was conducted with 76 participants with overweight/obesity who were assigned to 'mindful eating' (7 weeks) + treatment as usual (TAU), or to TAU alone. They were assessed at baseline, posttreatment and 12‐month follow‐up. The main outcome was 'emotional eating' (Dutch Eating Behaviour Questionnaire, DEBQ); other eating behaviours were also assessed along with psychological and physiological variables. Results: 'Mindful eating' + TAU reduced emotional eating both at posttreatment (B = −0.27; p = 0.006; d = 0.35) and follow‐up (B = −0.53; p < 0.001; d = 0.69) compared to the control group (TAU alone). 'External eating' (DEBQ) was also significantly improved by the intervention at both timepoints. Significant effects at follow‐up were observed for some secondary outcomes related to bulimic behaviours, mindful eating, mindfulness, and self‐compassion. Weight and other physiological parameters were not significantly affected by 'mindful eating' + TAU. Conclusions: These findings support the efficacy of the 'mindful eating' + TAU programme for reducing emotional and external eating, along with some other secondary measures, but no significant changes in weight reduction were observed. Highlights: 'Mindful eating' added to treatment as usual (TAU) is more effective than TAU alone for reducing the emotional eating pattern of obese and overweight patients in primary care (PC) settings.The programme produced improvements in secondary outcomes such as external eating, the severity of bulimic symptoms, the frequency of binge episodes, and some mindfulness and self‐compassion facets.The body mass index (BMI) and other physiological variables were not significantly reduced by the 'Mindful eating' programme; future studies should try to overcome some methodological shortcomings of the present study. [ABSTRACT FROM AUTHOR]

Objective: Time‐restricted eating (TRE) can reduce body weight, but it is unclear how it influences dietary patterns and behavior. Therefore, this study assessed the effects of TRE on diet quality, appetite, and several eating behaviors. Methods: Adults with obesity were randomized to early TRE plus energy restriction (eTRE + ER; 8‐hour eating window from 7:00 a.m. to 3:00 p.m.) or a control eating schedule plus energy restriction (CON + ER; ≥12‐hour window) for 14 weeks. Food intake was assessed via the Remote Food Photography Method, while eating patterns, appetite, and eating behaviors were assessed via questionnaires. Results: A total of 59 participants completed the trial, of whom 45 had valid food records. eTRE + ER did not affect eating frequency, eating restraint, emotional eating, or the consistency of mealtimes relative to CON + ER. eTRE + ER also did not affect overall diet quality. The intensity and frequency of hunger and fullness were similar between groups, although the eTRE + ER group was hungrier while fasting. Conclusions: When combined with a weight‐loss program, eTRE does not affect diet quality, meal frequency, eating restraint, emotional eating, or other eating behaviors relative to eating over more than a 12‐hour window. Rather, participants implement eTRE as a simple timing rule by condensing their normal eating patterns into a smaller eating window. [ABSTRACT FROM AUTHOR]

Introduction: Restrained, emotional and intuitive eating were examined in relation to each other and as correlates of participants' weight status, body image and self‐esteem. In some past research, restrained and emotional eating have been associated with higher weight status and poorer mental health, while intuitive eating is more frequently linked to lower weight status and more positive well‐being. However, these eating styles have rarely been examined together and never in a large cross‐country sample. Method: Six‐thousand two‐hundred and seventy‐two (6272) emerging adults (M age = 21.54 years, SD = 3.13) completed scales from the Three‐Factor Eating Questionnaire, the Eating Disorders Examination Questionnaire, the Intuitive Eating Scale‐2, the Multidimensional Body Self Relations Questionnaire, the Rosenberg Self‐Esteem Scale, and provided weight and height information that was used to calculate body mass index (BMI). Participants resided in Australia, Belgium, Canada, China, Italy, Japan, Spain and the United States and provided information using an online survey. Results: Path analyses for the entire sample revealed significant pathways between higher intuitive eating and higher body satisfaction and self‐esteem, and lower BMIs among participants. Higher levels of restrained and emotional eating were associated with lower body satisfaction and self‐esteem, and higher BMIs among participants. Minor cross‐country differences were evident in these patterns of relations, but intuitive eating emerged as a consistent predictor across countries. Conclusion: Overall, findings suggest that efforts should be made to increase intuitive eating among emerging adults and to support individual and macrolevel interventions to decrease restrained and emotional eating behaviours. [ABSTRACT FROM AUTHOR]

Introduction: Emotional eating is a mental health concern, common in adolescents, that develops as a result of their tendency to use high‐energy food to regulate their fluctuating emotions. Due to their highly fluctuating emotional life, adolescents tend to have unique within‐person profiles of emotional experiences that change across moments and days, often lost in global assessments of emotions. Hence, it is imperative to examine individual differences in dynamics of emotions, as experienced in daily life, in relation to emotional eating in adolescents. Methods: In an Ecological Momentary Assessment study, we examined individual differences in three within‐person dynamic characteristics (baseline levels, intraindividual variability, and emodiversity) of emotions in 158 dominantly Hispanic adolescents in the United States, aged 14–17 years old, predicting trait‐level emotional eating. Results: Results indicated that higher negative emodiversity, baselines, and variability in stress were predictive of emotional eating in adolescents. When all considered together, negative emodiversity (i.e., variety of the types of negative emotions experienced in one's daily life) remained the only significant predictor of emotional eating. Conclusions: This study affirms the importance of diversity in emotional experiences in relation to emotional eating, particularly in daily contexts of adolescents' lives. Additionally, the study emphasizes the importance of distinguishing between diversity (i.e., variety in types) in positive versus negative emotional experiences with regard to emotional eating. By taking into account the ecological validity of adolescents' daily lives and individual differences in dynamical changes in emotions, we are taking a step forward by shedding light on how the dynamics of negative emotions—in terms of within‐person baselines, variability, and diversity—might be related to general levels of emotional eating in adolescents. [ABSTRACT FROM AUTHOR]

Summary: We propose a model for obesity development that traces a considerable part of its origins to the social domain (mainly different forms of prolonged social adversity), both within and across generations, working in tandem with a genetic predisposition. To facilitate overview of social pathways, we place particular focus on three areas that form a cascading sequence: (A) social adversity within the family (parents having a low education, a low social position, poverty and financial insecurity; offspring being exposed to gestational stress, unmet social and emotional needs, abuse, maltreatment and other negative life events, social deprivation and relationship discord); (B) increasing levels of insecurity, negative emotions, chronic stress, and a disruption of energy homeostasis; and (C) weight gain and obesity, eliciting further social stress and weight stigma in both generations. Social adversity, when combined with genetic predisposition, thereby substantially contributes to highly effective transmission of obesity from parents to offspring, as well as to obesity development within current generations. Prevention efforts may benefit from mitigating multiple types of social adversity in individuals, families, and communities, notably poverty and financial strain, and by improving education levels. [ABSTRACT FROM AUTHOR]

Background: COVID‐19 was associated with significant financial hardship and increased binge eating (BE). However, it is largely unknown whether financial stressors contributed to BE during the pandemic. We used a longitudinal, cotwin control design that controls for genetic/environmental confounds by comparing twins in the same family to examine whether financial hardship during COVID‐19 was associated with BE. Methods: Female twins (N = 158; Mage = 22.13) from the Michigan State University Twin Registry rated financial stressors (e.g., inability to afford necessities) daily for 49 consecutive days during COVID‐19. We first examined whether financial hardship was associated with BE phenotypes across the full sample. We then examined whether cotwins who differed on financial hardship also differed in BE. Results: Participants who experienced greater mean financial hardship across the study had significantly greater dimensional BE symptoms, and participants who experienced greater financial hardship on a given day reported significantly more emotional eating that day. These results were replicated in cotwin control analyses. Twins who experienced more financial hardship than their cotwin across the study reported greater dimensional BE symptoms than their cotwin, and participants who experienced more financial hardship than their cotwin on a given day reported greater emotional eating that day. Results were identical when restricting analyses to monozygotic twins, suggesting associations were not due to genetic confounds. Conclusions: Results suggest that BE‐related symptoms may be elevated in women who experienced financial hardship during COVID‐19 independent of potential genetic/environmental confounds. However, additional research in larger samples is needed. Public Significance: Little is known regarding how financial difficulties during the COVID‐19 pandemic may have contributed to increased binge eating (BE). We found preliminary evidence that financial hardship during COVID‐19 may be associated with greater rates of BE‐related symptoms even when comparing twins from the same family. While additional research is needed, results suggest that people who experienced financial hardship during COVID‐19 may be at increased risk for BE. [ABSTRACT FROM AUTHOR]

Objective: Recommendations for fatigue management are commonly given in an undifferentiated manner without further evaluation of patient's specific symptomatology. Thus, we aimed to identify hallmarks of potential fatigue subgroups which might guide more refined treatment. Methods: The FiX study assessed fatigue with the EORTC QLQ‐FA12 in patients around 2 years after cancer diagnosis (T0) including 15 different entities. After 2 years, a follow‐up survey (T1) was conducted. The analyses comprised all patients with prevalent fatigue at T0 (N = 1023). Hierarchical cluster analysis was performed using the Ward method and including the dichotomized factors emotional distress, pain, insomnia, and obesity. Emotional distress, that is, depressive symptoms and anxiety, was assessed by the PHQ‐4. Pain and insomnia were based on the according symptom scores of the EORTC QLQ‐C30. Analysis of covariance was conducted to investigate the association of the fatigue clusters at T0 with subsequent fatigue at T1. Results: Four hierarchical clusters were identified. The first cluster comprised patients with moderate‐to‐severe distress. The remaining fatigue cases were differentiated by obesity and then by pain. Fatigue cases without any of these three symptoms formed the last cluster. Physical, emotional and cognitive fatigue were highest in the distress cluster. Additionally, this cluster was associated with higher physical, emotional and cognitive fatigue at T1 compared to the other clusters. Conclusions: Fatigue in conjunction with emotional distress had worse impact, persisted longer, and may require other treatment approaches than fatigue in patients without emotional distress. Obesity and pain may be further distinguishing hallmarks for refined fatigue management. [ABSTRACT FROM AUTHOR]

Objectives: The relationship between sensitivity to punishment (SP) and emotional eating has been previously examined. However, effective variables in this relationship have yet to be recognized. This study aimed to investigate the relationship between SP and emotional eating via facets of shame and rumination. Design: Serial Mediation model was proposed. Method: Female university students in Iran (n = 174) completed Sensitivity to Punishment and Sensitivity to Reward Questionnaire‐Revised and Clarified (SPSRQ‐RC), Dutch Eating Behaviour Questionnaire (DEBQ), Experience of Shame Scale (ESS) and Ruminative Responses Scale (RRS). Results: SP showed a significant effect on emotional eating. Moreover, we observed that the relationship between SP and emotional eating was separately mediated by shame (general, characterological and bodily shame) and rumination. We further noticed the sequentially mediating role of shame (general, characterological and behavioural shame) and rumination in the relationship between SP and emotional eating. Conclusion: Findings suggest that high SP can increase the risk of emotional eating through negative emotions (e.g. shame) and disturbed cognitions (e.g. rumination). Therefore, for a better understanding, it seems necessary to consider emotional eating a maladaptive behaviour adopted as a possible result of the impairment of temperamental, emotional and cognitive systems. [ABSTRACT FROM AUTHOR]

Objective: Puberty is a period of increased risk for the development of binge eating in female adolescents. Although developmental changes in autonomy‐seeking behaviors and body weight and shape may influence both parenting styles and binge eating during puberty, studies have yet to examine how parenting practices may be differentially associated with youth outcomes depending on developmental stage. The current study examines whether interactions between puberty and parenting are associated with higher levels of binge‐eating symptoms during/after puberty in female youth. Methods: Analyses used cross‐sectional data from a previous study of disordered eating and puberty in 999 female youth (ages 8–16) and their parents from the Michigan State University Twin Registry. Youth self‐reported binge eating, pubertal development, and perceived parental care and overprotection. Both parents and youth reported on parent–child conflict. Mixed linear models were used to examine whether pubertal development moderates the strength of associations between parenting (parent–child conflict, parental care, and parental overprotection) and offspring binge eating. Results: Although higher levels of parental overprotection and conflict, and lower levels of parental care were all significantly associated with binge eating, none of the associations were significantly moderated by pubertal development or age. Discussion: The quality of the parent–child relationship is significantly associated with binge eating in female youth regardless of developmental stage, highlighting the need for targeting harmful parenting strategies during adolescent eating disorder intervention. Public Significance: This is the first study to examine whether parenting/binge‐eating associations in female participants differ across pubertal development. In a large population‐based sample, we found lower parental care, higher parent–child conflict, and higher parental overprotection were all associated with higher levels of binge eating. Notably, associations did not differ across pubertal stage or age, suggesting that parenting is significantly associated with binge eating, regardless of developmental stage. [ABSTRACT FROM AUTHOR]

Objective: Studies have shown that obesity is associated with decreased executive function. Impaired executive functions lead to poor self‐regulation, which in turn may result in persistence of unhealthy behaviors, including eating behaviors, throughout life. Increasing self‐regulation in childhood and adolescence has positive effects on creating healthy behaviors such as reducing unnecessary eating and changing unhealthy eating habits. The main purpose of this study is to evaluate an intervention package based on cognitive self‐regulation training in changing eating behaviors and reducing obesity in children and adolescents. Methods: Fifty‐six students with obesity aged 12–16 years participated in the study in three groups (cognitive self‐regulation training [CSRT], diet, and control). The CSRT group received twenty 30‐min online training sessions with a diet over 10 weeks. The diet group received only a diet with no other intervention, and the control group did not receive any intervention. Results: The results of our 2 × 3 repeated‐measures ANOVA showed that the CSRT group had a mean BMI decrease of 2.21 (kg/m2) after ten weeks, and 3.24 (kg/m2) at the follow‐up time. The diet group had a BMI decrease of 0.49 (kg/m2) at the ten weeks. In addition, the results showed that the CSRT had a significant reduction in eating behaviors such as external eating and emotional eating. However, the other two groups showed no changes in eating behaviors. Conclusions: Our results show that online cognitive self‐regulation training has been effective in weight loss and eating behaviors. This study shows promising evidence for the efficacy of the online CSRT‐training as a weight stabilization intervention in children with obesity. [ABSTRACT FROM AUTHOR]

In addition, all participants improved their BMI category (1 severe obesity to normal weight, 10 severe obesity to overweight, and 1 obesity to normal weight) by end of the follow up. B Conclusions: b Immersive residential obesity treatment can be highly effective in adolescent girls with severe obesity. Patients who had a diagnosis of OW/OB, or were diagnosed with obesity-associated morbidities, or were treated with anti-obesity medications or bariatric surgery prior to the BMI measurement were excluded. "eatNplay" A Family-Based Telehealth Intervention for Childhood Obesity: A Mixed-Methods RCT... Britney Arce, MSN, MBA, RN Bloomington IN, Mary Lynn Davis-Ajami, PhD, MBA, MS, FNP-C, RN, B... B Background: b Childhood obesity is increasing. B Results: b In total, 1850 participants completed the survey; 56.3% had BMI 30-<35 kg/m SP 2 sp (obesity class I), 26.8% had BMI 35-<40 kg/m SP 2 sp (obesity class II), and 16.9% had BMI 40-<70 kg/m SP 2 sp (obesity class III). Body mass index (BMI) category was defined using BMI percentile range: underweight (<5 SP th sp ), normal weight (5 SP th sp -<85 SP th sp ), overweight (85 SP th sp -<95 SP th sp ), obesity (95 SP th sp -<1.2x 95 SP th sp ), and severe obesity (>=1.2x 95 SP th sp ). [Extracted from the article]

Background: While negative affect (NA) typically increases risk for binge eating, the ultimate impact of NA may depend on a person's ability to regulate their emotions. In this daily, longitudinal study, we examined whether emotion regulation (ER) modified the strength of NA‐dysregulated eating associations. Methods: Women (N = 311) from the Michigan State University Twin Registry first reported dimensional binge eating symptoms and broad ER difficulties (e.g., limited emotional awareness, difficulty controlling emotional impulses). Participants then rated use of adaptive (cognitive reappraisal, social sharing, situation modification, and acceptance) and maladaptive (rumination, expressive suppression, and self‐criticism) ER strategies, emotional eating (EE), objective binge eating (OBE), and NA once daily for 49 consecutive days. Results: There were several main effects of ER on binge‐eating pathology in both between‐person (i.e., comparing women who differed on average) and within‐person (i.e., examining fluctuations in variables day‐to‐day) analyses. Between‐person, greater broad ER difficulties, greater maladaptive strategy use, and lower adaptive strategy use were all associated with greater binge‐eating pathology. Within‐person, greater maladaptive strategy use was associated with greater odds of OBE on that day and on the following day. However, neither broad ER difficulties nor use of specific strategies moderated associations between NA and dysregulated eating in between‐ or within‐person analyses. Conclusions: While ER is independently associated with risk for dysregulated eating, it may not fully mitigate the impact of NA. Additional strategies (e.g., decreasing environmental stressors and increasing social support) may be needed to minimize NA and its impact on dysregulated eating. Public Significance: Negative affect (NA; e.g., sadness, guilt) increases dysregulated eating risk. Because NA is sometimes unavoidable, we examined whether emotion regulation (ER; i.e., how a person responds to their emotions) might impact whether NA leads to dysregulated eating. Although more effective ER was associated with less dysregulated eating overall, ER did not impact the association between NA and dysregulated eating. Other approaches may therefore be needed to mitigate NA‐dysregulated eating associations. [ABSTRACT FROM AUTHOR]

Summary: Data about which factors in lifestyle interventions facilitate weight loss (WL) success in men is still scarce. The Football Fans in Training (FFIT) programme in Germany attracts men with overweight and facilitates meaningful weight reduction. The goal of this study was to evaluate the possible impact of the fans' emotional attachment to their favourite football clubs on achieving at least 5% WL among the male‐only participants. All 791 FFIT intervention participants of 2017 and 2018 were included in the study. We performed two separate logistic regression analyses: (a) baseline values of several participant characteristics as predictors of a 5% WL and (b) change scores of participants' health behaviour characteristics from the course start to end as predictors of the 5% WL. In addition, both models included the Emotional Attachment to a Sports Team (EAST). Analyses were based on the intention‐to‐treat principle. Higher EAST at baseline was associated with WL success, as was higher WL self‐efficacy, lower score in vegetable intake and higher score in food high on carbohydrates. In the second analysis, EAST, an increase in fruit intake, vegetable intake, whole‐grain intake and steps per day, as well as a reduction of fatty food intake, were associated with 5% WL success. The predictors are mostly explorative and limited to correlations. The results indicate that EAST was an independent predictor of WL success in the participating football fans. This understanding might be used for tailoring future interventions in sports or similar settings. [ABSTRACT FROM AUTHOR]

Recent studies have highlighted high levels of emotional eating during the coronavirus (COVID‐19) pandemic, but have not satisfactorily explained these changing eating patterns. Here, we tested one potential explanatory model broadly based on a biosocial model of emotional eating. Specifically, we examined the extent to which negative emotional reactivity was associated with emotional eating, as well as the mediating role of fear of COVID‐19. A total of 474 women from Romania were asked to complete measures of emotional eating, negative emotional reactivity, and fear of COVID‐19. Mediation analysis showed that higher negative emotional reactivity was significantly and directly associated with greater emotional eating. This direct relationship was also mediated by fear of COVID‐19. These results highlight one possible route through which the ongoing COVID‐19 pandemic may have resulted in elevated rates of emotional eating, though further research is needed. [ABSTRACT FROM AUTHOR]

Objective: Eating behaviors play important roles in the development of obesity. A better knowledge of the psychological aspects of eating behaviors in individuals with and without obesity and their consequences on daily eating and lifestyle habits would be informative. The Three‐Factor Eating Questionnaire (TFEQ)‐R21 assesses the psychometrics of eating behavior. The objectives of the study were to establish which eating habits were or were not associated with TFEQ eating behaviors, and to quantify the extent to which those eating habits mediated the association between TFEQ eating behaviors and obesity risk. Methods: Data were obtained from the Gene and Environment Case‐Control Obesity Study from northern France. It included 2237 individuals with obesity and 403 individuals without obesity. Eating behaviors were assessed according to the TFEQ‐R21. Two activity levels (physical activity and television watching) and six eating habits (e.g., plate size, having one serving or at least two servings of the main meal, ...) were evaluated. Regression and mediation analyses were performed. Results: Higher cognitive restraint, higher uncontrolled eating (UE) and higher emotional eating (EE) were associated with a higher risk of obesity, independently of each other and of age, sex, socio‐economic status and physical activity. Cognitive restraint was negatively associated with having at least two servings, while UE and EE were associated with several obesogenic habits such as eating in front of the television or eating at night. Each of these obesogenic habits mediated between 3% and 20% of the association between UE or EE and obesity. Conclusions: Psychological eating behaviors were associated with several lifestyle and eating habits in both individuals with and without obesity. Moreover, some eating habits partially mediated (between 3% and 20%) the association between TFEQ eating behaviors and obesity risk. For clinicians, this study shows that simple, easy‐to‐ask questions on specific daily eating habits can provide essential information to better understand and manage patients with obesity. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study is to examine the relationship between subjective wellbeing and emotional eating in adolescents. Methods: A total of 231 high school students completed a demographic questionnaire and two scales; the emotional eating scale adapted for use in children and adolescents and the adolescent subjective wellbeing scale. Results: The data showed negative and very weak relationships between the unsettled emotional state subscale of the emotional eating scale and the positive emotional state subscale (−0.146), the satisfaction with life subscale (−0.143), and the adolescent subjective wellbeing total score (−0.146). Adolescents' body perceptions, their family types, family income levels, and other variables had an impact on their state of subjective wellbeing, and variables such as gender and their father's level of education had an effect on their emotional eating. Conclusions: Emotional eating in adolescence can become a barrier to an individual's assuming future roles and responsibilities. Due to these risks, it is important to identify and reinforce the factors that help adolescents adapt and improve their subjective wellbeing. [ABSTRACT FROM AUTHOR]

Objective: The study of emotional eating, or (over)eating in response to emotions, may inform transdiagnostic interventions for eating pathology. Prior work has focused on the role of negative affect in promoting emotional eating. The present study sought to extend this work through examining the role of cognitive biases. Method: Women who self‐reported (n = 50) and did not self‐report (n = 40) emotional eating completed self‐report questionnaires of negative affect and negative interpretation biases, an implicit measure of cognitive bias, and a behavioral assay of emotional eating involving an ad lib test meal following a stress induction task. Results: The emotional eating group endorsed elevated trait negative affect, explicit shame biases, and implicit negative biases compared to controls. In addition, state negative affect increased after the stress induction task, and the emotional eating group endorsed greater state negative affect before and after the task and consumed more food following the stress induction. Only explicit cognitive shame biases demonstrated significant indirect effects in the association between group and food consumption. Specifically, elevated explicit shame biases were positively associated with amount of food consumed for the emotional eating group. Discussion: Future research should examine whether interventions that target cognitive biases related to shame reduce emotional eating. Public Significance: Individuals with emotional eating consumed more food than controls following a stress induction. Explicit shame cognitive biases were positively associated with amount of food consumed for the emotional eating group. Shame cogntiive biases may be fruitful targets for reducing emotional eating. [ABSTRACT FROM AUTHOR]

Objective: This study aimed at investigating the negative emotion‐related eating behaviours of young women with extreme weights or eating disorders (EDs). Method: A total of 808 young women participated including 144 with underweight (UW), 364 with normal‐weight (NW) and 137 with overweight (OW; including 27 with obesity) from universities, and 63 patients with anorexia nervosa (AN), and 100 patients with bulimia nervosa (BN) from a hospital. Participants were interviewed and completed questionnaires on eating behaviours related to negative emotions. Results: While both OW and BN groups ate more in response to negative emotions, UW and AN groups ate less compared to NW group. Negative feelings after overeating were prominent in OW group and patients with ED. In negative emotions, patients with EDs preferred sweet tastes, but BN group preferred spicy tastes less. Patients with EDs had increased external eating, and BN group also showed increased restrained eating. Neuroticism had indirect impacts on OW status via emotional eating unlike BN. Conclusions: The results suggest that UW and OW status were on the spectrum of emotional eating, and AN and BN were on the extremes of external eating, which may be integrated into the development of interventions targeting each status. Highlights: Overweight (OW) and bulimia nervosa (BN) groups ate more than usual in response to negative emotion, whereas underweight (UW) and anorexia nervosa (AN) groups ate less than usual compared to normal‐weight (NW) group.OW, AN and BN groups experienced negative feelings after overeating. AN and BN groups preferred sweet tastes when feeling negative emotions.Neuroticism both directly and indirectly affected BN, while OW status was affected only indirectly via emotional eating. [ABSTRACT FROM AUTHOR]

Objectives: To evaluate the effectiveness of weight‐loss interventions on emotional eating among adults with high body mass index (BMI). Methods: A systematic review, meta‐analysis and meta‐regression were performed on randomized controlled trials published from inception until 19 March 2021. Results: Thirty‐one studies were included, representing 1203 participants with mean ages ranging from 21.8 to 57.3 years old and BMI 27.2–43.5 kg/m2. We found small‐to‐medium interventional effects on emotional eating (n = 18; Hedges' g = 0.22; p = 0.01, I2 = 61.7%), uncontrolled eating (n = 16; Hedges' g = 0.46; p < 0.001, I2 = 71.6%) and cognitive restraint (n = 18; Hedges' g = 0.42; p < 0.001, I2 = 75.8%). Small‐to‐medium interventional effects were only found for emotional eating (n = 8; Hedges' g = 0.45; p = 0.02, I2 = 74.3%) 3‐month post‐intervention, and on BMI (n = 4; Hedges' g = 0.43; p < 0.05, I2 = 33.4%) and weight (n = 6; Hedges' g = 0.36; p < 0.01, I2 < 10.4%) 12‐month post‐intervention. Age, male proportion, baseline BMI, attrition rate and intervention length were not significant moderators of the heterogeneity between studies. Conclusion: Interventions improved emotional eating and weight loss along a year‐long trajectory. Highlights: Weight‐loss interventions such as Cognitive Behaviour Therapy (CBT), diet and exercise, and mindfulness are effective in improving emotional eating, uncontrolled eating/external eating and cognitive restraint/restrained eating.Purely mindfulness‐based interventions showed a higher interventional effect size over a combination of CBT and mindfulness, CBT and diet and/or exercise.Small‐to‐medium interventional effect size on body mass index and weight was only observed 12‐month post‐intervention. [ABSTRACT FROM AUTHOR]

Summary: Background: Parents play a significant role in children's eating behaviours and food environment. Emotional eating (i.e., eating due to/to cope with emotions regardless of hunger) can contribute to excess energy consumption and subsequent weight gain. Yet, there is a paucity of research examining mothers' feeding and eating behaviours in the presence of their young children during times of acute distress. Objective: The current study examined whether manipulated maternal mood impacted subsequent eating and parental‐feeding in mothers with overweight or obesity with their preschool aged children in a laboratory‐based experiment. Methods: Mothers (n = 47) with overweight or obesity and their preschool aged children were randomized to either an acute distress or control group. After completing a task which manipulated mothers' moods, respectively, dyads were offered a buffet of snack foods. Measures of mothers' reported emotional eating and distress were collected, and calories served and consumed were objectively measured. Results: There were no between‐group differences regarding calories served or consumed. Mothers across both groups who reported higher emotional eating served themselves (p = 0.014) and their children (p = 0.007) less food, and mothers consumed less food (p = 0.045). Mothers who reported higher emotional eating and increased acute distress fed their children less food (p = 0.02) and both children and mothers ate less food (p < 0.05). Conclusions: Results suggest that mothers who report emotional eating tendencies may feed their children less food during periods of acute distress. [ABSTRACT FROM AUTHOR]

Objective: Stressful experiences can dramatically affect eating. The relatively sudden, global emergence of the COVID‐19 pandemic served as a massive stressor to virtually all people, regardless of infection status. This study hypothesized that actual and perceived stressors from the onset of the COVID‐19 pandemic, in the categories of recurring disruptions, environmental threat, and social isolation would be positively associated with increased self‐reported eating in the United States. Methods: Over 1100 English‐fluent adults (52.8% women) living in the United States were recruited for a cross‐sectional online survey about eating, COVID‐19 consequences, and stress experiences. Linear regressions examined associations between perceived stress on five eating measures, and individual differences in personal/work situations, perceptions, and adverse experiences during the pandemic. Results: Anxiety, worry, and stress over, rather than direct consequences of, COVID‐19 were most consistently associated with self‐reported increased eating. Largely, these fell into the stressor categories of environmental threat and social isolation, not recurring disruptions. Body mass index and current self‐reported eating pathology symptoms were also consistently associated with these outcomes. Conclusions: These correlational findings suggest specific stressors have pronounced influences on eating behavior of US adults. Remotely deliverable stress mitigation strategies should be explored to attenuate increased eating. [ABSTRACT FROM AUTHOR]

Objective: Theories on emotional eating are central to our understanding of etiology, maintenance, and treatment of binge eating. Yet, findings on eating changes under induced negative emotions in binge‐eating disorder (BED) are equivocal. Thus, we studied whether food‐cue reactivity is potentiated under negative emotions in BED, which would point toward a causal role of emotional eating in this disorder. Methods: Patients with BED (n = 24) and a control group without eating disorders (CG; n = 69) completed a food picture reactivity task after induction of negative versus neutral emotions. Food‐cue reactivity (self‐reported food pleasantness, desire to eat [DTE], and corrugator supercilii muscle response, electromyogram [EMG]) was measured for low‐ and high‐caloric food pictures. Results: Patients with BED showed emotion‐potentiated food‐cue reactivity compared to controls: Pleasantness and DTE ratings and EMG response were increased in BED during negative emotions. This was independent of caloric content of the images. Conclusions: Food‐cue reactivity in BED was consistent with emotional eating theories and points to a heightened response to all foods regardless of calorie content. The discrepancy of appetitive ratings with the aversive corrugator response points to ambivalent food responses under negative emotions in individuals with BED. [ABSTRACT FROM AUTHOR]

The use of phenol compounds obtained from unripe grapes as antioxidant sustainable food ingredients is challenging due to their specific sensory attributes, such as sourness and astringency. The aim was to evaluate sensory attributes perception and consumers' liking for beetroot purees added with phenols from unripe grapes. According to hedonic responses, consumer clusters were identified and characterized for eating behavioral attitudes. Three hundred two subjects (56% women, 18–60 years old) evaluated sweet, sour, astringency, and overall flavor intensity of and liking for four beetroot puree samples added with increasing phenols concentrations (0–1.93 g/kg). Results showed that liking decreased with increasing phenols. Interestingly, samples with highest phenols concentration, characterized by sourness, and astringency, were preferred by a segment of consumers (39% of the group). This group was characterized by a low food neophobia and tended to have high emotional eating scores compared to consumers preferring samples without or with the lowest amount of extract. These results suggest that the development of functional phenol‐enriched products using winemaking by‐products is challenging due to their sensory properties that negatively influence consumers' acceptance. However, with appropriate segmentation strategies it is possible to identify specific consumer targets who could appreciate these new functional foods. Practical Applications: Unripe grapes can be used as a sustainable phenol source for the development of new highly antioxidant foods. Indeed, an addition till 1.9 g/kg, besides improving both the nutritional content of the food matrices, as well as promoting the reuse of winemaking by‐products, could be considered feasible from a sensory point of view. Specifically, new sustainable plant‐based food product, characterized by specific sensory attributes, could be target for specific groups of consumers to foster the transition to the consumption of food products developed using value‐added and sustainable ingredients. [ABSTRACT FROM AUTHOR]

China was a major hotspot during the beginning of the COVID‐19 pandemic. Several studies have reported changes in residents' eating behaviors and appetite during city wide lockdowns and home confinements. However, few have investigated how neuroticism interacts with the impact of COVID‐19 to influence eating behaviors during city lockdowns. Thus, the current study aims to establish a pathway model to understand social media exposure, negative affect, neuroticism, and their interaction with eating behaviors during the COVID‐19 lockdowns. We present data from 1,128 participants (Mage = 24.34 ± 10.48 years) who completed an online survey between February 17 and 27, 2020. The extent of respondents' social media exposure, negative affect, eating behaviors, and desire for high‐calorie food during city lockdowns, as well as the personality trait of neuroticism, were measured. Results show that city lockdowns and home confinements had a negative impact on residents' eating behaviors and appetite. Forty‐eight percent of respondents showed moderate to constant emotional overeating, and respondents' desire for high‐calorie food significantly increased. Correlation analysis showed that emotional overeating is positively associated with social media exposure, neuroticism, and anxiety. Then, a moderated mediation model was established, showing that heavy social media exposure could lead to emotional overeating through anxiety, and the association between social media exposure and anxiety varies depending on the extent of neuroticism. The current study provides novel insight into how the interaction of a personality trait and the stressful situation of COVID‐19 influence people's negative emotions and eating behaviors. [ABSTRACT FROM AUTHOR]

Objective: This secondary analysis examined physical activity (PA) changes and their prognostic significance among Latinx patients with obesity, with and without binge eating disorder (BED), who participated in a randomized, placebo-controlled trial testing the addition of orlistat to behavioral weight-loss (BWL) treatment in a "real-world" clinical setting. Methods: In this randomized controlled trial at a community mental health center serving economically disadvantaged Spanish-speaking-only Latinx patients, 79 patients with obesity (40 with BED and 39 without BED) received BWL treatment and were randomized to orlistat or placebo. PA, weight, depression, and binge eating were assessed at baseline, posttreatment (end of treatment [4 months]), and the 6-month follow-up (10 months after baseline). Results: PA was low at baseline (9.3% categorized as "active"), increased during treatment (32.9% categorized as "active" at posttreatment), and declined from posttreatment to the 6-month follow-up (28.2% classified as "active"). At baseline, PA was lower among patients with BED than those without BED. Changes in PA during and after treatment did not differ by BED status or medication condition. PA change was associated with reduced depression but not weight loss. Conclusions: Latinx patients with obesity receiving BWL treatment achieved significant, albeit modest, increases in PA. Although PA changes were not associated with weight loss, they were associated with reduced depression. Identifying methods to increase PA further is necessary. [ABSTRACT FROM AUTHOR]

Objective: This study investigated whether brain regions involved in the regulation of food intake respond differently to glucose ingestion in children and adults and the relationship between brain responses and weight status. Methods: Data included 87 children (ages 7-11 years) and 94 adults (ages 18-35 years) from two cohorts. Healthy weight, overweight, and obesity were defined by Centers for Disease Control and Prevention criteria. Brain responses to glucose were determined by measuring cerebral blood flow using arterial spin labeling magnetic resonance imaging in brain regions involved in the regulation of eating behavior. Results: Children showed significantly larger increases in brain responses to glucose than adults in the dorsal striatum (p < 0.01), insula (p < 0.01), hippocampus (p < 0.01), and dorsal-lateral prefrontal cortex (p < 0.01). Responses to glucose in the dorsal striatum (odds ratio [OR] = 1.52, 95% CI 1.05-2.20; p = 0.03), hippocampus (OR = 1.51, 95% CI: 1.02-2.22; p = 0.04), insula (OR = 1.64, 95% CI: 1.11-2.42; p = 0.01), and orbitofrontal cortex (OR = 1.63 95% CI: 1.12-2.39; p = 0.01) were positively associated with overweight or obesity, independent of age group. Conclusions: Children have greater brain responses to glucose ingestion than adults in regions involved in eating behavior, and these responses are associated with weight status. [ABSTRACT FROM AUTHOR]

Objectives: Negative emotional eating and binge eating are positively related, occur in diverse populations, and may be driven by similar mechanisms. Mindfulness facets such as acting with awareness, describe, non‐judgement, non‐reactive, and observe may moderate the relationship between these maladaptive eating phenotypes. Method: A cross‐sectional study assessed emotional eating‐depression (Emotional Eating Scale‐Revised, depression subscale), trait mindfulness facets (Five Facet Mindfulness Questionnaire‐Short Form), and binge eating severity (Binge Eating Scale) in adults (N = 258). Results: Emotional eating‐depression was less strongly associated with binge eating severity in participants with higher acting with awareness mindfulness. Emotional eating‐depression was more strongly associated with binge eating severity in participants with higher non‐reactive mindfulness. Conclusions: Acting with awareness and non‐reactive mindfulness may be important treatment targets in concurrent presentations of emotional eating‐depression and binge eating. [ABSTRACT FROM AUTHOR]