PMID- 36947261
OWN - NLM
STAT- MEDLINE
DCOM- 20230324
LR  - 20230328
IS  - 1590-1262 (Electronic)
IS  - 1124-4909 (Print)
IS  - 1124-4909 (Linking)
VI  - 28
IP  - 1
DP  - 2023 Mar 22
TI  - Improvement in binge eating and alexithymia predicts weight loss at 9-month 
      follow-up of the lifestyle modification program.
PG  - 30
LID - 10.1007/s40519-023-01560-5 [doi]
LID - 30
AB  - PURPOSE: The aim of this longitudinal study was to examine the extent to which 
      improved levels of binge eating (BE) behaviors, alexithymia, self-esteem, and 
      psychological distress would predict a reduction in body mass at 9-month 
      follow-up, following a lifestyle modification program for weight loss in obese or 
      overweight patients. METHODS: A convenience sample of 120 obese or overweight 
      patients were recruited. Body mass index (BMI), binge eating (BES), levels of 
      alexithymia (TAS-20), perceived stress (PSS), depressive symptoms (SDS), and 
      self-esteem (RSE) were assessed during their first medical examination (T1), and 
      after a weight-loss treatment period of 9 months (T2). RESULTS: Compared with 
      unimproved patients, improved patients reported a significant decrease in binge 
      eating (p = 0.04) and perceived stress symptoms (p = 0.03), and a significant 
      improvement in self-esteem (p = 0.02) over time. After controlling for gender, 
      self-esteem, depressive symptoms, and perceived stress, baseline BMI (OR = 1.11, 
      95% CI  [1.04,1.19]), DeltaBES (OR = 0.99, 95% CI  [0.98,0.99]), and DeltaTAS-20 
      (OR = 1.03, 95% CI  [1.01,1.05]) significantly and independently predicted a >/= 5% 
      reduction in body mass from baseline. CONCLUSIONS: Our finding supports the 
      suggestion to consider psychological outcomes such as emotional aspects and 
      dysfunctional eating behaviors when planning a weight loss programs to prevent a 
      negative outcome. LEVEL OF EVIDENCE:  Level III, case-control analytic study.
CI  - (c) 2023. The Author(s).
FAU - Conti, Chiara
AU  - Conti C
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
FAU - Di Nardo, Maria
AU  - Di Nardo M
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
FAU - Lanzara, Roberta
AU  - Lanzara R
AUID- ORCID: 0000-0001-8159-5218
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy. roberta.lanzara@uniroma1.it.
FAU - Guagnano, Maria Teresa
AU  - Guagnano MT
AD  - Department of Medicine and Aging, University "G. d'Annunzio" Chieti-Pescara, 
      Chieti, Italy.
FAU - Cardi, Valentina
AU  - Cardi V
AD  - Section of Eating Disorders, Department of Psychological Medicine, Institute of 
      Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
AD  - Department of General Psychology, University of Padova, Padua, Italy.
FAU - Porcelli, Piero
AU  - Porcelli P
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
LA  - eng
PT  - Journal Article
DEP - 20230322
PL  - Germany
TA  - Eat Weight Disord
JT  - Eating and weight disorders : EWD
JID - 9707113
SB  - IM
MH  - Humans
MH  - *Binge-Eating Disorder/therapy/psychology
MH  - Overweight
MH  - Follow-Up Studies
MH  - Affective Symptoms/therapy
MH  - Longitudinal Studies
MH  - Obesity/therapy/psychology
MH  - *Bulimia/therapy
MH  - Weight Loss
MH  - Life Style
PMC - PMC10033561
OTO - NOTNLM
OT  - Alexithymia
OT  - Binge eating
OT  - Emotional distress
OT  - Lifestyle intervention
OT  - Obesity
OT  - Self-esteem
COIS- The authors did not receive support from any organization for the submitted work. 
      the authors have no relevant financial or non-financial interests to disclose.
EDAT- 2023/03/23 06:00
MHDA- 2023/03/25 06:00
PMCR- 2023/03/22
CRDT- 2023/03/22 12:17
PHST- 2022/07/26 00:00 [received]
PHST- 2022/11/25 00:00 [accepted]
PHST- 2023/03/22 12:17 [entrez]
PHST- 2023/03/23 06:00 [pubmed]
PHST- 2023/03/25 06:00 [medline]
PHST- 2023/03/22 00:00 [pmc-release]
AID - 10.1007/s40519-023-01560-5 [pii]
AID - 1560 [pii]
AID - 10.1007/s40519-023-01560-5 [doi]
PST - epublish
SO  - Eat Weight Disord. 2023 Mar 22;28(1):30. doi: 10.1007/s40519-023-01560-5.