Evidence mapPaperPMID 42017532Full record

ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2026

Glucose and Loss of Control Eating: Evidence From Naturalistic Assessment After Roux-en-Y Gastric Bypass.

Gail A Kerver, Kristine J Steffen, Debra L Safer, Glen Forester, David B Sarwer, Stephen A Wonderlich, Scott G Engel

Abstract read
In one paragraph

Article in European eating disorders review : the journal of the Eating Disorders Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Glucose and Loss of Control Eating: Evidence From Naturalistic Assessment After Roux-en-Y Gastric Bypass.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gail A KerverCenter for Biobehavioral Research, Sanford Research, Fargo, North Dakota, USA.ORCID https://orcid.org/0000-0001-7000-0450
Kristine J SteffenCenter for Biobehavioral Research, Sanford Research, Fargo, North Dakota, USA.
Debra L SaferDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.
Glen ForesterCenter for Biobehavioral Research, Sanford Research, Fargo, North Dakota, USA.
David B SarwerTemple University College of Public Health, Philadelphia, Pennsylvania, USA.
Stephen A WonderlichCenter for Biobehavioral Research, Sanford Research, Fargo, North Dakota, USA.ORCID https://orcid.org/0000-0002-0659-153X
Scott G EngelCenter for Biobehavioral Research, Sanford Research, Fargo, North Dakota, USA.

Funding

The Neurocognitive Reward Learning Mechanisms of Binge EatingP20GM134969 · SANFORD RESEARCH NORTH · 2025 to 2025
$2.2M
NIGMS NIH HHS P20 GM134969NIH HHS P20GM134969
6 · The paper itself

Abstract

objectiveWhile loss of control (LOC) eating is associated with poor outcomes following metabolic and bariatric surgery (MBS), the mechanisms driving it are less understood. This study used momentary, naturalistic data to examine glucose as a biological correlate of LOC eating after Roux-en-Y gastric bypass (RYGB).

methodParticipants (45 adults one-year post-RYGB) completed 10 days of ecological momentary assessment (EMA) while wearing a continuous glucose monitor (CGM). Eating episodes reported in EMA were time-matched to CGM readings 3 hours before and after eating episodes. Four CGM metrics (mean, variability, time in hyper- and hypo-glycaemia) were used in multilevel models to test whether glucose functioning was a significant antecedent and/or consequence of LOC eating.

resultsGreater mean glucose levels and variability each significantly predicted engagement in an eating episode, while more time spent in hyperglycemia predicted the absence of eating. Significantly higher mean glucose was observed after eating. No glucose metric specifically predicted engagement in LOC eating; however, LOC eating resulted in significantly greater glucose variability.

conclusionsGlucose level and variability predicted subsequent eating, but not LOC eating. However, LOC eating was associated with subsequent glucose variability, which might help explain how LOC eating is associated with poorer outcomes following RYGB.

Indexed as

Blood GlucoseFeeding BehaviorGastric BypassAdultContinuous Glucose MonitoringEcological Momentary AssessmentFemaleHumansMaleMiddle AgedBlood Glucosecontinuous glucose monitoring (CGM)ecological momentary assessment (EMA)loss of control (LOC) eatingmetabolic and bariatric surgery (MBS)Roux‐en‐Y gastric bypass (RYGB)

Identifiers

PMID42017532
PMCPMC13432522

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.