Evidence map›Paper›PMID 42254632›Full record

ArticleFrontiers in public health2026

Changes in binge eating symptoms following an online community-based ultra-processed food addiction intervention: Liberate.

Ellen Bennett, Erin L Bellamy, Deborah Lycett, Jen Unwin, Maxine Whelan, David A Wiss, Riya Patel

Abstract read
In one paragraph

Article in Frontiers in public health, 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. Review
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.

Ellen BennettCoventry University, Coventry, United Kingdom.
Erin L BellamyUniversity of East London, London, United Kingdom.
Deborah LycettCoventry University, Coventry, United Kingdom.
Jen UnwinPublic Health Collaboration, London, United Kingdom.
Maxine WhelanCoventry University, Coventry, United Kingdom.
David A WissNutrition in Recovery, Los Angeles, CA, United States.
Riya PatelUniversity of Leicester, Leicester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Binge Eating Disorder (BED) is the most prevalent eating disorder worldwide and is associated with significant psychological distress, metabolic risk, and high relapse rates. Standard treatments such as Cognitive Behavioural Therapy and pharmacotherapy offer modest long-term efficacy. Increasing evidence links binge eating behaviours with consumption of ultra-processed foods (UPFs), industrial formulations engineered for hyper-palatability that can activate dopaminergic reward pathways in ways similar to addictive substances. The construct of ultra-processed food addiction (UPFA) provides a conceptual framework for understanding this overlap and exploring addiction-informed treatment models. Objective: To evaluate changes in binge eating symptom severity following participation in Liberate, an online, community-based psychoeducational intervention integrating addiction-informed principles with an abstinent, real-food, low-carbohydrate dietary approach. Methods: This secondary analysis pooled data from two cohorts of adults ( Results: Mean BES scores significantly decreased from 26.5 (95% CI 24.9-28.1) at baseline to 18.0 (95% CI 16.1-20.0; Conclusion: Participation in an addiction-informed, real food, psychoeducational intervention was associated with significant reductions in binge eating symptoms which were largely maintained over 6 months, with no evidence of worsening. These findings challenge assumptions that carbohydrate reduction exacerbates disordered eating and suggest that abstinence-based dietary strategies, when embedded within a psychologically supportive framework, may be beneficial for some individuals with BED and UPFA. Controlled trials are warranted to establish efficacy and inform clinical guidelines.

Indexed as

Binge-Eating DisorderBulimiaFood AddictionAdultFemaleFood, ProcessedHumansInternetMaleMiddle Agedabstinencebehavioural changeBinge Eating Disorderbinge eating scalefood addictionlow-carbohydrate dietrelapse preventionultra-processed food addiction

Identifiers

PMID42254632
PMCPMC13233493

What Socratic holds

Textmetadata
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.