Evidence map›Paper›PMID 42310783›Full record

ReviewJournal of eating disorders2026

Unpacking weight management interventions measuring eating disorder risk in adults: coding of components of interventions in a systematic review.

Natalie B Lister, Rabia Khalid, Isabelle R Jardine, Samantha Pryde, Hannah Melville, Anna L Seidler, Kylie E Hunter, Amy L Ahern, Louise A Baur, Caroline Braet and 46 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

56 authors.

Natalie B ListerThe Children's Hospital Westmead Clinical School, The University of Sydney, Sydney, Australia. Natalie.Lister@sydney.edu.au.
Rabia KhalidThe Children's Hospital Westmead Clinical School, The University of Sydney, Sydney, Australia.
Isabelle R JardineThe Children's Hospital Westmead Clinical School, The University of Sydney, Sydney, Australia.
Samantha PrydeCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Hannah MelvilleThe Children's Hospital Westmead Clinical School, The University of Sydney, Sydney, Australia.
Anna L SeidlerNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, Australia.
Kylie E HunterNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, Australia.
Amy L AhernMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Louise A BaurThe Children's Hospital Westmead Clinical School, The University of Sydney, Sydney, Australia.
Caroline BraetDepartment of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium.
Sarah P GarnettThe Children's Hospital Westmead Clinical School, The University of Sydney, Sydney, Australia.
Andrew J HillLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Sarah MaguireInsideOut Institute for Eating Disorders, Boden Collaboration for Obesity, Nutrition and Eating Disorders, Charles Perkins Centre, The University of Sydney, Sydney, Australia.
Dasha NichollsDivision of Psychiatry, Imperial College London, London, UK.
Susan J PaxtonSchool of Psychology and Public Health, La Trobe University, Melbourne, Australia.
Milan K PiyaSchool of Medicine, Western Sydney University, Campbelltown, Australia.
Amanda SainsburySchool of Human Sciences, University of Western Australia, Perth, Australia.
Katharine SteinbeckLifetime Associate, Childrens Hospital at Westmead, Sydney, Australia.
Denise E WilfleySchool of Medicine, Washington University in St. Louis, St Louis, USA.
Kelly CooperWeight Issues Network, Sydney, Australia.
Genevieve DammeryInsideOut Institute for Eating Disorders, Boden Collaboration for Obesity, Nutrition and Eating Disorders, Charles Perkins Centre, The University of Sydney, Sydney, Australia.
Alicia M GrunseitDepartment of Nutrition and Dietetics, Childrens Hospital at Westmead, Sydney, Australia.
Faith Anne N HeerenDepartment of Implementation Science, School of Medicine, Wake Forest University, Winston-Salem, USA.
Rebecca A JonesMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Theodore K KyleConscienHealth, Pittsburgh, USA.
Fiona QuigleyInstitute of Nursing and Health Research, School of Communication and Media, Ulster University, Belfast, UK.
Molly RobbinsCollege of Psychology, Nova Southeastern University, Fort Lauderdale, USA.
Aviva H Ariel-DongesReciprocity Health, Wilmington, USA.
Rachel D BarnesMedical School, University of Minnesota, Minneapolis, USA.
Kristine BeaulieuSchool of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Kerri N BoutelleDepartment of Pediatrics, University of California San Diego, San Diego, USA.
Simona CalugiDepartment of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy.
Kelly M CarpenterCenter for Wellbeing Research, RVO Health, Seattle, USA.
Hoi Lun ChengFaculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Riccardo Dalle GraveDepartment of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy.
Marcelo DemarzoMente Aberta-The Brazilian Center for Mindfulness and Health Promotion, Federal University of São Paulo, São Paulo, Brazil.
Dawn M EichenDepartment of Pediatrics, University of California San Diego, San Diego, USA.
Erin L GlynnNuchi Health LLC, Salt Lake City, USA.
Katrijn HoubenDepartment of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands.
Corby K MartinIngestive Behavior, Weight Management & Health Promotion Laboratory, Pennington Biomedical Research Center, Baton Rouge, USA.
Janell L MensingerDepartment of Clinical and School Psychology, Nova Southeastern University, Fort Lauderdale, USA.
Jayanthi RamanSchool of Psychological Sciences, University of Newcastle, Callaghan, Australia.
Kristin M von RansonDepartment of Psychology, University of Calgary, Calgary, Canada.
Hollie A RaynorDepartment of Nutrition, University of Tennessee, Knoxville, USA.
Elizabeth RiegerSchool of Medicine and Psychology, Australian National University, Canberra, Australia.
Eric RobinsonDepartment of Psychology, University of Liverpool, Liverpool, UK.
Vera SalvoMente Aberta-The Brazilian Center for Mindfulness and Health Promotion, Federal University of São Paulo, São Paulo, Brazil.
Nancy E SherwoodDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, USA.
Sharon A SimpsonMedical Research Council/Chief Scientist Office, Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Evelyn SmithSchool of Psychology, Western Sydney University, Sydney, Australia.
Rachael W TaylorDepartment of Medicine, University of Otago, Dunedin, New Zealand.
Krista A VaradyDepartment of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, USA.
Victoria WhitelockEvidence and Implementation Department, Cancer Research UK, London, UK.
Brittany J Johnson *National Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, Australia.
Hiba Jebeile *The Children's Hospital Westmead Clinical School, The University of Sydney, Sydney, Australia.
EDIT Collaboration

Funding

National Health and Medical Research Council #2002310National Health and Medical Research Council #2009035National Health and Medical Research Council #2009432
6 · The paper itself

Abstract

introductionAdult weight management interventions are complex; better understanding of the intervention components that may impact eating disorder (ED) risk is required.

methodsWeight management randomized controlled trials (RCTs) for adults with overweight/obesity that measured ED risk were systematically searched in four databases and two trial registries. A project-specific codebook was used to code 84 delivery features and 89 intervention strategies of trials. Individual strategies were grouped into 20 clusters which were further grouped into five broad categories. Trial investigators verified coding and narrative synthesis using descriptive statistics of findings was reported.

resultsOf 14,880 identified, 58 eligible trials were coded, of which 26 trials with 64 intervention arms were verified and therefore included. Intervention arms included a mean (SD) of 24 (11) intervention strategies. Commonly used intervention strategy clusters were nutrition education (91%), dietary behavior change strategies (84%), physical activity education (81%), and dietary self-monitoring (80%). Few interventions used strategies in the category of psychological components (13-41%). The median (range) intervention duration was 27 (4-104) weeks, and contacts with participants typically included a staged approach of weekly to monthly contact.

conclusionAdult weight management interventions are multifactorial with varying delivery features and intervention strategies. Despite this, psychological (e.g. weight stigma) and sleep-health related strategies are either rarely used or are underreported. Breaking down intervention components using our framework can help identify which strategies influence outcomes, including eating disorder risk, and inform the design and reporting of future interventions. Some adults seeking weight management for obesity may have an eating disorder or disordered eating behaviors. Research shows most people who take part in behavioral weight management programs have an improvement in eating disorder symptoms, however a small number may experience worsening symptoms. In this study, we break down behavioral weight management programs that measure eating disorder risk to better understand the features they use. We found that these programs vary widely in the number and type of strategies they use, as well as in how they are delivered, such as the length of the program. Strategies that focus on psychological factors (for example, addressing weight stigma) and sleep health were rarely used or reported. These findings are useful in guiding the design and reporting of future behavioral weight management programs. They can also be used in future research to determine which specific program features improve or worsen outcomes such as eating disorder risk.

Indexed as

Behavior change techniquesDisordered eatingObesityObesity treatmentOverweight

Identifiers

PMID42310783
PMCPMC13520360

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.