Evidence mapPaperPMID 42382664Full record

ArticleObesity pillars2026

Phenotype tailored lifestyle intervention for weight management in individuals with emotional eating: A secondary analysis of the PHENO-Diet trial.

Diego Anazco, Afton Koball, Lizeth Cifuentes, Jose Villamarin, Jamie Friend, Sima Fansa, Maria A Espinosa, Thomas M Rieck, Karen Grothe, Michael Camilleri and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Obesity pillars, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04073394 ("Mayo Clinic Diet" Individualized Lifestyle Intervention for Obesity Management Based on Obesity Phenotypes), which is not on this 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.

NCT04073394 nacompletednot on this map

"Mayo Clinic Diet" Individualized Lifestyle Intervention for Obesity Management Based on Obesity Phenotypes (PHENO-Diet Trial)

TypeinterventionalSponsorMayo ClinicRan2020 to 2022Enrolled215ConditionsObesityArmsStandard Lifestyle Intervention, Modified Lifestyle Intervention
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

14 authors.

Diego AnazcoPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Afton KoballDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Lizeth CifuentesPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Jose VillamarinPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Jamie FriendHealthy Living Program, Integrative Medicine and Health, Mayo Clinic, Rochester, MN, USA.
Sima FansaPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Maria A EspinosaPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Thomas M RieckHealthy Living Program, Integrative Medicine and Health, Mayo Clinic, Rochester, MN, USA.
Karen GrotheDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Michael CamilleriPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Maria D HurtadoPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Andres AcostaPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Matthew M ClarkPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Donald D HensrudPrecision Medicine for Obesity Program, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In a proof-of-concept trial, a phenotype tailored lifestyle intervention (PLI) led to greater weight loss than a standardized lifestyle intervention (SLI). This secondary analysis evaluated the effect of the PLI for individuals with an emotional eating phenotype (EE) on weight loss outcomes, eating behaviors and mood. Methods: This original clinical research article is a secondary analysis of a 12-week, non-randomized, date-of-treatment trial in which adults with obesity underwent phenotyping and were assigned sequentially to either a PLI (N = 84) or a SLI (N = 81). The EE phenotype was defined as a HADS-A (Hospital Anxiety and Depression Scale for Anxiety) score ≥7. Weight loss outcome and changes in eating behaviors and mood were evaluated among participants with EE assigned to an SLI (n = 19) or a PLI (n = 26). Results: Participants with EE assigned to the PLI achieved greater weight loss at 12-weeks compared with those assigned to the SLI (-5.9% ± 4.4 vs. -2.6% ± 4.8; p = 0.02). Participants with EE assigned to the PLI demonstrated reduced HADS-A and HADS-D scores, and the Three-Factor Eating Questionnaire Emotional Eating subscale (TFEQ-EE), while those assigned to the SLI had minimal or no improvements after 12-weeks. Among participants with EE assigned to the PLI, Higher HADS-A scores and lower scores in the Weight Efficacy Lifestyle questionnaire (WEL) negative emotions subscale and TFEQ-EE at baseline were associated with greater weight loss at 12-weeks. (NCT04073394). Conclusion: These findings support tailoring behavioral weight-loss interventions for adults with obesity and EE. Larger randomized studies with longer follow-up are needed to further refine phenotype-based approaches.

Indexed as

Emotional eatingLifestyle interventionPhenotypesPrecision medicine

Identifiers

PMID42382664
PMCPMC13315899

What Socratic holds

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Registered trials

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.