Evidence map›Paper›PMID 28984076›Full record

Trial reportObesity (Silver Spring, Md.)2017

Patterns of Eating Disorder Pathology are Associated with Weight Change in Family-Based Behavioral Obesity Treatment.

Katherine N Balantekin, Jacqueline F Hayes, Daniel H Sheinbein, Rachel P Kolko, Richard I Stein, Brian E Saelens, Kelly Theim Hurst, R Robinson Welch, Michael G Perri, Kenneth B Schechtman and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Clinically effective child change in family-based behavioral treatment for pediatric obesity: An individual participant mega-analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Change in eating disorder symptoms following pediatric obesity treatment.The International journal of eating disorders · 2019
    Trial
  9. Article
  10. Article
  11. Evidence Base Update on Behavioral Treatments for Overweight and Obesity in Children and Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Pathways to eating in children and adolescents with obesity.International journal of obesity (2005) · 2019
    Article
  20. Precision medicine in adult and pediatric obesity: a clinical perspective.Therapeutic advances in endocrinology and metabolism · 2019
    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

12 authors.

Katherine N BalantekinDepartment of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York, USA.ORCID 0000-0002-6760-2714
Jacqueline F HayesDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA.
Daniel H SheinbeinDepartment of Internal Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
Rachel P KolkoDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Richard I SteinDepartment of Internal Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
Brian E SaelensSeattle Children's Research Institute and the University of Washington, Seattle, Washington, USA.
Kelly Theim HurstNational Center for Weight and Wellness, Washington, DC, USA.
R Robinson WelchDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA.
Michael G PerriDepartment of Clinical and Health Professions, University of Florida, Gainesville, Florida, USA.
Kenneth B SchechtmanDepartment of Biostatistics, Washington University in St. Louis, St. Louis, Missouri, USA.
Leonard H EpsteinDepartment of Pediatrics, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
Denise E WilfleyDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
Washington University Institute of Clinical and Translational Sciences (KL2)KL2RR024994 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$8.6M
CHILDHOOD OBESITY TREATMENT: A MAINTENANCE APPROACHR01HD036904 · NICHD · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 1999 to 2010
$6.8M
WUSTL Transdisciplinary Pre- and Postdoctoral Training Program in Obesity and Cardiovascular DiseaseT32HL130357 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2016 to 2025
$4.3M
NUTRITION-BEHAVIORAL CARDIOVASCULAR DISEASE PREVENTIONT32HL007456 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 1985 to 2014
$2.9M
Clinical Research in Eating Disorders and ObesityK24MH070446 · NIMH · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2004 to 2013
$1.4M
NCATS NIH HHS UL1 TR002345NCRR NIH HHS KL2 RR024994NHLBI NIH HHS T32 HL007456NHLBI NIH HHS T32 HL130357NICHD NIH HHS R01 HD036904NIMH NIH HHS K24 MH070446
6 · The paper itself

Abstract

objectiveChildren with overweight or obesity have elevated eating disorder (ED) pathology, which may increase their risk for clinical EDs. The current study identified patterns of ED pathology in children with overweight or obesity entering family-based behavioral weight loss treatment (FBT) and examined whether children with distinct patterns differed in their ED pathology and BMI z score (zBMI) change across FBT.

methodsBefore participating in a 16-session FBT, children (N = 241) completed surveys or interviews assessing ED pathology (emotional eating, shape/weight/eating concerns, restraint, and loss of control [LOC]). Shape and weight concerns (SWC) and LOC were also assessed post treatment. Child height and weight were measured at baseline and post treatment. Latent class analysis identified patterns of ED pathology. Repeated-measures ANOVA examined changes in zBMI and ED pathology.

resultsFour patterns of ED pathology were identified: low ED pathology, SWC, only loss of control, and high ED pathology. SWC decreased across treatment, with the highest decreases in patterns characterized by high SWC. All groups experienced significant decreases in zBMI; however, children with the highest ED pathology did not achieve clinically significant weight loss.

conclusionsED pathology decreased after FBT, decreasing ED risk. While all children achieved zBMI reductions, further research is needed to enhance outcomes for children with high ED pathology.

Indexed as

Behavior TherapyChildFeeding and Eating DisordersFemaleHumansMaleObesity

Identifiers

PMID28984076
PMCPMC5705531

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.