Evidence map›Paper›PMID 32951131›Full record

ArticleEating and weight disorders : EWD2021

An empirical examination of appetite hormones and cognitive and behavioral bulimic symptomatology.

Emily K Presseller, Kelsey E Clark, Caroline Fojtu, Adrienne S Juarascio

Open access · greenAbstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 34% of its field
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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Bulimia nervosa.Nature reviews. Disease primers · 2026
    Review
  2. 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

4 authors at 1 institution in 1 country.

Emily K PressellerCenter for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, 19104, USA. emily.k.presseller@drexel.edu.ORCID http://orcid.org/0000-0001-6854-1207
Kelsey E ClarkCenter for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, 19104, USA.
Caroline FojtuCenter for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, 19104, USA.
Adrienne S JuarascioCenter for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, 19104, USA.
Drexel University · US

Funding

Addressing Weight History to Improve Behavioral Treatments for Bulimia NervosaK23MH105680 · NIMH · DREXEL UNIVERSITY · PI JUARASCIO, ADRIENNE SARAH · 2015 to 2018
$644k
NIMH NIH HHS K23 MH105680NIMH NIH HHS K23MH105680
6 · The paper itself

Abstract

purposeExisting literature has demonstrated that appetite hormones are frequently dysregulated in individuals with bulimic-spectrum eating disorders (BN-EDs). Although dysregulations in appetite hormones may maintain BN-EDs, very limited research has examined the association between dysregulated appetite hormones and cognitive and behavioral bulimic symptoms. We hypothesized that greater frequency of behavioral symptoms and severity of cognitive symptoms of BN-EDs would correlate with greater dysregulation in appetite hormones.

methodsThe association between ghrelin, cortisol, leptin, GLP-1, and amylin levels and eating pathology was examined in treatment-seeking adults with BN-EDs (N = 33). Participants completed bloodwork to assess fasting blood hormone levels and bulimic symptoms were measured by the Eating Disorder Examination. Pearson partial correlations were run to examine the association between hormone levels and eating pathology, controlling for BMI.

resultsContrary to hypotheses, none of the appetite hormones tested were significantly associated with frequency of behavioral ED symptoms (p range = 0.13-0.97, negligible to small effect sizes). Global eating pathology was positively associated with leptin (p = 0.03) and negatively associated with GLP-1 (p = 0.03) and amylin (p = 0.04), with medium effect sizes. Post hoc analyses indicated significantly stronger associations between appetite hormones and cognitive eating pathology than between appetite hormones and frequency of binge eating [GLP-1 (p = 0.02) and amylin (p = 0.02)] or compensatory behaviors [leptin (p = 0.03), GLP-1 (p = 0.02), and amylin (p = 0.04)].

conclusionIn individuals with BN-EDs, appetite hormones may be more strongly associated with cognitive symptoms than behavioral symptoms. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.

Indexed as

Binge-Eating DisorderBulimiaBulimia NervosaAdultAppetiteCognitionCross-Sectional StudiesHumansAppetite hormonesBinge eatingBulimia nervosaNeuroendocrinology

Identifiers

PMID32951131
PMCPMC8095371
OpenAlexW3087579670

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.