Evidence map›Paper›PMID 36245868›Full record

ArticleFrontiers in psychiatry2022

Low carbohydrate and psychoeducational programs show promise for the treatment of ultra-processed food addiction.

Jen Unwin, Christine Delon, Heidi Giæver, Clarissa Kennedy, Molly Painschab, Frida Sandin, Charlotte Schön Poulsen, David A Wiss

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05705063 (Impact of A Low-Carbohydrate, High-Fat, Ketogenic Diet on Obesity, Metabolic Abnormalities, and Psychiatric Symptoms on Patients With Bipolar Disorder), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
6.1field-weighted citation impact, top 3% 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.

NCT05705063 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Impact of A Low-Carbohydrate, High-Fat, Ketogenic Diet on Obesity, Metabolic Abnormalities, and Psychiatric Symptoms on Patients With Bipolar Disorder (BPD)

TypeinterventionalSponsorStanford UniversityRan2023 to 2024Enrolled30ConditionsBipolar Disorder I, Bipolar II Disorder, Bipolar I Disorder, Bipolar DisorderArmsLCHF Ketogenic Diet
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 32 citations in OpenAlex.

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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

8 authors at 4 institutions in 4 countries.

Jen UnwinPublic Health Collaboration, London, United Kingdom.
Christine DelonPublic Health Collaboration, London, United Kingdom.
Heidi GiæverPublic Health Collaboration, London, United Kingdom.
Clarissa KennedySweet Sobriety, Belgrade, MT, United States.
Molly PainschabSweet Sobriety, Belgrade, MT, United States.
Frida SandinLevasockerfri, Linkoping, Sweden.
Charlotte Schön PoulsenLevasockerfri, Linkoping, Sweden.
David A WissNutrition in Recovery LLC, Los Angeles, CA, United States.
Public Health England · GBLinköping University · SESobriety (Czechia) · CZNutrition 21 (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Food addiction, specifically ultra-processed food addiction, has been discussed in thousands of peer-reviewed publications. Although 20% of adults meet criteria for this condition, food addiction is not a recognized clinical diagnosis, leading to a dearth of tested treatment protocols and published outcome data. Growing numbers of clinicians are offering services to individuals on the basis that the food addiction construct has clinical utility. This audit reports on clinical teams across three locations offering a common approach to programs delivered online. Each team focused on a whole food low-carbohydrate approach along with delivering educational materials and psychosocial support relating to food addiction recovery. The programs involved weekly sessions for 10-14 weeks, followed by monthly support. The data comprised pre- and post- program outcomes relating to food addiction symptoms measured by the modified Yale Food Addiction Scale 2.0, ICD-10 symptoms of food related substance use disorder (CRAVED), mental wellbeing as measured by the short version of the Warwick Edinburgh Mental Wellbeing Scale, and body weight. Sample size across programs was 103 participants. Food addiction symptoms were significantly reduced across settings; mYFAS2 score -1.52 (95% CI: -2.22, -0.81), CRAVED score -1.53 (95% CI: -1.93, -1.13) and body weight was reduced -2.34 kg (95% CI: -4.02, -0.66). Mental wellbeing showed significant improvements across all settings; short version Warwick Edinburgh Mental Wellbeing Scale 2.37 (95% CI: 1.55, 3.19). Follow-up data will be published in due course. Further research is needed to evaluate and compare long-term interventions for this complex and increasingly burdensome biopsychosocial condition.

Indexed as

addictionketogenic dietslow-carbohydrate dietprocessed-foodsugar

Identifiers

PMID36245868
PMCPMC9554504
OpenAlexW4297546144

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 OpenQuestion graph.