Evidence map›Paper›PMID 39135219›Full record

ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2025

Investigating the structure of disordered eating symptoms in adult men: A network analysis.

R Leopold Eschrich, Georg Halbeisen, Sabine Steins-Loeber, Nina Timmesfeld, Georgios Paslakis

Abstract read
In one paragraph

Article in European eating disorders review : the journal of the Eating Disorders Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Higher and Lower Endorsement of Eating Disorder Symptoms Among Adolescents and Their Caregivers.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Muscularity Concerns and Disordered Eating Symptoms in Adult Women: A Network Analysis.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  14. Article
  15. Investigating the structure of disordered eating symptoms in adult men: A network analysis.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  16. Article
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

5 authors.

R Leopold EschrichUniversity Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr-University Bochum, Luebbecke, Germany.
Georg HalbeisenUniversity Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr-University Bochum, Luebbecke, Germany.ORCID 0000-0002-9529-2215
Sabine Steins-LoeberDepartment of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.
Nina TimmesfeldDepartment of Medical Informatics, Biometrics and Epidemiology, Ruhr-University Bochum, Bochum, Germany.
Georgios PaslakisUniversity Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr-University Bochum, Luebbecke, Germany.

Funding

Deutsche Gesellschaft für Essstörungen e.V
6 · The paper itself

Abstract

objectiveEating disorders (EDs) increasingly emerge as a health risk in men, but there is concern that men's symptoms go unnoticed due to stereotypical perceptions and gender-related differences in symptom presentation. Novel assessments focused particularly on attitudes and behaviours towards increasing muscle size and definition. Using network analysis, this study aimed to corroborate and extend previous findings on disordered eating presentation in men by examining the role of muscularity concerns among an extended range of disordered eating symptoms.

methodN = 294 adult men (18 years or older) completed muscularity-related and disordered eating assessments, among which we included assessments for orthorexic eating and Avoidant/Restrictive Food Intake Disorder for the first time. We selected symptoms empirically, estimated a regularised network, identified symptom communities, evaluated network loadings and bridge centrality estimates, and compared network structures between different groups of participants.

resultsWe identified five symptom communities related to muscularity-related concerns, features of core ED psychopathology, and selective eating. Symptoms regarding ruminating about healthy eating, guilt for unhealthy eating, weight overvaluation, concerns about muscularity, and selective eating emerged as highly central. DISCUSSION: The results largely corroborate previous observations but suggest that muscle-building behaviours are part of a broader cluster of male body shaping and rule-based dieting behaviours.

Indexed as

Feeding and Eating DisordersAdolescentAdultBody ImageFeeding BehaviorHumansMaleMiddle AgedSurveys and QuestionnairesYoung Adultdrive for muscularityeating disordersmenpsychotherapythinness ideal

Identifiers

PMID39135219
PMCPMC11617807

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.