Evidence map›Paper›PMID 40198107›Full record

ArticleJMIR research protocols2025

Examining Weight Suppression, Leptin Levels, Glucagon-Like Peptide 1 Response, and Reward-Related Constructs in Severity and Maintenance of Bulimic Syndromes: Protocol and Sample Characteristics for a Cross-Sectional and Longitudinal Study.

Pamela K Keel, Lindsay P Bodell, Sarrah I Ali, Austin Starkey, Jenna Trotta, J Woody Luxama, Chloé Halfhide, Naomi G Hill, Jonathan Appelbaum, Diana L Williams

Abstract read
In one paragraph

Article in JMIR research protocols, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Pamela K KeelDepartment of Psychology, Florida State University, Tallahassee, FL, United States.ORCID 0000-0001-6542-5147
Lindsay P BodellDepartment of Psychology, Western University, London, ON, Canada.ORCID 0000-0001-8346-7762
Sarrah I AliDepartment of Psychology, Florida State University, Tallahassee, FL, United States.ORCID 0000-0002-1459-7472
Austin StarkeyDepartment of Psychology, Louisiana State University, Baton Rouge, LA, United States.ORCID 0009-0001-6440-6363
Jenna TrottaDepartment of Psychology, Florida State University, Tallahassee, FL, United States.ORCID 0009-0001-7956-1841
J Woody LuxamaCollege of Medicine, University of Central Florida, Orlando, FL, United States.ORCID 0009-0001-4166-1716
Chloé HalfhidePrecisionary Instruments, Ashland, MA, United States.ORCID 0000-0003-1226-3310
Naomi G HillDepartment of Psychology, Ohio University, Athens, OH, United States.ORCID 0000-0002-6955-1746
Jonathan AppelbaumCollege of Medicine, Florida State University, Tallahassee, FL, United States.ORCID 0000-0002-4604-7491
Diana L WilliamsKravis Department of Integrated Sciences, Claremont McKenna College, Claremont, CA, United States.ORCID 0000-0002-3548-7440

Funding

Biobehavioral Prediction of Illness Trajectory in Bulimic SyndromesR01MH111263 · NIMH · FLORIDA STATE UNIVERSITY · PI KEEL, PAMELA K. · 2016 to 2020
$2.1M
NIMH NIH HHS R01 MH111263
6 · The paper itself

Abstract

backgroundBulimia nervosa and related syndromes (BN-S) characterized by binge eating vary considerably in illness severity and course. Using the Research Domain Criteria framework of the National Institute of Mental Health, we developed a model positing that the same set of physiological consequences of weight suppression (WS; defined as the difference between the highest and current adult body weight) contribute to binge-eating severity and maintenance by (1) increasing the drive or motivation to consume food (reward valuation effort [RVE]) and (2) decreasing the ability for food consumption to lead to a state of satiation or satisfaction (reward satiation).

objectiveOur funded project aimed to test concurrent associations among WS, physiological factors (leptin concentrations and postprandial glucagon-like peptide 1 [GLP-1] response), behavioral indicators of RVE (breakpoint on progressive ratio tasks) and reward satiation (ad-lib test meal intake), self-report of these core constructs, and binge-eating severity in BN-S (aim 1); test prospective associations to determine whether WS predicts BN-S maintenance in longitudinal models and whether posited mediators also predict BN-S maintenance (aim 2); and determine whether associations between WS and BN-S severity and maintenance are mediated by alterations in leptin levels, GLP-1 response, RVE, and reward satiation (aim 3).

methodsWe aimed to recruit a sample of 320 women with BN-S or noneating disorder controls, with BMI from 16 kg/m

resultsData collection began in November 2016 and ended in April 2023, pausing in-person data collection from March 2020 to February 2021 due to the COVID-19 pandemic. Of 399 eligible women enrolled, 290 (72.7%) provided clinical, behavioral, and biological data at baseline, and 249 (62.4%) provided follow-up data. Measures demonstrated strong psychometric properties.

conclusionsWe seek to identify biobehavioral predictors to inform treatments that target key factors influencing the severity and course of binge eating. These data, supported solely through federal funding, can inform questions emerging from recent interest and controversy surrounding the use of GLP-1 agonists for binge eating. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/66554.

Indexed as

BulimiaBulimia NervosaGlucagon-Like Peptide 1LeptinRewardAdultCross-Sectional StudiesFemaleHumansLongitudinal StudiesSatiationSeverity of Illness IndexWeight LossYoung AdultGlucagon-Like Peptide 1Leptinbehaviorbinge eatingglucagon-like peptide 1insulinleptinlongitudinalResearch Domain Criteriarewardsatiationweight suppression

Identifiers

PMID40198107
PMCPMC12015349

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.