Evidence map›Paper›PMID 41935337›Full record

ArticleJournal of eating disorders2026

Exploring the relationship between food insecurity, exercise addiction, and muscularity-oriented eating behavior: a moderated mediation analysis of muscle dysmorphia and resilience.

Siwahdol Chaimano, Krit Rudeejaroonrung, Chih-Ting Lee, Chung-Ying Lin, Carol Strong, Yee-How Say, Ai Kah Ng, Chin Xuan Tan, Poh Ying Lim, Bagas Suryo Bintoro and 2 more

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In one paragraph

Article in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Siwahdol ChaimanoDepartment of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Krit RudeejaroonrungDepartment of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chih-Ting LeeDepartment of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 138 Sheng-Li Road, Tainan, 704, Taiwan. christina.unicorn@gmail.com.
Chung-Ying LinInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Carol StrongDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Yee-How SayDepartment of Biological Sciences, School of Medicine and Life Sciences, Sunway University, Subang Jaya, Selangor, Malaysia.
Ai Kah NgDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Chin Xuan TanDepartment of Allied Health Sciences, Faculty of Science, Universiti Tunku Abdul Rahman, Kampar, Perak, Malaysia.
Poh Ying LimDepartment of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Bagas Suryo BintoroDepartment of Health Behaviour, Environment, and Social Medicine, Faculty of Medicine Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia.
Azizuddin KhanPsychophysiology Laboratory, Department of Humanities and Social Sciences, Indian Institute of Technology Bombay, Mumbai, India.
Meng-Che TsaiDepartment of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. mengchets@gs.ncku.edu.tw.

Funding

National Cheng Kung University Hospital NCKUH-11202018National Cheng Kung University Hospital NCKUH-11510001National Science and Technology Council 113-2314-B-006 -076
6 · The paper itself

Abstract

backgroundEvidence suggests that food insecurity (FI) is associated with body image concerns (e.g., muscle dysmorphia; MD), behavioral addictions, and disordered eating behaviors. This study aimed to investigate whether MD mediates the association between FI and risks of exercise addiction (EA) and muscularity-oriented eating (MOE), focusing on the moderating role of resilience.

methodsA total of 1,500 young Taiwanese young adults (Mage = 22.2 years, 38.3% males) completed the online survey. Structural equation modeling was used to examine the relationships among the variables of interest. The significance of the moderated mediation model was assessed using bootstrapping.

resultsResults found that FI was indirectly associated with increased risks of EA (β = 0.431, [0.312, 0.563]) and MOE (β = 2.3, [1.707, 2.887]) through MD. A gender difference was noted, as FI was more strongly associated with the risk of MOE in males and EA in females. Furthermore, resilience moderated the meditation relationship linking FI to EA (index of moderated mediation = 0.066, [0.032, 0.105]) and MOE (index of moderated mediation = 0.341, [0.163, 0.528]).

conclusionsFI is potentially associated with behavioral addiction and disordered eating psychopathology through body image concerns. Strengthening resilience may help attenuate these adverse effects in young adults with food security issues.

Indexed as

Exercise addictionFood insecurityMuscle dysmorphiaMuscularity-oriented eatingResilience

Identifiers

PMID41935337
PMCPMC13188828

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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.