Evidence map›Paper›PMID 42240841›Full record

ArticleEating and weight disorders : EWD2026

Dietary restraint, binge eating and adherence to an adolescent intensive behavioural weight management intervention: a Fast Track to Health sub-study.

Eve T House, Natalie B Lister, Louise A Baur, Sarah P Garnett, Megan L Gow, Cathy Kwok, Hiba Jebeile, Fast Track to Health study team

Abstract read
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In one paragraph

Article in Eating and weight disorders : EWD, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Eve T HouseSydney Medical School, The University of Sydney, Westmead, NSW, Australia. eve.house@sydney.edu.au.ORCID http://orcid.org/0000-0002-6953-4786
Natalie B ListerSydney Medical School, The University of Sydney, Westmead, NSW, Australia.ORCID http://orcid.org/0000-0002-9148-8632
Louise A BaurSydney Medical School, The University of Sydney, Westmead, NSW, Australia.ORCID http://orcid.org/0000-0002-4521-9482
Sarah P GarnettSydney Medical School, The University of Sydney, Westmead, NSW, Australia.ORCID http://orcid.org/0000-0001-7552-0789
Megan L GowThe George Institute for Global Health, UNSW Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-9574-6248
Cathy KwokSydney Medical School, The University of Sydney, Westmead, NSW, Australia.ORCID http://orcid.org/0000-0003-0387-1058
Hiba JebeileSydney Medical School, The University of Sydney, Westmead, NSW, Australia.ORCID http://orcid.org/0000-0002-8623-6174
Fast Track to Health study team

Funding

National Health and Medical Research Council 1128317
6 · The paper itself

Abstract

purposeDietary restraint often increases or remains unchanged following adolescent weight management interventions. It is unknown whether dietary restraint change in such interventions is associated with binge eating risk or intervention adherence. This study examined associations between (1) dietary restraint, measured using the Eating Disorder Examination Questionnaire (EDE-Q) and Dutch Eating Behaviour Questionnaire (DEBQ); (2) changes in dietary restraint and binge eating; and (3) changes in dietary restraint, anthropometry, and adherence throughout a weight management intervention.

methodsSecondary data analysis of a clinical trial of behavioural weight management interventions involving adolescents (13-17 years) with obesity and related complications. Associations between dietary restraint, binge eating, and BMI z-score were examined using Pearson or Spearman's rank correlation. Differences in dietary restraint change between adherers and non-adherers were examined by independent samples t-tests or Mann-Whitney U tests.

results141 adolescents (14.8 years, 49.6% female) were recruited; 136 had baseline, 130 week-4, 120 week-16, and 92 week-52 data included in analyses. EDE-Q and DEBQ restraint scores were correlated at all timepoints (r = 0.442-0.579, all p < 0.001). Changes in dietary restraint and binge eating from baseline to week-4 and week-16 were not correlated. Week-52 change in DEBQ dietary restraint was associated with change in binge eating (r = 0.347, p < 0.001). Correlations between changes in dietary restraint and BMI z-score and differences in change in dietary restraint between adherers and non-adherers were not significant.

conclusionThe findings do not provide robust evidence of dietary restraint as a marker of adherence or binge eating risk during a behavioural weight management intervention. LEVEL OF EVIDENCE: Level III: Evidence obtained from well-designed cohort or case-control analytic studies.

Indexed as

Behavior TherapyBulimiaFeeding BehaviorPatient ComplianceWeight Reduction ProgramsAdolescentBody Mass IndexDiet, ReducingFemaleHumansMaleObesitySurveys and QuestionnairesAdolescentDietary interventionDietary restraintDietingObesity

Identifiers

PMID42240841
PMCPMC13451412

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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.