Obesity

Lifestyle behavioral weight‐loss treatment for binge‐eating disorder in patients with obesity: where's the harm?

Obesity (Silver Spring)Published Secondary analysis of a behaviorally based weight-loss treatment (BBWLT) randomised trial

Authors' conclusion

Frequency of cases with any increased symptoms of binge eating and/or ED psychopathology was quite low at posttreatment and at 1 year after ending BBWLT for BED and obesity. These participant-level findings add important clinical context regarding overall improvements with BBWLT for BED with obesity (large effect sizes) and challenge concerns that BBWLT exacerbates ED psychopathology.

Study context

Population
Participants with binge-eating disorder (BED) and obesity
Participants
191 participants
Primary endpoint
Frequency of individuals with increased binge eating or ED psychopathology (individual-level changes)
Follow-up
Posttreatment and 12-month (18 months after baseline)
Methodological detailsparticipant-level analysis
  • Participant-level analysis

Primary result

As reported in the abstract

posttreatment

Decreased binge-eating frequency

95.3%

n = 162

Decreased eating disorder (ED) psychopathology scores

87.6%

n = 149

Further findings

Individual-level change in binge eating and ED psychopathology · 12-month follow-up

Decreased binge-eating frequency
97.1% (n = 135)
Decreased ED psychopathology scores
93.0% (n = 120)

Safety

Increased ED symptoms

Few instances of any increases, mostly small magnitudes

Original publication

Lifestyle behavioral weight‐loss treatment for binge‐eating disorder in patients with obesity: where's the harm? Obesity (Silver Spring). Published 7 May 2025. doi:10.1002/oby.24289

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