23fdd5dee957e2422a629db954f70e75 nutrients-17-00296.pdf 749cafb646531b5bdfa7a2d947e801dd38c72b99 nutrients-17-00296.pdf 737c63a3bbb179867b2cc30a7340105498e934b868dbef0a7859eb71368eab9e nutrients-17-00296.pdf Title: Psychoneurological Links Contributing to Body Mass Index and Eating Disorder Severity Subject: Background-objectives: Multiple dynamic interacting factors contribute to the presence and progression of eating disorders (ED). Empirical research has provided mixed findings regarding the mechanisms explaining the contribution of body mass index (BMI) to the diverse ED endophenotypes. The present study aims to evaluate the underlying processes (direct and indirect effects) contributing to BMI and ED severity, considering the contribution of multiple neuropsychological constructs. Method: Path analysis, implemented through structural equation models (SEM), was applied to a sample of N = 193 ED patients, men and women, aged 17 to 50 years old, and diagnosed with bulimia nervosa, night eating syndrome, binge eating disorder, and other specified feeding. Results: BMI was directly associated with ED severity level. The ED symptom level was also a mediational link into the relationship between BMI with emotion regulation strategies, decision-making capacity, stress levels, and impulsiveness. Multigroup SEM revealed invariance of the structural coefficients by sex, but differences according to the ED subtype. Conclusions: This study provides new empirical evidence on predictors of ED severity, focusing on the role of impaired decision-making and BMI. Our results could contribute to new intervention plans with techniques specifically aimed at improving emotional regulation capacity, decreasing impulsivity levels, and improving reasoning skills. Nutrition education plans may also play a key role for preventing the onset and progression of ED, helping patients understand how food affects their physical and emotional health and how to manage anxiety and fears related to food. Keywords: emotion regulation; decision-making; impulsivity; anxiety; stress; eating disorders; body mass index Author: Geovanny Genaro Reivan Ortiz, Braulio Elizalde, Cristhian Tapia and Roser Granero Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25 CreationDate: Wed Jan 15 12:47:52 2025 CET ModDate: Wed Jan 15 12:50:28 2025 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 15 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 483328 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- QKZKVH+VnURWPalladioL Type 1 Custom yes yes yes 10 0 SYXCJU+URWPalladioL-Roma Type 1 Custom yes yes yes 16 0 LXJVGS+URWPalladioL-Bold Type 1 Custom yes yes yes 22 0 DURSFO+URWPalladioL-Ital Type 1 Custom yes yes yes 27 0 ZIPEAN+EURM10 Type 1 Builtin yes yes yes 59 0 QLBIEB+URWPalladioL-BoldItal Type 1 Custom yes yes yes 67 0 FXXUVH+CMSY10 Type 1 Builtin yes yes yes 75 0 MCEFLP+PalatinoLinotype,Bold CID TrueType Identity-H yes yes yes 87 0 MCEFMA+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 93 0 MCEFMB+PalatinoLinotype CID TrueType Identity-H yes yes yes 96 0 MCEFMC+PalatinoLinotype TrueType WinAnsi yes yes no 102 0 MCEFME+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 105 0 MCEGBD+PalatinoLinotype TrueType MacRoman yes yes no 108 0 MCEGPP+PalatinoLinotype,BoldItalic TrueType WinAnsi yes yes no 111 0 MKHHVF+EURB10 Type 1 Builtin yes yes yes 124 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-01-21 02:38:03 CET RepresentationInformation: nutrients-17-00296.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-01-17 01:34:59 CET Size: 483328 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 427 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Participants Destination: subsection.2.1 Item: Title: Measures Destination: subsection.2.2 Item: Title: Procedure Destination: subsection.2.3 Item: Title: Statistical Analysis Destination: subsection.2.4 Item: Title: Results Destination: section.3 Children: Item: Title: Descriptive Statistics for the Sample Destination: subsection.3.1 Item: Title: Path Analysis Destination: subsection.3.2 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: appendix.A. Info: Title: Psychoneurological Links Contributing to Body Mass Index and Eating Disorder Severity Author: Geovanny Genaro Reivan Ortiz, Braulio Elizalde, Cristhian Tapia and Roser Granero Subject: Background-objectives: Multiple dynamic interacting factors contribute to the presence and progression of eating disorders (ED). Empirical research has provided mixed findings regarding the mechanisms explaining the contribution of body mass index (BMI) to the diverse ED endophenotypes. The present study aims to evaluate the underlying processes (direct and indirect effects) contributing to BMI and ED severity, considering the contribution of multiple neuropsychological constructs. Method: Path analysis, implemented through structural equation models (SEM), was applied to a sample of N = 193 ED patients, men and women, aged 17 to 50 years old, and diagnosed with bulimia nervosa, night eating syndrome, binge eating disorder, and other specified feeding. Results: BMI was directly associated with ED severity level. The ED symptom level was also a mediational link into the relationship between BMI with emotion regulation strategies, decision-making capacity, stress levels, and impulsiveness. Multigroup SEM revealed invariance of the structural coefficients by sex, but differences according to the ED subtype. Conclusions: This study provides new empirical evidence on predictors of ED severity, focusing on the role of impaired decision-making and BMI. Our results could contribute to new intervention plans with techniques specifically aimed at improving emotional regulation capacity, decreasing impulsivity levels, and improving reasoning skills. Nutrition education plans may also play a key role for preventing the onset and progression of ED, helping patients understand how food affects their physical and emotional health and how to manage anxiety and fears related to food. 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