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Journal of Human Nutrition and Dietetics · 2023

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V. Vasileiou, S. Abbott

Emotional eating among adults with healthy weight, overweight and obesity: a systematic review and meta-analysis

Wiley. 36(5). 1922-1930.

Study type
Systematic review and meta-analysis
Review basis
Abstract only

Does emotional eating occur to the same degree across different adult weight groups? Researchers combined 11 studies involving 7,207 participants who completed validated questionnaires. Adults above the healthy BMI range had higher average emotional-eating scores overall, but the subgroup results were more specific. The difference appeared in adults with obesity, with a standardized difference of 0.61 compared with adults in the healthy BMI range. Adults with overweight did not show a clear difference from the healthy-BMI group. This makes a single statement about everyone above that range misleading.

The findings compare questionnaire scores between groups. They do not establish that emotional eating caused the weight differences, or that body size reveals how any one person responds to emotions. A standardized score difference is not a percentage increase in eating or a count of extra meals. Only the abstract was accessible, so the detailed analyses and individual study methods could not be assessed.

How Does This Show Up in Real Life?

A person seeking help with eating may benefit from being asked about the circumstances surrounding meals, rather than having their behaviour inferred from their weight. The authors interpret their findings as supporting behavioural help for emotional eating among people with obesity who are seeking weight management. That is different from assuming that everyone in that group has the same difficulty. It also does not imply that people in other weight groups never eat in response to emotions. The paper's abstract does not identify which specific support works best, how intensive it should be or how much weight change it produces. Its practical contribution is to justify attention to an individual's eating experience while keeping group averages separate from personal assessment.

The results varied considerably between studies, especially in the overall comparison. Questionnaire scores describe reported behaviour and do not by themselves demonstrate actual food intake or causal direction. The authors explicitly call for research on the long-term effectiveness of interventions. Details needed to judge other biases and the persistence of changes were not available in the abstract.

Why We Cite It

Alpekin can use this source to check whether an explanation respects differences within a broad category. It provides an editorial reason to inspect subgroup findings before simplifying a result and to avoid using a population label as a shortcut for describing someone's motivations or relationship with food.

This is a useful signal about where support may be relevant, with clear limits on interpretation. It should encourage careful questions rather than assumptions. Confidence in a particular treatment requires intervention evidence that this abstract does not provide, especially for benefits that last over time.

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