Eating competence trajectories of persons with metabolic syndrome over two years: A secondary analysis of the ELM lifestyle intervention.

AppetiteJun 20, 2026 (epub)

Barbara Lohse, Kirstie M Herb Neff, Ellyn Satter et al.

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In 30 seconds

This secondary analysis of the ELM lifestyle intervention, a randomized controlled trial, evaluated eating competence (EatC) trajectories in individuals with metabolic syndrome (MetS) over two years. Results showed a significant increase in EatC from 30.1 ± 0.3 to 32.1 ± 0.4 (P < 0.001), with greater improvements observed in the intensive intervention group compared to the education comparator.

Key findings

  • EatC increased significantly from 30.1 ± 0.3 to 32.1 ± 0.4 over two years (P < 0.001).
  • The intervention group showed greater EatC gains at six months, maintaining scores of 32.0 ± 0.5.
  • MetS severity index decreased more for participants whose EatC scores increased.
  • Changes in biopsychosocial measures correlated positively with EatC change.

Why it matters

Understanding the relationship between eating competence and metabolic syndrome can inform lifestyle interventions aimed at improving health outcomes. This study highlights the potential benefits of incorporating eating competence into treatment programs for individuals with MetS.

Source

Published in Appetite. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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