title: Disordered eating cognitions and behaviours among slimming organization competition winners.
abstract: BACKGROUND
  Long-term success in weight loss treatments for obesity is elusive. The most widely used approach after diet books is slimming clubs. A percentage of members achieve dramatic and lasting weight losses. The study aimed to evaluate the prevalence of binge eating and unhealthy eating-related thought patterns among a group of highly successful weight losers.
  
  
  METHODS
  Sixty-five slimming competition winners self reported their weight history and eating habits in a semi-structured questionnaire. The Eating Disorders Examination Questionnaire (EDE-Q) and the Emotional Eating Scale (EES) were also administered.
  
  
  RESULTS
  Despite substantial weight loss (mean = 38%, SD = 10%) and widespread maintenance of losses, participants evidenced high levels of dietary restraint and weight, shape and eating overconcern. Emotional eating levels were significantly higher than those seen in noneating disordered populations on two of three subscales. Seventy-one per cent also reported bingeing in the past 3 months.
  
  
  CONCLUSIONS
  Commercial slimming organizations should engage with broader psychological and behavioural features of obesity, including bingeing and eating-related cognitive patterns.
authors.affiliation: Social Community and Health Studies, Obesity and Eating Disorders Research Unit, University of Hertfordshire, Hatfield, UK. g.green@herts.ac.uk
authors.forename: G C
authors.initials: GC
authors.lastname: Green
authors.forename: J
authors.initials: J
authors.lastname: Buckroyd
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D001828:Body Image; D003071:Cognition; D004038:Diet, Reducing / Q000523:psychology; D004435:Eating; D005247:Feeding Behavior; D001068:Feeding and Eating Disorders / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000178:diet therapy* / Q000523:psychology*; D011594:Psychometrics; D011795:Surveys and Questionnaires; D015431:Weight Loss