{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:26:48Z","timestamp":1790353608928,"version":"4.1.0"},"reference-count":64,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T00:00:00Z","timestamp":1690502400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["ES\/P000665\/1"],"award-info":[{"award-number":["ES\/P000665\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["ES\/V017594\/1"],"award-info":[{"award-number":["ES\/V017594\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010663","name":"H2020 European Research Council","doi-asserted-by":"publisher","award":["PIDS, 803194"],"award-info":[{"award-number":["PIDS, 803194"]}],"id":[{"id":"10.13039\/100010663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We assessed perceptions of recently proposed UK obesity policies (mandatory calorie labeling, banning of advertisements of unhealthy food and drinks online and before 9\u2009pm on TV, and banning \u201cbuy one get one free\u201d deals for unhealthy food and drinks) in people with an eating disorder (ED) and other mental health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A total of 1273 participants with a self\u2010reported lifetime mental health condition (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009583 with an ED) completed an online survey in September\u2013November 2022. Multinomial logistic regression was used to examine support for and potential adverse effects of policies in participants with and without an ED. A qualitative analysis of the potential effects of the policy on current ED symptoms was also conducted to better understand how and why policies may be damaging or beneficial.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants with an ED had a lower level of support for the implementation of the calorie labeling policy compared to those without an ED (43% vs. 58%). Half of the participants with an ED (55%) reported that labeling may worsen their ED symptoms. Qualitative data indicated perceived potential harm (e.g., a gateway to relapse, negative effects on mood) and perceived benefits (e.g., feeling informed and reassured) of calorie labeling in participants with an ED. No differences in support or perceived harms of the other two policies were observed between participants with versus without an ED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Future studies are warranted to explore the potential effects of calorie labeling and how to mitigate negative impacts on people with an ED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Public Significance<\/jats:title>\n                    <jats:p>This research is the first to assess the perceptions of UK obesity\u2010related policies in people with an ED and other mental health conditions. Participants with an ED (vs. without) were more likely to disagree with the government implementing the calorie labeling policy. These findings highlight the potentially harmful effects of calorie labeling in people with an ED and the need for future research to understand how to mitigate negative impacts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24031","type":"journal-article","created":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T00:09:20Z","timestamp":1690589360000},"page":"2049-2061","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Acceptability and perceived harm of calorie labeling and other obesity policies: A cross\u2010sectional survey study of\n                    <scp>UK<\/scp>\n                    adults with eating disorders and other mental health conditions"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1014-6949","authenticated-orcid":false,"given":"I Gusti Ngurah Edi","family":"Putra","sequence":"first","affiliation":[{"name":"Department of Psychology, Institute of Population Health University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1813-0765","authenticated-orcid":false,"given":"Megan","family":"Polden","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Mental Health, Institute of Population Health University of Liverpool  Liverpool UK"},{"name":"NIHR Applied Research Collaboration North West Coast  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1825-4626","authenticated-orcid":false,"given":"Lettie","family":"Wareing","sequence":"additional","affiliation":[{"name":"Department of Psychology Lancaster University  Lancaster UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3586-5533","authenticated-orcid":false,"given":"Eric","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Psychology, Institute of Population Health University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-015-0210-8"},{"key":"e_1_2_10_3_1","unstructured":"Baker C.(2022).Research briefing: Obesity statistics.https:\/\/researchbriefings.files.parliament.uk\/documents\/SN03336\/SN03336.pdf"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00394-012-0302-z"},{"key":"e_1_2_10_5_1","unstructured":"Beat Eating Disorders. (2020).Changes needed to government anti\u2010obesity strategies in order to reduce their risk of harm to people with eating disorders.https:\/\/beat.contentfiles.net\/media\/documents\/Anti-obesity_report_FINAL_2022.pdf"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980013001821"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997-018-0066-1"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722001015"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneb.2017.11.001"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2018.304513"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20383"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20601"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.2771"},{"key":"e_1_2_10_15_1","unstructured":"Department of Health and Social Care. (2018a).Childhood obesity: A plan for action chapter 2.https:\/\/www.gov.uk\/government\/publications\/childhood-obesity-a-plan-for-action-chapter-2"},{"key":"e_1_2_10_16_1","unstructured":"Department of Health and Social Care. (2018b).Consultation on mandating calorie labelling in the out\u2010of\u2010home sector.https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/751529\/consultation\u2010on\u2010calorie\u2010labelling\u2010outside\u2010of\u2010the\u2010home.pdf"},{"key":"e_1_2_10_17_1","unstructured":"Department of Health and Social Care. (2020a).Impact assessment: Mandatory calorie labelling in the out\u2010of\u2010home sector.https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/992872\/calorie\u2010labelling\u2010impact\u2010assessment.pdf"},{"key":"e_1_2_10_18_1","unstructured":"Department of Health and Social Care. (2020b).Tackling obesity: Empowering adults and children to live healthier lives.https:\/\/www.gov.uk\/government\/publications\/tackling\u2010obesity\u2010government\u2010strategy\/tackling\u2010obesity\u2010empowering\u2010adults\u2010and\u2010children\u2010to\u2010live\u2010healthier\u2010lives#empowering\u2010everyone\u2010with\u2010the\u2010right\u2010information\u2010to\u2010make\u2010healthier\u2010choices"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcpo.2020.100256"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2014.03.002"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2018.09.013"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-015-0193-0"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22675"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.o1220"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23360"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.o1079"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20277"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2021.100106"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.50.6.613"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2017.11.007"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.4097\/kja.d.18.00242"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2015.03.005"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/beheco\/arh107"},{"key":"e_1_2_10_35_1","unstructured":"NHS Digital. (2022).National Child Measurement Programme England 2021\/22 school year.https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/national\u2010child\u2010measurement\u2010programme\/2021\u201022\u2010school\u2010year\/age"},{"key":"e_1_2_10_36_1","unstructured":"Obesity Action Scotland. (2022).Our response to Scottish government consultation on mandatory calorie labelling in the out of home (OOH) sector.https:\/\/www.obesityactionscotland.org\/consultation\u2010responses\/our\u2010response\u2010to\u2010scottish\u2010government\u2010consultation\u2010on\u2010mandatory\u2010calorie\u2010labelling\u2010in\u2010the\u2010out\u2010of\u2010home\u2010ooh\u2010sector\/#:~:text=28%20June%202022 Action%20Plan%20published%20in%202021"},{"key":"e_1_2_10_37_1","unstructured":"Office for National Statistics. (2015).Chapter 3: Equivalised income.https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/personalandhouseholdfinances\/incomeandwealth\/compendium\/familyspending\/2015\/chapter3equivalisedincome#equivalisation\u2010methodology"},{"key":"e_1_2_10_38_1","unstructured":"Office for National Statistics. (2020).Census 2021 paper questionnaires.https:\/\/www.ons.gov.uk\/census\/censustransformationprogramme\/questiondevelopment\/census2021paperquestionnaires"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n864"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13103333"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155995"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.674"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.88.9.748"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-013-0035-x"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2023.106451"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.638"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-018-0562-6"},{"key":"e_1_2_10_48_1","unstructured":"Royal College of Paediatrics and Child Health. (2022).Healthy food environment (Wales)\u2014Consultation response.https:\/\/www.rcpch.ac.uk\/resources\/healthy-food-environment-wales-consultation-response"},{"key":"e_1_2_10_49_1","unstructured":"Royal College of Psychiatrists. (2022a).98% of people affected by eating disorders feel calories on menus will negatively impact them new survey finds.https:\/\/www.rcpsych.ac.uk\/news\u2010and\u2010features\/latest\u2010news\/detail\/2022\/08\/23\/98\u2010of\u2010people\u2010affected\u2010by\u2010eating\u2010disorders\u2010feel\u2010calories\u2010on\u2010menus\u2010will\u2010negatively\u2010impact\u2010them\u2010new\u2010survey\u2010finds"},{"key":"e_1_2_10_50_1","unstructured":"Royal College of Psychiatrists. (2022b).Hospital admissions for eating disorders increased by 84% in the last five years.https:\/\/www.rcpsych.ac.uk\/news\u2010and\u2010features\/latest\u2010news\/detail\/2022\/05\/18\/hospital\u2010admissions\u2010for\u2010eating\u2010disorders\u2010increased\u2010by\u201084\u2010in\u2010the\u2010last\u2010five\u2010years"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-8-43"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadr.2021.100238"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdr033"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e509"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/17461391.2021.1943712"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2017.02.002"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.05.014"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqw165"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32207-4"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn.82.2.296"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23353"},{"key":"e_1_2_10_62_1","unstructured":"The Hearts Minds Genes Coalition for Eating Disorders. (2021).The cost of eating disorders in the UK 2019 and 2020.https:\/\/www.yumpu.com\/en\/document\/read\/65877873\/the\u2010cost\u2010of\u2010eating\u2010disorders\u2010in\u2010the\u2010uk\u20102019\u2010and\u20102020\u2010with\u2010annex"},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1368980017003706"},{"key":"e_1_2_10_64_1","unstructured":"WHO. (2021).Obesity and overweight: Key facts.https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-015-0075-1"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T00:35:04Z","timestamp":1700094904000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,28]]},"references-count":64,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/eat.24031"],"URL":"https:\/\/doi.org\/10.1002\/eat.24031","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.31234\/osf.io\/cxaw7","asserted-by":"object"}]},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,28]]},"assertion":[{"value":"2023-04-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}