{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:40:34Z","timestamp":1789706434243,"version":"4.0.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,19]],"date-time":"2023-11-19T00:00:00Z","timestamp":1700352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001070"],"award-info":[{"award-number":["UL1TR001070"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23 DK124578"],"award-info":[{"award-number":["K23 DK124578"]}],"id":[{"id":"10.13039\/100000002","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":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The goal of this follow\u2010up to a randomized proof\u2010of\u2010concept study was to determine if targeting body shape concern (BSC) has a clinically significant impact on long\u2010term weight change among adult women of higher body weight with BSC. A secondary aim was to observe the maintenance of body image improvements during follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In the original 4\u2010week trial, women were randomized to behavioral weight loss recommendations alone (control; <jats:italic>n<\/jats:italic>\u2009=\u200915) or combined with the evidence\u2010based body project intervention (<jats:italic>n<\/jats:italic>\u2009=\u200917). All participants were directed to continue monitoring diet and exercise through Week 8. The current analysis focused on follow\u2010up data collected on weight, BSC, internalized weight bias, internalized thin ideal, and body appreciation at 8\u2009weeks, 6\u2009months, and 12\u2009months. Percent weight change was calculated from baseline and compared against clinical milestones of \u22122.5% and \u22125%. An intent\u2010to\u2010treat approach was used for individuals lost to follow\u2010up (<jats:italic>n<\/jats:italic>\u2009=\u200911).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Body project participants achieved the clinically significant target of \u22122.5% weight loss by 12\u2009months. Control participants did not reach the milestone and regained lost weight at 12\u2009months. Neither condition reached the 5% clinical target. Both groups experienced improved body image, but body project participants maintained a greater magnitude of improvement in all measures except internalized thin ideal at 12\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The current study provides preliminary evidence that targeting BSC among women with BSC who want to lose weight may improve long\u2010term weight loss. Further intervention development and testing are warranted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>The results of this study suggest that targeting negative body image among adult women with high BSC might be a pathway to improve long\u2010term weight loss in behavioral weight management. This is aligned with precision medicine priorities to optimize weight\u2010related health care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24096","type":"journal-article","created":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T06:25:00Z","timestamp":1700461500000},"page":"201-205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluating the effect of targeting body shape concerns on long\u2010term weight change"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7946-9570","authenticated-orcid":false,"given":"KayLoni L.","family":"Olson","sequence":"first","affiliation":[{"name":"The Department of Psychiatry and Human Behavior Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"The Weight Control and Diabetes Research Center The Miriam Hospital  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9901-7771","authenticated-orcid":false,"given":"Tyler T.","family":"Thaxton","sequence":"additional","affiliation":[{"name":"The Neuroscience Institute, University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9665-3921","authenticated-orcid":false,"given":"Jacob D.","family":"Landers","sequence":"additional","affiliation":[{"name":"Milwaukee VA Medical Center  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9397-7424","authenticated-orcid":false,"given":"Charles F.","family":"Emery","sequence":"additional","affiliation":[{"name":"Department of Psychology Ohio State University  Columbus Ohio USA"},{"name":"Department of Internal Medicine Wexner Medical Center  Columbus Ohio USA"},{"name":"Institute for Behavioral Medicine Research  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2005.06.002"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2042018819863022"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000161"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2008.448"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0086303"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02893802"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2013.09.017"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22212"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22874"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.128.5.825"},{"key":"e_1_2_9_13_1","volume-title":"The body project","author":"Stice E.","year":"2013"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10257"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000517"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibz149"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21358"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T16:15:00Z","timestamp":1706026500000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,19]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/eat.24096"],"URL":"https:\/\/doi.org\/10.1002\/eat.24096","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,19]]},"assertion":[{"value":"2023-07-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}