{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:04:54Z","timestamp":1790251494293,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["F31MH131262"],"award-info":[{"award-number":["F31MH131262"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005197","name":"Hilda and Preston Davis Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005197","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":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Binge eating and self\u2010induced vomiting are common, transdiagnostic eating disorder (ED) symptoms. Efforts to understand these behaviors in research and clinical settings have historically relied on self\u2010report measures, which may be biased and have limited ecological validity. It may be possible to passively detect binge eating and vomiting using data collected by continuous glucose monitors (CGMs; minimally invasive sensors that measure blood glucose levels), as these behaviors yield characteristic glucose responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This study developed machine learning classification algorithms to classify binge eating and vomiting among 22 adults with binge\u2010spectrum EDs using CGM data. Participants wore Dexcom G6 CGMs and reported eating episodes and disordered eating symptoms using ecological momentary assessment for 2\u2009weeks. Group\u2010level random forest models were generated to distinguish binge eating from typical eating episodes and to classify instances of vomiting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The binge eating model had accuracy of 0.88 (95% CI: 0.83, 0.92), sensitivity of 0.56, and specificity of 0.90. The vomiting model demonstrated accuracy of 0.79 (95% CI: 0.62, 0.91), sensitivity of 0.88, and specificity of 0.71.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Results suggest that CGM may be a promising avenue for passively classifying binge eating and vomiting, with implications for innovative research and clinical applications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24266","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T01:59:00Z","timestamp":1721440740000},"page":"2285-2291","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Using Continuous Glucose Monitoring to Passively Classify Naturalistic Binge Eating and Vomiting Among Adults With Binge\u2010Spectrum Eating Disorders: A Preliminary Investigation"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6854-1207","authenticated-orcid":false,"given":"Emily K.","family":"Presseller","sequence":"first","affiliation":[{"name":"Department of Psychological and Brain Sciences Drexel University  Philadelphia Pennsylvania USA"},{"name":"Center for Weight, Eating, and Lifestyle Science Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Velkoff","sequence":"additional","affiliation":[{"name":"Center for Weight, Eating, and Lifestyle Science Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5920-0651","authenticated-orcid":false,"given":"Devyn R.","family":"Riddle","sequence":"additional","affiliation":[{"name":"Center for Weight, Eating, and Lifestyle Science Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5065-1771","authenticated-orcid":false,"given":"Jianyi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences Drexel University  Philadelphia Pennsylvania USA"},{"name":"Center for Weight, Eating, and Lifestyle Science Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengqing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne S.","family":"Juarascio","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences Drexel University  Philadelphia Pennsylvania USA"},{"name":"Center for Weight, Eating, and Lifestyle Science Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076231158314"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs7030039"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20289"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22453"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/193229680900300505"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000221303.64098.23"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07\u20101293"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20\u20102856"},{"key":"e_1_2_11_10_1","first-page":"47","article-title":"Enhanced Cognitive Behavior Therapy for Eating Disorders: The Core Protocol","author":"Fairburn C.","year":"2008","journal-title":"Cognitive Behavior Therapy and Eating Disorders"},{"key":"e_1_2_11_11_1","unstructured":"Fairburn C. 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