{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T16:52:03Z","timestamp":1765385523170,"version":"3.46.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T00:00:00Z","timestamp":1754092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Mealtimes are highly distressing for individuals with eating disorders (ED), potentially reinforcing disordered eating and complicating recovery. Yet, physiological responses during meals remain understudied. This study explores autonomic nervous system responses during meals in individuals with ED and healthy controls (HC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three studies assessed heart rate (HR), heart rate variability (HRV), skin conductance response (SCR), and skin temperature (ST) around lunchtime. Study 1 included 47 hospitalized adult women with ED (26 anorexia nervosa (AN), 8 atypical AN, 13 bulimia nervosa (BN)). Studies 2 and 3 involved 47 and 58 HC in daily life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients reported elevated subjective stress but showed no expected physiological responses in HR. Instead, HR decreased during meals for all patients and increased after in those with BN. No significant changes were observed in HRV or SCR. No ST changes were observed in AN, while BN showed the expected pre\u2010lunch decrease and post\u2010lunch increase. In HC, HR and SCR rose pre\u2010meal, HRV decreased, and ST increased during meals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings suggest a mismatch between subjective and physiological stress in ED. Chronic stress or undernutrition may alter autonomic reactivity, although not directly assessed. Future research should investigate how these factors shape physiological stress responses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.70022","type":"journal-article","created":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T09:36:32Z","timestamp":1754127392000},"page":"191-201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mealtime Physiological Responses in Individuals With Eating Disorders and Healthy Controls"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6736-3998","authenticated-orcid":false,"given":"Emma","family":"De Schuyteneer","sequence":"first","affiliation":[{"name":"Mind\u2010body Research Biomedical Sciences Group KU Leuven  Leuven Belgium"},{"name":"Leuven Brain Institute KU Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2680-3069","authenticated-orcid":false,"given":"Robin","family":"Quagebeur","sequence":"additional","affiliation":[{"name":"Mind\u2010body Research Biomedical Sciences Group KU Leuven  Leuven Belgium"},{"name":"Leuven Brain Institute KU Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2790-757X","authenticated-orcid":false,"given":"Femke","family":"de Gooijer","sequence":"additional","affiliation":[{"name":"OnePlanet Research Center  Wageningen the Netherlands"},{"name":"Division of Human Nutrition and Health Department of Agrotechnology and Food Sciences Wageningen University and Research  Wageningen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annelies","family":"Goris","sequence":"additional","affiliation":[{"name":"OnePlanet Research Center  Wageningen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neide","family":"Sim\u00f5es\u2010Capela","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering (ESAT) KU Leuven  Heverlee Belgium"},{"name":"IMEC  Heverlee Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8592-8611","authenticated-orcid":false,"given":"Alex","family":"van Kraaij","sequence":"additional","affiliation":[{"name":"OnePlanet Research Center  Wageningen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7766-9245","authenticated-orcid":false,"given":"Elske","family":"Vrieze","sequence":"additional","affiliation":[{"name":"Mind\u2010body Research Biomedical Sciences Group KU Leuven  Leuven Belgium"},{"name":"Leuven Brain Institute KU Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23931"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_13_4_1","doi-asserted-by":"crossref","unstructured":"Bojanowski M.2017.lspline: Linear Splines with Convenient Parametrisations.https:\/\/CRAN.R\u2010project.org\/package=lspline.","DOI":"10.32614\/CRAN.package.lspline"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0078891"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2746"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foodqual.2023.105002"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856218789790"},{"volume-title":"Eating Disorder inventory\u20103 (EDI\u20103). 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