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Four databases and clinical trials registries were searched in March and May 2022, respectively, to identify behavioral weight management intervention trials in adults with overweight\/obesity measuring eating disorder symptoms at pre\u2010 and post\u2010intervention or follow\u2010up. Random effects meta\u2010analyses were conducted examining within group change in risk. Of 12,023 screened, 49 were eligible (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20096337, mean age range 22.1 to 59.9\u2009years, mean (SD) 81(20.4)% female). Interventions ranged from 4\u2009weeks to 18\u2009months, with follow\u2010up of 10\u2009weeks to 36\u2009months post\u2010intervention. There was a within group reduction in global eating disorder scores (20 intervention arms; Hedges'\n                    <jats:italic>g<\/jats:italic>\n                    \u2009=\u2009\u22120.27; 95% CI \u22120.36, \u22120.17;\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    67.1%) and binge eating (49 intervention arms; \u22120.66; 95% CI \u22120.76, \u22120.56;\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    82.7%) post\u2010intervention, both maintained at follow\u2010up. Of 14 studies reporting prevalence or episodes of binge eating, all reported a reduction. Four studies reported eating disorder symptoms, not present at baseline, in a subset of participants (0%\u20136.5%). Overall, behavioral weight management interventions do not increase eating disorder symptoms for most adults; indeed, a modest reduction is seen post\u2010intervention and follow\u2010up. A small subset of participants may experience disordered eating; therefore, monitoring for the emergence of symptoms is important.\n                  <\/jats:p>","DOI":"10.1111\/obr.13561","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T04:15:17Z","timestamp":1678853717000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Eating disorder risk during behavioral weight management in adults with overweight or obesity: A systematic review with meta\u2010analysis"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8623-6174","authenticated-orcid":false,"given":"Hiba","family":"Jebeile","sequence":"first","affiliation":[{"name":"Children's Hospital Westmead Clinical School The University of Sydney  Sydney New South Wales 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