Real‐time assessment of heart rate variability and loss of control eating in adolescent girls: A pilot study
Open accessAbstract
Objective: Studying physiologic underpinnings of loss‐of‐control (LOC) eating may inform its etiology and contribute to intervention efforts. We therefore examined temporal relationships between autonomic indices [heart rate (HR), heart rate variability (HRV)] and LOC‐eating in the natural environment. Method: For two days, adolescents (n = 17, 14.77 ± 1.55 years, BMI‐Z 2.17 ± 0.48) with LOC‐eating reported on LOC using an electronic device while HR and HRV were assessed continuously using Holter monitoring. Results: Higher HR and lower HRV in the 30‐minutes before eating were significantly associated with LOC‐eating overall (p's < 0.001) and at the within‐participants level (p's < 0.001), but not at the between‐participants level (p's > 0.44). Examined categorically, HR was significantly higher, and HRV significantly lower, prior to high‐LOC compared to low‐LOC episodes (p's < 0.001). Discussion: This pilot study suggests that LOC‐eating may involve physiologic underpinnings. Additional research with larger samples is needed to further investigate this phenomenon. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:197–201).
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Reduced emotion regulation abilities are common in adults with EDs, but little is known about similar difficulties in youth with LOC.
“Reduced emotion regulation abilities are common in adults with EDs, but little is known about similar difficulties in youth with LOC [30, 31].”
From Correlates of interpersonal emotion regulation problems in Loss of Control eating (LOC) in youth: study protocol of the combined online and App based questionnaire, laboratory and randomized controlled online intervention i-BEAT trial (2021) · cites this paper as [31]
The introductory discussion (page unavailable) says that most investigations of predictors of LOC eating have relied on self-reported emotions, supporting a research gap relevant to youth with LOC. The paper does not establish that reduced emotion-regulation abilities are common in adults with eating disorders; its study concerns physiological stress markers in adolescent girls. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use
Electrophysiology, T. F. O. T. E. S. O. C. T. N. A. (1996) · Circulation · doi:10.1161/01.cir.93.5.1043 · Cited by 17,159 · see citing works
Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010.
Ogden, C., Carroll, M., Kit, B., & Flegal, K. (2012) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.2012.40 · Cited by 4,128 · see citing works
A model of neurovisceral integration in emotion regulation and dysregulation
Thayer, J. F., & Lane, R. D. (2000) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00338-4 · Cited by 3,092 · see citing works
Binge eating as escape from self-awareness
Heatherton, T. F., & Baumeister, R. F. (1991) · Psychological Bulletin · doi:10.1037/0033-2909.110.1.86 · Cited by 2,259 · see citing works
Thayer, J. F., & Lane, R. D. (2009) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2008.08.004 · Cited by 2,040 · see citing works
Heart rate variability as an index of regulated emotional responding
Appelhans, B. M., & Luecken, L. J. (2006) · Review of General Psychology · doi:10.1037/1089-2680.10.3.229 · Cited by 1,893 · see citing works
Cardiac vagal tone: A physiological index of stress
Porges, S. W. (1995) · Neuroscience & Biobehavioral Reviews · doi:10.1016/0149-7634(94)00066-a · Cited by 870 · see citing works
Weight-Related Concerns and Behaviors Among Overweight and Nonoverweight Adolescents
Neumark‐Sztainer, D., Story, M. T., Hannan, P. J., Perry, C. L., & Irving, L. M. (2002) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.156.2.171 · Cited by 606 · see citing works
Cooper, Z., & Fairburn, C. G. (1987) · PsycTESTS Dataset · doi:10.1037/t03975-000 · Cited by 498 · see citing works
Eating behavior and stress: a pathway to obesity
Sominsky, L., & Spencer, S. J. (2014) · Frontiers in Psychology · doi:10.3389/fpsyg.2014.00434 · Cited by 361 · see citing works
A prospective study of pediatric loss of control eating and psychological outcomes
Tanofsky-Kraff, M., Shomaker, L. B., Olsen, C., Roza, C. A., Wolkoff, L. E., Columbo, K. M., Raciti, G., Zocca, J. M., Wilfley, D. E., Yanovski, S. Z., et al. (2011) · Journal of Abnormal Psychology · doi:10.1037/a0021406 · Cited by 319 · see citing works
Self-citationSonneville, K. R., Horton, N. J., Micali, N., Crosby, R. D., Swanson, S. A., Solmi, F., & Field, A. E. (2012) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/2013.jamapediatrics.12 · Cited by 300 · see citing works
Self-citationDaily hassles and eating behaviour: The role of cortisol reactivity status
Newman, E., O'Connor, D. B., & Conner, M. T. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2006.11.006 · Cited by 292 · see citing works
Tanofsky‐Kraff, M., Yanovski, S. Z., Schvey, N. A., Olsen, C. H., Gustafson, J., & Yanovski, J. A. (2009) · International Journal of Eating Disorders · doi:10.1002/eat.20580 · Cited by 273 · see citing works
Self-citationA multisite investigation of binge eating behaviors in children and adolescents.
Tanofsky‐Kraff, M., Goossens, L., Eddy, K. T., Ringham, R. M., Goldschmidt, A. B., Yanovski, S. Z., Braet, C., Marcus, M. D., Wilfley, D. E., Olsen, C. H., et al. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.6.901 · Cited by 182 · see citing works
Self-citationThe binge-purge syndrome: Diagnosis, treatment and research
Wardle, J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90128-7 · Cited by 173 · see citing works
Relationship among Brain and Blood Glucose Levels and Spontaneous and Glucoprivic Feeding
Dunn-Meynell, A. A., Sanders, N. M., Compton, D. S., Becker, T. C., Eiki, J., Zhang, B. B., & Levin, B. E. (2009) · Journal of Neuroscience · doi:10.1523/jneurosci.0334-09.2009 · Cited by 143 · see citing works
Natural course of preadolescent loss of control eating.
Hilbert, A., Hartmann, A. S., Czaja, J., & Schoebi, D. (2013) · Journal of Abnormal Psychology · doi:10.1037/a0033330 · Cited by 122 · see citing works
Lee, S., Lee, A. M., Leung, T. Y. S., & Yu, H. H. (1997) · International Journal of Eating Disorders · doi:10.1002/(sici)1098-108x(199703)21:2 · Cited by 117 · see citing works
Ranzenhofer, L. M., Engel, S. G., Crosby, R. D., Anderson, M., Vannucci, A., Cohen, L. A., Cassidy, O., & Tanofsky‐Kraff, M. (2014) · International Journal of Eating Disorders · doi:10.1002/eat.22333 · Cited by 107 · see citing works
Self-citationHilbert, A., Rief, W., Tuschen‐Caffier, B., de Zwaan, M., & Czaja, J. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.10.003 · Cited by 89 · see citing works
Harthoorn, L. F., & Dransfield, E. (2007) · European Journal of Applied Physiology · doi:10.1007/s00421-007-0622-5 · Cited by 65 · see citing works
Klatzkin, R. R., Gaffney, S., Cyrus, K., Bigus, E., & Brownley, K. A. (2015) · Physiology & Behavior · doi:10.1016/j.physbeh.2015.01.018 · Cited by 56 · see citing works
Dobson, C. P., Rovere, M. T. L., Pinna, G. D., Goldstein, R. E., Olsen, C. H., Bernardinangeli, M., Veniani, M., Midi, P., Tavazzi, L., & Haigney, M. C. (2011) · Heart Rhythm · doi:10.1016/j.hrthm.2011.03.055 · Cited by 46 · see citing works
Self-citationAnticipatory effects of food exposure in women diagnosed with bulimia nervosa
Legenbauer, T., Vögele, C., & Rüddel, H. (2003) · Appetite · doi:10.1016/s0195-6663(03)00114-4 · Cited by 42 · see citing works
Friesen, C. A., Lin, Z., Schurman, J. V., Andre, L., & McCallum, R. W. (2007) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2007.00906.x · Cited by 31 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [1]Tanofsky-Kraff M Jelalian E Steele R Binge eating among children and adolescents Handbook of Child and Adolescent Obesity 2008 New York Springer Publishers 41 57
- [9]Wilfley DE Pike KM Striegel-Moore RH Toward an integrated model of risk for binge eating disorder Journal of Gender Culture and Health 1997 2 1 1 32
Cited by
Sorted by citations
Goldschmidt, A. B. (2017) · Obesity Reviews · doi:10.1111/obr.12491 · Cited by 142 · see citing works
A developmental framework of binge-eating disorder based on pediatric loss of control eating.
Tanofsky‐Kraff, M., Schvey, N. A., & Grilo, C. M. (2020) · American Psychologist · doi:10.1037/amp0000592 · Cited by 109 · see citing works
Self-citationSmith, K. E., & Juarascio, A. S. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1046-8 · Cited by 90 · see citing works
Mason, T. B., Do, B., Wang, S., & Dunton, G. F. (2020) · Appetite · doi:10.1016/j.appet.2019.104465 · Cited by 74 · see citing works
Godfrey, K. M., Juarascio, A. S., Manasse, S. M., Minassian, A., Risbrough, V. B., & Afari, N. (2018) · Physiology & Behavior · doi:10.1016/j.physbeh.2018.11.009 · Cited by 44 · see citing works
Examination of the interpersonal model of loss of control eating in the laboratory
Shank, L. M., Crosby, R. D., Grammer, A. C., Shomaker, L. B., Vannucci, A., Burke, N. L., Stojek, M., Brady, S. M., Kozlosky, M., Reynolds, J. C., et al. (2017) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2017.03.015 · Cited by 35 · see citing works
Self-citationSmith, K. E., Mason, T. B., Juarascio, A., Schaefer, L. M., Crosby, R. D., Engel, S. G., & Wonderlich, S. A. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23124 · Cited by 34 · see citing works
Self-citationMomentary changes in heart rate variability can detect risk for emotional eating episodes.
Juarascio, A., Crochiere, R. J., Tapera, T. M., Palermo, M., & Zhang, F. (2020) · Appetite · doi:10.1016/j.appet.2020.104698 · Cited by 30 · see citing works
Heshmati, S., DavyRomano, E., Chow, C., Doan, S. N., & Reynolds, K. D. (2022) · Journal of Adolescence · doi:10.1002/jad.12103 · Cited by 27 · see citing works
Ralph‐Nearman, C., Sandoval-Araujo, L. E., Karem, A., Cusack, C. E., Glatt, S., Hooper, M. A., Pena, C. R., Cohen, D., Allen, S., Cash, E. D., et al. (2023) · Psychological Medicine · doi:10.1017/s003329172300288x · Cited by 26 · see citing works
Person-Generated Health Data in Women’s Health: Scoping Review
Karim, J. L., Wan, R., Tabet, R. S., Chiu, D. S., & Talhouk, A. (2024) · Journal of Medical Internet Research · doi:10.2196/53327 · Cited by 27 · see citing works
Ranzenhofer, L. M., Solhjoo, S., Crosby, R. D., Kim, B. H., Korn, R., Koorathota, S., Lloyd, E. C., Walsh, B. T., & Haigney, M. C. (2022) · Psychological Medicine · doi:10.1017/s0033291722001684 · Cited by 14 · see citing works
Self-citationGetting to the heart of food craving with resting heart rate variability in adolescents
Wu, J., Camila Pierart, Z., Chaplin, T. M., Hommer, R. E., Mayes, L. C., & Crowley, M. J. (2020) · Appetite · doi:10.1016/j.appet.2020.104816 · Cited by 11 · see citing works
Presseller, E. K., Lampe, E. W., Zhang, F., Gable, P. A., Guetterman, T. C., Forman, E. M., & Juarascio, A. S. (2023) · JMIR Research Protocols · doi:10.2196/47098 · Cited by 12 · see citing works
Munsch, S., Forrer, F., Naas, A., Mueller, V., Rubo, M., Hannoun, F., & Mugellini, E. (2021) · BMC Psychology · doi:10.1186/s40359-021-00690-8 · Cited by 8 · see citing works
“Reduced emotion regulation abilities are common in adults with EDs, but little is known about similar difficulties in youth with LOC [30, 31].”
BackgroundLee, S.-H., & Hong, J.-H. (2024) · Food Quality and Preference · doi:10.1016/j.foodqual.2024.105422 · Cited by 10 · see citing works
Multi‐method assessment of palatable food exposure in women with and without eating disorders
Christensen, K. A., French, M. N., & Chen, E. Y. (2020) · European Eating Disorders Review · doi:10.1002/erv.2746 · Cited by 7 · see citing works
Hilbert, A., Herpertz, S., Kersting, A., Pietrowsky, R., Tuschen‐Caffier, B., & Vocks, S. (2019) · Springer eBooks · doi:10.1007/978-3-662-59606-7_6 · Cited by 7 · see citing works
Ecological Momentary Assessment
Crosby, R. D., Lavender, J. M., Engel, S. G., & Wonderlich, S. A. (2015) · Springer eBooks · doi:10.1007/978-981-287-087-2_159-1 · Cited by 7 · see citing works
Self-citationBottera, A. R., Mancuso, C. J., Kambanis, P. E., & Young, K. P. D. (2020) · Appetite · doi:10.1016/j.appet.2020.105071 · Cited by 6 · see citing works
Repke, H. E., Gulley, L. D., Rice, A. J., Gallagher-Teske, J. H., Markos, B., Sánchez, N., Bristol, M., Haynes, H. E., Lavender, J. M., Neyland, M. K. H., et al. (2022) · Nutrients · doi:10.3390/nu14204246 · Cited by 5 · see citing works
Self-citationMcGeown, L., Young, K. P. D., & Mushquash, A. R. (2022) · Appetite · doi:10.1016/j.appet.2022.106419 · Cited by 5 · see citing works
Järvelä‐Reijonen, E., Järvinen, S., Karhunen, L. J., Föhr, T., Myllymäki, T., Sairanen, E., Lindroos, S., Peuhkuri, K., Hallikainen, M., Pihlajamäki, J., et al. (2021) · Journal of Occupational Medicine and Toxicology · doi:10.1186/s12995-021-00310-6 · Cited by 5 · see citing works
Heart Rate Variability and Laboratory-Based Loss-of-Control Eating in Children and Adolescents
Parker, M. N., Faulkner, L. M., Shank, L. M., Schvey, N. A., Loch, L. K., Haynes, H. E., Bloomer, B. F., Moursi, N. A., Fatima, S., Te‐Vazquez, J., et al. (2022) · Nutrients · doi:10.3390/nu14194027 · Cited by 5 · see citing works
Self-citationHow Can Social Mentality Theory Help Us Understand Eating Disorder Presentations? A Scoping Review
Mullen, G., & O’Reilly, G. (2018) · Journal of Relationships Research · doi:10.1017/jrr.2018.17 · Cited by 4 · see citing works
Presseller, E. K., Velkoff, E. A., Riddle, D. R., Liu, J., Zhang, F., & Juarascio, A. S. (2024) · International Journal of Eating Disorders · doi:10.1002/eat.24266 · Cited by 3 · see citing works
Bauman, V., Sánchez, N., Repke, H. E., Spinner, H. K., Thorstad, I., Gulley, L. D., Mains, A., Lavender, J. M., Thompson, K. A., Emerick, J. E., et al. (2023) · Eating Behaviors · doi:10.1016/j.eatbeh.2023.101773 · Cited by 3 · see citing works
Self-citationEcological Momentary Assessment
Crosby, R. D., Lavender, J. M., Engel, S. G., & Wonderlich, S. A. (2017) · Springer eBooks · doi:10.1007/978-981-287-104-6_159 · Cited by 3 · see citing works
Self-citationDoes the type of stressor moderate the stress-snacking relationship? An intensive-longitudinal study
Lüthi, S., Bamert, M., & Inauen, J. (2025) · Appetite · doi:10.1016/j.appet.2025.108145 · Cited by 3 · see citing works
Kopyto, D., Uhlenberg, L., Zhang, R., Stonawski, V., Horndasch, S., & Amft, O. (2022) · Springer eBooks · doi:10.1007/978-3-030-64573-1_213 · Cited by 2 · see citing works
McGeown, L., Mushquash, A. R., & Young, K. P. D. (2024) · Journal of Psychophysiology · doi:10.1027/0269-8803/a000329 · Cited by 2 · see citing works
Cardiac Vagal Imbalance and Emotional Eating
Fuentes, N., Nazar, G., & Sánchez-Hechavarría, M. E. (2023) · Springer eBooks · doi:10.1007/978-3-031-16691-4_81 · Cited by 1 · see citing works
Reents, M., Biehl, S. C., & Svaldi, J. (2025) · Appetite · doi:10.1016/j.appet.2025.108053 · Cited by 1 · see citing works
Svaldi, J., & Naumann, E. (2014) · InFo Neurologie + Psychiatrie · doi:10.1007/s15005-014-0001-9 · Cited by 1 · see citing works
Volitionally Regulated Breathing with Prolonged Expiration Influences Food Craving and Impulsivity
Telles, S., Gupta, A., Sharma, S. K., & Balkrishna, A. (2024) · Complementary Medicine Research · doi:10.1159/000539618 · Cited by 1 · see citing works
Core Symptoms of Eating Disorders and Heart Rate Variability: A Systematic Review
Ávila, A., Miguel, N. S., & Serrano, M. Á. (2025) · Sci · doi:10.3390/sci7030089 · Cited by 1 · see citing works
Weissman, R. S., Frank, G., Klump, K. L., Thomas, J. J., Wade, T. D., & Waller, G. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22769
Kopyto, D., Uhlenberg, L., Zhang, R., Stonawski, V., Horndasch, S., & Amft, O. (2021) · Springer eBooks · doi:10.1007/978-3-030-58080-3_213-1
Cardiac Vagal Imbalance and Emotional Eating
Fuentes, N., Nazar, G., & Sánchez-Hechavarría, M. E. (2022) · Springer eBooks · doi:10.1007/978-3-030-67929-3_81-1
Cummings, C., & Lansing, A. H. (2024) · International Journal of Behavioral Medicine · doi:10.1007/s12529-024-10260-y
Järvelä‐Reijonen, E., Järvinen, S., Karhunen, L., Föhr, T., Myllymäki, T., Sairanen, E., Lindroos, S., Peuhkuri, K., Hallikainen, M., Pihlajamäki, J., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14870446
Jun, H., Lee, K.-H., Tapia, D. U., Calzo, J. P., & Corliss, H. L. (2026) · Sensors · doi:10.3390/s26123872
- Authors
- Ranzenhofer, L. M., Engel, S. G., Crosby, R. D., Haigney, M., Anderson, M., McCaffery, J. M., & Tanofsky‐Kraff, M.
- Affiliations
- Uniformed Services University of the Health Sciences (US)
- University of North Dakota (US)
- Brown University (US)
- Corresponding author
- Ranzenhofer, Lisa M.
- ORCID
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2015-09-24
- Volume
- 49
- Issue
- 2
- Pages
- 197-201
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC4733414
- OpenAlex
- W2148351836
- Cited by
- 42
- References
- 27
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 4 · 2015: 1 · 2014: 1
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (T32HL076134)
- National Institute of Mental Health (F31MH095348)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK080906)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- loss of control eating, heart rate variability, heart rate, autonomic nervous system, adolescent girls, binge eating, Holter monitoring
- MeSH terms
- Adolescent, Adolescent Behavior, Eating, Feeding Behavior, Female, Heart Rate, Humans, Pilot Projects, Feeding and Eating Disorders of Childhood
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
