Steinmo, S; Falvey, L; Ashton, C; Chow, L; Patel, D; Kwan, J; McGowan, B; Steinmo, S; Falvey, L; Ashton, C; Chow, L; Patel, D; Kwan, J; McGowan, B; Brown, A; - view fewer (2025) Impact of a digitally enabled, time-restricted eating weight management program, the Roczen program, on eating behaviors, depression symptoms and health related quality of life. Eating Behaviors , 58 , Article 102007. 10.1016/j.eatbeh.2025.102007.

Text Brown_Impact of a digitally enabled, time-restricted eating weight management program, the Roczen program, on eating behaviors, depression symptoms and health related quality of life_AAM.pdf Access restricted to UCL open access staff until 12 July 2026. Download (314kB)

Abstract

Introduction: There is limited evidence around how weight management programs impact eating behavior and mental health in real-life settings. This retrospective service evaluation assessed the impact of a clinically-led, digitally delivered time-restricted eating intervention (TRE) (Roczen Program, Reset Health Ltd) on eating behavior, depression and health-related quality of life (HrQOL). Methods: Patients were supported on a TRE plan with behavioral and social support from clinicians. Eating behaviors were assessed using Binge Eating Scale (BES) and Three Factor Eating Questionnaire-R18 (TFEQ). Depression symptoms were assessed using the Patient Health Questionniare-9 (PHQ-9) and HrQOL with the Euroquol-5 Dimension-5 Level (EQ-5D-5L-5L). Data were analysed at 12 and 24 weeks. Linear regressions explored predictors of eating behavior and weight loss, p-value <0.05, mean (SD) and median (IQR). Results: 102 patients were included (mean age 51.1 ± 10.0 years; mean BMI 34.5 ± 5.0 kg/m²; 57.8 % White Ethnicity; 72.5 % female). At 24 weeks, mean percentage weight loss was 11.0 % ±6.1 (p < 0.001). There was a significant reduction in BES (−5.0 [2.0, 10.0]; p < 0.001). Uncontrolled eating and emotional eating improved by 0.76 ± 0.78 and 0.53 ± 0.95 points (both p < 0.001) respectively. Depression improved by 2.0 points and HrQOL by 0.04 (both p < 0.001). Higher baseline depression scores predicted higher emotional eating and BES scores. Higher restraint predicted lower percentage weight loss and was not associated with any other eating behaviors. Conclusion: Our results show that the Roczen program engenders clinically significant weight loss and improves emotional eating, uncontrolled eating, BES, depression and HrQOL in those who are not already at high risk for eating disorder and can potentially be effective and safe.

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