**5. Management**

Evidence-based treatments for obesity and EDs in childhood include as first-line approaches weight loss with nutritional management and lifestyle modification via behavioral psychotherapy, as well as treatment of psychiatric comorbidities if those are not a consequence of the ED [27]. The majority of children and adolescents under supervised obesity treatment may have improvements or no change to ED risk profiles [72]. Higher baseline dietary restraint scores in obese children have been associated with increased rates of premature drop out from the intervention program compared to children who completed the program, independent of gender, age, and BMI z-score at baseline and mother's education level [73]. On the other hand, in a secondary analysis of an RCT focusing on changes in energy intake and diet quality during obesity treatment with post-treatment eating pathology in adolescents, there was no association between intensity of diet and EDs [74]. In a systematic review, current measures of dietary restraint and dieting are not associated with ED risk in the short term; however, long-term data are limited [75].
