Strength and limits
Strengths of this study include a large sample size, the randomized study design, and the duration of the physiological intervention. The present study and analysis also had limitations. First, BSQ score was not a primary outcome of the original CALERIE 2 study. Therefore, results should be interpreted as exploratory. Second, this study is limited to adults between the ages of 20 and 50 y and included primarily white participants. This is relevant as perceived body shape may be more pronounced among younger populations, such as college students, and may differ based on race or ethnicity [