Pepino Marta Yanina, Stein Richard I, Eagon J Christopher, Klein Samuel
Center for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, Missouri, 63110, USA.
Obesity (Silver Spring). 2014 Aug;22(8):1792-8. doi: 10.1002/oby.20797. Epub 2014 May 23.
OBJECTIVE: To test the hypotheses that bariatric surgery-induced weight loss: induces remission of food addiction (FA), and normalizes other eating behaviors associated with FA. METHODS: Forty-four obese subjects (BMI= 48 ± 8 kg/m(2) ) were studied before and after ∼20% weight loss induced by bariatric surgery (25 Roux-en-Y gastric bypass, 11 laparoscopic adjustable gastric banding, and eight sleeve gastrectomy). We assessed: FA (Yale Food Addiction Scale), food cravings (Food Craving Inventory), and restrictive, emotional and external eating behaviors (Dutch Eating Behavior Questionnaire). RESULTS: FA was identified in 32% of subjects before surgery. Compared with non-FA subjects, those with FA craved foods more frequently, and had higher scores for emotional and external eating behaviors (all P-values <0.01; all Cohen's d >0.8). Surgery-induced weight loss resulted in remission of FA in 93% of FA subjects; no new cases of FA developed after surgery. Surgery-induced weight loss decreased food cravings, and emotional and external eating behaviors in both groups (all P-values < 0.001; all Cohen's d ≥ 0.8). Restrictive eating behavior did not change in non-FA subjects but increased in FA subjects (P < 0.01; Cohen's d>1.1). CONCLUSION: Bariatric surgery-induced weight loss induces remission of FA and improves several eating behaviors that are associated with FA.
目的:验证以下假设,即减肥手术引起的体重减轻:能使食物成瘾(FA)缓解,并使与食物成瘾相关的其他饮食行为正常化。 方法:对44名肥胖受试者(BMI = 48±8kg/m²)在减肥手术(25例行Roux-en-Y胃旁路术、11例行腹腔镜可调节胃束带术、8例行袖状胃切除术)导致体重减轻约20%之前和之后进行研究。我们评估了:食物成瘾(耶鲁食物成瘾量表)、食物渴望(食物渴望量表)以及限制性、情绪化和外部饮食行为(荷兰饮食行为问卷)。 结果:术前32%的受试者被确定存在食物成瘾。与无食物成瘾的受试者相比,有食物成瘾的受试者更频繁地渴望食物,并且在情绪化和外部饮食行为方面得分更高(所有P值<0.01;所有科恩d值>0.8)。手术引起的体重减轻使93%的食物成瘾受试者的食物成瘾得到缓解;术后未出现新的食物成瘾病例。手术引起的体重减轻降低了两组受试者的食物渴望以及情绪化和外部饮食行为(所有P值<0.001;所有科恩d值≥0.8)。无食物成瘾的受试者的限制性饮食行为没有变化,但有食物成瘾的受试者的限制性饮食行为增加了(P< 0.01;科恩d值>1.1)。 结论:减肥手术引起的体重减轻可使食物成瘾得到缓解,并改善几种与食物成瘾相关的饮食行为。
Obesity (Silver Spring). 2014-8
Surg Obes Relat Dis. 2017-2
Obesity (Silver Spring). 2013-12-6
Br J Health Psychol. 2018-2-24
Front Behav Neurosci. 2025-7-30
Am J Clin Nutr. 2014-1-22
Obesity (Silver Spring). 2013-12-6
Subst Use Misuse. 2014-3
Obesity (Silver Spring). 2013-10-16
Eur Eat Disord Rev. 2012-7-3