Boulanouar Leïla, Locatelli Loïc, Meuli Vania, Pataky Zoltan, Golay Alain
Service d'enseignement thérapeutique pour maladies chroniques, Centre collaborateur de l'OMS, Département de médecine communautaire, de premier recours et des urgences, HUG et Université de Genève, 1211 Genève 14.
Rev Med Suisse. 2017 Mar 22;13(555):647-649.
Non stabilized severe eating disorder is a contra-indication for bariatric surgery. Specific cares can stabilize this disorder, and therefore a surgery can be undertaken. In this respect, more and more attention is paid to the concept of food addiction even if its definition is still debated. Some authors, according to neurobiological data, consider food addiction as independent from eating disorder, but others see food addiction as a severe sub-type of eating disorder. To contribute to this debate, we performed a study in our department including 23 subjects candidates for a bariatric surgery and found a significant association between food addiction and eating disorder, independently of the body mass index. Clarification of the food addiction concept should permit to reconsider the specific cares needed by these obese patients.
未稳定的严重饮食失调是减肥手术的禁忌症。特定护理可使这种失调稳定下来，从而可以进行手术。在这方面，即使食物成瘾的定义仍存在争议，但人们对其概念的关注越来越多。一些作者根据神经生物学数据认为食物成瘾独立于饮食失调，但另一些人则将食物成瘾视为饮食失调的一种严重亚型。为了推动这场辩论，我们在本部门进行了一项研究，纳入了23名减肥手术候选者，发现食物成瘾与饮食失调之间存在显著关联，且与体重指数无关。对食物成瘾概念的澄清应有助于重新考虑这些肥胖患者所需的特定护理。
