Department of Endocrinology, University Hospital of Bellvitge, Barcelona, Spain.
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
Eur Eat Disord Rev. 2018 Nov;26(6):645-656. doi: 10.1002/erv.2649. Epub 2018 Oct 23.
Evidence suggests that food addiction (FA) is prevalent among individuals with obesity seeking bariatric surgery (BS), but there is no evidence about whether FA is a predictor of weight loss (WL). We aimed to analyse the prevalence of FA in patients with obesity seeking BS and to examine whether FA could predict WL following dietary intervention before surgery.
The study included 110 patients with obesity who underwent a dietetic intervention. Assessment included endocrinological variables, a semistructured interview to rule out mental disorders, and Yale Food Addiction Scale version 2.0 (YFAS 2.0).
In our sample, the prevalence of FA was 26.4%. Those who met YFAS 2.0 criteria showed less WL after dietetic intervention and regain weight during dietary intervention.
FA appears to be prevalent in obesity. Our findings confirmed a lower WL throughout dietary intervention before surgery in patients who fulfilled baseline criteria for FA. Future interventions should include multidisciplinary intervention to maximize WL before and after BS.
有证据表明，在寻求减肥手术（BS）的肥胖症患者中，食物成瘾（FA）较为普遍，但FA 是否是减肥（WL）的预测因素尚无相关证据。我们旨在分析寻求 BS 的肥胖症患者中 FA 的流行率，并研究 FA 是否可以预测手术前饮食干预后的 WL。
本研究纳入了 110 名接受饮食干预的肥胖症患者。评估包括内分泌变量、排除精神障碍的半结构化访谈以及耶鲁食物成瘾量表 2.0（YFAS 2.0）。
在我们的样本中，FA 的患病率为 26.4%。符合 YFAS 2.0 标准的患者在饮食干预后 WL 较低，且在饮食干预期间体重反弹。
FA 在肥胖症中似乎较为普遍。我们的研究结果证实，在满足 FA 基线标准的患者中，在手术前的饮食干预期间 WL 整体较低。未来的干预措施应包括多学科干预，以最大限度地提高 BS 前后的 WL。
