Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA 17033, USA.
Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USA.
Nutrients. 2023 Aug 6;15(15):3474. doi: 10.3390/nu15153474.
The construct of food addiction (FA) has been highly debated in recent years particularly in the fields of disordered eating, medical weight management, and bariatric surgery. Some researchers have argued that FA symptoms are distinct, highly prevalent, and present a barrier for patients seeking medical treatment for obesity. The purpose of this study is to evaluate the cross-sectional associations between FA symptomatology, binge eating disorder (BED) and other appetitive traits, as well as dietary quality in a sample of adults with obesity seeking bariatric surgery. This post hoc analysis was conducted on a prospectively collected dataset from August 2020 to August 2022 at a single academic medical center. Descriptive statistics were used to characterize the sample. Additional analyses included: correlation coefficients, multivariable linear regression, and analysis of variance. A total of 587 patients were included in this analysis with low average scores for FA symptoms (mean: 1.48; standard deviation (SD): 2.15). Those with no BED symptoms had the lowest average FA symptoms scores (mean: 0.87; SD: 1.52) and those with both bingeing and LOCE had the highest average scores (mean: 3.35; SD: 2.81). This finding supports the hypothesis that, while related, FA and BED may represent different cognitions and behaviors.
近年来，食物成瘾（FA）的概念在障碍性饮食、医学体重管理和减重手术领域引起了广泛的讨论。一些研究人员认为，FA 症状是独特的、高度普遍的，并且对寻求肥胖症治疗的患者构成了障碍。本研究旨在评估肥胖症患者接受减重手术时，FA 症状、暴食障碍（BED）和其他食欲特征以及饮食质量之间的横断面关联。本研究是在 2020 年 8 月至 2022 年 8 月在一家学术医疗中心进行的前瞻性收集数据集的基础上进行的事后分析。描述性统计用于描述样本特征。其他分析包括：相关系数、多变量线性回归和方差分析。共有 587 名患者纳入本分析，FA 症状的平均得分较低（平均：1.48；标准差（SD）：2.15）。无 BED 症状的患者 FA 症状平均得分最低（平均：0.87；SD：1.52），有暴食和 LOCE 的患者平均得分最高（平均：3.35；SD：2.81）。这一发现支持了以下假设，即虽然相关，但 FA 和 BED 可能代表不同的认知和行为。
