Mousavi Maryam, Tabesh Mastaneh Rajabian, Balam Farinaz Hosseini, Jahromi Soodeh Razeghi, Saeedirad Zahra
Department of Clinical Nutrition and Dietetics, National Nutrition and Food Technology Research Institute, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Obes Surg. 2025 Jan;35(1):231-238. doi: 10.1007/s11695-024-07627-1. Epub 2024 Dec 14.
This study examined the presence of food addiction (FA) in patients with binge eating disorder (BED) 2 years after laparoscopic sleeve gastrectomy (LSG) and explored its association with some minerals, ferritin, weight loss and, body composition outcomes.
In this study, 120 patients with BED who had undergone LSG 2 years prior to participation were enrolled. BED was assessed using Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria and presence of FA was assessed using the Yale Food Addiction Scale (YFAS). The collected data included general characteristic, food intake, physical activity, weight loss percentage, body composition measurements such as fat mass (FM) and fat-free mass (FFM), as well as serum level of magnesium, zinc, iron, and ferritin.
Fifty individuals with BED met the criteria for FA disorder (41.66%). BED patients who had FA had significantly higher weight (P = 0.01) compared to those without FA. Regarding body composition changes, the finding reveals that patients with BED + FA (vs. only-BED) had a significantly lower FM loss percentage (p = 0.04) and higher FFM loss percentage (p = 0.04). The BED patients with FA had significantly lower levels of magnesium (p = 0.02) and a higher level of ferritin (p = 0.04) compared to those without FA at second year after LSG.
The presence of FA in patients with BED was associated with higher weight, poor body composition outcomes, lower serum level of magnesium, and higher ferritin two years post-LSG surgery.
本研究调查了腹腔镜袖状胃切除术（LSG）2年后暴食症（BED）患者中食物成瘾（FA）的存在情况，并探讨了其与某些矿物质、铁蛋白、体重减轻和身体成分结果之间的关联。
在本研究中，纳入了120例在参与研究前2年接受过LSG的BED患者。使用《精神疾病诊断与统计手册》第5版（DSM-5）标准评估BED，并使用耶鲁食物成瘾量表（YFAS）评估FA的存在情况。收集的数据包括一般特征、食物摄入量、身体活动、体重减轻百分比、身体成分测量，如脂肪量（FM）和去脂体重（FFM），以及血清镁、锌、铁和铁蛋白水平。
50名BED患者符合FA障碍标准（41.66%）。与没有FA的BED患者相比，患有FA的BED患者体重显著更高（P = 0.01）。关于身体成分变化，研究结果显示，BED + FA患者（与仅BED患者相比）的FM损失百分比显著更低（p = 0.04），FFM损失百分比更高（p = 0.04）。与LSG术后第二年没有FA的BED患者相比，患有FA的BED患者的镁水平显著更低（p = 0.02），铁蛋白水平更高（p = 0.04）。
BED患者中FA的存在与LSG手术后两年的更高体重、不良的身体成分结果、更低的血清镁水平和更高的铁蛋白水平相关。
