Alhindi Yousef, Holt Guy, Jones Katy A, Khalifa Najat, Al-Khyatt Waleed, Idris Iskandar
Department of Bariatic Medicine, Royal Derby Hospital Centre, University of Nottingham, Derby, UK.
National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.
J Hum Nutr Diet. 2025 Feb;38(1):e13415. doi: 10.1111/jhn.13415.
Emotional eating (EE) is a tendency to consume food in response to positive or negative emotions, leading to obesity and an increased Body Mass Index (BMI). Evidence supports the positive association between EE and binge eating disorder (BED), but little is known about its prevalence among patients referred for bariatric surgery and the psychological characteristics of this patient population. We aim to examine (i) the prevalence of binge eating and EE, (ii) its association with the prevalence of anxiety, depression, diabetes and hypertension and (iii) the correlation between anxiety and depression with emotional and binge eating behaviours among patients attending a regional bariatric service in the UK.
A cross-sectional case file design involving 285 participants (mean age = 43.88 ± 11.5, female (80.7%) and male (19.3%)) was used. Outcome measures included body weight, BMI, the Weight Loss Readiness (WLR) Questionnaire, Generalised Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire (PHQ-9) and Alcohol Use Disorders Identification Test- Consumption (AUDIT-C).
Within this patient group, the prevalence of binge eating and EE were 28.8% and 22.1% respectively. Among these, 19.3% had diabetes mellitus, 24.8% hypertension, 21% harmful alcohol use, 65% had high anxiety score and 77% high depression scores. Most correlations between body weight and variables like AUDIT-C, GAD-7, PHQ-9 scores and WLR scores for hunger, binge eating and EE were not significant. A positive association was observed between depression and anxiety with binge eating, and EE behaviours.
Patients awaiting bariatric surgery have a wide range of mental and physical health comorbidities, with evidence of positive associations between higher depression and anxiety levels with abnormal eating behaviours. These findings highlight the need for screening for comorbidities in this patient population to optimise patient outcomes postbariatric surgery.
情绪性进食（EE）是一种因积极或消极情绪而进食的倾向，会导致肥胖和体重指数（BMI）增加。有证据支持情绪性进食与暴饮暴食症（BED）之间存在正相关，但对于接受减肥手术的患者中情绪性进食的患病率以及该患者群体的心理特征知之甚少。我们旨在研究（i）暴饮暴食和情绪性进食的患病率，（ii）其与焦虑、抑郁、糖尿病和高血压患病率的关联，以及（iii）在英国一家地区减肥服务机构就诊的患者中，焦虑和抑郁与情绪性进食及暴饮暴食行为之间的相关性。
采用横断面病例档案设计，涉及285名参与者（平均年龄 = 43.88 ± 11.5岁，女性占80.7%，男性占19.3%）。结局指标包括体重、BMI、减肥准备度（WLR）问卷、广泛性焦虑障碍量表（GAD - 7）、患者健康问卷（PHQ - 9）和酒精使用障碍识别测试 - 消耗量（AUDIT - C）。
在该患者群体中，暴饮暴食和情绪性进食的患病率分别为28.8%和22.1%。其中，19.3%患有糖尿病，24.8%患有高血压，21%有有害饮酒行为，65%焦虑得分高，77%抑郁得分高。体重与诸如AUDIT - C、GAD - 7、PHQ - 9得分以及饥饿、暴饮暴食和情绪性进食的WLR得分等变量之间的大多数相关性不显著。观察到抑郁和焦虑与暴饮暴食及情绪性进食行为之间存在正相关。
等待减肥手术的患者存在广泛的身心健康合并症，有证据表明较高的抑郁和焦虑水平与异常进食行为之间存在正相关。这些发现凸显了对该患者群体进行合并症筛查以优化减肥手术后患者结局的必要性。
