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Food Addiction Disorder 2 Years After Sleeve Gastrectomy; Association with Physical Activity, Body Composition, and Weight Loss Outcomes

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Abstract

Purpose

Food addiction (FA) following bariatric surgery (BS) has received a burst of attention in recent years due to its important contribution to obesity. Therefore, this study was conducted to explore the prevalence of FA disorder and its predictors 2 years after laparoscopic sleeve gastrectomy (LSG) and assess its relationship with physical activity (PA), body composition, and weight outcomes.

Materials and Methods

Four hundred fifty individuals who had undergone LSG 2 years prior to the study were enrolled. FA was diagnosed using the Yale Food Addiction Scale (YFAS). The collected data included body composition (fat mass (FM), fat-free mass (FFM)), PA, and nutritional intakes.

Results

Eighty-nine subjects (about 20%) met the criteria for FA disorder. FA patients had significantly lower PA (p = 0.04) and higher weight (p < 0.001), BMI (p < 0.001), FM, and FFM (p = 0.01) compared to those without FA. Regarding weight and body composition changes, the finding reveals that FA patients (vs. non-FA) had a significantly less excess weight loss (EWL%) (p < 0.001) and total weight loss (TWL%) (p = 0.05) as well as a higher FFM loss (kg) (p = 0.04) (linear regression analysis). A younger age (p trend = 0.01), higher BMI (p trend = 0.04), and more excess weight (p trend = 0.03) were related to higher odds of FA disorder at second year after LSG (logistic regression analysis).

Conclusion

The results showed that FA was highly prevalent 2 years after LSG. In addition, FA disorder was associated with negative long-term outcomes following LSG. Younger individuals with more excess weight and higher BMI at baseline are more vulnerable to FA.

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Funding

This research has been supported by Shahid Beheshti University of Medical Sciences (SBMU) and Health Services Grant (No: IR.SBMU.nnftri.Rec.1398.047). The authors would like to thank the nutrition clinics of two referral university hospitals: Sina Hospital-Tehran University of Medical Sciences and Shaheed Mostafa Khomeini hospital, Shahed University of Medical Sciences, and one private hospital, Ebnesina.

Author information

Authors and Affiliations

  1. 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, Iran

    Maryam Mousavi & Soodeh Razeghi Jahromi

  2. Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran

    Mastaneh Rajabian Tabesh

  3. Obesity Treatment Center, Department of Surgery, Shahed University, Tehran, Iran

    Alireza Khalaj

  4. Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Hassan Eini-Zinab

  5. Cardiac Primary Prevention Research Center, Tehran University of Medical Sciences, Tehran, Iran

    Maryam Abolhasani

Authors
  1. Maryam Mousavi
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  4. Hassan Eini-Zinab
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  5. Soodeh Razeghi Jahromi
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Contributions

MM, SRJ, MRT designed the research; MM, MRT, AK, MA performed the research; MM and HEZ analyzed the data; and MM wrote the manuscript. All authors critically revised the manuscript, agreed to be fully accountable for ensuring the integrity and accuracy of the work, and read and approved the final manuscript.

Corresponding author

Correspondence to Soodeh Razeghi Jahromi.

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Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the Shahid Beheshti University of Medical Sciences (SBMU) and Health Services Grant (No: IR.SBMU.nnftri.Rec.1398.047) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare no competing interests.

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Mousavi, M., Tabesh, M.R., Khalaj, A. et al. Food Addiction Disorder 2 Years After Sleeve Gastrectomy; Association with Physical Activity, Body Composition, and Weight Loss Outcomes. OBES SURG 31, 3444–3452 (2021). https://doi.org/10.1007/s11695-021-05420-y

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  • DOI: https://doi.org/10.1007/s11695-021-05420-y

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