Abstract
Background
Food addiction and binge eating are common among individuals with obesity. However, a paucity of studies prospectively examined the prevalence and implications of food addiction before and post-bariatric surgery. We aimed to examine the prevalence of food addiction and binge eating before and after sleeve gastrectomy (SG) and to assess their associations with behavioral and weight loss outcomes.
Methods
We followed at 3 (M3), 6 (M6), and 12 (M12) months postoperative, 54 women who underwent SG. Data collected including anthropometrics, nutritional intake, food tolerance, and physical activity measures. The Yale Food Addiction Scale and the Binge Eating Scale were used to characterize food addiction and binge eating, respectively.
Results
The mean baseline age and BMI were 32.1 ± 11.1 years and 44.9 ± 4.9 kg/m2, respectively. Pre-surgery, food addiction, and binge eating were identified in 40.7% and 48.1% of patients, respectively. The prevalence of food addiction decreased significantly up to M6, but increased to 29.3% at M12. The prevalence of binge eating decreased significantly through the follow-up up to 17.4% at M12. Those who met criteria for food addiction at M12 achieved significantly lower excess weight loss at M12 compared with those not meeting this criterion (P = 0.005). Food addiction scores at M12 negatively correlated with weekly physical activity (r = − 0.559; P < 0.001) and food tolerance scores (r = − 0.428; P = 0.005).
Conclusions
The reduction in food addiction observed at M6 was not maintained at M12. Food addiction at M12 was associated with poorer weight loss, eating, and lifestyle behaviors. Clinical practice should focus on the psychological aspects associated with obesity.
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Abbreviations
- BE:
-
Binge eating
- BES:
-
Binge Eating Scale
- BS:
-
Bariatric surgery
- BMI:
-
Body mass index
- EWL:
-
Excess weight loss
- IBW:
-
Ideal body weight
- PA:
-
Physical activity
- RYGB:
-
Roux-en-Y gastric bypass
- SG:
-
Sleeve gastrectomy
- TBWL:
-
Total body weight loss
- WC:
-
Waist circumference
- YFAS:
-
Yale Food Addiction Scale
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Acknowledgments
We would like to thank Dr. Michal Gavan-Yaacobovich, Rivki Harari and the Linda Joy Poland Women’s Heart Health Center in Hadassah Ein Kerem for their valuable advice throughout the conduct of this study.
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TBP, RW, YM, SSD, AR, TZB, NS and RE designed the research; TBP, DK, MAB, AK and RE performed the research; TBP, RW and RE analyzed the data; and TBP, RW and RE wrote the manuscript. All authors critically revised the manuscript, agree to be fully accountable for ensuring the integrity and accuracy of the work and read and approved the final manuscript.
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All procedures performed in this study were approved by the institutional review board and in accordance with the ethical standards of the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The RCT study was pre-registered in the NIH registration website (TRIAL no. NCT02483026).
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Informed consent was obtained from all individual participants included in the study.
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Ben-Porat, T., Weiss, R., Sherf-Dagan, S. et al. Food Addiction and Binge Eating During One Year Following Sleeve Gastrectomy: Prevalence and Implications for Postoperative Outcomes. OBES SURG 31, 603–611 (2021). https://doi.org/10.1007/s11695-020-05010-4
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DOI: https://doi.org/10.1007/s11695-020-05010-4