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Brazilian Version of the Yale Food Addiction Scale for Individuals with Severe Obesity

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Abstract

Purpose

Adapting and validating the Portuguese version of Br-YFAS 2.0-Obes to allow it to be used by the Brazilian candidates for bariatric surgery.

Materials and Methods

This study included 329 individuals with body mass indexes (BMI) ≥ 30 kg/m2, candidates for bariatric surgery at a reference hospital in Brazil. They were given a questionnaire that identified sociodemographic data, and the YFAS 2.0 scale, Portuguese version (BR-YFAS2.0-Obes), was applied to assess their food dependence levels. The Food Craving Questionnaire – Trait: The FCQ-T-reduced was subsequently used for a correlation analysis.

Results

The patients’ average BMI was 41.6 ± 8.8 kg/m2. Br-YFAS2.0-Obes presented an average of 4.9 ± 3.1 for the FA diagnostic criteria. The resulting values of the Comparative Fit Index, Tucker Lewis Index, and Standardized Root Mean Square Residual were 0.990, 0.986, and 0.074, respectively. The internal consistency analysis of the 11 domains presented a Kuder–Richardson α of 0.82. The convergent validity, obtained through an analysis of the Pearson correlation coefficient, was r = 0.43 (p < 0.001). It was found that an increase in the number of Br-YFAS 2.0-Obes symptoms is associated with an increase in the FCQ-T-r mean.

Conclusion

Much like the YFAS 2.0 in other languages, the BR-YFAS 2.0-Obes presented adequate convergent validity, reliability, and one-factor structure results, which makes it suitable for Brazilian candidates for bariatric surgery or any individual who is within BMI >  = 30 kg/m2.

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Funding

Fund for Research and Event Promotion of FIPE—Research Incentive Fund (HCPA).

Author information

Authors and Affiliations

  1. Department of Bariatric Surgery, Hospital de Clínicas de Porto Alegre, 2350 Ramiro Barcelos St, Porto Alegre, Brazil

    Emilian R. Marcon

  2. School of Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, 6681 Ipiranga Av, Porto Alegre, Brazil

    Mirna Brillmann, Rodrigo M. Pozzer, Leonardo P. Fraga & Margareth S. Oliveira

  3. Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil

    Laura L. Martins, Niceli Guth & Silmara C. Cauduro

Authors
  1. Emilian R. Marcon
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  2. Mirna Brillmann
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  3. Laura L. Martins
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  5. Silmara C. Cauduro
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Corresponding author

Correspondence to Emilian R. Marcon.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of the Hospital de Clínicas de Porto Alegre (reference number 2019–0810).

Consent to Participate

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

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The authors declare no competing interests.

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Key Points

• BR-YFAS-2.0-OBES is a reliable tool for measuring  food addiction in obese patients.

• The internal consistency analysis presented a Kuder–Richardson α of 0.82.

• Br-YFAS 2.0-Obes scores showed a positive correlation with the mean FCQ-Tr scores.

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Marcon, E.R., Brillmann, M., Martins, L.L. et al. Brazilian Version of the Yale Food Addiction Scale for Individuals with Severe Obesity. OBES SURG 34, 1819–1825 (2024). https://doi.org/10.1007/s11695-024-07214-4

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  • DOI: https://doi.org/10.1007/s11695-024-07214-4

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