Associations of Food Addiction Symptomatology and Disordered Eating Behaviors in a Pre-Surgical Bariatric Population

Author:

Butt Melissa12ORCID,Ssentongo Paddy23,Rogers Ann M.4ORCID,Rigby Andrea24

Affiliation:

1. Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA 17033, USA

2. Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USA

3. Department of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA

4. Division of Minimally Invasive Surgery, Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA

Abstract

The construct of food addiction (FA) has been highly debated in recent years particularly in the fields of disordered eating, medical weight management, and bariatric surgery. Some researchers have argued that FA symptoms are distinct, highly prevalent, and present a barrier for patients seeking medical treatment for obesity. The purpose of this study is to evaluate the cross-sectional associations between FA symptomatology, binge eating disorder (BED) and other appetitive traits, as well as dietary quality in a sample of adults with obesity seeking bariatric surgery. This post hoc analysis was conducted on a prospectively collected dataset from August 2020 to August 2022 at a single academic medical center. Descriptive statistics were used to characterize the sample. Additional analyses included: correlation coefficients, multivariable linear regression, and analysis of variance. A total of 587 patients were included in this analysis with low average scores for FA symptoms (mean: 1.48; standard deviation (SD): 2.15). Those with no BED symptoms had the lowest average FA symptoms scores (mean: 0.87; SD: 1.52) and those with both bingeing and LOCE had the highest average scores (mean: 3.35; SD: 2.81). This finding supports the hypothesis that, while related, FA and BED may represent different cognitions and behaviors.

Funder

Health Resources and Services Administration

The Penn State Clinical and Translational Research Institute, Pennsylvania State University CTSA, NIH/NCATS

Publisher

MDPI AG

Subject

Food Science,Nutrition and Dietetics

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