Food addiction in bariatric surgery candidates: prevalence and risk factors

Paul Brunault (1, 2, 3) , Pierre-Henri Ducluzeau (4, 5) , Céline Bourbao-Tournois (6) , Irène Delbachian (5) , Charles Couet (4) , Christian Réveillère (3) , Nicolas Ballon (2, 7, 1)

1 Equipe de Liaison et de Soins en Addictologie
2 Clinique Psychiatrique Universitaire [Tours]
3 PAVeA - Psychologie des âges de la vie et adaptation
4 CHRU de Tours, Service de Médecine Interne Nutrition
5 N2Cox - Niche, Nutrition, Cancer et métabolisme oxydatif
6 CHRU Tours - Centre Hospitalier Régional Universitaire de Tours
7 iBraiN - Imaging, Brain & Neuropsychiatry

This study assessed the prevalence and risk factors for food addiction (FA) in bariatric surgery candidates. We assessed BMI, FA (Yale Food Addiction Scale), quality of life (Quality Of Life, Obesity and Dietetics), depression (Beck Depression Inventory), and binge eating (Binge Eating Scale) in 188 obese patients. The most prevalent addiction criteria were persistent desire to control food consumption (93.1%), continuing to eat certain foods despite problems (40.4%), and tolerance (38.8%); current prevalence of FA was 16.5%. Patients with (vs. without) FA were more often single, had lower physical, psycho-social and sexual quality of life, and higher depression and binge eating. Systematic screening for and treatment of FA symptoms before obesity surgery is critical because FA symptoms are prevalent and associated with poorer psychosocial outcome.

Mots clés: Food Addiction; Addictive Behaviors; Depression; Quality of Life; Binge-Eating Disorder; Obesity; Bariatric surgery

Domaines: Alimentation et Nutrition; Endocrinologie et métabolisme; Psychiatrie et santé mentale; Psychologie

Paul Brunault, Pierre-Henri Ducluzeau, Céline Bourbao-Tournois, Irène Delbachian, Charles Couet, et al.. Food addiction in bariatric surgery candidates: prevalence and risk factors. Obesity Surgery, 2016, 26 (7), pp.1650-1653. ⟨10.1007/s11695-016-2189-x⟩. ⟨hal-01379530⟩