Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity

Marta Yanina Pepino, Richard I. Stein, J. Christopher Eagon, Samuel Klein

Research output: Contribution to journalArticle

Abstract

Objective To test the hypotheses that bariatric surgery-induced weight loss: induces remission of food addiction (FA), and normalizes other eating behaviors associated with FA. Methods Forty-four obese subjects (BMI= 48 ± 8 kg/m2) were studied before and after â̂20% weight loss induced by bariatric surgery (25 Roux-en-Y gastric bypass, 11 laparoscopic adjustable gastric banding, and eight sleeve gastrectomy). We assessed: FA (Yale Food Addiction Scale), food cravings (Food Craving Inventory), and restrictive, emotional and external eating behaviors (Dutch Eating Behavior Questionnaire). Results FA was identified in 32% of subjects before surgery. Compared with non-FA subjects, those with FA craved foods more frequently, and had higher scores for emotional and external eating behaviors (all P-values <0.01; all Cohen's d >0.8). Surgery-induced weight loss resulted in remission of FA in 93% of FA subjects; no new cases of FA developed after surgery. Surgery-induced weight loss decreased food cravings, and emotional and external eating behaviors in both groups (all P-values < 0.001; all Cohen's d ≥ 0.8). Restrictive eating behavior did not change in non-FA subjects but increased in FA subjects (P < 0.01; Cohen's d>1.1). Conclusion Bariatric surgery-induced weight loss induces remission of FA and improves several eating behaviors that are associated with FA.

Original languageEnglish (US)
Pages (from-to)1792-1798
Number of pages7
JournalObesity
Volume22
Issue number8
DOIs
StatePublished - Aug 2014
Externally publishedYes

Fingerprint

Bariatric Surgery
Weight Loss
Obesity
Food
Feeding Behavior
Gastric Bypass
Gastrectomy
Stomach

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics

Cite this

Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity. / Pepino, Marta Yanina; Stein, Richard I.; Eagon, J. Christopher; Klein, Samuel.

In: Obesity, Vol. 22, No. 8, 08.2014, p. 1792-1798.

Research output: Contribution to journalArticle

Pepino, Marta Yanina ; Stein, Richard I. ; Eagon, J. Christopher ; Klein, Samuel. / Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity. In: Obesity. 2014 ; Vol. 22, No. 8. pp. 1792-1798.
@article{0f08c4db2cc14ea6a5e13d401db45637,
title = "Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity",
abstract = "Objective To test the hypotheses that bariatric surgery-induced weight loss: induces remission of food addiction (FA), and normalizes other eating behaviors associated with FA. Methods Forty-four obese subjects (BMI= 48 ± 8 kg/m2) were studied before and after {\^a}̂20{\%} weight loss induced by bariatric surgery (25 Roux-en-Y gastric bypass, 11 laparoscopic adjustable gastric banding, and eight sleeve gastrectomy). We assessed: FA (Yale Food Addiction Scale), food cravings (Food Craving Inventory), and restrictive, emotional and external eating behaviors (Dutch Eating Behavior Questionnaire). Results FA was identified in 32{\%} of subjects before surgery. Compared with non-FA subjects, those with FA craved foods more frequently, and had higher scores for emotional and external eating behaviors (all P-values <0.01; all Cohen's d >0.8). Surgery-induced weight loss resulted in remission of FA in 93{\%} of FA subjects; no new cases of FA developed after surgery. Surgery-induced weight loss decreased food cravings, and emotional and external eating behaviors in both groups (all P-values < 0.001; all Cohen's d ≥ 0.8). Restrictive eating behavior did not change in non-FA subjects but increased in FA subjects (P < 0.01; Cohen's d>1.1). Conclusion Bariatric surgery-induced weight loss induces remission of FA and improves several eating behaviors that are associated with FA.",
author = "Pepino, {Marta Yanina} and Stein, {Richard I.} and Eagon, {J. Christopher} and Samuel Klein",
year = "2014",
month = "8",
doi = "10.1002/oby.20797",
language = "English (US)",
volume = "22",
pages = "1792--1798",
journal = "Obesity",
issn = "1930-7381",
publisher = "Wiley-Blackwell",
number = "8",

}

TY - JOUR

T1 - Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity

AU - Pepino, Marta Yanina

AU - Stein, Richard I.

AU - Eagon, J. Christopher

AU - Klein, Samuel

PY - 2014/8

Y1 - 2014/8

N2 - Objective To test the hypotheses that bariatric surgery-induced weight loss: induces remission of food addiction (FA), and normalizes other eating behaviors associated with FA. Methods Forty-four obese subjects (BMI= 48 ± 8 kg/m2) were studied before and after â̂20% weight loss induced by bariatric surgery (25 Roux-en-Y gastric bypass, 11 laparoscopic adjustable gastric banding, and eight sleeve gastrectomy). We assessed: FA (Yale Food Addiction Scale), food cravings (Food Craving Inventory), and restrictive, emotional and external eating behaviors (Dutch Eating Behavior Questionnaire). Results FA was identified in 32% of subjects before surgery. Compared with non-FA subjects, those with FA craved foods more frequently, and had higher scores for emotional and external eating behaviors (all P-values <0.01; all Cohen's d >0.8). Surgery-induced weight loss resulted in remission of FA in 93% of FA subjects; no new cases of FA developed after surgery. Surgery-induced weight loss decreased food cravings, and emotional and external eating behaviors in both groups (all P-values < 0.001; all Cohen's d ≥ 0.8). Restrictive eating behavior did not change in non-FA subjects but increased in FA subjects (P < 0.01; Cohen's d>1.1). Conclusion Bariatric surgery-induced weight loss induces remission of FA and improves several eating behaviors that are associated with FA.

AB - Objective To test the hypotheses that bariatric surgery-induced weight loss: induces remission of food addiction (FA), and normalizes other eating behaviors associated with FA. Methods Forty-four obese subjects (BMI= 48 ± 8 kg/m2) were studied before and after â̂20% weight loss induced by bariatric surgery (25 Roux-en-Y gastric bypass, 11 laparoscopic adjustable gastric banding, and eight sleeve gastrectomy). We assessed: FA (Yale Food Addiction Scale), food cravings (Food Craving Inventory), and restrictive, emotional and external eating behaviors (Dutch Eating Behavior Questionnaire). Results FA was identified in 32% of subjects before surgery. Compared with non-FA subjects, those with FA craved foods more frequently, and had higher scores for emotional and external eating behaviors (all P-values <0.01; all Cohen's d >0.8). Surgery-induced weight loss resulted in remission of FA in 93% of FA subjects; no new cases of FA developed after surgery. Surgery-induced weight loss decreased food cravings, and emotional and external eating behaviors in both groups (all P-values < 0.001; all Cohen's d ≥ 0.8). Restrictive eating behavior did not change in non-FA subjects but increased in FA subjects (P < 0.01; Cohen's d>1.1). Conclusion Bariatric surgery-induced weight loss induces remission of FA and improves several eating behaviors that are associated with FA.

UR - http://www.scopus.com/inward/record.url?scp=84904906943&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904906943&partnerID=8YFLogxK

U2 - 10.1002/oby.20797

DO - 10.1002/oby.20797

M3 - Article

C2 - 24852693

AN - SCOPUS:84904906943

VL - 22

SP - 1792

EP - 1798

JO - Obesity

JF - Obesity

SN - 1930-7381

IS - 8

ER -