The prognostic role of food addiction for weight loss treatment outcomes in individuals with overweight and obesity: A systematic review and meta-analysis.

IF 8 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Obesity Reviews Pub Date : 2024-10-16 DOI:10.1111/obr.13851

Georg Halbeisen, Marie Pahlenkemper, Luisa Sabel, Candice Richardson, Zaida Agüera, Fernando Fernandez-Aranda, Georgios Paslakis

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引用次数: 0

Abstract

Food addiction (FA) could be a potential prognostic factor of weight loss intervention outcomes. This systematic review with meta-analysis aimed to (1) estimate this prognostic effect of FA diagnosis and symptom count in individuals with overweight or obesity and (2) explore potential sources of heterogeneity based on properties of the weight loss intervention, study, and sample (e.g., age, gender, ethnicity). We searched PubMed, PsycINFO, and Web of Science for studies reporting on associations between pre-intervention FA (assessed with the Yale Food Addiction Scale) and weight outcomes after weight loss intervention in individuals with overweight or obesity without a medically diagnosed eating disorder. Twenty-five studies met inclusion criteria, including 4904 individuals (71% women, M_age = 41 years, BMI = 40.82 kg/m²), k = 18 correlations of weight loss with FA symptom count, and k = 21 mean differences between FA diagnosis groups. Pooled estimates of random-effects meta-analyses found limited support for a detrimental effect of FA symptom count and diagnosis on weight loss intervention outcomes. Negative associations with FA increased for behavioral weight loss interventions and among more ethnically diverse samples. More research on the interaction of FA with pre-existing mental health problems and environmental factors is needed.

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食物成瘾对超重和肥胖症患者减肥治疗结果的预后作用：系统回顾和荟萃分析。

食物成瘾（FA）可能是减肥干预结果的潜在预后因素。本系统综述和荟萃分析旨在：（1）估算超重或肥胖患者的食物成瘾诊断和症状计数对预后的影响；（2）根据减肥干预、研究和样本（如年龄、性别、种族）的特性，探索异质性的潜在来源。我们在 PubMed、PsycINFO 和 Web of Science 上检索了有关干预前 FA（用耶鲁食物成瘾量表评估）与减肥干预后体重结果之间关系的研究报告，研究对象为超重或肥胖且无医学诊断饮食失调的患者。25 项研究符合纳入标准，包括 4904 人（71% 为女性，年龄 = 41 岁，体重指数 = 40.82 kg/m2），体重减轻与 FA 症状计数的相关性 k = 18，FA 诊断组间的平均差异 k = 21。随机效应荟萃分析的汇总估计值发现，FA 症状数和诊断对减肥干预结果的不利影响得到了有限的支持。在行为减肥干预和种族更多样化的样本中，与 FA 的负相关增加。需要对 FA 与原有心理健康问题和环境因素的相互作用进行更多研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Reviews 医学-内分泌学与代谢

CiteScore

19.30

自引率

1.10%

发文量

130

审稿时长

1 months

期刊介绍： Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.