Prevalence of Emotional and Binge Eating Among Patients With Obesity Attending a Specialist Weight Management Service for Bariatric Surgery in the United Kingdom

IF 2.9 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics Pub Date : 2024-12-17 DOI:10.1111/jhn.13415

Yousef Alhindi, Guy Holt, Katy A. Jones, Najat Khalifa, Waleed Al-Khyatt, Iskandar Idris

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引用次数: 0

Abstract

Background

Emotional eating (EE) is a tendency to consume food in response to positive or negative emotions, leading to obesity and an increased Body Mass Index (BMI). Evidence supports the positive association between EE and binge eating disorder (BED), but little is known about its prevalence among patients referred for bariatric surgery and the psychological characteristics of this patient population. We aim to examine (i) the prevalence of binge eating and EE, (ii) its association with the prevalence of anxiety, depression, diabetes and hypertension and (iii) the correlation between anxiety and depression with emotional and binge eating behaviours among patients attending a regional bariatric service in the UK.

Method

A cross-sectional case file design involving 285 participants (mean age = 43.88 ± 11.5, female (80.7%) and male (19.3%)) was used. Outcome measures included body weight, BMI, the Weight Loss Readiness (WLR) Questionnaire, Generalised Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire (PHQ-9) and Alcohol Use Disorders Identification Test- Consumption (AUDIT-C).

Results

Within this patient group, the prevalence of binge eating and EE were 28.8% and 22.1% respectively. Among these, 19.3% had diabetes mellitus, 24.8% hypertension, 21% harmful alcohol use, 65% had high anxiety score and 77% high depression scores. Most correlations between body weight and variables like AUDIT-C, GAD-7, PHQ-9 scores and WLR scores for hunger, binge eating and EE were not significant. A positive association was observed between depression and anxiety with binge eating, and EE behaviours.

Conclusion

Patients awaiting bariatric surgery have a wide range of mental and physical health comorbidities, with evidence of positive associations between higher depression and anxiety levels with abnormal eating behaviours. These findings highlight the need for screening for comorbidities in this patient population to optimise patient outcomes postbariatric surgery.

查看原文本刊更多论文

在英国接受减肥手术的肥胖症患者中，情绪性进食和暴饮暴食的流行率。

背景：情绪性进食（情绪性进食）是一种为了应对积极或消极情绪而进食的倾向，会导致肥胖和体重指数（BMI）的增加。有证据支持情感表达与暴食症（BED）之间的正相关，但对其在接受减肥手术的患者中的患病率以及这一患者群体的心理特征知之甚少。我们的目的是研究(i)暴饮暴食和情感表达的流行，（ii）它与焦虑、抑郁、糖尿病和高血压的流行的关联，以及（iii）在英国参加地区减肥服务的患者中，焦虑和抑郁与情绪和暴饮暴食行为之间的相关性。方法：采用横断面病例档案设计，共纳入285例患者（平均年龄43.88±11.5岁，女性占80.7%，男性占19.3%）。结果测量包括体重、BMI、减肥准备（WLR）问卷、广泛性焦虑症-7 （GAD-7）、患者健康问卷（PHQ-9）和酒精使用障碍识别测试-消费（AUDIT-C）。结果：该患者组暴食和情感表达的患病率分别为28.8%和22.1%。其中，19.3%患有糖尿病，24.8%患有高血压，21%有害饮酒，65%有高焦虑评分，77%有高抑郁评分。体重与饥饿、暴饮暴食和情感表达的AUDIT-C、GAD-7、PHQ-9评分和WLR评分等变量之间的相关性不显著。研究发现，抑郁和焦虑与暴饮暴食和情感表达行为之间存在正相关。结论：等待减肥手术的患者有广泛的精神和身体健康合并症，有证据表明，抑郁和焦虑水平较高与异常饮食行为呈正相关。这些发现强调了在这一患者群体中筛查合并症以优化减肥手术后患者预后的必要性。

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

Journal of Human Nutrition and Dietetics 医学-营养学

CiteScore

5.30

自引率

15.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.