{"title":"Questioning the role of food addiction in pediatric obesity: Comment on An et al. (2025).","authors":"Jônatas de Oliveira","doi":"10.1016/j.orcp.2025.03.004","DOIUrl":null,"url":null,"abstract":"<p><p>The study by An et al. (2025) [1] investigated the association between food addiction (FA), obesity, and emotional and behavioral problems in Korean children and adolescents with overweight or obesity. While FA was linked to higher BMI, lower self-esteem, and increased emotional difficulties, critical methodological limitations challenge the clinical relevance of these findings. Cross-sectional designs require careful control of confounding variables, yet essential factors such as genetic predispositions, socioeconomic status, food environment, and family dynamics were not fully addressed. Additionally, behavioral traits like food neophobia, shown by Dos Anjos et al. (2021) [9] to influence unhealthy eating patterns in children, and neurodevelopmental conditions, such as ADHD and autism spectrum disorder, frequently co-occur with disordered eating behaviors and may confound FA classifications. Recent data from Nyholmer et al. (2024) [15] further highlight the overlap between restrictive eating profiles and psychiatric comorbidities, underscoring the need for comprehensive assessment. The study's lack of dietary pattern analysis, particularly concerning ultra-processed food intake, and absence of age-stratified reliability in dietary reporting limit its interpretability. Future research should integrate neurodevelopmental and psychiatric evaluations to clarify whether FA reflects a distinct clinical entity or broader emotional and behavioral dysregulation within pediatric obesity. Without this, the application of FA as an isolated construct remains questionable.</p>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obesity research & clinical practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.orcp.2025.03.004","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
The study by An et al. (2025) [1] investigated the association between food addiction (FA), obesity, and emotional and behavioral problems in Korean children and adolescents with overweight or obesity. While FA was linked to higher BMI, lower self-esteem, and increased emotional difficulties, critical methodological limitations challenge the clinical relevance of these findings. Cross-sectional designs require careful control of confounding variables, yet essential factors such as genetic predispositions, socioeconomic status, food environment, and family dynamics were not fully addressed. Additionally, behavioral traits like food neophobia, shown by Dos Anjos et al. (2021) [9] to influence unhealthy eating patterns in children, and neurodevelopmental conditions, such as ADHD and autism spectrum disorder, frequently co-occur with disordered eating behaviors and may confound FA classifications. Recent data from Nyholmer et al. (2024) [15] further highlight the overlap between restrictive eating profiles and psychiatric comorbidities, underscoring the need for comprehensive assessment. The study's lack of dietary pattern analysis, particularly concerning ultra-processed food intake, and absence of age-stratified reliability in dietary reporting limit its interpretability. Future research should integrate neurodevelopmental and psychiatric evaluations to clarify whether FA reflects a distinct clinical entity or broader emotional and behavioral dysregulation within pediatric obesity. Without this, the application of FA as an isolated construct remains questionable.
期刊介绍:
The aim of Obesity Research & Clinical Practice (ORCP) is to publish high quality clinical and basic research relating to the epidemiology, mechanism, complications and treatment of obesity and the complication of obesity. Studies relating to the Asia Oceania region are particularly welcome, given the increasing burden of obesity in Asia Pacific, compounded by specific regional population-based and genetic issues, and the devastating personal and economic consequences. The journal aims to expose health care practitioners, clinical researchers, basic scientists, epidemiologists, and public health officials in the region to all areas of obesity research and practice. In addition to original research the ORCP publishes reviews, patient reports, short communications, and letters to the editor (including comments on published papers). The proceedings and abstracts of the Annual Meeting of the Asia Oceania Association for the Study of Obesity is published as a supplement each year.