Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort.

IF 3.8 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES

Scientific Reports Pub Date : 2025-04-01 DOI:10.1038/s41598-025-95614-6

Dana AlTarrah, Lulwa Al-Abdullah, Mohammed Alhusayan, Dulce Canha, Sulaiman Almazeedi, Ahmad Al-Serri, Maryam Abulhasan, Talia Alsomly, Naif Almutawa, Mohammed Al-Onaizi, Guy Fagherazzi, Fawaz Alzaid

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引用次数: 0

Abstract

Bariatric surgery is an effective intervention for managing obesity. Persons with obesity are a high-risk population for eating disorders (ED), and these can negatively impact perioperative and long-term outcomes of surgery. We aim to understand prevalence and correlates of ED in preintervention patients, identifying those needing psychological support. Baseline cross-sectional analysis of 275 patients of the BariPredict cohort (NCT06480058), a study to assess predictors of long-term surgery outcomes. Psychological assessments were conducted using SCOFF, KUAS, and BDI tools. Data were analyzed for prevalence of high ED risk and for associations of clinical, biological and demographic factors. Mean age was 38.5 years, mean BMI was 42.3 kg/m², with 62.5% being female. 65.8% of patients had a SCOFF score ≥ 2 indicating high ED risk. Class II obesity (p < 0.05), younger age (p < 0.01), and higher depression (p < 0.01) were associated with ED risk in a logistic regression adjusted for age, obesity class, diabetes, HbA1c, depression and anxiety scores. We report high preintervention prevalence of ED, with a risk profile corresponding to BMI of 35-39.9 Kg/m² in younger adults with concurrent depression. This patient profile should be prioritized for psychological assessment and support to potentially improve outcomes of bariatric surgery.

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减肥手术是控制肥胖的有效干预措施。肥胖症患者是饮食失调（ED）的高风险人群，饮食失调会对手术的围手术期和长期效果产生负面影响。我们旨在了解干预前患者饮食失调的发生率和相关因素，识别需要心理支持的患者。对BariPredict队列（NCT06480058）中的275名患者进行基线横断面分析，该研究旨在评估长期手术效果的预测因素。使用 SCOFF、KUAS 和 BDI 工具进行了心理评估。对数据进行了分析，以确定ED高风险的发生率以及临床、生物和人口学因素之间的关联。平均年龄为 38.5 岁，平均体重指数为 42.3 kg/m²，62.5% 为女性。65.8%的患者SCOFF评分≥2分，表明有较高的ED风险。二级肥胖症（P 2）多见于同时患有抑郁症的年轻成年人。这类患者应优先进行心理评估和支持，以改善减肥手术的效果。

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来源期刊

Scientific Reports Natural Science Disciplines-

CiteScore

7.50

自引率

4.30%

发文量

19567

审稿时长

3.9 months

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