Food Addiction in Individuals With Overweight and Obesity Undergoing a 12-Week Long Tailored mHealth Weight Loss Intervention

IF 3.4 2区 心理学 Q1 PSYCHIATRY
Magdalena Pape, Stephan Herpertz, Tanja Färber, Caroline Seiferth, Natalie Schoemann, Jörg Wolstein, Sabine Steins-Loeber
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Abstract

Objective

Former studies indicated worse outcome for individuals with food addiction (FA) when participating in weight loss programs. Yet, the results may have been influenced by comorbid eating disorders and insufficient consideration of psychological aspects associated with FA.

Methods

We report here a subgroup analysis on treatment success of participants with overweight/obesity and FA, but no comorbid eating disorders, compared to individuals with overweight/obesity but without FA and eating disorders taking part in a 12-week long tailored mHealth weight loss intervention (IG) that addresses psychological aspects of overweight/obesity or a waitlist control condition (CG). Body-mass-index and eating styles were assessed at four time points: baseline, 3, 9 and 15 months after baseline.

Results

Overall, the IG significantly reduced weight and improved eating styles. The efficacy of the intervention was higher in the IG + FA concerning long-term weight loss and emotional eating.

Conclusion

These findings suggest that individuals with FA, without comorbid eating disorders, benefit from a tailored mHealth weight loss intervention that focuses on psychological aspects of overweight/obesity. This underscores the presence of a FA subgroup among individuals with overweight and obesity, characterised by unique vulnerabilities and treatment responses, which should be further analysed. There is a need for specialised treatment of FA components in obesity and overweight.

Trial Registration

ClinicalTrials.gov identifier: NCT04080193

Abstract Image

接受12周量身定制的移动健康减肥干预的超重和肥胖个体的食物成瘾
目的:以前的研究表明,有食物成瘾(FA)的个体在参加减肥计划时的结果更差。然而,结果可能受到共病性饮食失调和对FA相关心理方面考虑不足的影响。方法:我们在此报告了一项亚组分析,对超重/肥胖和FA但没有共病饮食失调的参与者进行治疗成功,与超重/肥胖但没有FA和饮食失调的个体进行比较,这些个体参加了为期12周的量身定制的移动健康减肥干预(IG),解决了超重/肥胖的心理方面或候补控制条件(CG)。在四个时间点评估身体质量指数和饮食方式:基线后3个月、9个月和15个月。结果:总体而言,IG显著减轻了体重,改善了饮食习惯。IG + FA组在长期减肥和情绪性进食方面的干预效果更高。结论:这些研究结果表明,无共病饮食失调的FA患者可受益于定制的移动健康减肥干预,该干预侧重于超重/肥胖的心理方面。这强调了在超重和肥胖个体中存在FA亚组,其特点是独特的脆弱性和治疗反应,应进一步分析。有必要对肥胖和超重的FA成分进行专门治疗。试验注册:ClinicalTrials.gov标识符:NCT04080193。
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来源期刊
European Eating Disorders Review
European Eating Disorders Review PSYCHOLOGY, CLINICAL-
CiteScore
8.90
自引率
7.50%
发文量
81
期刊介绍: European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.
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