Psychosocial factors and dietary patterns in metabolic and bariatric surgery: analyzing anxiety, depression, and hedonic hunger.

IF 2.8 3区医学 Q2 PSYCHIATRY

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Pub Date : 2025-08-16 DOI:10.1007/s40519-025-01778-5

Beatriz Vieira, Zélia Santos, Rui Ribeiro, Octávio Viveiros, Carina Rossoni, Elisabete Carolino, Filipa Novais

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引用次数: 0

Abstract

Background: Scientific evidence has demonstrated that psychosocial factors can influence hedonic hunger (HH). Moreover, HH can be a predictor of metabolic and bariatric surgery (MBS) outcomes. The Mediterranean Diet (MD) has been used as a model approach for managing excess weight. In this study, we assessed the association between anxiety and depression levels, HH, and adherence to MD in candidates to MBS and post-MBS subjects.

Methods: This was a cross-sectional observational study that included individuals who were candidates and who were submitted to MBS. Data analysis included anthropometric measurements, assessment of anxiety and depression levels, HH, and adherence to MD.

Results: Of the 64 included individuals, 68.8% were female, with a mean age of 48.39 years. A significant positive correlation was observed between HH and anxiety and depression levels. No statistically significant relationship was found between adherence to MD and HH, nor with anxiety and depression levels.

Conclusion: Psychological status largely contributes to weight control. Therefore, patients should be carefully assessed before and after surgery to ensure treatment and adequate follow-up. Future studies are needed to better determine the complex relationship between psychological factors, HH, food intake, and weight.

Level v: Cross-sectional observational study.

查看原文本刊更多论文

代谢和减肥手术中的社会心理因素和饮食模式：分析焦虑、抑郁和享乐性饥饿。

背景：科学证据表明，社会心理因素可以影响享乐性饥饿（HH）。此外，HH可以预测代谢和减肥手术（MBS）的结果。地中海饮食（MD）已被用作管理超重的典范方法。在这项研究中，我们评估了MBS和MBS后受试者的焦虑和抑郁水平、HH和MD依从性之间的关系。方法：这是一项横断面观察性研究，包括候选人和提交MBS的个体。数据分析包括人体测量、焦虑和抑郁水平评估、HH和对医学的依从性。结果：在64名纳入的个体中，68.8%为女性，平均年龄为48.39岁。HH与焦虑、抑郁水平呈显著正相关。在坚持MD和HH，以及焦虑和抑郁水平之间没有发现统计学上显著的关系。结论：心理状态对体重控制有重要作用。因此，术前和术后应仔细评估患者，以确保治疗和充分的随访。未来的研究需要更好地确定心理因素、HH、食物摄入和体重之间的复杂关系。v级：横断面观察性研究。

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

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 医学-精神病学

CiteScore

6.50

自引率

10.30%

发文量

170

审稿时长

>12 weeks

期刊介绍： Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.