Cited by 172Eating Disorders and BehaviorsBariatric Surgery and OutcomesNutrition, Health and Food Behavior

Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity

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Pepino, Marta Yanina, Stein, Richard I., Eagon, J. Christopher, Klein, Samuel·2014·Obesity

Abstract

Objective: To test the hypotheses that bariatric surgery‐induced weight loss: induces remission of food addiction (FA), and normalizes other eating behaviors associated with FA. Methods: Forty‐four obese subjects (BMI= 48 ± 8 kg/m 2 ) were studied before and after ∼20% weight loss induced by bariatric surgery (25 Roux‐en‐Y gastric bypass, 11 laparoscopic adjustable gastric banding, and eight sleeve gastrectomy). We assessed: FA (Yale Food Addiction Scale), food cravings (Food Craving Inventory), and restrictive, emotional and external eating behaviors (Dutch Eating Behavior Questionnaire). Results: FA was identified in 32% of subjects before surgery. Compared with non‐FA subjects, those with FA craved foods more frequently, and had higher scores for emotional and external eating behaviors (all P ‐values <0.01; all Cohen's d >0.8). Surgery‐induced weight loss resulted in remission of FA in 93% of FA subjects; no new cases of FA developed after surgery. Surgery‐induced weight loss decreased food cravings, and emotional and external eating behaviors in both groups (all P ‐values < 0.001; all Cohen's d ≥ 0.8). Restrictive eating behavior did not change in non‐FA subjects but increased in FA subjects ( P < 0.01; Cohen's d>1.1). Conclusion: Bariatric surgery‐induced weight loss induces remission of FA and improves several eating behaviors that are associated with FA.

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Authors
Pepino, M. Y., Stein, R. I., Eagon, J. C., & Klein, S.
Affiliations
Washington University in St. Louis (US)
Corresponding author
Pepino, Marta Yanina
Venue
Obesity
Publisher
Wiley
Published
2014-05-23
Volume
22
Issue
8
Pages
1792-1798
ISSN
  • 1930-7381 (ISSN-L)
  • 1930-739X
OpenAlex
W1834292653
Cited by
172
References
44
Citations by year
2026: 3 · 2025: 10 · 2024: 10 · 2023: 6 · 2022: 11 · 2021: 12 · 2020: 59 · 2019: 11 · 2018: 11 · 2017: 9 · 2016: 13 · 2015: 16 · 2014: 1
FWCI
15.34
Type
journal article
Language
en
Open access
Locations
  • Obesity (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (DK 37948, DK 56341, AA 020018)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
bariatric surgery, food addiction, morbid obesity, weight loss, Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, sleeve gastrectomy, food cravings, emotional eating, external eating, restrictive eating, dietary habits, Yale Food Addiction Scale
MeSH terms
Adult, Feeding Behavior, Female, Humans, Longitudinal Studies, Male, Middle Aged, Obesity, Morbid, Surveys and Questionnaires, Gastric Bypass, Weight Loss, Behavior, Addictive, Craving

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