The FODRAT study (FOod addiction, DRugs, Alcohol and Tobacco): first data on food addiction prevalence among patients with addiction to drugs, tobacco and alcohol
Abstract
Objectives The main focus of this study was to evaluate the prevalence of food addiction (FA) in a population of 575 subjects, all affected by drugs, alcohol and/or tobacco addiction.Methods Patients were enrolled in Addiction Service Centers and 25 items YFAS questionnaire was administered. Prevalence of FA was studied among patients who already have an addiction and then this prevalence was compared between groups of abusers (by type of substance), comparing mono abusers with polyabusers, as well as regressions by age, BMI, sex, through multiple regression analysis.Results Prevalence of FA in the sample is 20.17%. Risk of FA increases with the number of substances used (polyabuse). Results show a positive correlation, in addicted people, between BMI values and FA, with significant values (OR 1.08; 95% CI 1.04-1.13; p = 0.006). Age is inversely correlated with FA (OR 0.97; 95% CI 0.95-0.99; p = 0.01). Female sex is positively associated (OR 2.60; 95% CI 1.59-4.27, p = 0.000). No significant association appears with any substance, even if the highest prevalence is recorded among cannabis users (31.03%), and heroin (21.07%), followed by cocaine (18.53%), alcohol (14.49%) and tobacco (11.61%). A comparison between the FA prevalence in our study and that from another study in the Italian general population (11%) shows a significant difference (p < 0.001).Conclusions Prevalence of FA among addicted people is greater than in the general population. Risk of FA increases with the increase in number of used substances (polyabuse). Age is inversely correlated with FA. There is a positive and significant correlation between BMI and FA among substance/tobacco abusers.Level of evidence Level V, observational cross-sectional descriptive study.
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In an Italian sample of substance use disorder patients (n = 575), the prevalence of food addiction was 20.2%.
“In an Italian sample of SUD patients (n = 575), the prevalence of FA was 20.2% [73]”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [73]
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- Authors
- Tinghino, B., Lugoboni, F., Amatulli, A., Biasin, C., Bramani Araldi, M., Cantiero, D., Cremaschini, M., Galimberti, G. L., Giusti, S., Grosina, C., Mulazzani, G. E. G., & Nizzoli, U.
- Affiliations
- Azienda Ospedaliera di Desio e Vimercate (IT)
- Azienda Ospedaliera Universitaria Integrata Verona (IT)
- Azienda ULSS 9 Scaligera (IT)
- University of Milan (IT)
- Corresponding author
- Tinghino, B.
- Venue
- Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
- Published
- 2020-02-18
- Volume
- 26
- Issue
- 2
- Pages
- 449-455
- ISSN
- 1124-4909 (ISSN-L)
- 1590-1262
- OpenAlex
- W3007261714
- Cited by
- 29
- References
- 55
- Citations by year
- 2026: 7 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 8 · 2020: 3
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- food addiction, prevalence, substance use disorders, drug addiction, alcoholism, tobacco dependence, body mass index, age, sex differences, cannabis users, heroin users, cocaine users
- MeSH terms
- Food Addiction, Cross-Sectional Studies, Pharmaceutical Preparations, Female, Humans, Italy, Nicotiana, Prevalence, Tobacco Products
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