Food Addiction Correlates with Psychosocial Functioning More Than Metabolic Parameters in Patients with Obesity
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Aim: To investigate the association of food addiction (FA) with the psychosocial functioning and metabolic parameters in obese patients seeking weight-loss treatment. Methods: Two hundred twenty-four obese patients (male/female: 28/196) with a mean age of 44.5 ± 13.4 years and body mass index (BMI) of 41.6 ± 7.2 were included in the study. After receiving sociodemographic data and medical history, detailed physical examination, including anthropometric measurements, was performed by an experienced physician. Blood samples were taken after 8–12 hr of fasting. The presence of FA was evaluated by using Yale Food Addiction Scale (YFAS). Psychological evaluation was performed by using a self-reported Patient Health Questionnaire-9 (PHQ-9) and health-related quality of life using the 36-item short-form health survey (SF-36). Results: Seventy-two of 224 (32.1%) patients met the criteria for FA, according to YFAS. The mean age of patients with FA was younger compared with patients without FA (P < 0.001). There was no statistically significant difference between the patients with and without FA in terms of BMI, fat percentage, and waist circumference (P = 0.440, P = 0.644, and P = 0.144, respectively). The depression frequency was significantly higher (61.1%, P < 0.001), while the SF-36 score of mental health was lower (P = 0.027) in patients with FA than in the patients without FA. Age- and sex-adjusted mean fasting plasma glucose level was lower in patients with FA (P = 0.021), but serum insulin levels, HOMA-IR (homeostasis model assessment of insulin resistance), HbA1c (hemoglobin A1c), lipid parameters, and vascular adiposity index were comparable. Conclusions: We found that FA frequency was very high in obese patients seeking treatment for weight loss, and it correlates with psychosocial functioning more than metabolic parameters.
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Among patients with obesity (n = 224), FA is more closely correlated with psychological factors (depressive symptoms, quality of life) than with metabolic parameters (BMI, fat percentage, waist circumference).
“Among patients with obesity (n = 224), FA is more closely correlated with psychological factors (depressive symptoms, quality of life) than with metabolic parameters (BMI, fat percentage, waist circumference) [74].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [74]
Individuals with food addiction have more depressive symptoms than controls.
“Multiple lines of evidence suggest that individuals with FA have more depressive symptoms than controls [60,105,130,150,151,152].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [152]
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- Authors
- Kiyici, S., Koca, N., Sigirli, D., Aslan, B. B., Guclu, M., & Kisakol, G.
- Affiliations
- Sağlık Bilimleri Üniversitesi (TR)
- Department of Bio-Statistics, Uludag University Medical Faculty, Bursa, Turkey.
- Department of Endocrinology and Metabolism, Bursa Yuksek Ihtisas Education and Training Hospital, University of Health Sciences, Bursa, Turkey.
- Corresponding author
- Kiyici, Sinem
- Venue
- Metabolic Syndrome and Related Disorders
- Publisher
- SAGE Publications
- Published
- 2020-04-01
- Volume
- 18
- Issue
- 3
- Pages
- 161-167
- ISSN
- 1540-4196 (ISSN-L)
- 1557-8518
- OpenAlex
- W3005524304
- Cited by
- 22
- References
- 38
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 9 · 2020: 3
- FWCI
- 1.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Metabolic Syndrome and Related Disorders (publishedVersion)
- PubMed (publishedVersion)
- Bursa Uludag University - AVESIS (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- food addiction, obesity, psychosocial functioning, depression, health-related quality of life, weight loss treatment, Yale Food Addiction Scale, fasting blood glucose, insulin resistance, HOMA-IR, HbA1c, lipid parameters, metabolic parameters
- MeSH terms
- Food Addiction, Psychosocial Functioning, Adult, Anthropometry, Body Composition, Depression, Feeding Behavior, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Obesity, Patient Acceptance of Health Care, Quality of Life, Exercise, Body Mass Index, Waist Circumference
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