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Open AccessOriginalarbeit

Food Addiction und Alkoholkonsum vor Adipositaschirurgie

Published Online:August 09, 2022https://doi.org/10.1024/0939-5911/a000773

Abstract

Zusammenfassung:Zielsetzung: Bei Personen vor Adipositaschirurgie wurden die Prävalenzen von Food Addiction (FA), alkoholbezogener Störung, Angst- und depressiven Störungen geschätzt. Zudem wurde untersucht, ob FA-Symptome mit Alkoholkonsum, Lebensqualität sowie Essstörungs-, Angst- und Depressionssymptomatik assoziiert sind und ob es Unterschiede zwischen Personen mit und ohne FA in diesen Variablen gibt. Methodik: Bei 419 Personen mit Adipositas wurden FA, Alkoholkonsum, gewichtsbezogene Lebensqualität, Essstörungs-, Angst- und Depressionssymptomatik mit validierten Fragebögen erfasst. Unterschiede in den psychopathologischen Variablen zwischen Patient_innen mit und ohne FA wurden mit non-parametrischen Verfahren untersucht. Ergebnisse: Die geschätzten Prävalenzen von riskantem Alkoholkonsum (11 %) und alkoholbezogener Störung (5 %) waren in der aktuellen Stichprobe geringer als in bevölkerungsbasierten Stichproben, die geschätzten Prävalenzen von Food Addiction (38 %), Essstörungen (79 %), Depression (30 %) und Angststörungen (24 %) hingegen deutlich höher. FA-Symptome waren nicht mit Alkoholkonsum und gewichtsbezogener Lebensqualität assoziiert. Hingegen zeigten sich positive Korrelationen von FA-Symptomen mit globaler Essstörungspathologie, Depressions- und Angstsymptomatik. Es zeigten sich keine Unterschiede zwischen Personen mit/ohne FA hinsichtlich der Häufigkeit von früherem oder aktuellem riskanten Alkoholkonsum oder alkoholbezogener Störung. Schlussfolgerungen: Die Ergebnisse bestätigen frühere Befunde eines fehlenden Zusammenhangs von FA mit Alkoholkonsum bei Menschen vor chirurgischer Adipositasbehandlung. Längsschnittstudien mit großen Stichproben und langfristigen Follow-Ups sollten eine etwaige postoperative Symptomverlagerung von FA zu Substanzkonsum untersuchen.


Food Addiction and Alcohol Use Prior to Bariatric Surgery

Abstract:Aims: In individuals prior to bariatric surgery, the prevalence rates of food addiction (FA), alcohol-related disorder, anxiety and depressive disorders were estimated. Besides this, it was investigated whether food addiction (FA) symptoms are associated with alcohol use, weight-related quality of life, eating disorder, anxiety, and depression symptoms in individuals prior to bariatric surgery. It was further explored whether there are differences between individuals with and without FA regarding these variables. Methods: Validated questionnaires capturing FA, alcohol use, weight-related quality of life, eating disorder, anxiety, and depression symptoms were filled out by 419 subjects with obesity. Differences in psychopathological variables between patients with and without FA were investigated by means of non-parametric methods. Results: The current sample’s estimated prevalence rates of risky alcohol use (11 %) and alcohol-related disorder (5 %) were lower than in population-based samples, but the estimated prevalence rates of food addiction (38 %), eating disorders (79 %), depression (30 %), and anxiety disorders (24 %) were higher. There were no differences between individuals with/without FA regarding prevalence rates of past or current risky alcohol use or alcohol-related disorder. FA symptoms were not correlated with alcohol use and weight-related quality of life. On the contrary, positive correlations of FA symptoms with global eating disorder pathology, depression and anxiety symptomatology were found. Conclusion: The results confirm previous findings of a lack of association of FA with alcohol use in patients prior to bariatric surgery. Longitudinal studies with large samples and long-term follow-up should investigate a possible postoperative symptom shift from FA to substance use.

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