Introduction

The prevalence of food addiction among patients seeking bariatric surgery is approximately 30 %. While hyper-palatable foods (HPF) have been identified as the potential ‘substance’ in food addiction and a contributor to severe obesity, consumption of HPF among individuals with food addiction, including those seeking bariatric surgery, is unknown. Thus, the aim of this study was to evaluate the consumption of HPF among individuals seeking bariatric surgery with food addiction, compared to those without food addiction.

Methods

Participants were N = 54 individuals with severe obesity seeking bariatric surgery. The Yale Food Addiction Scale was used to identify individuals with food addiction (FA) (37 % of sample). Dietary recalls were used to quantify HPF intake. Analyses were conducted to characterize average HPF intake and to determine whether there were significant differences between HPF intake among those with FA compared to those without FA, and whether HFP intake was correlated with FA symptoms.

Results

On average, 71 % of participants' daily calorie intake was from HPF. There were no significant differences in HPF items intake among individuals with and without FA (70.46 % vs 71.34; p = 0.85). A positive correlation between number of FA symptoms and the intake of HPF high in fat and sugar ([0.3]; p = 0.03) was observed.

Conclusion

In this pilot study, HPF consumption among individuals with and without FA seeking bariatric surgery was high overall, however there were no differences across groups. In addition, intake of HPF with fat and sugar was associated with the number of symptoms of food addiction. More studies with a larger sample are needed to confirm these preliminary findings.

中文翻译：

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寻求减肥手术的食物成瘾者中过度美味食物摄入的患病率

介绍

寻求减肥手术的患者中食物成瘾的患病率约为 30%。虽然超适口食物 (HPF) 已被确定为食物成瘾的潜在“物质”并导致严重肥胖，但食物成瘾个体（包括寻求减肥手术的个体）是否摄入 HPF 尚不清楚。因此，本研究的目的是评估患有食物成瘾的寻求减肥手术的个体与没有食物成瘾的个体相比 HPF 的消耗情况。

方法

参与者为N  = 54 名寻求减肥手术的严重肥胖者。耶鲁大学食物成瘾量表用于识别食物成瘾 (FA) 个体（占样本的 37%）。膳食召回用于量化 HPF 摄入量。通过分析来表征平均 HPF 摄入量，并确定患有 FA 的患者与未患 FA 的患者之间 HPF 摄入量是否存在显着差异，以及 HFP 摄入量是否与 FA 症状相关。

结果

平均而言，参与者每日卡路里摄入量的 71% 来自 HPF。有和没有 FA 的个体的 HPF 项目摄入量没有显着差异（70.46 % vs 71.34；p  = 0.85）。 观察到FA 症状的数量与高脂肪和高糖 HPF 的摄入量呈正相关（[0.3]；p = 0.03）。

结论

在这项试点研究中，接受或未接受减肥手术的 FA 个体的 HPF 消耗量总体较高，但各组之间没有差异。此外，HPF与脂肪和糖的摄入量与食物成瘾症状的数量有关。需要更多更大样本的研究来证实这些初步发现。