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

• DOI: 10.1002/oby.20797
• Publication Date: 2014-05-23T11:02:31Z
• Authors: Marta Yanina Pepino; Richard I. Stein; J. Christopher Eagon; Samuel Klein
• Keywords: Food addiction; Obesity Surgery; Adolescent Obesity

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 after ∼20% loss induced by surgery (25 Roux‐en‐Y gastric bypass, 11 laparoscopic adjustable banding, eight sleeve gastrectomy). We assessed: FA (Yale Food Addiction Scale), cravings (Food Craving Inventory), restrictive, emotional external (Dutch Eating Behavior Questionnaire). Results was identified in 32% surgery. Compared non‐FA subjects, those craved foods more frequently, had higher scores for (all P ‐values <0.01; all Cohen's d >0.8). Surgery‐induced resulted 93% subjects; no new cases developed decreased cravings, both groups < 0.001; ≥ 0.8). Restrictive behavior did not change but increased ( 0.01; d>1.1). Conclusion Bariatric improves several are