Kıyıcı, SinemKoca, NizameddinAslan, Bilal BurçakGüçlü, MetinKısakol, Gürcan2024-02-022024-02-022020-04-01Kıyıcı, S. vd. (2020). "Food addiction correlates with psychosocial functioning more than metabolic parameters in patients with obesity". Metabolic Syndrome and Related Disorders, 18(3), 161-167.1540-41961557-8518https://www.liebertpub.com/doi/10.1089/met.2019.0108https://hdl.handle.net/11452/39461Aim: 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.eninfo:eu-repo/semantics/closedAccessObesityFood addictionDepressionMetabolic parametersInsulin resistanceTurkish versionShort-formScalePrevelanceDepressionWeightEnergyAssocaitionReliabilitySeverityResearch & experimental medicineAdultAnthropometryBody compositionBody mass indexDepressionExerciseFeeding behaviorFemaleFood addictionHumansMaleMiddle agedNeuropsychological testsObesityPatient Acceptance of Health CarePsychosocial functioningQuality of lifeWaist circumferenceArticle0005123343000012-s2.0-8508304225116116718332027557https://doi.org/10.1089/met.2019.0108Medicine, research & experimentalSleep; Feeding and Eating Disorders; BulimiaGlucoseHemoglobin A1cHigh density lipoprotein cholesterolInsulinLipidLow density lipoprotein cholesterolAdultAgeAgedArticleBlood samplingBody massCardiovascular diseaseDepressionDiabetes mellitusDiastolic blood pressureDietary intakeDisease associationDyslipidemiaFemaleFood addictionGlucose blood levelHumanHypertensionInsulin blood levelInsulin resistanceMajor clinical studyMaleMetabolic parametersMetabolic syndrome XObese patientObesityPatient Health Questionnaire 9Physical activityPriority journalPsychologic assessmentQuality of lifeResting metabolic rateSex differenceShort Form 36Social psychologyStatistical analysisSystolic blood pressureWaist circumferenceYale food addiction scaleAnthropometryBody compositionComplicationExerciseFeeding behaviorFood addictionMetabolismMiddle agedNeuropsychological testObesityPatient attitudePsychology