Bariatric-Metabolic Surgery is the Most Effective Intervention in Reducing Food Addiction Symptoms: A Systematic Review and Meta-Analysis.

Reche-García C., Piernas C., García-Vizcaíno EM., Lorente-Gallego AM., Piuvezam G., Frutos MD., Hernández Morante JJ.

There are different treatments for food addiction (FA) symptomatology, but a comprehensive review with a meta-analysis to determine the most effective intervention is lacking. The aim of this review is to investigate the efficacy of pharmacological, behavioral, and bariatric-metabolic surgical interventions in reducing FA symptomatology. Meta-analyses including 15 studies in adults showed a significantly positive effect (std mean difference in FA symptoms before vs after intervention 0.72 (0.58-0.95)), with bariatric-metabolic surgical interventions showing the highest efficacy in improving FA symptoms (1.17 (0.58-1.76) before vs after intervention). The existing evidence suggests a beneficial effect of bariatric-metabolic surgical, pharmacological, and behavioral interventions, in that order, on FA symptomatology in people with overweight/obesity. Weight loss and behavioral and lifestyle changes after surgery may be determinants in improving FA symptomatology.

DOI

10.1007/s11695-024-07107-6

Type

Journal article

Publication Date

2024-09-01T00:00:00+00:00

Volume

34

Pages

3475 - 3492

Total pages

17

Keywords

Food addiction, Intervention, Pharmacological, Surgical, Behavioral, Treatment, YFAS, Adult, Female, Humans, Male, Bariatric Surgery, Behavior Therapy, Food Addiction, Obesity, Treatment Outcome, Weight Loss

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