Evidence map›Paper›PMID 29982973›Full record

ArticleObesity surgery2018

Association of Adverse Childhood Experiences and Food Addiction to Bariatric Surgery Completion and Weight Loss Outcome.

Allison A Holgerson, Matthew M Clark, Gretchen E Ames, Maria L Collazo-Clavell, Todd A Kellogg, Karen M Graszer, Sarah A Kalsy, Karen Grothe

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  4. How Do Trauma- and Violence-Informed Care Approaches Underpin Bariatric Surgery Interventions for Type 2 Diabetes Mellitus Remission? A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  16. Adverse childhood experiences and adult diet quality.Journal of nutritional science · 2021
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  18. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Allison A HolgersonDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.
Matthew M ClarkDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA. Clark.Matthew@mayo.edu.ORCID 0000-0003-3887-4419
Gretchen E AmesDepartment of Psychiatry & Psychology, Mayo Clinic Florida, Jacksonville, FL, USA.
Maria L Collazo-ClavellDivision of Endocrinology & Metabolism, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Todd A KelloggDivision of Breast, Endocrine, Metabolic & GI Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Karen M GraszerDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.
Sarah A KalsyDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.
Karen GrotheDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic · USJacksonville College · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction/purposeAdverse childhood experiences (ACEs) are known risk factors for obesity and poor outcomes following weight loss interventions. ACEs are also associated with addictive behaviors and, potentially, food addiction (FA). This study examined the relationship between ACEs and FA, and their association to undergoing bariatric surgery and post-surgical weight loss outcomes. MATERIALS AND

methodsBetween June 2013 and January 2016, 1586 bariatric-surgery-seeking patients completed a psychological evaluation. During their evaluation, the patients were administered measures including the ACE questionnaire and the Yale Food Addiction Scale.

results19.2% of those seeking bariatric surgery reported being the victim of childhood sexual abuse, and 22.1% reported being the victim of childhood physical abuse. An elevated ACE score corresponded to increased likelihood of screening positive for FA and more severe FA. When the type of ACE was analyzed separately, ACE was not associated with bariatric surgery completion or percent total weight loss (%TWL). Screening positive for FA corresponded to less %TWL 1 year post-surgery as the total number of ACEs increased, yet there was no association with %TWL 2 years post-surgery. The participants were classified into two groups, those positive for an ACE or FA versus those negative for both. Those who screened positive were significantly less likely to undergo bariatric surgery.

conclusionScreening positive for experiencing ACEs was related to severity of FA, and screening positive for being the victim of either childhood abuse or FA reduced the likelihood of completing bariatric surgery. More research is needed to determine how these psychosocial factors might influence bariatric surgery outcomes.

Indexed as

Food AddictionObesity, MorbidAdverse Childhood ExperiencesBariatric SurgeryChildHumansTreatment OutcomeWeight LossAdverse childhood experiencesBariatric surgeryFood addiction

Identifiers

PMID29982973
OpenAlexW2848677275

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.