ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2026
Does food insecurity elucidate the relationship between food addiction and binge eating among bariatric surgery candidates?
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundFood addiction symptoms and binge eating symptoms both include the experience of loss of control eating and emotional dysregulation and are prevalent among adult metabolic and bariatric surgery (MBS) candidates.
objectivesTo examine whether food insecurity elucidates the relationship between food addiction symptoms and binge eating symptoms. We hypothesized an indirect effect through food insecurity on the relationship between food addiction symptoms and binge eating symptoms. We also hypothesized that food insecurity moderates the relationship between food addiction symptoms and binge eating symptoms.
settingAcademic medical center, United States
methodsParticipants were 866 consecutive adult MBS candidates who completed a battery of self-report questionnaires assessing demographic information, food addiction symptoms, food insecurity, and binge eating symptoms prior to MBS during a routine clinic visit.
resultsIn both statistical models, a strong relationship between food addiction symptoms and binge eating symptoms emerged; however, overall food insecurity did not mediate or moderate this relationship. Exploratory analyses indicated that use of food assistance from family or friends moderated the relationship between food addiction symptoms and binge eating symptoms.
conclusionsFood insecurity may not be relevant in understanding the relationship food addiction symptoms and binge eating symptoms in presurgical bariatric populations. Food addiction symptoms and binge eating symptoms continue to demonstrate a strong relationship; however, the extent to which they have unique differences requires additional examination.
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