Evidence map›Paper›PMID 42364013›Full record

ArticleObesity surgery2026

Individuals With Food Addiction After Metabolic And Bariatric Surgery Show Higher Consumption of Ultra-Processed Foods, Sedentary Lifestyle, Anxiety, and Sub-Optimal Body Weight Trajectories.

Maria Clara Farias Tavares da Silva, Jennifer Mikaella Ferreira Melo, Natália Gomes da Silva Lopes, André Eduardo da Silva Júnior, Mateus de Lima Macena, Nassib Bezerra Bueno

Erratum issuedAbstract read
In one paragraph

Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Maria Clara Farias Tavares da Silva *Laboratório de Nutrição e Metabolismo (LANUM), Programa de Pós-Graduação em Nutrição (PPGNUT), Faculdade de Nutrição (FANUT), Universidade Federal de Alagoas (UFAL), AL, Maceió, Brazil.ORCID http://orcid.org/0009-0006-0323-6969
Jennifer Mikaella Ferreira Melo *Laboratório de Nutrição e Metabolismo (LANUM), Programa de Pós-Graduação em Nutrição (PPGNUT), Faculdade de Nutrição (FANUT), Universidade Federal de Alagoas (UFAL), AL, Maceió, Brazil.ORCID http://orcid.org/0000-0003-1001-9509
Natália Gomes da Silva LopesLaboratório de Nutrição e Metabolismo (LANUM), Programa de Pós-Graduação em Nutrição (PPGNUT), Faculdade de Nutrição (FANUT), Universidade Federal de Alagoas (UFAL), AL, Maceió, Brazil.ORCID http://orcid.org/0009-0007-6510-3923
André Eduardo da Silva JúniorLaboratório de Nutrição e Metabolismo (LANUM), Programa de Pós-Graduação em Nutrição (PPGNUT), Faculdade de Nutrição (FANUT), Universidade Federal de Alagoas (UFAL), AL, Maceió, Brazil.ORCID http://orcid.org/0000-0002-1501-171X
Mateus de Lima MacenaLaboratório de Nutrição e Metabolismo (LANUM), Programa de Pós-Graduação em Nutrição (PPGNUT), Faculdade de Nutrição (FANUT), Universidade Federal de Alagoas (UFAL), AL, Maceió, Brazil.ORCID http://orcid.org/0000-0002-7168-9605
Nassib Bezerra BuenoLaboratório de Nutrição e Metabolismo (LANUM), Programa de Pós-Graduação em Nutrição (PPGNUT), Faculdade de Nutrição (FANUT), Universidade Federal de Alagoas (UFAL), AL, Maceió, Brazil. nassib.bueno@fanut.ufal.br.ORCID http://orcid.org/0000-0002-3286-0297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFood addiction (FA) may impact weight-loss maintenance and metabolic outcomes after metabolic and bariatric surgery (MBS). This study assessed the clinical, dietary, behavioral, and anthropometric profiles of women in the postoperative period of MBS, according to the presence of FA.

methodsA cross-sectional study of women ≥ 18 months post-MBS, with data collected via an online questionnaire. FA was assessed using the modified Yale Food Addiction Scale 2.0. Dietary intake was evaluated by the NOVA-UPF score and by dietary markers from the Brazilian Food and Nutrition Surveillance System. Anxiety was measured using the Generalized Anxiety Disorder 7 questionnaire. Multivariable models adjusted for confounders were used to test associations.

results631 women were included, with a prevalence of FA of 19.7%. Women with FA exhibited higher anxiety frequency (69.4% vs. 32.5%, p < 0.001), lower engagement in physical activity (38.7% vs. 59.4%, p < 0.001), and higher consumption of ultra-processed foods (4.37 vs. 3.26, p < 0.001). The FA group had a lower percentage of total weight loss (TWL: 26.96% vs. 34.25%, p < 0.001) and a higher current BMI (31.75 kg/m² vs. 27.96 kg/m², p < 0.001).

conclusionFA was associated with higher current BMI, lower %TWL, higher anxiety symptoms, higher consumption of UPF, and lower engagement in physical activity in women after MBS. These findings reflect associations rather than causal relationships and underscore the importance of continuous screening and multidisciplinary follow-up for women after surgery.

Indexed as

AnxietyBariatric SurgeryFast FoodsFood AddictionObesity, MorbidSedentary BehaviorAdultBody Mass IndexBrazilCross-Sectional StudiesFeeding BehaviorFemaleHumansMiddle AgedSurveys and QuestionnairesWeight LossAnxietyFood addictionRecurrent weight gainUltra-processed foods

Identifiers

PMID42364013
PMCPMC13429533

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.