The relationship between food insecurity and binge and night eating symptoms in prebariatric surgery patients is mediated by depressive symptoms

Hana F. Zickgraf, Emily Stefano, Julia Price, Susan Veldheer, Ann Rogers, Andrea Rigby

Research output: Contribution to journalArticle

Abstract

Background: Eleven percent of households in the United States experience food insecurity, which is a lack of access to adequate, desirable food for a healthy lifestyle. Although food insecurity is associated with increased risk of obesity and nonadherence to dietary management of chronic diseases such as diabetes, the correlates of food insecurity have not yet been studied in a bariatric surgery population. Objectives: To replicate, in a bariatric sample, previous findings that food insecurity is related to eating pathology and to test the hypothesis that this relationship is mediated by depressive symptoms. Setting: University hospital, United States. Methods: Two hundred forty bariatric surgery candidates responded to self-report measures of food insecurity and mood, night-eating, and binge-eating symptoms. The sample was 74% female and 71% white, with a mean age of 41.09 (11.84) years. Based on responses to the United States Department of Agriculture Adult Food Security Survey Model, 15.8% were categorized as food insecure and 25.8% as marginally food secure. Multiple regression models with bootstrapping for confidence interval estimates were used to explore mediation hypotheses. Results: Food insecurity was positively associated with symptoms of night eating and binge eating, and these relationships were cross-sectionally mediated by depressive symptoms. Conclusions: Food insecure bariatric candidates may be at increased risk of poorer postoperative outcomes because of lack of access to needed food and the detrimental mental health impact of this lack of access.

Original languageEnglish (US)
Pages (from-to)1374-1379
Number of pages6
JournalSurgery for Obesity and Related Diseases
Volume15
Issue number8
DOIs
StatePublished - Aug 1 2019

Fingerprint

Bulimia
Food Supply
Depression
Food
Bariatrics
Bariatric Surgery
Eating
United States Department of Agriculture
Self Report
Mental Health
Chronic Disease
Obesity
Confidence Intervals
Pathology
Population

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

@article{e2ead855790343ec8fd11ae570cb64ae,
title = "The relationship between food insecurity and binge and night eating symptoms in prebariatric surgery patients is mediated by depressive symptoms",
abstract = "Background: Eleven percent of households in the United States experience food insecurity, which is a lack of access to adequate, desirable food for a healthy lifestyle. Although food insecurity is associated with increased risk of obesity and nonadherence to dietary management of chronic diseases such as diabetes, the correlates of food insecurity have not yet been studied in a bariatric surgery population. Objectives: To replicate, in a bariatric sample, previous findings that food insecurity is related to eating pathology and to test the hypothesis that this relationship is mediated by depressive symptoms. Setting: University hospital, United States. Methods: Two hundred forty bariatric surgery candidates responded to self-report measures of food insecurity and mood, night-eating, and binge-eating symptoms. The sample was 74{\%} female and 71{\%} white, with a mean age of 41.09 (11.84) years. Based on responses to the United States Department of Agriculture Adult Food Security Survey Model, 15.8{\%} were categorized as food insecure and 25.8{\%} as marginally food secure. Multiple regression models with bootstrapping for confidence interval estimates were used to explore mediation hypotheses. Results: Food insecurity was positively associated with symptoms of night eating and binge eating, and these relationships were cross-sectionally mediated by depressive symptoms. Conclusions: Food insecure bariatric candidates may be at increased risk of poorer postoperative outcomes because of lack of access to needed food and the detrimental mental health impact of this lack of access.",
author = "Zickgraf, {Hana F.} and Emily Stefano and Julia Price and Susan Veldheer and Ann Rogers and Andrea Rigby",
year = "2019",
month = "8",
day = "1",
doi = "10.1016/j.soard.2019.05.018",
language = "English (US)",
volume = "15",
pages = "1374--1379",
journal = "Surgery for Obesity and Related Diseases",
issn = "1550-7289",
publisher = "Elsevier Inc.",
number = "8",

}

TY - JOUR

T1 - The relationship between food insecurity and binge and night eating symptoms in prebariatric surgery patients is mediated by depressive symptoms

AU - Zickgraf, Hana F.

AU - Stefano, Emily

AU - Price, Julia

AU - Veldheer, Susan

AU - Rogers, Ann

AU - Rigby, Andrea

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Background: Eleven percent of households in the United States experience food insecurity, which is a lack of access to adequate, desirable food for a healthy lifestyle. Although food insecurity is associated with increased risk of obesity and nonadherence to dietary management of chronic diseases such as diabetes, the correlates of food insecurity have not yet been studied in a bariatric surgery population. Objectives: To replicate, in a bariatric sample, previous findings that food insecurity is related to eating pathology and to test the hypothesis that this relationship is mediated by depressive symptoms. Setting: University hospital, United States. Methods: Two hundred forty bariatric surgery candidates responded to self-report measures of food insecurity and mood, night-eating, and binge-eating symptoms. The sample was 74% female and 71% white, with a mean age of 41.09 (11.84) years. Based on responses to the United States Department of Agriculture Adult Food Security Survey Model, 15.8% were categorized as food insecure and 25.8% as marginally food secure. Multiple regression models with bootstrapping for confidence interval estimates were used to explore mediation hypotheses. Results: Food insecurity was positively associated with symptoms of night eating and binge eating, and these relationships were cross-sectionally mediated by depressive symptoms. Conclusions: Food insecure bariatric candidates may be at increased risk of poorer postoperative outcomes because of lack of access to needed food and the detrimental mental health impact of this lack of access.

AB - Background: Eleven percent of households in the United States experience food insecurity, which is a lack of access to adequate, desirable food for a healthy lifestyle. Although food insecurity is associated with increased risk of obesity and nonadherence to dietary management of chronic diseases such as diabetes, the correlates of food insecurity have not yet been studied in a bariatric surgery population. Objectives: To replicate, in a bariatric sample, previous findings that food insecurity is related to eating pathology and to test the hypothesis that this relationship is mediated by depressive symptoms. Setting: University hospital, United States. Methods: Two hundred forty bariatric surgery candidates responded to self-report measures of food insecurity and mood, night-eating, and binge-eating symptoms. The sample was 74% female and 71% white, with a mean age of 41.09 (11.84) years. Based on responses to the United States Department of Agriculture Adult Food Security Survey Model, 15.8% were categorized as food insecure and 25.8% as marginally food secure. Multiple regression models with bootstrapping for confidence interval estimates were used to explore mediation hypotheses. Results: Food insecurity was positively associated with symptoms of night eating and binge eating, and these relationships were cross-sectionally mediated by depressive symptoms. Conclusions: Food insecure bariatric candidates may be at increased risk of poorer postoperative outcomes because of lack of access to needed food and the detrimental mental health impact of this lack of access.

UR - http://www.scopus.com/inward/record.url?scp=85067650920&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067650920&partnerID=8YFLogxK

U2 - 10.1016/j.soard.2019.05.018

DO - 10.1016/j.soard.2019.05.018

M3 - Article

C2 - 31248792

AN - SCOPUS:85067650920

VL - 15

SP - 1374

EP - 1379

JO - Surgery for Obesity and Related Diseases

JF - Surgery for Obesity and Related Diseases

SN - 1550-7289

IS - 8

ER -