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 language | English (US) |
|---|---|
| Pages (from-to) | 1374-1379 |
| Number of pages | 6 |
| Journal | Surgery for Obesity and Related Diseases |
| Volume | 15 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 1 2019 |
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All Science Journal Classification (ASJC) codes
- Surgery
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The relationship between food insecurity and binge and night eating symptoms in prebariatric surgery patients is mediated by depressive symptoms. / Zickgraf, Hana F.; Stefano, Emily; Price, Julia; Veldheer, Susan; Rogers, Ann; Rigby, Andrea.
In: Surgery for Obesity and Related Diseases, Vol. 15, No. 8, 01.08.2019, p. 1374-1379.Research output: Contribution to journal › Article
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 -