TY - JOUR
T1 - Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort
AU - AlTarrah, Dana
AU - Al-Abdullah, Lulwa
AU - Alhusayan, Mohammed
AU - Canha, Dulce
AU - Almazeedi, Sulaiman
AU - Al-Serri, Ahmad
AU - Abulhasan, Maryam
AU - Alsomly, Talia
AU - Almutawa, Naif
AU - Al-Onaizi, Mohammed
AU - Fagherazzi, Guy
AU - Alzaid, Fawaz
N1 - Funding
FA is supported by the Kuwait Foundation for the Advancement of Sciences (KFAS) Dasman Diabetes Institute (DDI) projects RA AM-2022-009, RA AM-2023-007, RA HM-2023-019; Agence Nationale de la Recherche (ANR; National Research Agency) CEMPR grant ANR-23-CE14-0088; and by the DIAL cooperation agreement.
DC is supported by the Luxembourg National Research Fund through the grant number PRIDE21/16749720.
Publisher Copyright:
© The Author(s) 2025.
PY - 2025/4/1
Y1 - 2025/4/1
N2 - Bariatric surgery is an effective intervention for managing obesity. Persons with obesity are a high-risk population for eating disorders (ED), and these can negatively impact perioperative and long-term outcomes of surgery. We aim to understand prevalence and correlates of ED in preintervention patients, identifying those needing psychological support. Baseline cross-sectional analysis of 275 patients of the BariPredict cohort (NCT06480058), a study to assess predictors of long-term surgery outcomes. Psychological assessments were conducted using SCOFF, KUAS, and BDI tools. Data were analyzed for prevalence of high ED risk and for associations of clinical, biological and demographic factors. Mean age was 38.5 years, mean BMI was 42.3 kg/m², with 62.5% being female. 65.8% of patients had a SCOFF score ≥ 2 indicating high ED risk. Class II obesity (p < 0.05), younger age (p < 0.01), and higher depression (p < 0.01) were associated with ED risk in a logistic regression adjusted for age, obesity class, diabetes, HbA1c, depression and anxiety scores. We report high preintervention prevalence of ED, with a risk profile corresponding to BMI of 35-39.9 Kg/m2 in younger adults with concurrent depression. This patient profile should be prioritized for psychological assessment and support to potentially improve outcomes of bariatric surgery.
AB - Bariatric surgery is an effective intervention for managing obesity. Persons with obesity are a high-risk population for eating disorders (ED), and these can negatively impact perioperative and long-term outcomes of surgery. We aim to understand prevalence and correlates of ED in preintervention patients, identifying those needing psychological support. Baseline cross-sectional analysis of 275 patients of the BariPredict cohort (NCT06480058), a study to assess predictors of long-term surgery outcomes. Psychological assessments were conducted using SCOFF, KUAS, and BDI tools. Data were analyzed for prevalence of high ED risk and for associations of clinical, biological and demographic factors. Mean age was 38.5 years, mean BMI was 42.3 kg/m², with 62.5% being female. 65.8% of patients had a SCOFF score ≥ 2 indicating high ED risk. Class II obesity (p < 0.05), younger age (p < 0.01), and higher depression (p < 0.01) were associated with ED risk in a logistic regression adjusted for age, obesity class, diabetes, HbA1c, depression and anxiety scores. We report high preintervention prevalence of ED, with a risk profile corresponding to BMI of 35-39.9 Kg/m2 in younger adults with concurrent depression. This patient profile should be prioritized for psychological assessment and support to potentially improve outcomes of bariatric surgery.
UR - http://www.scopus.com/inward/record.url?scp=105001648557&partnerID=8YFLogxK
UR - https://pubmed.ncbi.nlm.nih.gov/40169756/
U2 - 10.1038/s41598-025-95614-6
DO - 10.1038/s41598-025-95614-6
M3 - Article
C2 - 40169756
AN - SCOPUS:105001648557
SN - 2045-2322
VL - 15
JO - Scientific Reports
JF - Scientific Reports
IS - 1
M1 - 11191
ER -