Problematic intake of high-sugar/low-fat and high glycemic index foods by bariatric patients is associated with development of post-surgical new onset substance use disorders |
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| Institution: | 1. Eastern Michigan University, Psychology Department, Ypsilanti, MI, United States;2. George Washington University, Psychology Department, Washington, DC, United States;3. Yale University School of Medicine, Psychiatry Department, New Haven, CT, United States;1. Sapienza University of Rome, Department of Dynamic and Clinical Psychology, Via degli Apuli 1, 00185, Italy;2. Alliant International University, California School of Professional Psychology, 10455 Pomerado Road, San Diego, CA 92131, United States;3. Fatebenefratelli Hospital, Department of Obstetrics and Gynecology, Piazza Fatebenefratelli 2, Rome, 00186, Italy;1. School of Medicine, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia;2. School of Medicine, James Cook University, 1 James Cook Dr, Douglas, Townsville, QLD 4811, Australia;3. University of the Sunshine Coast, Faculty of Arts and Business, Maroochydore DC, Queensland, 4558, Australia |
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| Abstract: | Bariatric or weight loss surgery (WLS) patients are overrepresented in substance abuse treatment, constituting about 3% of admissions; about 2/3 of such patients deny problematic substance use prior to WLS. It is important to advance our understanding of the emergence of substance use disorders (SUDs) – particularly the New Onset variant – after WLS. Burgeoning research with both animal models and humans suggests that “food addiction” may play a role in certain forms of obesity, with particular risk conferred by foods high in sugar but low in fat. Therefore, we hypothesized that WLS patients who reported pre-WLS problems with High-Sugar/Low-Fat foods and those high on the glycemic index (GI) would be those most likely to evidence New Onset SUDs after surgery. Secondary data analyses were conducted using a de-identified database from 154 bariatric surgery patients (88% female, Mage = 48.7 yrs, SD = 10.8, Mtime since surgery = 2.7 yrs, SD = 2.2 yrs). Participants who endorsed pre-surgical problems with High-Sugar/Low-Fat foods and High GI foods were at greater risk for New Onset SUD in the post-surgical period. These findings remained significant after controlling for other predictors of post-surgical SUD. Our findings provide evidence for the possibility of addiction transfer among certain bariatric patients. |
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