Key result
Among candidates for bariatric surgery, 65.8% had a high risk for eating disorders, with Class II obesity significantly increasing this risk compared to Class I obesity (OR 2.73).
Why the study?
What is the prevalence and what are the correlates of eating disorder risk in candidates for bariatric surgery?
Cross-Sectional (n=275)
No
What is the prevalence and what are the correlates of eating disorder risk in candidates for bariatric surgery?
Odds Ratio: 2.73 (95% CI 1.02–7.35)
p-value: p=<0.05
A high prevalence (65.8%) of eating disorder risk was found among bariatric surgery candidates, particularly associated with class II obesity, younger age, and concurrent depression, highlighting the need for targeted psychological support.
High eating disorder risk in bariatric candidates warrants screening consideration; cross-sectional data leaves open causality and prospective validation.
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.
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AlTarrah et al. (2025) conducted a cross-sectional in Obesity (candidates for bariatric surgery) (n=275). Class II obesity vs. Class I obesity was evaluated on High eating disorder risk (SCOFF score ≥ 2) (OR 2.73, 95% CI 1.02-7.35, p=<0.05). Among candidates for bariatric surgery, 65.8% had a high risk for eating disorders, with Class II obesity significantly increasing this risk compared to Class I obesity (OR 2.73).
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