Psychosocial factors and dietary patterns in metabolic and bariatric surgery: analyzing anxiety, depression, and hedonic hunger

Abstract Background Scientific evidence has demonstrated that psychosocial factors can influence hedonic hunger (HH). Moreover, HH can be a predictor of metabolic and bariatric surgery (MBS) outcomes. The Mediterranean Diet (MD) has been used as a model approach for managing excess weight. In this s...

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Main Authors: Beatriz Vieira, Zélia Santos, Rui Ribeiro, Octávio Viveiros, Carina Rossoni, Elisabete Carolino, Filipa Novais
Format: Article
Language:English
Published: Springer 2025-08-01
Series:Eating and Weight Disorders
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Online Access:https://doi.org/10.1007/s40519-025-01778-5
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Summary:Abstract Background Scientific evidence has demonstrated that psychosocial factors can influence hedonic hunger (HH). Moreover, HH can be a predictor of metabolic and bariatric surgery (MBS) outcomes. The Mediterranean Diet (MD) has been used as a model approach for managing excess weight. In this study, we assessed the association between anxiety and depression levels, HH, and adherence to MD in candidates to MBS and post-MBS subjects. Methods This was a cross-sectional observational study that included individuals who were candidates and who were submitted to MBS. Data analysis included anthropometric measurements, assessment of anxiety and depression levels, HH, and adherence to MD. Results Of the 64 included individuals, 68.8% were female, with a mean age of 48.39 years. A significant positive correlation was observed between HH and anxiety and depression levels. No statistically significant relationship was found between adherence to MD and HH, nor with anxiety and depression levels. Conclusion Psychological status largely contributes to weight control. Therefore, patients should be carefully assessed before and after surgery to ensure treatment and adequate follow-up. Future studies are needed to better determine the complex relationship between psychological factors, HH, food intake, and weight. Level V: Cross-sectional observational study.
ISSN:1590-1262