Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort
Abstract 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 preinterve...
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Nature Portfolio
2025-04-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-025-95614-6 |
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| author | Dana AlTarrah Lulwa Al-Abdullah Mohammed Alhusayan Dulce Canha Sulaiman Almazeedi Ahmad Al-Serri Maryam Abulhasan Talia Alsomly Naif Almutawa Mohammed Al-Onaizi Guy Fagherazzi Fawaz Alzaid |
| author_facet | Dana AlTarrah Lulwa Al-Abdullah Mohammed Alhusayan Dulce Canha Sulaiman Almazeedi Ahmad Al-Serri Maryam Abulhasan Talia Alsomly Naif Almutawa Mohammed Al-Onaizi Guy Fagherazzi Fawaz Alzaid |
| author_sort | Dana AlTarrah |
| collection | DOAJ |
| description | Abstract 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. |
| format | Article |
| id | doaj-art-c7a7a32981754d14bd9c87fda519f883 |
| institution | OA Journals |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-c7a7a32981754d14bd9c87fda519f8832025-08-20T01:54:19ZengNature PortfolioScientific Reports2045-23222025-04-0115111110.1038/s41598-025-95614-6Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohortDana AlTarrah0Lulwa Al-Abdullah1Mohammed Alhusayan2Dulce Canha3Sulaiman Almazeedi4Ahmad Al-Serri5Maryam Abulhasan6Talia Alsomly7Naif Almutawa8Mohammed Al-Onaizi9Guy Fagherazzi10Fawaz Alzaid11Department of Social and Behavioral Science, Faculty of Public Health, Kuwait UniversityDasman Diabetes InstituteDasman Diabetes InstituteDeep Digital Phenotyping Research Unit, Department of Precision Health, Luxembourg Institute of HealthDepartment of Surgery, Jaber Al-Ahmed HospitalDepartment of Pathology, Faculty of Medicine, Kuwait UniversityKuwait Center for Mental Health, Ministry of HealthDepartment of Surgery, Jaber Al-Ahmed HospitalDepartment of Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait UniversityDasman Diabetes InstituteDeep Digital Phenotyping Research Unit, Department of Precision Health, Luxembourg Institute of HealthDasman Diabetes InstituteAbstract 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.https://doi.org/10.1038/s41598-025-95614-6 |
| spellingShingle | Dana AlTarrah Lulwa Al-Abdullah Mohammed Alhusayan Dulce Canha Sulaiman Almazeedi Ahmad Al-Serri Maryam Abulhasan Talia Alsomly Naif Almutawa Mohammed Al-Onaizi Guy Fagherazzi Fawaz Alzaid Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort Scientific Reports |
| title | Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort |
| title_full | Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort |
| title_fullStr | Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort |
| title_full_unstemmed | Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort |
| title_short | Cross-sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the BariPredict cohort |
| title_sort | cross sectional analysis of eating disorder risk and risk correlates in candidates for bariatric surgery from the baripredict cohort |
| url | https://doi.org/10.1038/s41598-025-95614-6 |
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