Ankara Med J. 2021; 21(1): 22-34 | DOI: 10.5505/amj.2021.59862

Obez Bireylerde Yeme Baðýmlýlýðý ve Ýliþkili Faktörler: Hastane tabanlý bir çalýþma

Hacer Hicran Mutlu, Mehmet Sargýn
Ýstanbul Medeniyet Üniversitesi Týp Fakültesi, Aile Hekimliði Ana Bilim Dalý, Ýstanbul

GÝRÝÞ ve AMAÇ: Yeme baðýmlýlýðý, son zamanlarda çok tartýþýlan ve obeziteye neden olan non-homeostatik bir davranýþtýr. Bu çalýþmada obezite polikliniðimize baþvuran bireylerde yeme baðýmlýlýðý sýklýðý ve iliþkili faktörleri saptamayý amaçladýk.
YÖNTEM ve GEREÇLER: 6 aylýk zaman diliminde, bir eðitim ve araþtýrma hastanesi obezite polikliniðine baþvuran ve çalýþmamýza katýlmayý kabul ettiðine dair yazýlý onam veren 202 kiþiye Yale Yeme Baðýmlýlýðý Ölçeði ve Depresyon, Anksiyete, Stres-21 Ölçeði doldurtuldu. Bütün örneklemdeki yeme baðýmlýlýðý oraný ve bu iki grubun özellikleri arasýndaki farklar deðerlendirildi.
BULGULAR: Çalýþmamýza katýlan kiþilerdeki yeme baðýmlýlýðý oranýnýn %35,10 olduðu tespit edildi. Yeme baðýmlýlýðý olan ve olmayan gruplar arasýnda yaþ, cinsiyet, sigara içme durumu, çocukluk çaðýnda ve ailede obezite varlýðý ve egzersiz alýþkanlýðý açýsýndan fark bulunamadý. Yeme baðýmlýlýðý olan grubun vücut kütle indeksi (VKÝ) olmayan gruba göre anlamlý olarak daha yüksek bulundu. Depresyon, anksiyete ve stres skoru yeme baðýmlýlýðý olan grupta anlamlý olarak daha yüksekti.
TARTIÞMA ve SONUÇ: Çalýþmamamýzda, obez bireylerde yeme baðýmlýlýðý oranýnýn yüksek olduðu sonucuna vardýk. Bu nedenle, yeme baðýmlýlýðýnýn erken dönemde taný almasý ve tedavi edilmesinin obezite tedavisine önemli katkýsý olacaðýný düþünmekteyiz.

Anahtar Kelimeler: Beslenme ve yeme bozukluklarý, baðýmlý davranýþ, depresyon, anksiyete, obezite.

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Food Addiction Prevalence and Related Factors Among People with Obesity: A Hospital-based Study

Hacer Hicran Mutlu, Mehmet Sargýn
Department Of Family Medicine, Istanbul Medeniyet University, Istanbul, Turkey

INTRODUCTION: Food addiction which is a non-homeostatic behavior that contributes to obesity is a highly discussed issue recently. In the present study, we aimed to determine the prevalence of food addiction among obese people and related factors who applied to our obesity outpatient clinic.
METHODS: Yale Food Addiction Scale (YFAS) and Depression, Anxiety, Stress Scale (DASS)-21 were applied to the 202 participants admitted to a Training and Research Hospital obesity outpatient clinic within 6 months who gave written consent. The patients were divided into two groups as individuals with and without food addiction. The prevalence of food addiction in the total sample and the difference between the two groups were evaluated.
RESULTS: The prevalence of food addiction among participants was 35.10%. There were no significant differences between the groups with and without food addiction in terms of age, gender, smoking status, having a history of childhood obesity, a family history of obesity, and exercising habit. The Body Mass Index (BMI) of the group with food addiction was significantly higher than the group without food addiction. The depression, anxiety, and stress scores of the participants with food addiction were significantly higher than those without food addiction.
DISCUSSION AND CONCLUSION: In this study, it has appeared that food addiction is prevalent among obese individuals. For this reason, we consider that early diagnosis and treatment of this disorder will make a significant contribution to obesity treatment.

Keywords: Feeding and eating disorder, addictive behavior, depression, anxiety, obesity.

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ATIF KOPYALA