Journal of Clinical and Translational Hepatology

Journal of Clinical and Translational Hepatology

Tuesday, 01 / 16 / 2018

Articles

Clinical Food Addiction Is Not Associated with Development of Metabolic Complications in Liver Transplant Recipients

ORIGINAL ARTICLE

Clinical Food Addiction Is Not Associated with Development of Metabolic Complications in Liver Transplant Recipients

Sammy Saab*1,2, Cameron Sikavi2, Melissa Jimenez2, Matthew Viramontes2, Ruby Allen2, Youssef Challita2, Michelle Mai2, Negin Esmailzadeh2, Jonathan Grotts1, Gina Choi1,2, Francisco Durazo1,2, Mohamed El-Kabany1,2, Steven-Huy Han1,2 and Elisa Moreno3

1Departments of Medicine, the University of California at Los Angeles, Los Angeles, CA, USA
2Departments of Surgery, the University of California at Los Angeles, Los Angeles, CA, USA
3Departments of Psychiatry, the University of California at Los Angeles, Los Angeles, CA, USA

*Correspondence to: Sammy Saab, Pfleger Liver Institute, UCLA Medical Center, 200 Medical Plaza, Suite 214, Los Angeles, CA 90095, USA. Tel: +1-310-206-6705, Fax: +1-310-206-4197, E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Journal of Clinical and Translational Hepatology 2017;5(4):335-342 DOI: 10.14218/JCTH.2017.00023

Received: March 14, 2017 Accepted: August 5, 2017 Published online: September 3, 2017

Abstract

Background and Aims: Given the increased risk of post-transplant metabolic syndrome (PTMS; defined by hypertension, diabetes mellitus and hyperlipidemia), we aimed to identify the potential role of food addiction in the development of metabolic complications in the post-liver transplant population.

Methods: Inclusion criteria included adult liver transplant recipients followed at our institution between June 2016 and November 2016. Participants were administered a demographic survey as well as the Yale Food Assessment Scale 2.0, a 35-item questionnaire used to assess frequency of food addiction in accordance with the DSM-V guidelines of substance use disorders. Demographic and clinical data were collected.

Results: Our study included 236 liver transplant recipients (139 males, 97 females). The median (interquartile range [IQR]) BMI of participants was 26.8 kg/m2 (24.2, 30.4), and median (IQR) time since transplantation was 50.9 months (19.6, 119.8). The prevalence rates of hypertension, hypercholesterolemia and diabetes mellitus were 54.7%, 25.0% and 27.1%, respectively. Twelve participants (5.1%) were found to have a diagnosis of food addiction. A diagnosis of food misuse was made in 94 (39.8%) of the transplant recipients.

Conclusions: Our findings are consistent with prior data that indicate high prevalence of metabolic complications among liver transplant recipients. Food addiction was not predictive of metabolic complications within this population. Nevertheless, we found that this population was at high risk of demonstrating symptoms of food misuse, and they were not likely to appreciate the risks of pathologic patterns of eating. Given the increasing risk of cardiovascular morbidity and mortality in this population, efforts should be made to identify risk factors for the development of PTMS.

Keywords

Food addiction, Liver transplant, Metabolic complications

 

Journal of Clinical and Translational Hepatology 2017 vol. 5, 335-342  Html ] [ PDF Full-text ]

© The Authors 2017. This article is published under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC 4.0), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license.

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