AI Article Synopsis

  • Food addiction (FA) is common in people with obesity and may contribute to difficulties in losing weight or maintaining weight loss.
  • A study involving 113 people with obesity found that low doses of semaglutide significantly reduced FA symptoms, with prevalence dropping from 57.5% to 4.2% after four months.
  • Despite higher initial BMI and fat mass in those with FA, semaglutide resulted in similar weight loss outcomes for both groups, indicating its effectiveness for managing FA alongside weight loss.

Article Abstract

Introduction: Food addiction (FA) is highly prevalent among people with obesity (PwO) and may constitute a key factor in weight loss failure or weight regain. GLP-1 analogues have been shown to act on the mesolimbic system, which is related to hedonic overeating and substance abuse. We aimed to study the effects of low doses of semaglutide on FA symptomatology and to evaluate whether the presence of FA have a negative impact on weight loss despite treatment with semaglutide.

Methods: One hundred and thirteen PwO (45.5 ± 10.2 years) were evaluated anthropometrically baseline and after four months of treatment with semaglutide. PwO were evaluated for the presence of FA by completing The Spanish version of the Yale Food Addiction Scale 2.0 questionnaire (YFAS 2.0).

Results: Baseline BMI and fat mass (%) were greater among PwO with FA (35.8 ± 4.5 vs 33 ± 3.9 kg/mand 44.2 ± 6.5 vs 40.1 ± 7.9%;  = .01). After four months of treatment with semaglutide, the prevalence of FA diminished from 57.5% to 4.2% ( < .001). The percentage of weight loss (6.9 ± 12.7 vs 5.3 ± 4.6%;  = .4) and the proportion of fat mass loss (2 ± 9 vs 1.6 ± 3.1%;  = .7) were comparable between PwO with and without FA. No differences regarding side effects and treatment discontinuations were seen between the two groups.

Conclusion: Semaglutide is an effective tool for the amelioration of FA symptomatology among PwO. Despite PwO with FA had greater basal BMI and fat mass, semaglutide showed similar results compared to PwO without FA in terms of weight and fat mass loss at short term.

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Source
http://dx.doi.org/10.1080/10550887.2024.2315365DOI Listing

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