OBJECTIVE The prevalence of emotional eating (EE) has increased in the general population over past decades. There is limited information on how common EE is among people seeking obesity treatment. We aimed to estimate the proportion of people with EE, and strength of associations between a predefined set of factors and EE in people referred for obesity treatment. METHODS Cross-sectional study recruiting 387 adults from a hospital obesity service. "Emotional eating" was defined as Emotional Eating Scale (EES) score ≥25. Strength of associations were estimated by boot-strapped quantile regression analysis. Results are presented as quantile difference (QD) of EES scores at the 25th, 50th or 75th quantile, and 95% confidence intervals (95%CI). RESULTS The study population consisted of 71% women, with a median age of 52 years (interquartile range [IQR]: 42, 61), and a median body mass index of 42 kg/m2 (IQR: 37, 49). 187 participants were managed with lifestyle modification alone, 103 with the addition of obesity pharmacotherapy, 79 with bariatric surgery, and 18 with both bariatric surgery and medications. EE was reported by an estimated 58% (95%CI: 53, 63) of participants. Factors with the largest and most consistent magnitude of association with EES differences include age, sex, use of glucagon-like peptide-1 (GLP-1) agonists, history of sleeve gastrectomy and recent bariatric surgery. CONCLUSION Emotional eating affected more than half of people referred for obesity treatment. Age, sex, use of GLP-1 agonists, history of sleeve gastrectomy and recent bariatric surgery had the strongest associations with EE. These findings allow hypothesis generation about the underlying physiological mechanisms behind emotional eating for investigation in future research.

中文翻译：

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参加肥胖症专科治疗服务的患者的情绪化饮食

目标 在过去的几十年里，情绪化进食 (EE) 在普通人群中的流行率有所增加。关于寻求肥胖治疗的人中 EE 的常见程度的信息有限。我们旨在估计 EE 患者的比例，以及一组预定义的因素与被转诊接受肥胖治疗的 EE 之间的关联强度。方法 横断面研究从医院肥胖服务中心招募了 387 名成年人。“情绪化饮食”定义为情绪化饮食量表 (EES) 评分≥25。通过自举分位数回归分析估计关联强度。结果以第 25、50 或 75 分位数的 EES 分数的分位数差 (QD) 和 95% 置信区间 (95%CI) 表示。结果 研究人群由 71% 的女性组成，年龄中位数为 52 岁（四分位距 [IQR]：42, 61），体重指数中位数为 42 kg/m2（IQR：37, 49）。187 名参与者仅通过生活方式改变进行管理，103 人添加肥胖药物治疗，79 人进行减肥手术，18 人同时进行减肥手术和药物治疗。估计 58% (95% CI: 53, 63) 的参与者报告了 EE。与 EES 差异相关性最大和最一致的因素包括年龄、性别、胰高血糖素样肽 1 (GLP-1) 激动剂的使用、袖状胃切除术和最近的减肥手术史。结论 情绪化进食影响了一半以上接受肥胖治疗的人。年龄、性别、GLP-1 激动剂的使用、袖状胃切除术和最近的减肥手术史与 EE 的相关性最强。