Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Phenotyping in clinical nutrition

Food addiction assessment in a nonclinical sample of the Italian population

Subjects

Abstract

Objective

Discussion about the potential addictive role of certain types of food and their link with obesity has recently increased. Researchers have developed instruments to specifically assess food addiction (FA). The aim of this pilot study was to investigate the prevalence of food addiction in a nonclinical sample of the Italian population.

Methods

All participants (n = 148: 46 males, 102 females) completed the Yale Food Addiction Scale 2.0 (YFAS 2.0) and provided self-reported measures and demographic information. They were divided into three age groups.

Results

The prevalence of FA was 15.5% of our sample (82.6% of the subjects diagnosed with FA were female). The FA symptoms mean was 1.90 (SD = 2.87). In both sexes, participants aged 18–30 had the highest diagnosis of FA, with 52.1% of all FA subjects being females aged 18–30. According to the Body Mass Index (BMI), all the males diagnosed with FA were overweight or obese, as were most (63.2%) of the FA females.

Conclusions

Future food education policies could consider FA assessment together with that of other eating disorders, even among nonclinical subjects in order to anticipate diagnosis and improve treatment.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

Data availability

The data presented in this study are available in this published article.

References

  1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C. Global, regional and national prevalence of overweight and obesity in children and adults 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81.

    Article  Google Scholar 

  2. Apovian CM. Obesity: definition, comorbidities, causes, and burden. Am J Manag Care. 2016;22:s176–85.

    PubMed  Google Scholar 

  3. Purnell JQ. Definitions, classification, and epidemiology of obesity. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dungan K, et al. editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000.

  4. Brownell KD, Gold M, editors. Food and addiction: a comprehensive handbook. Oxford University Press; 2012. https://doi.org/10.1093/med:psych/9780199738168.001.0001.

  5. Volkow ND, Wang GJ, Tomasi D, Baler RD. Obesity and addiction: neurobiological overlaps. Obes Rev. 2013;14:2–18.

    Article  CAS  Google Scholar 

  6. Hebebrand J, Albayrak Ö, Adan R, Antel J, Dieguez C, de Jong J, et al. “Eating addiction”, rather than “food addiction”, better captures addictive-like eating behavior. Neurosci Biobehav Rev. 2014;47:295–306.

    Article  Google Scholar 

  7. Gearhardt AN, Corbin WR, Brownell KD. Preliminary validation of the Yale Food Addiction Scale. Appetite. 2009;52:430–6.

    Article  Google Scholar 

  8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association, 2013.

  9. Gearhardt AN, Corbin WR, Brownell KD. Development of the Yale Food Addiction Scale Version 2.0. Psychol Addict Behav. 2016;30:113–21.

    Article  Google Scholar 

  10. Davis C, Curtis C, Levitan RD, Carter JC, Kaplan AS, Kennedy JL. Evidence that ‘food addiction’ is a valid phenotype of obesity. Appetite. 2011;57:711–7.

    Article  Google Scholar 

  11. Gearhardt AN, Boswell RG, White MA. The association of “food addiction” with disordered eating and body mass index. Eat Behav. 2014;15:427–33.

    Article  Google Scholar 

  12. Ivezaj V, White MA, Grilo CM. Examining binge-eating disorder and food addiction in adults with overweight and obesity. Obesity. 2016;24:2064–9.

    Article  Google Scholar 

  13. Ivezaj V, Wiedemann AA, Grilo CM. Food addiction and bariatric surgery: a systematic review of the literature. Obes Rev. 2017;18:1386–97.

    Article  CAS  Google Scholar 

  14. Penzenstadler L, Soares C, Karila L, Khazaal Y. Systematic review of food addiction as measured with the Yale Food Addiction Scale: implications for the food addiction construct. Curr Neuropharmacol. 2019;17:526–38.

    Article  CAS  Google Scholar 

  15. Innamorati M, Imperatori C, Manzoni GM, Lamis DA, Castelnuovo G, Tamburello A, et al. Psychometric properties of the Italian Yale Food Addiction Scale in overweight and obese patients. Eat Weight Disord. 2015;20:119–27.

    Article  Google Scholar 

  16. Aloi M, Rania M, Rodríguez Muñoz RC, Jiménez Murcia S, Fernández-Aranda F, De Fazio P, et al. Validation of the Italian Version of the Yale Food Addiction Scale 2.0 (I-YFAS 2.0) in a sample of undergraduate students. Eat Weight Disord. 2017;22:527–33.

    Article  Google Scholar 

  17. Rostanzo, E. La dipendenza da cibo esiste. PATTO in Cucina Magazine, 2018. https://www.pattoincucina.it/2018/02/12/la-dipendenza-da-cibo-esiste/.

  18. Manzoni GM, Rossi A, Pietrabissa G, Varallo G, Molinari E, Poggiogalle E, et al. Validation of the Italian Yale Food Addiction Scale in postgraduate university students. Eat Weight Disord. 2018;23:167–76.

    Article  Google Scholar 

  19. Imperatori C, Fabbricatore M, Lester D, Manzoni GM, Castelnuovo G, Raimondi G, et al. Psychometric properties of the modified Yale Food Addiction Scale Version 2.0 in an Italian non-clinical sample. Eat Weight Disord. 2019;24:37–45.

    Article  Google Scholar 

  20. Yekaninejad MS, Badrooj N, Vosoughi F, Lin CY, Potenza MN, Pakpour AH. Prevalence of food addiction in children and adolescents: A systematic review and meta-analysis. Obes Rev. 2021. https://doi.org/10.1111/obr.13183.

  21. Pursey KM, Stanwell P, Gearhardt AN, Collins CE, Burrows TL. The prevalence of food addiction as assessed by the Yale Food Addiction Scale: a systematic review. Nutrients. 2014;6:4552–90.

    Article  Google Scholar 

  22. Gonçalves J, Moreira EA, Trindade EB, Fiates GM. Eating disorders in childhood and adolescence. Rev Paul de Pediatr. 2013;31:96–103.

    Article  Google Scholar 

  23. Keski-Rahkone A, Mustelin L. Epidemiology of eating disorders in Europe: prevalence, incidence, comorbidity, course, consequences, and risk factors. Curr Opin Psychiatry. 2016;29:340–5.

    Article  Google Scholar 

  24. Wei NL, Quan ZF, Zhao T, Yu XD, Xie Q, Zeng J, et al. Chronic stress increases susceptibility to food addiction by increasing the levels of DR2 and MOR in the nucleus accumbens. Neuropsychiatr Dis Treat. 2019;15:1211–29.

    Article  CAS  Google Scholar 

  25. Yu Z, Indelicato NA, Fuglestad P, Tan M, Bane L, Stice C. Sex differences in disordered eating and food addiction among college students. Appetite. 2018;129:12–8.

    Article  Google Scholar 

  26. Gearhardt AN, White MA, Potenza MN. Binge eating disorder and food addiction. Curr Drug Abus Rev. 2011;4:201–7.

    Article  Google Scholar 

  27. Cinelli G, Criscuolo M, Bifone C, Chianello I, Castiglioni MC, De Lorenzo A, et al. Food addiction in a group of Italian adolescents diagnosed for eating disorder. Nutrients 2020;12:1524.

    Article  Google Scholar 

  28. Tran H, Poinsot P, Guillaume S, Delaunay D, Bernetiere M, Bégin C, et al. Food addiction as a proxy for anorexia nervosa severity: new data based on the Yale Food Addiction scale 2.0. Psychiatry Res. 2020;293:113472.

    Article  CAS  Google Scholar 

  29. Pedram P, Wadden D, Amini P, Gulliver W, Randell E, Cahill F, et al. Food addiction: its prevalence and significant association with obesity in the general population. PLoS ONE. 2013;8:e74832.

    Article  CAS  Google Scholar 

  30. Puhl RM, Himmelstein MS, Quinn DM. Internalizing weight stigma: prevalence and sociodemographic considerations in US adults. Obesity. 2018;26:167–75.

    Article  Google Scholar 

Download references

Acknowledgements

We thank the University of Siena and “PATTO in cucina Magazine” for the support and Dr. Peter Christie for the English revision.

Author information

Authors and Affiliations

Authors

Contributions

AMA and ER contributed equally to this paper.

Corresponding author

Correspondence to Anna Maria Aloisi.

Ethics declarations

Competing interests

The authors declare no competing interests.

Institutional Review Board Statement

The study was conducted according to the guidelines of the Declaration of Helsinki. Ethical review and approval were waived for this study, since the anonymous nature of the web survey does not allow the tracing of sensitive personal data. Participants were fully informed about the study requirements and had to agree to the data sharing and privacy policy before participating in the study. The study was not a clinical trial on drugs, supplements or foods, but a survey of the population’s habits. All the participants gave their consent to the data treatment at the beginning of the web survey. If any participant did not give his/her consent, the web survey automatically stopped.

Informed consent

Informed consent was obtained from all subjects involved in the study.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rostanzo, E., Aloisi, A.M. Food addiction assessment in a nonclinical sample of the Italian population. Eur J Clin Nutr 76, 477–481 (2022). https://doi.org/10.1038/s41430-021-00974-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41430-021-00974-7

This article is cited by

Search

Quick links