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代谢和腹手术后活动和饮食行为变化之间的关联
Dale S Bond1, Leslie J Heinberg2, Ross D Crosby3,4
1Departments of Surgery and Research, Hartford Hospital/HealthCare, 80 Seymour Street, Harford, CT, 06102, USA. Dale.Bond@hhchealth.org.
Obesity surgery
|June 13, 2023
概括
在代谢和减肥手术 (MBS) 之后,增加中度至强度的体力活动 (MVPA) 可能有助于减少能量摄入,特别是在Roux-en-Y胃旁路 (RYGB) 患者中. 然而,整体活动和饮食质量变化在手术后是最小的.
科学领域:
- 腹腔外科手术的结果
- 行为医学是一种行为医学.
- 肥胖研究的研究.
背景情况:
- 代谢和减肥手术 (MBS) 患者需要在手术后改变生活方式.
- 之前的研究分析了MBS后的活动和饮食变化.
- 在MBS后的活动和饮食行为变化之间的相互作用尚未得到充分理解.
研究的目的:
- 调查MBS后活动改善与有利的饮食变化之间的关联.
- 为了检查这些协会的整体和特定的手术类型 (Roux-en-Y胃绕道 [RYGB]和袖子胃切除术 [SG]).
主要方法:
- 97名参与者 (67名RYGB,30名SG) 佩戴加速度计,并完成了手术前和手术后6个月和12个月的饮食评估.
- 一般的线性模型评估了中度至强度体力活动 (MVPA),久坐时间 (ST),总能量摄入量 (EI) 和饮食质量 (健康饮食指数 (HEI) 分数) 的变化.
- 手术类型被分析为活动和饮食行为变化之间的关联的调节者.
主要成果:
- 参与者在MBS12个月后的能量摄入量 (EI) 显著下降,但在MVPA,久坐时间 (ST) 和饮食质量 (HEI分数) 中变化很小.
- 较大的MVPA增加与EI的较大下降有显著的关联,但这种关联只在RYGB患者中观察到.
- 在ST或HEI得分的变化与EI或MVPA的变化之间没有发现显著的关联.
结论:
- 虽然MBS导致能量摄入量显著减少,但身体活动和饮食质量的大幅改善并不总是被观察到.
- 增加体力活动,特别是MVPA,可能在RYGB后增强能量摄入量减少方面发挥作用.
- 需要进一步的研究来证实这些发现,并探索术后第一年以外的长期关联.
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