长期体重:困难社区指数与减肥手术后长期体重结果之间的关联
相关实验视频
Updated: Jul 25, 2025

05:16
Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
6.7K
Alexandra J Johns1, M Siobhan Luce1, Mason J Kaneski2
1Department of Surgery, University of California, Davis, 2335 Stockton Blvd, 6thFloor, Sacramento, CA, 95817, USA.
Surgical endoscopy
|June 27, 2023
概括
患有较低社会经济地位 (SES) 的患者,由困难社区指数 (DCI) 表示,在减肥手术后经历了类似的初始体重减轻,但长期恢复体重的可能性是两倍. 需要进一步的研究来解决这种差异.
科学领域:
- 腹腔外科手术的结果
- 健康的社会经济决定因素
- 体重复发因子重量复发因子
背景情况:
- 社会经济地位 (SES) 是多因素的,影响着腹部外科手术后体重复发.
- 困境社区指数 (DCI) 量化了社区的经济福祉,作为一个复合的SES衡量标准.
研究的目的:
- 评估DCI对长期腹后体重结果的影响.
- 调查社区经济福利与减肥手术后体重复发之间的关联.
主要方法:
- 对583名经过Roux-en-Y胃绕道或袖子胃切除术 (2015-2020) 的患者进行了回顾性分析.
- 根据社区的经济福祉,患者分为低层 (LT) 和高层 (HT) 的DCI群体.
- 从电子医疗记录中捕获的体重结果,包括非腹腔检查,平均随访时间为1.78年.
主要成果:
- 低级的DCI患者在单变量分析中显示,在1年内,最初的总体体重减轻率 (%TWL) 和多余体重减轻率 (%EWL) 较高.
- 多变量分析显示,在手术后1,3或5年,LT和HT组之间的EWL%没有显著差异.
- 然而,多变量分析表明,LT患者在手术后3年或更长时间内,出现显著体重复发的可能性是手术后3年或更长时间的两倍 (定义为1年体重>15%的增加).
结论:
- 低级DCI社区的患者初始体重减轻类似,但长期体重复发的可能性显著更高.
- 这些发现突出了基于社会经济因素的持续减肥结果的潜在差异.
- 需要进一步的研究来确定特定的促成因素,并为这一群体制定针对性的干预措施.
相关概念视频
Binge Eating Disorders
146
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
146
Obesity
549
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
549
Stress Prevention and Stress Management Techniques VI
51
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
51
Community Based Intervention
66
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
66
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Stress Prevention and Stress Management Techniques IV
49
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
49

