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减肥手术后不同体重变化模式相关的因素:一项纵向研究
Diana Cristina Henao Carrillo1,2, Ana María Gómez1,2, Oscar M Muñoz1,3
1Pontificia Universidad Javeriana Bogotá Colombia.
Obesity science & practice
|October 9, 2023
概括
腹腔外科手术患者在两年内实现了显著的体重减轻 (WL). 持续的营养学家随访和手术前减肥是最大化TWL%的关键,而更高的基线BMI和过度的体力活动可能会降低它.
科学领域:
- 腹部外科 腹部外科
- 肥胖医学 肥胖医学
- 代谢手术 代谢手术
背景情况:
- 减肥手术导致大量的体重减轻 (WL),通常是初始体重的三分之一,主要是在两年内.
- 然而,15%至35%的患者未能实现显著的总体重减轻 (%TWL).
- 影响WL变异性的因素在腹腔外科手术后仍然不完全理解.
研究的目的:
- 分析肥胖症手术后%TWL随时间变化而发生的变化.
- 在接受减肥手术的患者中识别与较大或较小的WL相关的因素.
主要方法:
- 一项前性纵向研究,涉及经过腹腔镜Roux-en-Y胃绕道或袖子胃切除术的患者.
- 在手术前和多个随访点 (3,6,9,12,24,36个月) 收集的数据.
- 用于确定%TWL趋势和影响因素的概括估计方程分析.
主要成果:
- 较高的%TWL与持续的营养学家随访 (2.3%),基线BMI>40 kg/m2 (0.4%) 和手术前WL≥10 kg (0.3%) 相关.
- 手术后增加的体力活动 (>30分钟/天) 与%TWL.L.减少0.6%相关.
- 手术后的第一年体重减轻稳定.
结论:
- 诸如营养监测和手术前WL等可修改因素显著提高了%TWL.
- 基线BMI与TWL%的下降有关.
- 手术后的体力活动水平可能会对TWL产生负面影响.
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