减肥手术后与肥胖有关的健康问题的复杂性:患者的角度
G Konings1,2, M Drukker1, R Severeijns1,2
1Department of Psychiatry and Psychology, School of Mental Health and Neuroscience (MHeNS), Maastricht University, the Netherlands.
Obesity pillars
|November 22, 2023
概括
减肥手术改善健康,但长期减肥和满意度各不相同. 像2型糖尿病这样的术前疾病会影响结果,这凸显了进一步研究的必要性.
科学领域:
- 腹部外科 腹部外科
- 肥胖医学 肥胖医学
- 健康心理学 心理健康心理学
背景情况:
- 减肥手术旨在通过减肥提高生活质量.
- 在手术后对与肥胖相关的身体和心理健康改善的长期数据有限.
研究的目的:
- 评估手术前的身体和精神健康问题.
- 为了检查它们与减肥和生活质量的关系,在减肥手术5年后.
主要方法:
- 对101名腹部外科手术患者进行的一项调查 (67%的应答率) 进行了手术后4.6年.
- 评估包括与肥胖相关的健康问题,饮食行为和使用验证问卷质量的生活质量.
- 55%的参与者已经接受了腹腔镜可调节的胃带.
主要成果:
- 手术前的健康问题有所改善,但与减肥没有一致的相关性.
- 减轻体重减轻与疲劳,羞耻感和体重不稳定性的改善较少.
- 2型糖尿病患者的体重减轻较少,不满意度更高.
- 在饮食问题,情绪和外部饮食方面有所改善,但没有限制饮食.
- 生活质量得分通常低于一般人群.
结论:
- 患者报告的满意度存在,但体重和健康的改善并不总是等同于对减肥过程的满意度.
- 手术后的疲劳,羞耻感和手术前的2型糖尿病与较少的体重减轻有关.
- 进一步的长期研究对于解决减肥手术结果的知识差距至关重要.
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