患有代谢功能障碍相关的脂肪性肝病的患者患有暴饮暴食障碍的风险
Lucia Brodosi1,2, Michele Stecchi3, Francesca Marchignoli4
1Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. lucia.brodosi2@unibo.it.
Eating and weight disorders : EWD
|December 6, 2023
概括
暴饮暴食障碍 (BED) 影响了大量与代谢功能障碍相关的脂肪性肝病 (MASLD) 患者. 卡路里摄入量,而不是肝病的严重程度,与BED风险相关,影响减肥治疗.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是一个日益严重的健康问题.
- MASLD与饮食障碍,特别是暴饮暴食障碍 (BED) 之间的关系尚未得到充分研究.
- 了解这种关联对于全面的患者管理至关重要.
研究的目的:
- 在被诊断为MASLD的患者中调查暴饮暴食障碍 (BED) 的患病率.
- 在MASLD患者中探索BED和临床,人体测量和实验室参数之间的潜在相关性.
主要方法:
- 一组129名MASLD患者的队列使用Binge Eating Scale (BES) 对BED进行了评估.
- 收集的数据包括人口统计,临床调查,人体测量和实验室结果.
- 使用生物标志物和过渡性弹性成像评估肝硬化和纤维化;卡路里摄入量和生活方式是自我报告的.
主要成果:
- 17.8%的MASLD患者表现出"可能"的BED,7.6%的患者有"可能"的BED.
- 床患病率与性别,肥胖类,糖尿病或代谢综合征特征无关.
- 无论是肥胖症级别还是纤维化阶段,都与BES分数无关;然而,每日热量摄入量与BED有关.
- 调整后的分析显示,较高的热量摄入量与"可能"和"可能"的BED之间存在关联.
结论:
- 在一个专门的代谢障碍环境中,MASLD患者中饮食过多的行为很普遍.
- BED的存在可能会使MASLD管理中的减肥努力复杂化.
- 建议对患有BED的MASLD患者提供系统的心理支持,以改善治疗结果.
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