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Susan Wnuk1,2, Batool Azim3, Tim H Guimond4,5
1Department of Psychiatry, University of Toronto, 250 College Street, Room 814B, Toronto, ON, M5T 1R8, Canada. susan.wnuk@uhn.ca.
Obesity surgery
|April 25, 2024
概括
减肥手术后的饮食坚持在手术后的一年显著下降. 焦虑的依恋方式是维持饮食指南的关键预测因素,强调了需要心理支持的需要.
科学领域:
- 腹部外科手术的结果
- 饮食坚持研究 饮食坚持研究
- 心理预测健康行为的心理预测者
背景情况:
- 优化后代谢和减肥手术 (MBS) 的健康和体重结果,关键取决于遵守饮食指南.
- 许多患者在MBS后的饮食建议中扎,需要识别不坚持的行为及其预测因素.
研究的目的:
- 为了确定MBS后不坚持饮食行为的类型和频率.
- 为了确定MBS后一年的饮食坚持的术前预测因素.
主要方法:
- 一项针对348名接受袖子胃切除术或Roux-en-Y胃绕道术的成年人的前性队列研究.
- 收集的数据包括手术前后的人口统计,饮食遵守和心理健康症状.
- 用描述性统计和回归分析来分析数据.
主要成果:
- 从手术前 (75.9%) 到手术后的一年 (58.3%) 的饮食坚持显著下降.
- 最常见的非坚持性行为包括摄入不足的蛋白质 (32.4%),摄入不足的维生素 (26.1%) 和放牧 (21.1%).
- 手术前的坚持预测因素是焦虑的依恋,情绪调节,社会支持和注册营养师 (RD) 的坚持评估;焦虑的依恋是多变量分析中最强的预测因素.
结论:
- 在MBS后发现了几种特定的非坚持性饮食行为.
- 手术前的心理因素 (焦虑的依恋,情绪调节) 和社会支持显著预测了长期的饮食坚持.
- 对这些因素的评估和量身定制的患者支持对于改善MBS后的饮食坚持至关重要.
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