在代谢和减肥手术之前,饮食失调和饮食摄入
Gail A Kerver1, Leslie J Heinberg2, Dale S Bond3
1Sanford Research, Center for Biobehavioral Research, Fargo, North Dakota; Department of Psychiatry and Behavioral Science, School of Medicine and Health Sciences, University of North Dakota, Fargo, North Dakota.
概括
在代谢和减肥手术 (MBS) 之前的目标过度进食 (OOE) 与更高的卡路里摄入量和深夜进食有关. 食物的时间,而不是环境,可能会影响MBS前患者的反复过度饮食.
科学领域:
- 腹部外科 腹部外科
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
- 营养科学 营养科学
背景情况:
- 饮食失调行为是考虑代谢和减肥手术 (MBS) 的患者的一个重要问题.
- 对于手术前饮食障碍如何表现为典型的饮食摄入模式的理解有限.
- 评估这些行为对于优化手术结果和术后坚持至关重要.
研究的目的:
- 在寻求MBS的患者中,调查饮食失调行为与饮食摄入的内容/背景之间的联系.
- 使用自我报告和面试评估的组合来进行全面的评估.
- 在这个人群中确定与饮食失调相关的特定饮食模式.
主要方法:
- 在MBS之前,从两个美国学术医疗中心招募成人参与者.
- 用于评估饮食失调的饮食失调检查 - 巴里亚特外科版本 (EDE-BSV) 的管理.
- 使用经过验证的24小时饮食回忆系统收集三天的饮食摄入数据.
主要成果:
- 目标过度进食 (OOE) 是常见的 (n=140) 并与增加的每日能量和宏观营养素消耗相关.
- 患有复发性OOE的人更容易在晚上8点后吃饭.
- 没有发现其他失调的饮食行为 (例如,客观的暴饮暴食) 和饮食摄入背景之间有任何显著的联系.
结论:
- 吃饭的时间似乎比环境因素对反复的过度进食更有影响.
- 患有频繁OOE的MBS前患者可能需要针对性的干预措施来改善饮食坚持.
- 了解手术前的饮食模式可以为手术后的护理提供信息,并支持长期成功.
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