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关于代谢性减肥手术患者的饮食障碍和饮食失调行为的最新情况
Eva Conceição1, James E Mitchell2, David B Sarwer3
1Faculty of Psychology and Education Sciences, University of Porto, Center for Psychology at University of Porto, Rua Alfredo Allen, Porto, Portugal.
Current opinion in psychiatry
|September 6, 2024
概括
代谢性减肥手术 (MBS) 可能会增加饮食障碍的风险. 失调的饮食行为比MBS后的饮食障碍更常见,与较差的减肥有关,需要专门的术后护理.
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
- 代谢健康 代谢健康
背景情况:
- 最近的文献表明,代谢性减肥手术 (MBS) 与饮食障碍风险增加之间存在联系.
- 关于饮食问题的定义,体重结果的影响以及MBS患者的辅助治疗疗效,存在不清楚的结果.
研究的目的:
- 在MBS之后,审查有关饮食障碍和饮食行为障碍的文献.
- 为了澄清MBS群体中这些疾病的定义,影响和治疗.
主要方法:
- 在MBS后检查饮食障碍和饮食行为障碍的研究文献综述.
- 在MBS背景下分析诊断标准 (DSM-5) 的适用性.
- 评估手术前和手术后干预的疗效.
主要成果:
- 失调的饮食行为比MBS后的饮食障碍更为常见,并且与低于最佳的减肥相关.
- DSM-5标准在评估MBS患者的饮食障碍方面存在挑战.
- 术前干预显示出有限的术前效果;术后干预证据很少.
- 类似葡萄糖-1受体激动剂 (GLP-1RA) 显示出减肥和暴饮暴食的前景,但需要谨慎的风险管理.
结论:
- 在MBS患者中,与饮食有关的问题的不同表现需要得到认可.
- 密集的,专业的术后护理对于MBS后出现与饮食有关的问题的人来说至关重要.
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