在代谢和腹手术之前和10年后的暴饮暴食行为
Deborah Lynn Reas1, Selma Øverland Lie1, Tom Mala2,3
1Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
概括
在代谢和减肥手术 (MBS) 后的暴饮暴食在大约25%的患者中持续了十年. 持续或新的暴饮暴食 (BE) 与较差的心理健康和重量恢复有关.
科学领域:
- 腹部外科手术的结果
- 饮食行为研究 饮食行为研究
- 肥胖症中的心理健康
背景情况:
- 在代谢和减肥手术 (MBS) 后,对过度饮食 (BE) 的长期数据有限.
- 了解MBS后的BE (维持,缓解,发展) 的发展轨迹对于患者护理至关重要.
研究的目的:
- 在代谢和减肥手术 (MBS) 之前和10年后调查过度饮食 (BE).
- 检查心理健康和体重结果与BE状态 (从来没有,继续,缓解, de novo) 相比,MBS后10年.
主要方法:
- 183名参与者 (平均年龄为44.8岁,BMI为42.9公斤/米2),主要是女性,在MBS前和10年后进行了评估.
- 大多数 (94%) 接受了Roux-n-Y手术.
- BE状态被分类为从未,持续,缓解或手术后的de novo.
主要成果:
- 在10年后,48%的人从未患有BE,27.9%的病例被缓解,15.8%的病例继续患有BE,8.2%的病例出现了新的BE.
- 持续的BE与年轻的年龄,更高的焦虑/抑郁和更大的体重恢复有关.
- 持续或 de novo BE 与重复的饮食行为相关,并且恢复≥25%的最大体重的可能性更高.
结论:
- 大约25%的患者在MBS后十年经历了术后的BE,其中8.2%是新病例.
- 手术后的BE,特别是持续的BE,与明显更糟糕的心理健康和体重结果有关.
- 评估MBS前后的BE对于全面的患者管理和识别有风险的人来说至关重要.
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