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生活在食物沙漠中是否会影响腹部手术后的减肥?
Lucas Keller-Biehl1, Guilherme S Mazzini1, Guilherme M Campos1
1Division of Bariatric and Gastrointestinal Surgery, Virginia Commonwealth University, Richmond, Virginia.
概括
生活在食物沙漠中的腹部外科手术患者在手术后一年内实现了适当的体重减轻. 这表明成功克服了手术后体重管理的食物获取障碍.
科学领域:
- 肥胖研究的研究.
- 通过手术减肥可以减轻体重.
- 公共卫生营养 公共卫生营养
背景情况:
- 肥胖率在获得新鲜食品和低收入水平有限的地区更高.
- 粮食沙漠的特点是食物获取和收入较低,这是一个越来越严重的公共卫生问题.
- 了解影响健康结果的社会经济因素对于有针对性的干预至关重要.
研究的目的:
- 为了研究生活在食物沙漠和减肥后一年减肥结果之间的关联.
- 确定社会经济因素,特别是食物获取和收入,是否会影响腹部外科手术后的减肥.
- 评估患者成功减肥的能力,尽管居住在服务不足的地区.
主要方法:
- 一个在一个学术机构进行一次性减肥手术的连续患者的回顾性审查.
- 患者根据美国农业部的食物沙漠分类 (低获取,低收入,食物沙漠,食品安全) 进行分类.
- 过量体重指数 (BMI) 损失在手术后一年被评估,并对影响因素进行统计分析.
主要成果:
- 在396名减肥手术患者中,有22%居住在食物沙漠中.
- 一年后与较低的BMI损失独立相关的因素包括袖子胃切除术 (LSG),黑人种族,单身婚姻状况和阻塞性睡眠呼吸暂停.
- 发现生活在食物沙漠中并没有与一年后的体重减轻相关.
结论:
- 居住在食物沙漠中并没有与减肥手术后一年减肥结果较差有关.
- 这表明,减肥手术患者可以成功克服食物获取障碍,实现显著的减肥.
- 进一步的研究可能会探索具体的干预措施,以支持食物沙漠中的患者.
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