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暴饮暴食行为与代谢和腹部手术后的反复体重增加有关
Matthew Cali1, Deepali K Ernest2,3, Luyu Xie3,4
1University of Texas Southwestern Medical School, Dallas, Texas, USA.
Clinical obesity
|January 27, 2025
概括
在代谢和减肥手术 (MBS) 后重复增加体重与暴饮暴食行为 (BEB) 有关,但不是食物成 (FA). 对于MBS患者来说,建议对BEB进行查,以管理手术后的体重恢复.
科学领域:
- 肥胖医学 肥胖医学
- 腹部外科手术的结果
- 行为科学 行为科学
背景情况:
- 在代谢和减肥手术 (MBS) 后,反复增加体重 (RWG) 是一个重大挑战.
- 暴饮暴食行为 (BEB) 和食物成 (FA) 被认为是MBS后RWG的预测因素.
- BEB和FA与MBS后RWG的独立关联需要进一步调查.
研究的目的:
- 调查暴饮暴食行为 (BEB) 和食物成 (FA) 与在经过代谢和减肥手术 (MBS) 的患者中反复增加体重 (RWG) 的独立关联.
主要方法:
- 一项采用294名MBS后患者的自我报告问卷进行的横截面研究,这些患者参加了一个学术肥胖医学课程.
- 狂欢饮食量表和耶鲁大学食物成量表2.0被用来评估BEB和FA.
- 多变量后勤回归模型分析了BEB和FA与RWG百分比的独立调整的关联.
主要成果:
- 42.3%的患者报告BEB,而12.55%的患者有严重的FA,7.36%的中度FA和7.36%的轻度FA.
- 调整后的分析显示,BEB与MBS后RWG的所有数值之间存在显著的关联 (50%RWG的最高几率:OR=3.07).
- 食物成 (FA) 与MBS后的RWG没有显著的关联.
结论:
- 暴饮暴食行为 (BEB),而不是食物成 (FA),与代谢和减肥手术 (MBS) 后的反复体重增加 (RWG) 有显著的关联.
- 医疗保健提供者应考虑在MBS后的随访预约期间对BEB进行查,以解决潜在的体重恢复问题.
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