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减肥手术后食物环境对减肥的影响
John Cord Helmken1, Noelle Luzzi2, Dawn Blackhurst1
1Department of Surgery, Prisma Health, Greenville, South Carolina.
概括
减肥手术后的减肥不会受到食物环境的显著影响. 这项研究表明,减肥手术在减肥方面仍然有效,无论患者与健康食品零售商的距离有多近.
科学领域:
- 腹部外科手术的结果
- 公共卫生 营养 公共卫生 营养
- 肥胖问题研究研究
背景情况:
- 在减肥手术后,食物环境对减肥的影响,特别是Roux-en-Y胃绕道和袖子胃切除术,在南卡罗来纳州还没有得到充分研究.
- 有限的证据表明,减肥手术对居住在食物供应不良地区的患者的疗效有限,特别是在州北部地区.
研究的目的:
- 为了研究食物环境和减肥结果之间的关系,在接受过腹部外科手术的患者中.
- 为了确定生活在食物沙漠或进入健康食品零售商有限的地区是否会影响手术后的减肥.
主要方法:
- 进行了对134名接受减肥手术的患者的回顾性审查.
- 食品环境使用修改后的零售食品环境指数 (mRFEI) 和南卡罗来纳州卫生和环境控制部的食品沙漠地图进行评估.
- 体重减轻量被量化为总体体重减轻量的百分比 (TBWL%).
主要成果:
- 两变量分析显示,在多个时间点 (6,13,18,36个月) 中,体重减轻和食物环境之间没有显著的线性相关性.
- 在24个月后观察到较低的负相关性 (r = -.302; P = .041).
- 多变量分析,调整了人口和手术因素,发现mRFEI和TBWL% (P = .214) 之间没有统计学上显著的关联.
结论:
- 减肥手术后减肥和居住在无法进入健康食品零售商的地区之间没有显著的关联.
- 这些发现支持减肥 bariatric 手术的有效性,独立于患者周围的食物环境.
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