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埃及代谢性减肥手术患者中饮食障碍的患病率和相关因素

Mohamed Hany1, Hagar Ahmad Aly Yassin2, Asmaa Hamdy3

  • 1Department of Surgery, Medical Research Institute, Alexandria University, 165 Horreya Avenue, Hadara, 21561, Alexandria, Egypt. mohamed.ashour@alexu.edu.eg.

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概括

饮食障碍 (ED) 影响了埃及近一半的代谢性减肥手术 (MBS) 患者,其中暴饮暴食 (BED) 是最常见的. 女性性别,精神疾病和吸烟是关键预测因素,需要进行手术前查.

关键词:
腹部外科手术患者过度饮食障碍神经性买食症饮食失调代谢性减肥手术夜间吃东西综合征肥胖和心理健康饮食障碍的发生率精神病相关的医疗问题饮食障碍的危险因素

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科学领域:

  • 减肥手术
  • 精神病学
  • 公共卫生

背景情况:

  • 肥胖是一个全球性的健康危机,
  • 饮食障碍 (ED) 在MBS患者中很常见,并可能影响手术结果.
  • 关于中东和北非 (MENA) 地区ED患病率的数据有限.

研究的目的:

  • 确定埃及MBS患者中ED的患病率.
  • 在这个群体中确定与ED相关的因素.

主要方法:

  • 埃及亚历山大3240名成年MBS患者的横截面研究 (2022年8月至2024年11月).
  • 使用DSM-5标准和SCID-5-RV诊断ED的结构化临床访谈 (BED,BN,NES).
  • 有关因素的物流回归分析.

主要成果:

  • ED的总流行率为47. 8%,其中BED (36. 1%),NES (22. 8%) 和BN (2.1%) 是最常见的.
  • 女性性别,抑郁症和边缘性人格障碍与更高的ED风险有关.
  • 严重吸烟与BED有保护性关联,但与NES增加有关.

结论:

  • 在埃及的MBS患者中,ED非常普遍,尤其是BED.
  • 女性性别,年龄较小,精神病并发症和吸烟是ED的重要预测因素.
  • 对于MBS候选人来说,常规的手术前精神病学查至关重要,以解决对结果的潜在影响.