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在代谢和腹部手术和非手术患者中检查直观的饮食行为
Viviane Fornasaro-Donahue1, Ceren Gunsoy2, Kathleen J Melanson3
1Center for Medical and Surgical Weight Loss, Brown University Health, Providence, RI; University of Rhode Island. Department of Psychology, Behavioral Sciences, Kingston, RI.
Rhode Island medical journal (2013)
|November 24, 2025
概括
在接受肥胖治疗的患者中,直观饮食 (IE) 评分略有改善. 诸如肥胖管理药物,体力活动和睡眠等因素对IE产生了积极的影响,而抑郁症则使其恶化,突出显示了对综合护理的需求.
科学领域:
- 肥胖医学 肥胖医学
- 行为科学 行为科学
- 心理学 心理学 心理学
背景情况:
- 直观饮食 (IE) 尺度衡量依赖内部饥饿/腹信号与外部因素的程度.
- 对于肥胖管理中的患者,特别是那些接受代谢和减肥手术 (MBS) 的患者,IE数据有限.
研究的目的:
- 分析接受肥胖治疗的患者的直观饮食评估量-2 (IEAS-2) 评分的变化.
- 调查个人因素,包括肥胖管理药物 (OMM) 对IEAS-2得分变化的影响.
主要方法:
- 在一个肥胖医学诊所,对来自84名患者的168个IEAS-2反应进行了回顾性分析.
- 利用线性混合效应模型来评估IEAS-2分级变化和与OMM,MBS状态,抑郁,睡眠和体育活动的关联.
主要成果:
- 总IEAS-2评分显示,随着时间的推移 (p = .054),独立于MBS状态的边际改善.
- 肥胖管理药物 (OMM) 使用 (p < .001),体力活动 (p = .019) 和睡眠 (p = .065) 与更好的IE得分相关.
- 抑郁症 (p < .001) 与较差的IE结果有关.
结论:
- 直观饮食的改善似乎更多地受到个人因素 (OMM,生活方式,心理健康) 的影响,而不是仅仅治疗类型.
- 强调跨学科肥胖护理的关键作用,整合医疗,心理和行为支持,以改善患者的治疗结果.
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