一项探索性的跨部门研究,使用患者报告的结果措施来评估粮食不安全如何影响与饮食有关的行为,痛苦和症状,对于考虑代谢和腹手术的患者来说,这是一个探索性的跨部门研究
Nicole L Petcka1, Savannah R Smith1, Danyal Fer1
1Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
The American surgeon
|November 29, 2025
概括
粮食不安全影响超过20%的患者考虑代谢和减肥手术 (MBS),导致增加与饮食相关的痛苦和症状. 对粮食不安全的查可以识别有风险的患者进行有针对性的干预.
科学领域:
- 肥胖医学 肥胖医学
- 腹部外科 腹部外科
- 营养精神病学 营养精神病学
背景情况:
- 粮食不安全,以有限的食物获取为特征,在肥胖患者中尚不清楚.
- 在这个人群中,粮食不安全和与饮食相关的经历之间的联系需要进一步调查.
研究的目的:
- 调查食品不安全与ER行为,痛苦和症状之间的关联,用于代谢和腹部外科手术 (MBS) 评估的患者.
- 假设粮食不安全会对考虑MBS的患者的ER体验产生负面影响.
主要方法:
- 一项涉及患者进行MBS评估的横截面研究.
- 利用经过验证的两问食品不安全屏幕和BODY-Q ER模块来评估ER行为,痛苦和症状.
- 通过使用独立的样本t测试,比较了粮食不安全和粮食安全患者的平均BODY-Q分数.
主要成果:
- 在完成的818项调查中,21.3%的患者报告食物不安全.
- 没有观察到群体之间的ER行为有显著差异.
- 粮食不安全的患者报告了显著更高的ER痛苦和ER症状水平 (P < 0.01).
结论:
- 在考虑MBS的患者中,粮食不安全性普遍存在 (21%) 并与ER痛苦和症状的增加有关.
- 对食品不安全的查对于识别有ER情绪困扰和负面身体症状风险的患者至关重要.
- 早期的饮食和心理干预可以改善高风险患者的结果.
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