在接受代谢和腹部手术的青少年中,手术前体重趋势
Sarah B Ogle1, Emily H Meneses2, Alexander M Kaizer3
1Pediatrix Medical Group, Orem, Utah, USA.
Obesity (Silver Spring, Md.)
|January 29, 2026
概括
大多数为减肥手术做准备的青少年在手术前保持了体重. 手术前的体重变化没有显著影响手术后的长期BMI降低.
科学领域:
- 青少年健康 青少年健康
- 腹腔外科手术的结果
- 体重管理 体重管理
背景情况:
- 在接受减肥手术 (MBS) 的青少年中,手术前体重变化尚不清楚.
- 这些体重变化对术后结果的预测因素和影响需要进一步研究.
研究的目的:
- 描述寻求MBS的青少年手术前体重变化.
- 为了确定这些变化的预测因素.
- 评估手术前体重变化对长期BMI减轻的影响.
主要方法:
- 分析了来自Teen-LABS协会 (n=123) 腹外科的青少年长度评估数据.
- 参与者分为手术前减肥 (> 1%),稳定或体重增加 (> 1%).
- 通过重量组对8年术后BMI减轻的比较;对人口,社会经济,医学和行为数据的分析.
主要成果:
- 50%的青少年减肥,20%的体重保持稳定,30%的体重在手术前增加.
- 两组之间没有观察到8年术后BMI损失的统计学上显著差异 (-21%损失, -26%稳定, -15%增长; p=0.11).
- 在手术前与体重相关的行为中没有差异被确定为预测因素.
结论:
- 大多数青少年在手术前的体重保持在±5%.
- 手术前的体重变化没有显著影响MBS后的长期BMI降低.
- 需要进一步的研究来确定预测因素,并完善术前管理策略.
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