减肥手术后对食物的渴望:比较腹腔镜袖带胃切除术和 Roux-en-Y 胃旁路术。

Afton M Koball, Gretchen E Ames, Alec J Fitzsimmons, Kara J Kallies, Barb A Bennie
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引用次数: 0

摘要

背景:研究表明,减肥手术后食物的选择、偏好和口味都会发生变化,但有关食物欲望变化的证据却不尽相同:这项队列研究的主要目的是比较接受袖带胃切除术(SG)和 Roux-en-Y 胃旁路术(RYGB)的患者在减肥手术后第一年内对食物的渴望程度:地点:美国综合多专科医疗系统:2017年5月至2019年7月期间就诊的年龄≥18岁、提供知情同意书、完成食物渴求量表(FCI)、接受初治SG或RYGB术后随访≥1年的患者均纳入研究。获取的次要数据包括心理和行为测量。比较了接受 SG 和 RYGB 患者术前和术后(3、6、9 和 12 个月)的 FCI 评分:术后出现了一些自然减员(基线为 187 人,3 个月为 141 人,6 个月为 108 人,9 个月为 89 人,12 个月为 84 人)。除碳水化合物分量表外,术前或术后食物渴望与手术类型之间均无明显关系。术前食物成瘾症状较重的患者在术后头 12 个月内再次出现食物渴望的可能性并不大。同样,术前抑郁和焦虑程度较高的患者在术后的前12个月中也不会更有可能提前再次出现对食物的渴望;但是,基线PHQ9评分较高的患者在所有时间点(术前、3个月、6个月、9个月和12个月)的食物渴望评分均较高:结果表明,减肥手术后一年内对食物的渴望程度与手术类型相同,似乎与术前心理因素或饮食行为无关:证据等级:III级:从设计良好的队列中获得的证据。
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Food cravings after bariatric surgery: comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass.

Background: Research suggests that food choices, preferences, and tastes change after bariatric surgery, but evidence regarding changes in food cravings is mixed.

Objectives: The primary aim of this cohort study was to compare food cravings during the first year following bariatric surgery in patients who had undergone sleeve gastrectomy (SG) versus Roux-en-Y gastric bypass (RYGB).

Setting: Integrated multispecialty health system, United States.

Methods: Patients aged ≥ 18 years seen between May 2017 and July 2019, provided informed consent, completed the Food Craving Inventory (FCI), and had ≥ 1 year of follow-up after undergoing primary SG or RYGB were included in the study. Secondary data captured included psychological and behavioral measures. Preoperative and postoperative (3, 6, 9, and 12 months) FCI scores of patients who underwent SG and RYGB were compared.

Results: Some attrition occurred postoperatively (N = 187 at baseline, 141 at 3 months, 108 at 6 months, 89 at 9 months, and 84 at 12 months). No significant relationship between pre- or postoperative food cravings and surgery type was found except on the carbohydrate subscale. Patients with higher preoperative food addiction symptoms were not more likely to experience an earlier reoccurrence of food cravings during the first 12 months after surgery. Likewise, patients with higher levels of preoperative depression and anxiety were not more likely to have early reoccurrence of food cravings during the first 12 months after surgery; however, those with higher PHQ9 scores at baseline had uniformly higher food craving scores at all timepoints (pre-surgery, 3 m, 6 m, 9 m, and 12 m).

Conclusions: Results suggest that food cravings in the year after bariatric surgery are equivalent by surgery type and do not appear to be related to preoperative psychological factors or eating behaviors.

Level of evidence: Level III: Evidence obtained from well-designed cohort.

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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
期刊最新文献
Transcultural adaptation and validation of the Eating Self-Efficacy Brief Scale (ESEBS): the Brazilian version. The risk of kidney dysfunction in metabolically healthy/unhealthy population with normal weight or overweight/obesity: a systematic review and meta-analysis. Correction: Optimising healthcare transition of adolescents and young adults to adult care: a perspective statement of the Italian Society of Obesity. Multidimensional perfectionism and orthorexia: a systematic review and meta-analysis. Adverse childhood experiences and profiles of healthy orthorexia versus orthorexia nervosa: towards an explanatory model of orthorexia as a multidimensional eating style.
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