Eating behaviors and weight outcomes in bariatric surgery patients amidst COVID-19.
Eating behaviors and weight outcomes in bariatric surgery patients amidst COVID-19.
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DOI：
10.1016/j.soard.2021.02.025
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Vaz AR
中科院分区：
文献类型：
--
作者：
Conceição E;de Lourdes M;Ramalho S;Félix S;Pinto-Bastos A;Vaz AR
最近的研究表明，饮食习惯是一个特别受许多国家为遏制COVID-19疫情而实施的封锁影响的领域。接受减肥手术的个体可能是特别容易受到封锁不良影响的人群，因为封锁对饮食、心理和减肥结果有潜在影响。本研究旨在调查COVID-19封锁对处于体重反弹风险期的肥胖后患者治疗结果的增量影响。主医院中心这项工作使用的数据来自一项正在进行的纵向研究，对手术前（T0）、手术后1.5年（T1）和手术后3年（T2）的肥胖患者进行评估。比较了两个独立的组：COVID-19_组（n = 35），其中T0和T1评估在大流行开始前进行，T2评估在强制性COVID-19封锁结束时进行;以及NonCOVID-19_组（n = 66），涵盖在大流行开始前完成T0、T1和T2评估的患者。评估包括饮食失调、消极紧迫感、抑郁、焦虑、压力和体重结果的自我报告措施。重复测量的一般线性模型显示，COVID-19_Group的权重显著更高（F = 8.403，P = 0.005，P = 0.094），放牧行为（F = 7.166，P = 0.009，P2P = 0.076）和阴性紧迫感（F = 4.522，P = 0.036，P2P = 0.05）。COVID-19_组还显示T2时总体重减轻较少（F = 4.029，P = 0.05，P2P = 0.04）和体重反弹较大，更多COVID-19_组参与者经历过度体重反弹（20%对4.5%）。这些结果显示了冠状病毒爆发对减肥手术后患者饮食相关精神病理学和体重结果影响的证据。
Recent studies suggest that eating habits are an area particularly affected by the lockdown imposed by many countries to curb the COVID-19 epidemic. Individuals that received bariatric surgery may represent a particularly susceptible population to the adverse effects of lockdown for its potential impact on eating, psychological, and weight loss outcomes. This study seeks to investigate the incremental impact of COVID-19 lockdown on treatment outcomes of postbariatric patients in the risk period for weight regain. Main hospital center. This work uses data from an ongoing longitudinal study of bariatric patients assessed before surgery (T0), 1.5 years after sugery (T1), and 3 years after surgery (T2). Two independent groups were compared: the COVID-19_Group (n = 35) where T0 and T1 assessments were conducted before the pandemic started and T2 assessment was conducted at the end of the mandatory COVID-19 lockdown; and the NonCOVID-19_Group (n = 66), covering patients who completed T0, T1, and T2 assessments before the epidemic began. Assessment included self-report measures for disordered eating, negative urgency, depression, anxiety, stress, and weight outcomes. General linear models for repeated measures showed that the COVID-19_Group presented significantly higher weight concern (F = 8.403, P = .005, ƞ2p = .094), grazing behavior (F = 7.166, P = .009, ƞ2p = .076), and negative urgency (F = 4.522, P = .036, ƞ2p = .05) than the NonCOVID-19_Group. The COVID-19_Group also showed less total weight loss (F = 4.029, P = .05, ƞ2p = .04) and larger weight regain at T2, with more COVID-19_Group participants experiencing excessive weight regain (20% versus 4.5%). These results show evidence for the impact of the coronavirus outbreak on eating-related psychopathology and weight outcomes in postbariatric surgery patients.
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