The Role of Body Appreciation in the Decision to Complete Metabolic and Bariatric Surgery Among Ethnically Diverse Patients.
The Role of Body Appreciation in the Decision to Complete Metabolic and Bariatric Surgery Among Ethnically Diverse Patients.
复制标题
身体欣赏在不同种族患者完成代谢和减肥手术的决定中的作用。
DOI：
10.1007/s11695-023-06456-y
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发表时间：
2023
期刊：
影响因子：
2.9
通讯作者：
Messiah,SarahE
中科院分区：
文献类型：
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作者：
Kapera,Olivia;Xie,Luyu;Marroquín,ElisaM;Ngenge,Sophia;Mathew,MSunil;Almandoz,JaimeP;Schellinger,Jeffrey;Kukreja,SachinS;Schneider,Benjamin;McAdams,Carrie;Messiah,SarahE
目的代谢和减肥手术（MBS）是一种安全、有效的肥胖治疗方法。然而，只有一半的转介或符合条件的人完成了程序，原因不明。拟议的研究探讨了身体欣赏的程度和决定完成MBS的ethnicity.MethodsThis前瞻性队列研究包括409名参与者谁被称为减肥外科医生或肥胖医学计划之间的2019年8月和2022年5月。参与者完成了一项关于健康行为和心理社会特征的调查，包括MBS完成状态（Y/N）的身体欣赏。多变量Logistic回归模型产生调整后的比值比（aOR）和95%的置信区间（CI）的身体欣赏之间的MBS完成者与非completers.ResultsThe样本的平均年龄为47.18岁（SD 11.63），87%是女性。39.6%为非西班牙裔白色（NHW），38.5%为非西班牙裔黑人（NHB），17.6%为西班牙裔。超过三分之一（31.05%，n = 127）的样本完成了MBS。“经常”体验身体欣赏是MBS完成的最重要预测因素（aOR：28.19，95%CI：6.37- 124.67，p值< 0.001），其次为“有时”（aOR：20.47，95%CI：4.82- 86.99，p值< 0.001）和“总是”（aOR：13.54，95%CI：2.55- 71.87，p值< 0.01）。有没有一个显着的相互作用之间的身体欣赏和种族/ethnicity（p值= 0.96）。ConclusionResults显示，身体欣赏和MBS完成，控制性别，年龄和种族/ethnicity之间的显着关联。MBS临床环境可能希望评估身体欣赏作为不同种族患者的术前筛选。图形摘要
PurposeMetabolic and bariatric surgery (MBS) is an evidence-based safe, effective treatment for obesity. However, only half of referred or eligible persons complete the procedure for unknown reasons. The proposed study examined the association between the degree of body appreciation and the decision to complete MBS by ethnicity.MethodsThis prospective cohort study included 409 participants who had been referred to a bariatric surgeon or an obesity medicine program between August 2019 and May 2022. Participants completed a survey about health behaviors and psychosocial characteristics, including body appreciation by MBS completion status (Y/N). Multivariate logistic regression models generated adjusted odd ratios (aOR) and 95% confidence intervals (CIs) of body appreciation among MBS completers vs. non-completers.ResultsThe sample mean age was 47.18 years (SD 11.63), 87% were female. 39.6% identified as non-Hispanic White (NHW), 38.5% as non-Hispanic Black (NHB), and 17.6% as Hispanic. Over a third of the sample (31.05%,n= 127) completed MBS. “Often” experiencing body appreciation was the most significant predictor of MBS completion (aOR: 28.19, 95% CI: 6.37–124.67,p-value < 0.001), followed by “Sometimes” (aOR: 20.47, 95% CI: 4.82–86.99,p-value < 0.001) and “Always” (aOR: 13.54, 95% CI: 2.55–71.87,p-value < 0.01) after controlling for sex, age, and race/ethnicity. There was not a significant interaction between body appreciation and race/ethnicity (p-value = 0.96).ConclusionResults showed a significant association between body appreciation and MBS completion, controlling for sex, age, and race/ethnicity. MBS clinical settings may want to assess body appreciation as a pre-operative screener among ethnically diverse patients.Graphical Abstract