Health change awareness and its association with weight loss following bariatric surgery.
Health change awareness and its association with weight loss following bariatric surgery.
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健康改变意识及其与减肥手术后减肥的关系。
DOI：
10.1037/hea0001279
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Wolfe,BruceM
中科院分区：
文献类型：
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作者：
Wolfe,MichaelB;Williams,ToddJ;Dewey,ElizabethN;Mitchell,JamesE;Pomp,Alfons;Wolfe,BruceM
患者判断健康随时间变化的能力对治疗具有重要的临床意义，但在有意义的健康变化的纵向背景下研究不足。我们评估患者的意识，5年后减肥手术的健康变化，其与weight loss.MethodParticipants的一部分，减肥手术的纵向评估（N= 2,027）。通过将其与SF-36健康调查中的自我健康报告进行比较，评估每年的感知健康变化。参与者被归类为一致时，感知和实际自我报告的健康变化相对应，和不一致时，他们不corresponding.ResultsYear-to-year之间的一致性感知和实际自我报告的健康变化发生不到50%的时间。感知健康与实际健康之间的不一致与手术后体重减轻有关。不一致的积极参与者认为他们的健康变化比保证的更积极，手术后体重减轻更多，因此体重指数评分低于一致参与者。相反，不和谐的负参与者认为他们的健康状况比什么是必要的手术后体重减轻，从而有较高的身体质量指数scores.ConclusionsThese结果表明，过去的健康回忆一般是穷人，可以在回忆中的显着因素的偏见。建议临床医生在使用回顾性健康判断时谨慎使用。
ObjectivePatients’ ability to judge health change over time has important clinical implications for treatment, but is understudied in longitudinal contexts with meaningful health change. We assess patients’ awareness of health change for 5 years following bariatric surgery, and its association with weight loss.MethodParticipants were part of the Longitudinal Assessment of Bariatric Surgery (N= 2,027). Perceived health change for each year was assessed by comparing it to self-reports of health on the SF-36 health survey. Participants were categorized as concordant when perceived and actual self-reported health change corresponded, and as discordant when they did not correspond.ResultsYear-to-year concordance between perceived and actual self-reported health change occurred less than 50% of the time. Discordance between perceived and actual health was associated with weight loss following surgery. Discordant-positive participants who perceived their health change as more positive than was warranted lost more weight post-surgery and thus had lower body mass index scores than concordant participants. Conversely, discordant-negative participants who perceived their health as worse than what was warranted lost less weight post-surgery and thus had higher body mass index scores.ConclusionsThese results suggest that recollection of past health is generally poor and can be biased by salient factors during recall. Clinicians are advised to use caution when retrospective judgments of health are utilized.