Weight Regain and Ingestive Behavior in Women after Metabolic Surgery.
Weight Regain and Ingestive Behavior in Women after Metabolic Surgery.
复制标题
作者：
本研究调查了2-10年前接受代谢手术的女性中适应不良的摄食行为和体重反弹之间的关系。使用基于网络的调查，我们评估了情绪，外部和限制饮食（荷兰饮食行为量表-DEBQ），食物渴望（食物渴望量表-FCI）和其他行为（例如，进食障碍检查问卷-EDE-Q;酒精使用障碍识别测试-简明-AUDIT-C）对36名手术后女性（42.9 ± 9.5岁）进行。我们发现，体重恢复与对甜食的渴望频率增加（r = 0.43），EDE-Q中较高的整体得分（r = 0.38）以及手术后的时间（r = 0.35;所有p < 0.04）特别相关。多元回归分析显示，体重恢复和对甜食的渴望之间的关联与手术后的时间相互作用（p = 0.04），在接近手术的女性中观察到最强的关联（即，2.0-2.8岁）。手术后时间及其与甜食渴望的相互作用的组合占体重恢复个体差异的31%（p = 0.005）。值得注意的是，在报告饮酒的参与者中（36人中有31人），55%的AUDIT-C评分表明危险饮酒。这些发现强调了关注患者频繁甜食渴望和酒精使用筛查的相关性，以加强针对预防术后体重反弹和酒精相关健康问题的策略。
This study investigated associations between maladaptive ingestive behaviors and weight regain in women who underwent metabolic surgery 2–10 years ago. Using a web-based survey, we assessed emotional, external, and restrained eating (Dutch Eating Behavior Questionnaire—DEBQ), food cravings (Food-Craving Inventory—FCI), and other behaviors (e.g., Eating Disorder Examination Questionnaire—EDE-Q; Alcohol Use Disorder Identification Test-Concise—AUDIT-C) in 36 women (42.9 ± 9.5 years old) post-surgery. We found that weight regain was specifically associated with increased frequency of cravings for sweets (r = 0.43), higher global scores in the EDE-Q (r = 0.38), and time elapsed since surgery (r = 0.35; all p’s < 0.04). Multiple regression analysis revealed that the association between weight regain and sweet cravings interacted with time after surgery (p = 0.04), with the strongest association observed in women assessed closer to the surgery (i.e., 2.0–2.8 years). The combination of time after surgery and its interaction with sweet cravings accounted for 31% of the individual variations in weight regain (p = 0.005). Notably, among participants who reported alcohol consumption (31 of 36), 55% had an AUDIT-C score indicating hazardous drinking. These findings highlight the relevance of attending to patients’ reports of frequent sweet cravings and screening for alcohol use to enhance strategies tailored to prevent weight regain and alcohol-related health problems post-surgery.
登录
查看更多内容
影响因子：
120.7
作者：
Jakobsen, Gunn Signe;Smastuen, Milada Cvancarova;Hjelmesaeth, Joran
通讯作者：
Hjelmesaeth, Joran
影响因子：
3.1
作者：
English, Wayne J.;DeMaria, Eric J.;Morton, John M.
通讯作者：
Morton, John M.
DOI：
10.1073/pnas.1717092115
发表时间：
2018-11-27
影响因子：
11.1
作者：
Boswell, Rebecca G.;Sun, Wendy;Kober, Hedy
通讯作者：
Kober, Hedy
影响因子：
3.1
作者：
Acevedo, Maria Belen;Teran-Garcia, Margarita;Pepino, Marta Yanina
通讯作者：
Pepino, Marta Yanina
DOI：
10.1001/jama.2018.14433
发表时间：
2018-10-16
期刊：
JAMA
影响因子：
--
作者：
King WC;Hinerman AS;Belle SH;Wahed AS;Courcoulas AP
通讯作者：
Courcoulas AP