Adherence to vitamin supplementation following adolescent bariatric surgery.
Adherence to vitamin supplementation following adolescent bariatric surgery.
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DOI：
10.1002/oby.20031
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发表时间：
2013-03
期刊：
影响因子：
6.9
通讯作者：
Inge, Thomas H.
中科院分区：
文献类型：
--
作者：
Modi, Avani C.;Zeller, Meg H.;Xanthakos, Stavra A.;Jenkins, Todd M.;Inge, Thomas H.
接受减肥手术的极度肥胖青少年必须坚持许多生活方式和营养建议，包括多种维生素治疗。对青少年减肥手术后的复合维生素依从性知之甚少。本研究旨在记录自我报告和电子监测的多种维生素的依从性，确定自我报告和电子监测的多种维生素依从性之间的一致性，并确定接受减肥手术的青少年坚持多种维生素的障碍。该研究采用前瞻性、纵向观察设计，评估了41名在辛辛那提儿童医院医学中心接受减肥手术的青少年（平均年龄= 17.1±1.5岁;范围=13-19岁）的主观（自我报告）和客观（电子监测器）复合维生素依从性。整个6个月研究期间，电子监测得出的平均依从性为29.8% ± 23.9。在1个月和6个月评估点，自我报告的依从性显著高于电子监测的依从性（分别为z = 4.5，p< 0.000和z = 4.0，p< 0.0001）。遗忘和吞咽困难是确定的两个主要障碍。虽然没有关于减肥手术后多种维生素治疗的最佳实践的既定数据，但在接受减肥手术的青少年中观察到对多种维生素治疗的不依从性很高，遗忘和吞咽困难是报告的依从性障碍。在为考虑减肥手术的青少年设计治疗和家庭教育途径时，应考虑到这些高比例的不依从复合维生素治疗。
Adolescents with extreme obesity, who have undergone bariatric surgery, must adhere to many lifestyle and nutritional recommendations, including multivitamin therapy. Little is know about multivitamin adherence following adolescent bariatric surgery. The present study aims to document self-reported and electronically-monitored adherence to multivitamins, determine convergence between self-report and electronic monitoring adherence for multivitamins, and identify barriers to multivitamin adherence for adolescents who have undergone bariatric surgery. The study used a prospective, longitudinal observational design to assess subjective (self-reported) and objective (electronic monitors) multivitamin adherence in a cohort of 41 adolescents (Mean age = 17.1±1.5; range=13–19) who have undergone bariatric surgery at Cincinnati Children's Hospital Medical Center. Mean adherence as derived from electronic monitoring for the entire 6-month study period was 29.8% ± 23.9. Self-reported adherence was significantly higher than electronically monitored adherence across both the 1 and 6-month assessment points (z = 4.5, p< 0.000 and z = 4.0, p< 0.0001, respectively). Forgetting and difficulty swallowing multivitamins were the two primary barriers identified. While there are no established data regarding best practice for multivitamins following bariatric surgery, high rates of non-adherence to multivitamin therapy were observed in adolescents who had undergone bariatric surgery with forgetting and difficulty swallowing pills as reported barriers to adherence. These high rates of non-adherence to multivitamin therapy should be considered when devising treatment and family education pathways for adolescents considering weight loss surgery.
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影响因子：
8
作者：
Inge, TH;Krebs, NF;Daniels, SR
通讯作者：
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