Effects of bariatric surgery on food cravings: do food cravings and the consumption of craved foods "normalize" after surgery?

Effects of bariatric surgery on food cravings: do food cravings and the consumption of craved foods "normalize" after surgery?
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DOI:
10.1016/j.soard.2011.07.016
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发表时间:
2012-01-01
影响因子:
3.1
通讯作者:
Wing, Rena R.
Wing, Rena R.
中科院分区:
医学2区
文献类型:
--
作者:
Leahey, Tricia M.;Bond, Dale S.;Wing, Rena R.

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背景:减肥手术对食欲的影响报道不一致。此外,研究主要限于对甜食的渴望,没有研究检查手术患者的渴望是否与正常体重(NW)对照组不同。我们的目的是使用经验验证的工具来检查减肥手术患者从手术前到手术后3个月和6个月的食物渴望频率和渴望食物的消耗量的变化,并将手术患者的食物渴望频率与NW对照组进行比较。设置为私人医院和研究中心在UnitedStates.Methods:减肥手术患者(n = 32)和NW控制(n = 20)完成了食物的渴望清单,并有他们的身高和体重measured.Results:手术前,患者报告更多的整体渴望和高脂肪和快餐的渴望和更大的消费渴望高脂肪的食物比NW控制。从手术前到手术后3个月和6个月,患者对渴望的食物的总体渴望和消费显着减少,对甜食和快餐有特殊影响;然而,手术对高脂肪食物的渴望几乎没有影响。此外,高脂肪和快餐的渴望并没有降低到正常水平。术后患者不太可能消耗渴望的糖果比NW控制,和患者的术后体重减轻在很大程度上是无关的food cravings.Conclusion:减肥手术与显着减少的食物渴望和消费的渴望的食物,高脂肪的食物除外。尽管这些下降,患者的食欲并没有完全降低到“正常”水平,并且与术后体重减轻无关。(Surg Obes Relat Dis 2012;8:84-91.)(C)2012年美国代谢和减肥外科学会。All rights reserved.
Background: The reported effects of bariatric surgery on food cravings have been inconsistent. Moreover, research has been largely limited to sweet cravings, and no study has examined whether surgery patients' cravings differ from those of normal weight (NW) controls. Our objective was to use an empirically validated instrument to examine changes in bariatric surgery patients' frequency of food cravings and consumption of craved foods from before to 3 and 6 months after surgery and to compare surgery patients' frequency of food cravings to those of NW controls. The setting was private hospitals and research center in the United States.Methods: Bariatric surgery patients (n = 32) and NW controls (n = 20) completed the Food Cravings Inventory and had their height and weight measured.Results: Before surgery, the patients reported more overall cravings and cravings for high fat and fast foods and a greater consumption of craved high-fat foods than the NW controls. From before to 3 and 6 months after surgery, the patients had significant reductions in overall cravings for, and consumption of, craved foods, with specific effects for sweets and fast food; however, surgery had virtually no effect on the cravings for high-fat foods. Moreover, high-fat and fast food cravings did not reduce to normative levels. The postoperative patients were less likely to consume craved sweets than NW controls, and the patients' postoperative weight loss was largely unrelated to food cravings.Conclusion: Bariatric surgery is associated with significant reductions in food cravings and consumption of craved foods, with the exception of high-fat foods. Despite these decreases, patients' cravings do not fully reduce to "normative" levels and are not associated with postoperative weight loss. (Surg Obes Relat Dis 2012;8:84-91.) (C) 2012 American Society for Metabolic and Bariatric Surgery. All rights reserved.