The effects of bariatric surgery on psychological aspects of eating behaviour and food intake in humans
The effects of bariatric surgery on psychological aspects of eating behaviour and food intake in humans
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DOI：
10.1016/j.appet.2019.104575
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发表时间：
2020-07-01
期刊：
影响因子：
5.4
通讯作者：
Waters, G. M.
中科院分区：
文献类型：
--
作者：
Bryant, E. J.;Malik, M. S.;Waters, G. M.
减肥手术已成为一种越来越受欢迎的减肥干预措施，与药物和行为干预相比，减肥效果更大，更持久。患者经历的体重减轻程度因个体、手术和时间而异。关于为什么手术后存在不同的减肥轨迹的解释可能是由于与饮食行为和食欲有关的个体差异的复杂相互作用。因此，本叙述性综述的目的是探索2008年至2018年之间的文献，评估减肥手术对食物选择和营养状况的影响，对饮食行为特征的影响以及对干扰和紊乱饮食行为的影响，以确定其对减肥成功和减肥轨迹的影响。手术后立即，直到手术后1-2年，依赖于手术对胃肠道的改变来控制食物摄入并随后减肥。能量摄入减少，饮食依从性更高，补充剂摄入量更高，食欲评分更低，精神病理学减少，幸福感增加。在这一点之后，患者变得更容易体重反弹，因为这是被动观察手术减肥作用的点，对个体而言，更多的认知努力，以控制能量摄入。有各种因素影响个体在手术后成功调节能量摄入的能力，例如他们的去抑制水平，克制，饥饿，情绪化饮食，不受控制的饮食，精神病理学和健康。术后需要持续的心理和营养支持，以降低体重反弹的敏感性。
Bariatric surgery has emerged as an increasingly popular weight loss intervention, with larger and more endurable weight loss compared to pharmacological and behavioural interventions. The degree of weight loss patients experience varies, between individuals, surgeries and over time. An explanation as to why differing weight loss trajectories exist post-surgery could be due to the complex interplay of individual differences in relation to eating behaviours and appetite. Thus the aim of this narrative review is to explore literature between 2008 and 2018, to assess the impact of impact of bariatric surgery on food selection and nutrient status, on eating behaviour traits and on disturbed and disordered eating behaviour, to determine their impact of weight loss success and weight loss trajectories. Immediately post-surgery, up until 1-2 years post-surgery, there is a reliance upon the surgery's alteration of the gastrointestinal tract to control food intake and subsequently lose weight. Energy intake is reduced, dietary adherence is higher, supplement intake is higher, appetite ratings are lower, there is a reduction in psychopathology, and an increase in wellbeing. After this point, patients become more susceptible to weight regain, as this is the point where passive observation of the weight reducing action of surgery, moves into more cognitive effort, on the part of the individual, to control energy intake. There are various factors which influence an individual's ability to successfully regulate their energy intake post-surgery, such as their level of Disinhibition, Restraint, Hunger, Emotional Eating, Uncontrolled Eating, psychopathology and wellbeing. The need for continued psychological and nutritional support post-surgery is necessary to reduce weight regain susceptibility.