Ecological momentary assessment of gastrointestinal symptoms and risky eating behaviors in Roux-en-Y gastric bypass and sleeve gastrectomy patients.
Ecological momentary assessment of gastrointestinal symptoms and risky eating behaviors in Roux-en-Y gastric bypass and sleeve gastrectomy patients.
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DOI：
10.1016/j.soard.2020.11.017
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发表时间：
2021-03
影响因子：
3.1
通讯作者：
Vithiananthan, Sivamainthan
中科院分区：
文献类型：
--
作者：
Bond, Dale S.;Thomas, J. Graham;Jones, Daniel B.;Schumacher, Leah M.;Webster, Jennifer;Evans, E. Whitney;Goldschmidt, Andrea B.;Vithiananthan, Sivamainthan
关键词：
Roux-en-Y 胃绕道手术 (RYGB) 和袖状胃切除术 (SG) 后胃肠道症状 (GIS) 很常见。然而，人们对 GIS 的发生频率及其与危险饮食行为的共存情况知之甚少。比较 RYGB 和 SG 在 GIS 和危险饮食行为方面的作用，并测试 GIS 和行为之间的关联。美国东北部的两所大学医院。 RYGB (n = 18) 和 SG (n = 53) 患者在术前 10 天以及术后 3、6 和 12 个月每天半随机 4 次完成基于智能手机的 GIS 生态瞬时评估和危险饮食行为。使用广义线性混合效应模型评估研究目标。每次评估的所有可用数据均包含在分析中：第 3、6 和 12 个月时参与者流失率为 18%、30% 和 38%。术后 12 个月时所有 GIS 均缩小。腹胀持续减少，而痉挛、脱水和倾倒首先在 3 至 6 个月时增加，然后减少到 12 个月。 RYGB 的腹泻、恶心、反流和呕吐减少至 12 个月，但 SG 的腹泻、恶心、反流和呕吐在 3 至 6 个月时首先增加，然后减少至 12 个月。碳酸饮料和含糖饮料、肥肉和糖果的消费量在 6 个月时下降，然后在 12 个月时反弹。吃饱后的第一个迹象、进餐时喝液体、不开始吃蛋白质食物以及油炸食品的摄入量在 6 个月时下降，然后 RYGB 仅在 12 个月时才反弹。饮酒量没有变化。对于 RYGB 和 SG 患者来说，吃甜食和吃饱后的饮食与 GIS 最为一致。术后 GIS 和危险饮食行为有所改善，但 RYGB 和 SG 之间的变化模式各不相同且有时有所不同。在等待复制之前，患者可能会受益于针对其手术类型量身定制的干预措施，以限制危险行为。 （Surg Obes Relat Dis 2021；17：475–483。）2020 年美国减肥外科学会。由爱思唯尔公司出版。保留所有权利。
Gastrointestinal symptoms (GIS) are common after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). However, little is known about frequencies of GIS and their co-occurrence with risky eating behaviors. Compare RYGB and SG on GIS and risky eating behaviors, and test associations between GIS and behaviors. Two university hospitals in Northeastern United States. RYGB (n = 18) and SG (n = 53) patients completed smartphone-based ecological momentary assessment of GIS and risky eating behaviors at 4 semi-random times daily for 10 days preoperatively and at 3, 6, and 12 months postoperatively. Study objectives were evaluated using generalized linear mixed-effects models. All available data from each assessment were included in the analysis: participant attrition was 18%, 30%, and 38% at 3, 6, and 12 months. All GIS were reduced at 12 months postoperative. Bloating decreased consistently whereas cramping, dehydration, and dumping first increased at 3 to 6 months then decreased to 12 months. Diarrhea, nausea, reflux, and vomiting decreased to 12 months for RYGB, but first increased at 3 to 6 months then decreased to 12 months for SG. Consumption of carbonated and sugar-sweetened beverages, fatty meats, and sweets decreased to 6 months then rebounded at 12 months. Eating past the first sign of fullness, drinking liquids with meals, not starting meals with protein, and fried foods consumption decreased to 6 months and then rebounded for RYGB only at 12 months. Alcohol consumption did not change. Sweets consumption and eating past the first sign of fullness were most consistently associated with GIS for both RYGB and SG patients. GIS and risky eating behaviors improved postoperatively, although patterns of change were variable and occasionally differed between RYGB and SG. Pending replication, patients may benefit from intervention to limit risky behaviors that are tailored to their surgery type. (Surg Obes Relat Dis 2021;17:475–483.) 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
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