Psychosocial factors associated with physical activity in patients who have undergone bariatric surgery
Psychosocial factors associated with physical activity in patients who have undergone bariatric surgery
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DOI：
10.1016/j.soard.2020.07.031
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发表时间：
2020-12-01
影响因子：
3.1
通讯作者：
Jakicic, John M.
中科院分区：
文献类型：
--
作者：
Kovacs, Sara J.;Courcoulas, Anita P.;Jakicic, John M.
背景：识别与体力活动相关的心理社会变量可能会导致更好地解决减肥手术后患者参与体力活动的挑战的干预措施的发展。目的：检查在过去两年内接受过减肥手术的患者中选定的心理社会变量与体力活动之间的关系。背景：来自大匹兹堡地区的减肥手术候选人。方法：83名接受过减肥手术的患者自我报告当前的体力活动和选择的心理社会结构。结果：从基线(中位数=156.00[25%，75%：53.00,600.00]千卡/周)到术后(中位数=976.00[25%，75%：344.00,1832.00]千卡/周)，患者的体力活动增加(P<；.001)。手术前后心理社会变量的变化与体力活动的变化有关；然而，只有健身取向的变化(P=.001)、朋友社会支持的变化(P=.005)和自我报告体重的变化(P=.012)才能预测手术前后体力活动的变化。几个术后心理社会因素也与术后身体活动显著相关，但只有术后健康取向(P<；.001)、来自同事的社会支持(P=.002)和身体功能(P=.023)才能预测术后PA的量。结论：旨在增加身体活动参与度的减肥手术前后干预措施可能需要针对重要的结构，包括鼓励社会支持和加强个人参与身体活动的努力的策略，以及重点加强身体功能和对体重状况的认识。(C)2020年美国减肥外科学会。爱思唯尔公司出版，版权所有。
Background: Identifying psychosocial variables associated with physical activity may lead to the development of interventions that better address the challenges to participating in physical activity experienced by postbariatric surgery patients.Objective: To examine associations between select psychosocial variables and physical activity in patients who had undergone bariatric surgery within the past 2 years.Settings: Bariatric surgery candidates were recruited from the Greater Pittsburgh region.Methods: Eighty-three patients who had undergone bariatric surgery self-reported current physical activity and select psychosocial constructs. In addition, participants provided retrospective information on physical activity and psychosocial constructs before surgery.Results: Patients increased physical activity from baseline (median = 156.00 [25th, 75th percentiles: 53.00, 600.00] kcal/week) to post surgery (median = 976.00 [25th, 75th percentiles: 344.00, 1832.00] kcal/week) (P < .001). A number of pre- to postsurgery changes in psychosocial variables were associated with change in physical activity; however, only change in fitness orientation (P = .001), change in social support from friends (P = .005), and change in self-reported weight (P = .012) emerged as predictors of change in physical activity from pre- to postsurgery. Several postsurgery psychosocial factors were also significantly associated with postsurgery physical activity, but only postsurgery fitness orientation (P < .001), social support from co-workers (P = .002), and physical function (P = .023) emerged as predictive of the amount of postsurgical PA.Conclusions: Pre- and postbariatric surgery interventions aimed at increasing physical activity participation may need to target important constructs that include the encouragement of social support and strategies to enhance the effort individuals put forward to engage in physical activity, as well as a focus on enhancing physical function and awareness of weight status. (C) 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.