Comprehensive interview assessment of eating behavior 18-35 months after gastric bypass surgery for morbid obesity
Comprehensive interview assessment of eating behavior 18-35 months after gastric bypass surgery for morbid obesity
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DOI：
10.1016/j.soard.2009.08.011
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发表时间：
2010-01-01
影响因子：
3.1
通讯作者：
Mitchell, James E.
中科院分区：
文献类型：
--
作者：
de Zwaan, Martina;Hilbert, Anja;Mitchell, James E.
背景：减肥手术会引起饮食行为的显著变化。然而，没有太多的工作已经做了减肥手术后的饮食行为的特点。我们对Roux-en-Y胃旁路手术后18-35个月患者的饮食行为进行了详细分析，确定术前饮食障碍是否可能与术后不规范饮食有关，并检查此类饮食行为与体重减轻和精神病理学的相关性。方法：59名接受过Roux-en-Y胃旁路手术的患者在手术后接受了一系列饮食行为的采访，包括暴饮暴食，咀嚼和吐出食物，挑食和啃食食物，夜间进食和代偿性行为，如呕吐、轻泻药和利尿剂滥用。一个既定的半结构化访谈。回顾性评估术前进食障碍的患病率。进食相关的和一般的精神病理学和生活质量进行了评估，使用自我报告问卷术前和术后surgery.Results：主观贪食症发作的25%和呕吐的体重和形状的原因，12%的参与者，平均2年后手术。主观贪食症发作显着相关的术前暴饮暴食症，与更多的饮食相关的和一般的精神病理学手术后，和较少的体重loss.Conclusion：一个实质性的亚组的患者术前饮食失调将开发暴饮暴食手术后，可能与体重减轻。减肥手术后，子样本将因体重和形状原因开始呕吐。临床医生必须在术后仔细检查这些行为，以识别需要治疗病理性饮食行为的患者。(Surg肥胖相关疾病2010;6：79-87。(C)2010年美国代谢和减肥外科学会。All rights reserved.
Background: Weight loss surgery induces a marked change in eating behavior. However, not much work has been done characterizing the eating behavior after weight loss surgery. We conducted a detailed analysis of patients' eating behavior 18-35 months after Roux-en-Y gastric bypass surgery, determined whether preoperative eating disorders might be associated with non-normative postoperative eating, and examined the association of such eating behaviors with weight loss and psychopathology.Methods: A sample of 59 patients who had undergone Roux-en-Y gastric bypass was interviewed in person after surgery about a range of eating behaviors, including binge eating, chewing and spitting out food, picking at and nibbling food, and nocturnal eating and compensatory behaviors such as vomiting and laxative and diuretic misuse. An established semistructured interview was used. The prevalence of preoperative eating disorders was assessed retrospectively. The eating-related and general psychopathology and quality of life were assessed using self-report questionnaires before and after surgery.Results: Subjective bulimic episodes were reported by 25% and vomiting for weight and shape reasons by 12% of the participants, on average, 2 years after surgery. Subjective bulimic episodes were significantly associated with a preoperative binge eating disorder, with more eating-related and general psychopathology after surgery, and with less weight loss.Conclusion: A substantial subgroup of patients with a preoperative eating disorder will develop binge eating after surgery that might be associated with less weight loss. A subsample will start vomiting for weight and shape reasons after bariatric surgery. Clinicians must probe carefully for these behaviors postoperatively to identify patients in need of treatment of pathological eating behaviors. (Surg Obes Relat Dis 2010;6:79-87.) (C) 2010 American Society for Metabolic and Bariatric Surgery. All rights reserved.