Energy, Attentiveness, and Fatigue After Bariatric Surgery and Associations with Daily Physical Activity and Weight Loss: an Ecological Momentary Assessment Study.
Energy, Attentiveness, and Fatigue After Bariatric Surgery and Associations with Daily Physical Activity and Weight Loss: an Ecological Momentary Assessment Study.
复制标题
DOI：
10.1007/s11695-021-05662-w
复制
发表时间：
2021-11
期刊：
影响因子：
2.9
通讯作者：
Bond DS
中科院分区：
文献类型：
--
作者：
Schumacher LM;Espel-Huynh HM;Thomas JG;Vithiananthan S;Jones DB;Bond DS
能量和疲劳被认为是减肥手术后改善。这种改善可能与体重减轻和/或增加日常健康行为的参与有关，例如中度到剧烈的体力活动（MVPA）。本研究使用生态瞬时评估（EMA）在术后第一年内实时评估患者自然环境中能量/疲劳的几个方面，并评估总体重减轻百分比（%TWL）和每日MVPA与每日能量/疲劳水平的相关性。接受Roux-en-Y胃旁路术或袖状胃切除术的患者（n=71）通过基于智能手机的EMA评估其精力、警觉性和注意力（取平均值以创建“注意力”评级）以及疲劳和嗜睡（取平均值以创建“疲劳”评级），每天4次，在术前和3、6和12个月进行半随机评估，持续10天。手术后。通过加速度计评估每日MVPA分钟数。在临床上测量体重。能量等级最初从术前到术后增加，然后在12个月时趋于平稳/下降（p<.001）。注意力和疲劳评分并没有随着时间的推移而改变。%TWL与任何评分无关，而MVPA与能量和注意力有关，但与疲劳无关。参与者报告在总MVPA min（p= 0.03）更多的日子里精力更充沛，在总MVPA（p<0.001）和bouted（p= 0.02）MVPA更多的日子里注意力更集中。虽然需要更多的研究来确认因果关系，但结果表明，在减肥手术患者中，每日MVPA增加与每日能量和注意力增加相关，与%TWL无关。研究结果增加了越来越多的证据表明，MVPA的潜在好处超出了减肥手术中的能量消耗。
Energy and fatigue are thought to improve after bariatric surgery. Such improvements could be related to weight loss and/or increased engagement in day-to-day health behaviors, such as moderate-to-vigorous physical activity (MVPA). This study used ecological momentary assessment (EMA) to evaluate several aspects of energy/fatigue in real-time in patients’ natural environment during the first year after surgery and assessed the associations of percent total weight loss (%TWL) and daily MVPA with daily energy/fatigue levels. Patients (n=71) undergoing Roux-en-Y gastric bypass or sleeve gastrectomy rated their energy, alertness and attentiveness (averaged to create an “attentiveness” rating), and tiredness and sleepiness (averaged to create a “fatigue” rating) via smartphone-based EMA at 4 semi-random times daily for 10 days at pre-surgery and 3-, 6-, and 12-mos. post-surgery. Daily MVPA minutes were assessed via accelerometry. Weight was measured in clinic. Energy ratings initially increased from pre- to post-surgery, before leveling off/decreasing by 12-month (p<.001). Attentiveness and fatigue ratings did not change over time. %TWL was unrelated to any ratings, while MVPA related to both energy and attentiveness but not fatigue. Participants reported more energy on days with more total MVPA min (p=.03) and greater attentiveness on days with more total (p<.001) and bouted (p=.02) MVPA. While more research is needed to confirm causality, results suggest greater daily MVPA is associated with increased daily energy and attentiveness among bariatric surgery patients, independent of %TWL. Findings add to growing evidence of MVPA’s potential benefits beyond energy expenditure in the context of bariatric surgery.
登录
查看更多内容
影响因子：
4.7
作者：
Loy BD;Cameron MH;O'Connor PJ
通讯作者：
O'Connor PJ
影响因子：
3
作者：
Alosco, Michael L.;Galioto, Rachel;Spitznagel, Mary Beth;Strain, Gladys;Devlin, Michael;Cohen, Ronald;Crosby, Ross D.;Mitchell, James E.;Gunstad, John
通讯作者：
Gunstad, John
影响因子：
2.9
作者：
Gletsu-Miller, Nana;Shevni, Neeta;Musselman, Dominique
通讯作者：
Musselman, Dominique
影响因子：
6.9
作者：
Driscoll, Shannon;Gregory, Deborah M.;Twells, Laurie K.
通讯作者：
Twells, Laurie K.
影响因子：
120.7
作者：
Piercy, Katrina L.;Troiano, Richard P.;Ballard, Rachel M.;Carlson, Susan A.;Fulton, Janet E.;Galuska, Deborah A.;George, Stephanie M.;Olson, Richard D.
通讯作者：
Olson, Richard D.