Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index
Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index
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DOI：
10.1136/bmjgast-2017-000153
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发表时间：
2017-09-01
影响因子：
3.1
通讯作者：
Thompson, Christopher C.
中科院分区：
文献类型：
--
作者：
Jirapinyo, Pichamol;Abu Dayyeh, Barham K.;Thompson, Christopher C.
研究背景：Roux-en-Y胃旁路术（RYGB）后，尽管患者体重减轻成功，但仍有部分患者出现体重反弹。招募了五十六例连续RYGB患者，并将其分为体重恢复和体重稳定队列。使用肥胖症生活质量（BQL）问卷评估QoL。使用Student t检验比较体重恢复组和体重稳定组的BQL指数评分。此外，体重恢复组的BQL指数评分与既往肥胖前患者的BQL指数评分进行比较。结果56例RYGB患者中，41例（73%）体重恢复。平均而言，患者的体重指数（BMI）为37 +/- 7.5 kg/m2，体重增加了最初最大体重的34 +/- 26%。体重恢复患者的BQL指数评分低于体重稳定患者（44.8 +/- 6 vs 53 +/- 7，p
Background Despite initial successful weight loss, some patients may experience weight regain following Roux-en-Y gastric bypass (RYGB).Objective To assess the impact of weight regain on bariatric patients' quality of life (QoL).Methods This was a prospective cross-sectional study. Fifty-six consecutive RYGB patients were recruited and divided into weight-regain and weight-stable cohorts. QoL was assessed using the Bariatric Quality of Life (BQL) questionnaire. The BQL Index scores of the weight-regain and weight-stable groups were compared using Student's t-test. Additionally, the BQL Index score of the weight-regain group was compared with that of historical prebariatric patients. Predictors of BQL were assessed using univariate and multivariate linear regression analyses.Results Of 56 RYGB patients, 41 (73%) had weight regain. On average, patients had body mass index (BMI) of 37 +/- 7.5 kg/m(2) and gained 34 +/- 26% of maximal weight initially lost. Weight-regain patients had lower BQL Index scores than weight-stable patients (44.8 +/- 6 vs 53 +/- 7, p