High-risk alcohol use after weight loss surgery
High-risk alcohol use after weight loss surgery
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DOI：
10.1016/j.soard.2013.12.014
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发表时间：
2014-05-01
影响因子：
3.1
通讯作者：
Blackburn, George L.
中科院分区：
文献类型：
--
作者：
Wee, Christina C.;Mukamal, Kenneth J.;Blackburn, George L.
背景：减肥或减肥手术（WLS）可能会改变酒精代谢，导致术后饮酒问题的发生率更高。很少有研究将那些报告饮酒改善的人与报告手术后行为恶化的人区分开来。本研究的目的是根据手术类型确定WLS前后的高危酒精使用情况。方法：我们在WLS之前和之后每年对患者进行访谈。通过修改版的酒精使用障碍鉴定测试-消费评估高风险酒精使用。结果：541名接受WLS的参与者中，375人（69%保留率）完成了1年的访谈，328人（63%保留率）完成了2年的访谈。1年后，13%的人报告高危饮酒，而基线时为17%，P = 0.10；第2年时，13%的人报告高危饮酒，而基线时为15%，P = 0.39；在1年和2年的随访中，分别有7%和6%的患者报告了新的高危饮酒。在这两个随访时间点，超过一半的在基线时报告高风险饮酒的人不再这样做。在第一年，胃旁路患者报告高危饮酒改善的比例（71%）高于胃束带患者（48%），但差异无统计学意义（P = 0.07）；到第2年，差异基本上消失了（50%对57%）。结论：尽管有7%的患者报告在WLS后1年出现新的高危饮酒，但术前报告高危饮酒的患者中有一半以上停止了高危饮酒。(C) 2014年美国代谢与减肥外科学会。版权所有。
Background: Bariatric or weight loss surgery (WLS) may alter alcohol metabolism resulting in a higher prevalence of problem drinking postoperatively. Few studies distinguish those who report improvements in drinking from those who report worsening behavior after surgery. The objective of this study was to characterize high-risk alcohol use before and after WLS and according to surgery type.Methods: We interviewed patients before and annually after WLS. High-risk alcohol use as assessed via a modified version of the Alcohol Use Disorders Identification Test-Consumption.Results: Of 541 participants who underwent WLS, 375 (69% retention) completed the 1-year interview and 328 (63% retention) completed the 2-year interview. At 1 year, 13% reported high-risk drinking compared to 17% at baseline, P = .10; at year 2, 13% reported high-risk drinking compared to 15% at baseline, P = .39; 7% and 6% of patients, respectively, reported new high-risk drinking at 1- and 2-year follow-up. At both follow-up time points, more than half of those who reported high-risk drinking at baseline no longer did so. A larger proportion of gastric bypass patients (71%) reported amelioration in high-risk drinking than gastric banding (48%) at year 1, but this difference did not reach statistical significance (P = .07); the difference largely dissipated by year 2 (50% versus 57%).Conclusion: Although 7% of patients report new high-risk alcohol use 1 year after WLS, more than half who reported high-risk alcohol use before surgery discontinued high-risk drinking. (C) 2014 American Society for Metabolic and Bariatric Surgery. All rights reserved.