Adolescent Bariatric Surgery: Psychosocial Health and Risk Across Ten Years

青少年减肥手术：十年来的心理社会健康和风险

• 批准号: 10620285
• 负责人: Todd M Jenkins
• 金额: $ 45.12万
• 依托单位: CINCINNATI CHILDRENS HOSP MED CTR
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10620285
• 关键词: Adolescence; Adolescent; Adult; Age; Alcohol abuse; Alcohols; Ancillary Study; Bariatrics; Benefits and Risks; Biometry; Body Weight decreased; Body mass index; Climate; Clinical; Clinical Practice Guideline; Competence; Data; Development; Drug usage; Dyslipidemias; Eating Disorders; Female; Foundations; Guidelines; HIV; Health; Health Priorities; Healthcare; Life; Long-Term Care; Mental Health; Mental Health Services; Mental disorders; Morbid Obesity; Morbidity - disease rate; Obesity; Operative Surgical Procedures; Outcome; Overweight; Participant; Pathway interactions; Patient Care; Patients; Pattern; Personal Satisfaction; Positioning Attribute; Postoperative Period; Preventive healthcare; Psychopathology; Psychosocial Factor; Public Health; Published Comment; Publishing; Quality of life; Reproductive Health; Research; Research Personnel; Risk; Risk Behaviors; Role; Sampling; Sexual Health; Signal Transduction; Site; Subgroup; Symptoms; Teenagers; Time; Tobacco; Variant; Vulnerable Populations; Weight; Weight maintenance regimen; adolescent patient; age group; alcohol use disorder; bariatric surgery; chronic pain; clinical development; cohort; comorbidity; comparison group; design; efficacious treatment; hazardous drinking; healthy weight; high risk; high risk behavior; improved; individualized medicine; loss of control over eating; meetings; mortality risk; next generation; novel; patient population; physical conditioning; prospective; psychosocial; public health priorities; public health relevance; recruit; satisfaction; sexual risk behavior; suicidal behavior; suicidal morbidity; suicidal risk; symptomatology; uptake; young adult

Project Summary/Abstract Bariatric surgery is emerging as a safe and efficacious treatment for adolescent severe obesity, yet the durability of improvements and impact on patient well-being in the longer-term is largely unknown. This is a critical gap given adult evidence that patterns of optimal and suboptimal weight loss outcomes extend across the first post-operative decade or more, as well as by increased rates of alcohol use disorder (AUD) and risk of death by suicide. Unlike an adult, the adolescent patient's post-operative course cuts across known developmental periods where mental health disorders first emerge, and high risk behavior engagement peaks, including alcohol/tobacco/drug use, HIV/sexual-risk behaviors, and suicidal behaviors. Hence, tracking only adolescent physical health outcomes following bariatric surgery does not sufficiently capture the

项目总结/摘要 减肥手术正在成为青少年严重肥胖的安全有效的治疗方法， 改善的持久性和对患者长期健康的影响在很大程度上是未知的。这是一 关键的差距，因为成人的证据表明，最佳和次佳的减肥结果的模式延伸到整个 术后第一个十年或更长时间，以及酒精使用障碍（AUD）的发生率增加和 自杀身亡与成人不同，青少年患者的术后病程跨越已知的 心理健康障碍首次出现的发育期，以及高风险行为参与的高峰期， 包括酒精/烟草/药物使用，艾滋病毒/性风险行为和自杀行为。因此，仅跟踪 减肥手术后的青少年身体健康结果并不能充分反映