Department of Psychology, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, USA.
Surg Obes Relat Dis. 2012 Nov-Dec;8(6):784-91. doi: 10.1016/j.soard.2012.07.016. Epub 2012 Aug 7.
Bariatric surgery is the most effective treatment of extreme obesity. Few studies, however, have explored some of the lifestyle behaviors (i.e., grocery shopping and cooking methods) thought to contribute to postoperative weight maintenance. To date, the child feeding practices of women who have undergone bariatric surgery have not been explored. The study setting was a university in the United States.
A total of 41 women awaiting bariatric surgery were assessed preoperatively; an additional 23 women who had undergone bariatric surgery (6-24 mo previously) were also assessed. The participants had to be responsible for feeding a child (age range 2-16 yr) in their home. Self-report measures assessed demographics, maternal child feeding practices, eating behaviors, and available household foods. Bivariate correlations were used to investigate the relationships among the measures. Independent sample t tests assessed group differences, and 1-way analysis of variance and concepts of linear progression and regression were used to determine whether the findings remained statistically significant after controlling for demographic variables.
Women who had undergone surgery, compared with those awaiting surgery, reported more frequent modeling of healthy eating for their child (P = .009), significantly greater levels of cognitive restraint (P = .001), and lower levels of disinhibition (P = .019). Some between-group differences were found in grocery shopping frequency (P = .093) and in select foods available in the home (P = .101 to P = .151), which approached statistical significance.
Mothers who had undergone bariatric surgery demonstrated healthy eating for their child and were engaged in healthier eating behaviors themselves compared with women awaiting surgery. Intervening with mothers who are undergoing bariatric surgery could present a unique opportunity for modifying the home food environment and promoting healthy eating among other family members, especially those children at risk of extreme obesity.
减重手术是治疗极度肥胖症最有效的方法。然而，很少有研究探讨过一些被认为有助于术后体重维持的生活方式行为（即购物和烹饪方法）。迄今为止，尚未探讨过接受过减重手术的女性的儿童喂养习惯。研究地点是美国的一所大学。
共有 41 名等待接受减重手术的女性在术前接受评估；另外 23 名接受过减重手术（6-24 个月前）的女性也接受了评估。这些参与者必须负责在家中喂养孩子（年龄在 2-16 岁之间）。自我报告的测量方法评估了人口统计学、母婴喂养行为、饮食习惯和家庭中可用的食物。使用双变量相关分析来研究这些测量指标之间的关系。独立样本 t 检验评估组间差异，单因素方差分析和线性递进和回归的概念用于确定在控制人口统计学变量后，这些发现是否仍然具有统计学意义。
与等待手术的女性相比，接受过手术的女性报告称，她们更频繁地为孩子树立健康饮食的榜样（P =.009），认知约束水平显著更高（P =.001），而抑制水平更低（P =.019）。在购物频率（P =.093）和家中某些食物的供应（P =.101 至 P =.151）方面，两组之间存在一些差异，这些差异接近统计学意义。
与等待手术的女性相比，接受过减重手术的母亲为孩子树立了健康饮食的榜样，并且自己也参与了更健康的饮食行为。对正在接受减重手术的母亲进行干预可能是一个独特的机会，可以改变家庭的食物环境，促进其他家庭成员，特别是那些有极端肥胖风险的儿童的健康饮食。
