2004 - 2010年，美国退伍军人胃旁路手术后营养门诊随访的重要性，旧金山
Importance of nutrition visits after gastric bypass surgery for American veterans, San Francisco, 2004-2010.
作者信息
Win Aung Zaw, Ceresa Carol, Schafer Anne L, Mak Peter, Stewart Lygia
机构信息
San Francisco Veterans Affairs Medical Center 4150 Clement St, San Francisco, CA 94121. E-mail:
Clinical Nutrition, San Francisco Veterans Affairs Medical Center, San Francisco, California.
出版信息
Prev Chronic Dis. 2014 Dec 24;11:E226. doi: 10.5888/pcd11.140289.
INTRODUCTION
Nutrition counseling is important for veterans undergoing gastric bypass surgery. The aim of this study was to explore the relationship between the number of nutrition visits a patient attended and change in body mass index (BMI) after gastric bypass surgery for the veteran population.
METHODS
A retrospective study examined veterans (N = 79) who underwent Roux-en-Y gastric bypass surgery from June 2004 through July 2010. Spearman's correlation and multivariate regression analysis were used to analyze data.
RESULTS
A significant correlation was found between the number of postoperative nutrition visits and the change in postsurgery BMI at 2 years (Spearman's ρ = 0.21; P = .017). After adjusting for age, sex, and race, the association between postsurgery nutrition visits and BMI change persisted (β = 0.255; 95% confidence interval, 0.015-0.581; P = .039).
CONCLUSION
Veterans with more nutrition visits following Roux-en-Y gastric bypass surgery experienced greater declines in BMI. This finding underscores the importance of the dietitian on the bariatric surgery team.
引言
营养咨询对于接受胃旁路手术的退伍军人来说非常重要。本研究的目的是探讨退伍军人接受胃旁路手术后，患者参加营养咨询的次数与体重指数（BMI）变化之间的关系。
方法
一项回顾性研究调查了2004年6月至2010年7月期间接受Roux-en-Y胃旁路手术的退伍军人（N = 79）。采用Spearman相关性分析和多元回归分析对数据进行分析。
结果
术后营养咨询次数与术后2年BMI变化之间存在显著相关性（Spearman's ρ = 0.21；P = .017）。在对年龄、性别和种族进行调整后，术后营养咨询与BMI变化之间的关联仍然存在（β = 0.255；95%置信区间，0.015 - 0.581；P = .039）。
结论
接受Roux-en-Y胃旁路手术后接受更多营养咨询的退伍军人，其BMI下降幅度更大。这一发现强调了营养师在减肥手术团队中的重要性。
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