Department of Public Health Sciences, Karolinska Institutet, K9, Social Medicine, 171 77, Stockholm, Sweden.
Department of Public Health Sciences, Karolinska Institutet, Solnavägen 1E, 113 65, Stockholm, Sweden.
Obes Surg. 2018 Oct;28(10):3276-3283. doi: 10.1007/s11695-018-3348-z.
The aim of the present study was to look at longitudinal changes in children's self-concept, body-esteem, and eating attitudes before and 4 years after maternal RYGB surgery.
Sixty-nine women and 81 appurtenant children were recruited from RYGB waiting lists at 5 hospitals in Sweden. Families were visited at home pre-surgery, 9 months, and 4 years post-maternal RYGB to measure BMI. Furthermore, all participating family members completed questionnaires. Mothers' questionnaires measured eating behavior, depression, anxiety, and sleep quality, and children's questionnaires measured body-esteem, self-concept, and eating attitudes.
Thirty-five/sixty-nine mothers and 43/81 children participated in all 3 measurements. Mothers reduced their BMI from pre-surgery (39.2) to 9 months (27.0) and 4 years post-surgery (27.4). Children's prevalence of overweight/obesity was lower 9 months post-surgery (48.8%) but at the same levels again 4 years post-surgery (58.1%), compared to pre-surgery (58.1%). The same rebound pattern was seen among children's eating attitudes, mothers' symptoms of depression and anxiety, and sleep quality. We found no correlations between mothers' BMI or eating behavior and children's BMI or eating behavior.
Children's prevalence of overweight/obesity and eating attitudes improves soon after their mothers' RYGB, but then return to pre-surgery levels at 4 years post-surgery, as do mothers' sleep quality and symptoms of depression and anxiety, even though their weight loss was maintained.
本研究的目的是观察儿童的自我概念、身体自尊和饮食态度在母亲接受 RYGB 手术前后 4 年的纵向变化。
从瑞典 5 家医院的 RYGB 候补名单中招募了 69 名女性及其 81 名附属儿童。在手术前、术后 9 个月和术后 4 年，家庭在家中接受 BMI 测量。此外，所有参与的家庭成员都完成了问卷调查。母亲的问卷测量了饮食行为、抑郁、焦虑和睡眠质量，而儿童的问卷则测量了身体自尊、自我概念和饮食态度。
35/69 位母亲和 43/81 位儿童参加了所有 3 次测量。母亲的 BMI 从术前（39.2）下降到术后 9 个月（27.0）和 4 年（27.4）。术后 9 个月，儿童超重/肥胖的发生率较低（48.8%），但 4 年后再次达到术前水平（58.1%），与术前（58.1%）相同。儿童的饮食态度、母亲的抑郁和焦虑症状以及睡眠质量也出现了同样的反弹模式。我们没有发现母亲的 BMI 或饮食行为与儿童的 BMI 或饮食行为之间存在相关性。
儿童的超重/肥胖和饮食态度在母亲接受 RYGB 手术后很快得到改善，但 4 年后又恢复到术前水平，母亲的睡眠质量和抑郁、焦虑症状也是如此，尽管她们的体重减轻得以维持。
