健康素养与减重手术后的体重减轻。
Health Literacy and Weight Loss After Bariatric Surgery.
机构信息
Bursa Yuksek Ihtisas Teaching and Research Hospital, Department of General Surgery, University of Health Sciences, Bursa, Turkey.
Bursa Yuksek Ihtisas Teaching and Research Hospital, Department of Family Medicine Section, University of Health Sciences, Bursa, Turkey.
出版信息
Obes Surg. 2019 Dec;29(12):3948-3953. doi: 10.1007/s11695-019-04060-7.
BACKGROUND
There are many factors that affect weight loss after bariatric surgery. The present study evaluated the impact of health literacy on weight loss after bariatric surgery in morbidly obese patients.
METHODS
The data of 118 patients who underwent laparoscopic sleeve gastrectomy for morbid obesity (body mass index-BMI ≥ 40 kg/m) and completed a 1-year follow-up period were recorded and evaluated, prospectively. The Turkish version of the 47-item European Health Literacy Survey Questionnaire (HLS-EU-Q47) was used to evaluate the health literacy of these patients. Their demographic characteristics, preoperative and postoperative weight (at 6 and 12 months), BMI, the percentage of excess weight loss (% EWL), excess BMI loss (% EBL) and total weight loss (%TWL), comorbidities, socioeconomic characteristics (marital status, income level, educational status, and duration), and HLS-EU-Q47 results were recorded and compared.
RESULTS
A significant inverse relationship was identified between preoperative BMI and scores for health promotion health literacy and general health literacy indexes (p = 0.024 and p = 0.032, respectively). A significant positive relationship was noted between % EWL and % EBL at 6 and 12 months, and health promotion health literacy index scores (6 months: p = 0.004, p = 0.006; 12 months: p < 0.001 and p < 0.001, respectively). A similar significant positive relationship was recorded between the % EWL and % EBL at 12 months and the health care health literacy index scores (p = 0.042 and p = 0.036, respectively). There was also a significant positive relationship between general health literacy index scores and % EWL and % EBL at 12 months (p = 0.022 and p = 0.021, respectively). % EWL at 12 months increased by 0.39, with a 1-point increase in health promotion and health literacy index scores.
CONCLUSIONS
A high health literacy index score in morbidly obese patients is associated with successful weight loss after bariatric surgery.
背景
影响减重手术后体重减轻的因素有很多。本研究评估了肥胖患者减重手术后健康素养对体重减轻的影响。
方法
前瞻性地记录并评估了 118 例接受腹腔镜袖状胃切除术治疗病态肥胖（体重指数-BMI≥40kg/m）并完成 1 年随访的患者的数据。使用土耳其版欧洲健康素养调查问卷 47 项（HLS-EU-Q47）评估这些患者的健康素养。记录并比较了他们的人口统计学特征、术前和术后体重（术后 6 个月和 12 个月）、BMI、超重减轻百分比（%EWL）、超 BMI 减轻百分比（%EBL）和总体重减轻百分比（%TWL）、合并症、社会经济特征（婚姻状况、收入水平、教育程度和持续时间）以及 HLS-EU-Q47 结果。
结果
术前 BMI 与健康促进健康素养和一般健康素养指数得分呈显著负相关（p=0.024 和 p=0.032）。6 个月和 12 个月时的%EWL 和%EBL 与健康促进健康素养指数得分呈显著正相关（6 个月：p=0.004，p=0.006；12 个月：p<0.001 和 p<0.001）。12 个月时的%EWL 和%EBL 与健康照护健康素养指数得分也呈显著正相关（p=0.042 和 p=0.036）。一般健康素养指数得分与 12 个月时的%EWL 和%EBL 也呈显著正相关（p=0.022 和 p=0.021）。健康促进和健康素养指数得分每增加 1 分，12 个月时的%EWL 就会增加 0.39。
结论
肥胖患者的健康素养指数得分较高与减重手术后的成功减肥相关。
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