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手术候选人的执行功能、饮食行为与术前体重减轻:一项观察性研究。

Executive Function, Eating Behavior, and Preoperative Weight Loss in Bariatric Surgery Candidates: An Observational Study.

机构信息

Regional Department for Eating Disorders, Oslo University Hospital, Oslo, Norway,

Department of Psychology, University of Oslo, Oslo, Norway.

出版信息

Obes Facts. 2019;12(5):489-501. doi: 10.1159/000502118. Epub 2019 Sep 10.


DOI:10.1159/000502118
PMID:31505516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6876589/
Abstract

BACKGROUND: Individual differences in executive function may influence eating behavior, weight loss (WL), and WL maintenance in obesity treatment. Executive function, which designates top-down cognitive control processes, has been related to eating behaviors which may impact weight, and has been found to be predictive of WL in both behavioral WL programs and after bariatric surgery. Currently, we lack knowledge on the role of executive function in the period before bariatric surgery. If executive function impacts eating behavior and WL in the preoperative period, it may be a target for clinical attention in this stage. OBJECTIVES: We aimed to examine the relationship between objective performance-based measures of executive function, eating patterns, and WL in the preoperative period. METHOD: Baseline data in an ongoing observational longitudinal study of bariatric surgery patients were used. Eighty patients completed neuropsychological testing and self-report questionnaires 4 weeks prior to surgery. RESULTS: We found that working memory predicted WL before surgery and inhibitory control predicted adherence to dietary recommendations. CONCLUSION: Our study indicates that executive function may play a role in short-term WL and dietary adherence prior to surgery, suggesting that executive function in the preoperative period deserves an extended research focus.

摘要

背景:执行功能的个体差异可能会影响肥胖治疗中的饮食行为、体重减轻(WL)和 WL 维持。执行功能是指自上而下的认知控制过程,它与可能影响体重的饮食行为有关,并且在行为性 WL 计划和减肥手术后都被发现可以预测 WL。目前,我们缺乏关于手术前执行功能在肥胖治疗中的作用的知识。如果执行功能在术前阶段影响饮食行为和 WL,那么它可能是该阶段临床关注的目标。

目的:我们旨在研究手术前期间客观的基于表现的执行功能测量、饮食模式和 WL 之间的关系。

方法:使用正在进行的减肥手术患者的观察性纵向研究的基线数据。80 名患者在手术前 4 周完成了神经心理测试和自我报告问卷。

结果:我们发现工作记忆预测了手术前的 WL,而抑制控制预测了对饮食建议的遵守。

结论:我们的研究表明,执行功能可能在手术前短期 WL 和饮食依从性方面发挥作用,这表明术前期间的执行功能值得进一步研究。

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[2]
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[6]
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[7]
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[8]
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本文引用的文献

[1]
Confirmatory factor analysis and psychometric properties of the Norwegian version of the Repetitive Eating Questionnaire: Further evidence for two distinct subtypes of grazing behaviour.

Eur Eat Disord Rev. 2018-8-2

[2]
Repetitive eating questionnaire [Rep(eat)-Q]: Enlightening the concept of grazing and psychometric properties in a Portuguese sample.

Appetite. 2017-7-13

[3]
The role of working memory sub-components in food choice and dieting success.

Appetite. 2017-5-26

[4]
Executive functions and the self-regulation of eating behavior: A review.

Appetite. 2017-5-25

[5]
Impulsivity predicts weight loss after obesity surgery.

Surg Obes Relat Dis. 2017-6

[6]
Executive function in weight loss and weight loss maintenance: a conceptual review and novel neuropsychological model of weight control.

J Behav Med. 2017-2-3

[7]
Neuropsychological function in individuals with morbid obesity: a cross-sectional study.

BMC Obes. 2017-1-26

[8]
Executive functions predict weight loss in a medically supervised weight loss programme.

Obes Sci Pract. 2016-12

[9]
Executive functioning and dietary intake: Neurocognitive correlates of fruit, vegetable, and saturated fat intake in adults with obesity.

Appetite. 2017-4-1

[10]
A commentary on the associations among 'food addiction', binge eating disorder, and obesity: Overlapping conditions with idiosyncratic clinical features.

Appetite. 2017-8-1

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