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24 个月减重手术后身体活跃和不活跃的女性的体重反弹和饮食行为。

Weight regain and eating behavior in physically active and inactive women after 24 months of bariatric surgery.

机构信息

Graduate Faculty of Nutrition, Federal University of Pará, Belém, Pará, Brazil.

Graduate Program of Neuroscience and Behavior, Federal University of Pará, Belém, Pará, Brazil.

出版信息

Eat Weight Disord. 2021 Aug;26(6):1709-1717. doi: 10.1007/s40519-020-00973-w. Epub 2020 Aug 14.

DOI:10.1007/s40519-020-00973-w
PMID:32797374
Abstract

PURPOSE

This research has tested the association between anthropometric profile and eating behavior according to the practice of physical activity in women with more than 24 months after bariatric surgery.

METHODS

It is a transversal study accomplished with 44 adult women, in which sociodemographic and anthropometric data of eating behavior as well as physical activity practice have been collected.

RESULTS

The average of overweight loss was satisfactory (> 50%), the average of weight regain was of 16.4 ± 11.2%, being the weight regain (kg) statistically lower in the physically active group (p = 0.049). There had been predominance of emotional eating in both groups (active p = 0.025; inactive p = 0.040); significant inverse correlation (β =  - 0.286; IC - 0.317; - 0,005; p = 0.044) between food restriction behavior and weight regain (%) depending on postoperative period; and the time of physical activity practice (min) has presented inverse correlation, statistically significant (β =  - 0.311; IC - 0.048; - 0,001; p = 0.039) on the weight regain (%) independent of postoperative period.

CONCLUSIONS

The physically active participants have presented the lowest weight regain and predominance of emotional eating domain, evidencing the need to model eating behavior and to encourage the practice of physical activity in these patients.

LEVEL III

Case-control analytic study.

摘要

目的

本研究测试了肥胖症手术后超过 24 个月的女性中,根据身体活动实践,人体测量特征与饮食行为之间的关联。

方法

这是一项横断面研究,共纳入 44 名成年女性,收集了社会人口学和饮食行为的人体测量数据以及身体活动实践情况。

结果

超重减轻的平均水平令人满意(>50%),体重回升的平均水平为 16.4±11.2%,身体活跃组的体重回升(kg)统计上较低(p=0.049)。两组均以情绪性进食为主(活跃组 p=0.025;不活跃组 p=0.040);根据术后时间,食物限制行为与体重回升(%)之间存在显著的负相关(β=-0.286;IC-0.317;-0.005;p=0.044);身体活动实践时间(min)与体重回升(%)呈负相关,具有统计学意义(β=-0.311;IC-0.048;-0.001;p=0.039),独立于术后时间。

结论

身体活跃的参与者体重回升最低,且情绪性进食域占主导地位,这表明需要对这些患者的饮食行为进行建模,并鼓励其进行身体活动。

研究类型

病例对照分析研究。

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本文引用的文献

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Disordered eating and weight loss after bariatric surgery.术后饮食紊乱和体重减轻。
Eat Weight Disord. 2020 Oct;25(5):1191-1196. doi: 10.1007/s40519-019-00749-x. Epub 2019 Jul 13.
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Dietary and Lifestyle Factors Serve as Predictors of Successful Weight Loss Maintenance Postbariatric Surgery.饮食和生活方式因素可作为减肥手术后成功维持体重的预测指标。
我的体重怎么办?减重代谢手术后体重减轻不足或体重反弹
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Attachment style and post-bariatric surgery health behaviours: the mediating role of self-esteem and health self-efficacy.依恋风格与减重手术后健康行为:自尊和健康自我效能感的中介作用。
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The Effects of a Web-Based Interactive Nurse Support Program Based on the Health Promotion Model on Healthy Living Behaviors and Self-Efficacy in Patients Who Regained Weight after Bariatric Surgery: A Randomized Controlled Trial.基于健康促进模式的网络互动护士支持方案对减重手术后体重恢复患者健康生活行为和自我效能的影响:一项随机对照试验。
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Effect of exercise training after bariatric surgery: A 5-year follow-up study of a randomized controlled trial.减重手术后运动训练的效果:一项随机对照试验的 5 年随访研究。
PLoS One. 2022 Jul 15;17(7):e0271561. doi: 10.1371/journal.pone.0271561. eCollection 2022.
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Psychological functioning and well-being before and after bariatric surgery; what is the benefit of being self-compassionate?减重手术后的心理功能和健康状况;自我同情有什么好处?
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