McGill University Health Centre, 1001 Decarie Blvd, Montreal, QC H4A 3J1, Canada.
Ottawa Hospital Research Institute, 1053 Carling Ave, Ottawa, ON K1Y 4E9, Canada.
F1000Res. 2019 May 3;8:615. doi: 10.12688/f1000research.18787.2. eCollection 2019.
Although bariatric surgery is the most effective treatment for severe obesity, weight regain may still occur. While non-modifiable factors associated with weight regain have been explored, modifiable factors responsible for weight regain are understudied. This scoping review aimed to identify modifiable behaviors associated with weight regain after bariatric surgery. A systematic search was conducted in Medline, Google Scholar, Cochrane, National Collaborating Centre for Methods and Tools (NCCMT) and Practice-based Evidence in Nutrition (PEN) which included articles published between January 1990 and February 2 2017, for studies examining "weight regain" after bariatric surgery. A total of 293 citations were retrieved. Eligible articles must have examined modifiable factors and addressed weight regain, or a long-term post-operative phase in which weight regain may occur. After removing duplicates, 22 studies were included for thematic analysis. Key modifiable factors associated with weight regain were identified and categorized under the following themes: poor dietary adherence (e.g. excessive calorie, carbohydrate, and alcohol intake), maladaptive eating behaviors (e.g. grazing, binging), lack of on-going follow-up with the bariatric team and insufficient physical activity. Health professionals and self-monitoring tools for patients who have undergone bariatric surgery may benefit from these findings to direct their education and interventions to target behavior change.
尽管减重手术是治疗重度肥胖症最有效的方法,但体重仍可能反弹。虽然已经探讨了与体重反弹相关的不可变因素,但导致体重反弹的可改变因素仍研究不足。本范围综述旨在确定与减重手术后体重反弹相关的可改变行为。在 Medline、Google Scholar、Cochrane、国家方法和工具协作中心(NCCMT)和营养实践证据(PEN)中进行了系统检索,包括 1990 年 1 月至 2017 年 2 月 2 日期间发表的文章,以研究减重手术后的“体重反弹”。共检索到 293 条引文。符合条件的文章必须检查可改变的因素,并解决体重反弹或可能发生体重反弹的长期术后阶段的问题。去除重复项后,有 22 项研究被纳入主题分析。确定了与体重反弹相关的关键可改变因素,并将其归类为以下主题:饮食依从性差(例如,摄入过多的卡路里、碳水化合物和酒精)、不良的进食行为(例如,经常吃零食、暴食)、缺乏与减重团队的持续随访以及体力活动不足。接受过减重手术的患者的健康专业人员和自我监测工具可能会从这些发现中受益,以便指导他们的教育和干预措施,以针对行为改变。