Endocrinology and Nutrition Research Center, School of Medicine, Department of Endocrinology and Nutrition, Hospital Clinico Universitario, University of Valladolid, C/Los perales 16 Simancas, 47130, Valladolid, Spain.
Department of Surgery, Hospital Universitario Rio Hortega, Valladolid, Spain.
Obes Surg. 2021 May;31(5):2197-2202. doi: 10.1007/s11695-021-05253-9. Epub 2021 Feb 1.
The COVID-19 pandemic could exacerbate the risk factors for weight gain in patients with previous bariatric surgery. The aim of this study was to evaluate factors related to weight gain during lockdown in patients with a sleeve gastrectomy.
A group of 48 obese subjects with previous bariatric surgery was enrolled. After a 7-week confinement, a telephone interview was conducted. In this phone call, self-reported body weight gain and different factors were recorded. In order to obtain the basal and pre-surgical data, biochemical and anthropometric parameters were recorded from electronic medical record.
The mean age was 45.3±8.0 years (range: 23-61) and the mean body mass index (BMI) was 32.5±7.5 kg/m (range: 28.6-34.2). Gender distribution was 38 females (79.2%) and 10 males (20.8%). The increase in self-reported body weight was 3.8±2.1 kg during the 7 weeks of confinement. And the self-reported body weight gain was lower in subjects with regular exercise (4.6±0.9 vs 1.1±0.3 kg; p=0.02). The number of face-to-face visits to the nutrition office that did not attend was 0.61±0.81 (range: 0-4) per patient. In the multiple regression analysis with self-reported body weight gain as a dependent variable, the physical activity (minutes/week) remained as a protective factor with a beta coefficient of -0.09 (95% CI: -0.001 to 0.016; p=0.03) and number of face-to-face appointments in the nutrition consultation missed as a risk factor with a beta coefficient of 9.65 (95% CI: 1.17-18.12; p=0.03).
The increase in self-reported body weight is associated with a decrease in physical activity and the loss of face-to-face visits to the Nutrition Unit.
新冠疫情可能会使既往接受过减重手术的患者体重增加的风险因素恶化。本研究的目的是评估袖状胃切除术后患者在封锁期间体重增加的相关因素。
纳入了一组 48 名既往接受过减重手术的肥胖患者。在 7 周的禁闭后，进行了电话采访。在此次电话访谈中，记录了自我报告的体重增加和不同因素。为了获得基础和术前数据，从电子病历中记录了生化和人体测量参数。
平均年龄为 45.3±8.0 岁（范围：23-61），平均体重指数（BMI）为 32.5±7.5 kg/m（范围：28.6-34.2）。性别分布为 38 名女性（79.2%）和 10 名男性（20.8%）。在 7 周的禁闭期间，自我报告的体重增加了 3.8±2.1kg。而规律运动的患者自我报告的体重增加较低（4.6±0.9 vs 1.1±0.3kg；p=0.02）。未就诊的营养门诊面对面就诊次数为 0.61±0.81 次/人（范围：0-4）。以自我报告的体重增加为因变量的多元回归分析中，体力活动（分钟/周）仍为保护因素，β系数为-0.09（95%CI：-0.001 至 0.016；p=0.03），错过营养咨询的面对面预约次数为风险因素，β系数为 9.65（95%CI：1.17-18.12；p=0.03）。
自我报告的体重增加与体力活动减少和错过营养科面对面就诊次数有关。
