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巴西某医院参考服务协助的患者在减重手术后暴食与体重减轻的相关性。

Binge Eating After Bariatric Surgery in Patients Assisted by the Reference Service in a Brazilian Hospital and the Correlation with Weight Loss.

机构信息

Santo Amaro University. Post Graduation Program in Health Science, São Paulo, SP, Brazil.

School of Medical Sciences - Santa Casa of São Paulo - Obesity Ambulatory, São Paulo, SP, Brazil.

出版信息

Obes Surg. 2021 Jul;31(7):3144-3150. doi: 10.1007/s11695-021-05372-3. Epub 2021 Mar 29.

Abstract

PURPOSE

Identify, 18 months after bariatric surgery, the binge eating variation and its relation with weight regain or loss.

MATERIALS AND METHODS

Cross-sectional, retrospective study with 108 patients, assisted by an obesity walk-in clinic of a specialized hospital in São Paulo (Brazil), who had undergone bariatric surgery a minimum of 18 months previously. The anthropometric and clinic data were collected from medical records, and binge eating symptoms were evaluated with the application of the Binge Eating Scale (BES). Scale outcomes were related to weight regain and loss at the application moment.

RESULTS

The average age (standard error) of the sample was 47 years (±0.91) and 93% were female. Patients had lost 52.2% of their body weight and regained 4.7% of their weight 18 months after the surgery. The elapsed surgical time (> 50 months) was associated with a higher gross weight (p<0.0001).

CONCLUSIONS

Bariatric surgery has been shown to be effective for improving diabetes mellitus as well as for controlling obesity. The variation in binge eating intensity 18 months after bariatric surgery is a factor that interferes in the amount of weight regained. The presence of binge eating symptoms negatively affects the % total weight loss (%TWL).

摘要

目的

在接受减重手术后 18 个月,识别暴食行为的变化及其与体重反弹或减轻的关系。

材料和方法

这是一项在巴西圣保罗一家专科医院的肥胖门诊进行的回顾性横断面研究,纳入了 108 名至少在 18 个月前接受过减重手术的患者。从病历中收集了人体测量学和临床数据,并应用暴食行为量表(BES)评估了暴食症状。该量表的结果与当时的体重反弹和减轻有关。

结果

样本的平均年龄(标准误差)为 47 岁(±0.91),93%为女性。患者在手术后 18 个月时体重减轻了 52.2%,体重增加了 4.7%。手术时间超过 50 个月与更高的总体重有关(p<0.0001)。

结论

减重手术已被证明对改善糖尿病和控制肥胖有效。减重手术后 18 个月暴食行为强度的变化是影响体重反弹量的一个因素。暴食症状的存在会对总体重减轻百分比(%TWL)产生负面影响。

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