Nucleus of Behavior Theory Research, Federal University of Pará, Belém 66075110, Pará, Brazil.
Nucleus of Tropical Medicine, Federal University of Pará, Belém 66075110, Pará, Brazil.
Int J Environ Res Public Health. 2022 Jun 22;19(13):7648. doi: 10.3390/ijerph19137648.
Individuals undergoing bariatric Surgery (BS) may have long-term weight regain. There is a need to investigate factors that may be related to this and if they can interfere with Quality of Life (QOL). This study aims to evaluate the relationship between eating behavior, perception of QOL, and weight regain in women after 24 months of bariatric surgery. This was a transversal study with 50 adult women residents in the city of Belém, Brazil. Sociodemographic, anthropometric, eating behavior (Three-Factor Eating Questionnaire—TFEQ-21) and perception of QOL (Item Short Form Healthy Survey—SF-36) data were collected. In 60% (n = 30) there was weight regain (≥15%), with a mean weight regain of 23.3% (±18.4). Emotional eating was the most frequent pattern (p = 0.047). Regarding QOL, the functional capacity and limitation due to physical aspects domains had a better perception (p < 0.0001). Women without weight regain showed a better perception of the functional capacity aspects (p = 0.007), limitation due to physical aspects (p = 0.044), social aspects (p = 0.048), and general physical components (p = 0.016) and also had an inverse association with the perception of QOL in physical components (p = 0.008). Patterns of eating behavior and weight regain can damage the perception of QOL, especially physical capacity. Long-term follow-up is essential to evaluate the behavior of people who have undergone BS in order to prevent weight regain and QOL damage.
个体接受减重手术（BS）后可能会出现长期体重反弹。有必要研究与之相关的因素，以及这些因素是否会影响生活质量（QOL）。本研究旨在评估女性在接受 BS 后 24 个月时的饮食行为、QOL 感知与体重反弹之间的关系。这是一项横断面研究，共纳入巴西贝伦市的 50 名成年女性居民。收集了社会人口统计学、人体测量学、饮食行为（三因素饮食问卷-21 项，TFEQ-21）和 QOL 感知（健康调查简表-36 项，SF-36）数据。60%（n=30）的女性出现体重反弹（≥15%），平均体重反弹率为 23.3%（±18.4%）。情绪化进食是最常见的模式（p=0.047）。关于 QOL，功能能力和身体方面受限维度的感知更好（p<0.0001）。无体重反弹的女性在功能能力方面的感知更好（p=0.007），身体方面受限（p=0.044）、社会方面（p=0.048）和一般身体成分（p=0.016），并且与身体成分 QOL 的感知呈负相关（p=0.008）。饮食行为和体重反弹模式会损害 QOL 的感知，尤其是身体能力。长期随访对于评估接受 BS 的人群的行为至关重要，以防止体重反弹和 QOL 受损。
