在减重手术前于医学减重管理中心减轻体重是否会影响减重手术后的体重减轻？
Does preoperative weight loss in a specialist medical weight management centre influence postoperative weight loss after bariatric surgery?
机构信息
Department of Dietetics, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, UK.
Department of Diabetes, Endocrinology and Obesity Medicine, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, UK.
出版信息
Clin Obes. 2023 Feb;13(1):e12560. doi: 10.1111/cob.12560. Epub 2022 Sep 30.
Weight loss of 5%-10% is advised in medical weight management (MWM) programmes prior to bariatric surgery but it remains to be established whether it influences postoperative weight loss outcomes. We studied postoperative percent total weight loss (%TWL) in 168 patients categorized by preoperative referral weight loss <5% or ≥5% in a UK NHS bariatric centre. Eighty-six (51.2%) patients achieved sustained referral weight loss <5% (Group A) and 82 (48.8%) ≥5% (Group B). Overall postoperative %TWL in Group A compared with Group B was 30.0% versus 28.3% (p = .30) at 12 months and 32.5% versus 29.6% (p = .20) at 24 months. There were no significant differences in postoperative %TWL at 12 and 24 months when categorized by procedure (gastric bypass, n = 106; or sleeve gastrectomy, n = 62), age or sex. Preoperative weight loss during intensive specialist MWM did not influence postoperative weight loss up to 24 months with gastric bypass or sleeve gastrectomy.
在接受减重手术前，医学体重管理（MWM）方案建议减轻 5%-10%的体重，但减轻体重是否会影响术后减重效果仍有待确定。我们研究了英国国民保健制度减重中心的 168 名患者的术后总体重减轻百分比（%TWL），这些患者根据术前转诊体重减轻<5%或≥5%进行了分类。86 名（51.2%）患者实现了持续的转诊体重减轻<5%（A 组），82 名（48.8%）≥5%（B 组）。与 B 组相比，A 组患者的术后 12 个月的 12 个月的 %TWL 为 30.0%，B 组为 28.3%（p=.30）；术后 24 个月的 %TWL 为 32.5%，B 组为 29.6%（p=.20）。当根据手术类型（胃旁路术，n=106；或袖状胃切除术，n=62）、年龄或性别对术后 12 和 24 个月的 %TWL 进行分类时，没有显著差异。胃旁路术或袖状胃切除术的术前强化专科 MWM 期间的体重减轻不会影响术后 24 个月的体重减轻。
Zotero 插件