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术后至少 2 年进行减重手术患者的饮食消费与体重复发情况。

Food Consumption and Weight Recurrence in Patients Undergoing Bariatric Surgery with a Minimum of 2 Years Post-surgery.

机构信息

Nutrition Course of the Federal University of Tocantins/TO, Palmas, Brazil.

Postgraduate Program in Health Science of the Federal University of Tocantins/TO, Palmas, Brazil.

出版信息

Obes Surg. 2023 Oct;33(10):3223-3229. doi: 10.1007/s11695-023-06798-7. Epub 2023 Aug 26.

DOI:10.1007/s11695-023-06798-7
PMID:37632585
Abstract

BACKGROUND

Eating habits are one of the factors that directly affect weight recurrence after bariatric surgery, and therefore, this study assessed the association between food consumption and weight recurrence in patients who underwent bariatric surgery a minimum of 2 years.

METHODS

A cross-sectional observational study was conducted with patients who underwent bariatric surgery a minimum of 2 years through SUS, in the city of Palmas, Tocantins. Food consumption was assessed through two 24-h dietary recalls (R24). The foods were classified into groups by degree of processing following the NOVA classification system. Also, macronutrients and fiber contents were quantified. Anthropometric variables were evaluated and weight recurrence (WR) was defined as 15%.

RESULTS

Ninety-three (93) patients participated in the study, being 83.9% female, with mean age of 43.5 ± 9.13 years, mean post-surgery time of 4 years, and 58% present WR. A lower total energy consumption was found in patients without WR compared to those with WR (p = 0.05). Among the WR group, calories from processed foods (p = 0.00) and culinary ingredients (p = 0.05) were higher. However, carbohydrate consumption (percentage) was lower in the WR group (p = 0.04). A positive correlation was found between total energy (p = 0.03), processed foods (p = 0.03) and weight recurrence (p = 0.03).

CONCLUSION

Weight recurrence is associated with total daily energy intake, carbohydrates and food groups classified according to NOVA.

摘要

背景

饮食习惯是直接影响减重手术后体重复发的因素之一,因此,本研究评估了接受减重手术后至少 2 年的患者的食物消耗与体重复发之间的关系。

方法

这是一项通过 SUS 在托坎廷斯州帕尔马市进行的接受减重手术至少 2 年的患者的横断面观察性研究。通过两次 24 小时膳食回忆(R24)评估食物消耗。根据 NOVA 分类系统,将食物分为加工程度不同的组。还定量了宏量营养素和纤维含量。评估了人体测量变量和体重复发(WR)定义为 15%。

结果

93 名(93 名)患者参与了这项研究,其中 83.9%为女性,平均年龄为 43.5±9.13 岁,平均手术后时间为 4 年,58%存在 WR。与有 WR 的患者相比,无 WR 的患者总能量消耗较低(p=0.05)。在 WR 组中,加工食品(p=0.00)和烹饪原料(p=0.05)的热量较高。然而,WR 组的碳水化合物消耗(百分比)较低(p=0.04)。总能量(p=0.03)、加工食品(p=0.03)与体重复发之间存在正相关(p=0.03)。

结论

体重复发与总日能量摄入、碳水化合物和根据 NOVA 分类的食物组有关。

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本文引用的文献

1
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2
Weight Regain and Insufficient Weight Loss After Bariatric Surgery: Definitions, Prevalence, Mechanisms, Predictors, Prevention and Management Strategies, and Knowledge Gaps-a Scoping Review.减重手术后体重反弹和减重不足:定义、流行率、机制、预测因素、预防和管理策略以及知识空白——范围综述。
Obes Surg. 2021 Apr;31(4):1755-1766. doi: 10.1007/s11695-020-05160-5. Epub 2021 Feb 8.
3
Impact of dietary patterns according to NOVA food groups: 2 y after Roux-en-Y gastric bypass surgery.
至少 2 年前接受过减重手术的患者中,焦虑和负面身体形象与暴食有关。
Obes Surg. 2023 Dec;33(12):4058-4064. doi: 10.1007/s11695-023-06924-5. Epub 2023 Nov 3.
根据 NOVA 食品组划分的膳食模式对 Roux-en-Y 胃旁路手术后 2 年的影响。
Nutrition. 2020 Jun;74:110746. doi: 10.1016/j.nut.2020.110746. Epub 2020 Jan 28.
4
Weight Regain Following Roux-en-Y Gastric Bypass: Etiology and Surgical Treatment.Roux-en-Y胃旁路术后体重反弹:病因及手术治疗
Isr Med Assoc J. 2019 Dec;21(12):823-828.
5
Increase in Protein Intake After 3 Months of RYGB Is an Independent Predictor for the Remission of Obesity in the First Year of Surgery.术后 3 个月蛋白质摄入量增加是手术第一年肥胖缓解的独立预测因素。
Obes Surg. 2019 Dec;29(12):3780-3785. doi: 10.1007/s11695-019-04124-8.
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Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain: An Inpatient Randomized Controlled Trial of Ad Libitum Food Intake.超加工饮食导致热量摄入过量和体重增加:随意进食的住院患者随机对照试验。
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Neuroendocrine regulation of energy balance: Implications on the development and surgical treatment of obesity.能量平衡的神经内分泌调节:对肥胖症发展及外科治疗的启示
Nutr Health. 2017 Sep;23(3):131-146. doi: 10.1177/0260106017719369. Epub 2017 Aug 24.
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Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcome: findings from the Swedish Obese Subjects (SOS) study.减肥手术后总能量摄入和宏量营养素组成的变化可预测长期体重结果:瑞典肥胖受试者(SOS)研究的结果
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Rev Bras Epidemiol. 2016 Apr-Jun;19(2):464-8. doi: 10.1590/1980-5497201600020020.