Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
Department of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
Nutrients. 2023 Aug 22;15(17):3670. doi: 10.3390/nu15173670.
This study investigated associations between maladaptive ingestive behaviors and weight regain in women who underwent metabolic surgery 2-10 years ago. Using a web-based survey, we assessed emotional, external, and restrained eating (Dutch Eating Behavior Questionnaire-DEBQ), food cravings (Food-Craving Inventory-FCI), and other behaviors (e.g., Eating Disorder Examination Questionnaire-EDE-Q; Alcohol Use Disorder Identification Test-Concise-AUDIT-C) in 36 women (42.9 ± 9.5 years old) post-surgery. We found that weight regain was specifically associated with increased frequency of cravings for sweets (r = 0.43), higher global scores in the EDE-Q (r = 0.38), and time elapsed since surgery (r = 0.35; all 's < 0.04). Multiple regression analysis revealed that the association between weight regain and sweet cravings interacted with time after surgery ( = 0.04), with the strongest association observed in women assessed closer to the surgery (i.e., 2.0-2.8 years). The combination of time after surgery and its interaction with sweet cravings accounted for 31% of the individual variations in weight regain ( = 0.005). Notably, among participants who reported alcohol consumption (31 of 36), 55% had an AUDIT-C score indicating hazardous drinking. These findings highlight the relevance of attending to patients' reports of frequent sweet cravings and screening for alcohol use to enhance strategies tailored to prevent weight regain and alcohol-related health problems post-surgery.
本研究调查了 2-10 年前接受代谢手术的女性中适应不良的摄食行为与体重反弹之间的关联。我们使用网络调查评估了 36 名女性（42.9 ± 9.5 岁）手术后的情绪性、外显性和抑制性进食（荷兰饮食行为问卷-DEBQ）、食物渴求（食物渴求量表-FCI）和其他行为（如饮食障碍检查问卷-EDE-Q；简明酒精使用障碍识别测试-AUDIT-C）。我们发现，体重反弹与甜食渴求频率增加（r = 0.43）、EDE-Q 总分升高（r = 0.38）和手术时间（r = 0.35；所有 's < 0.04）呈特定相关。多元回归分析表明，体重反弹与甜食渴求之间的关联与手术后时间相互作用（ = 0.04），在更接近手术时间（即 2.0-2.8 年）评估的女性中观察到最强的关联。手术后时间及其与甜食渴求的相互作用组合解释了体重反弹个体差异的 31%（ = 0.005）。值得注意的是，在报告饮酒的 36 名参与者中，55%的人 AUDIT-C 评分表明存在危险饮酒。这些发现强调了关注患者频繁甜食渴求的报告和筛查酒精使用的重要性，以增强针对预防手术后体重反弹和与酒精相关的健康问题的策略。
