Department of Nutrition, University of Brasília, Brasília, Brazil.
Graduate Program of Human Nutrition, Faculty of Health Sciences, University of Brasília, Campus Universitario Darcy Ribeiro, Brasília, Federal District, 70910-900, Brazil.
Obes Surg. 2023 Dec;33(12):3938-3943. doi: 10.1007/s11695-023-06897-5. Epub 2023 Oct 25.
The behavior of patients undergoing metabolic bariatric surgery (MBS) has been widely investigated to better understand their attitudes and to formulate effective advisory strategies. Although these elements have been studied separately, the magnitude of these behaviors still needs to be determined from a combined factors approach. This study aimed to identify the lifestyle patterns of patients who underwent MBS 5 or more years ago.
In this observational study, 123 patients who underwent MBS at least 5 years ago were included. Anthropometric data, sociodemographic profile, dietary intake, physical activity level, sleeping, smoking, and alcohol consumption were collected for all participants. Lifestyle pattern was evaluated using principal component analysis (PCA) and the Kaiser-Meyer-Olkin (KMO) index was applied to evaluate data factorability.
PCA identified two patterns of behavior adopted by the participants in the late postoperative (PO) period (more than 5 years PO) of MBS. In the first pattern, a positive correlation was found between consumption of ultra-processed foods (r = 0.459), risky consumption of alcoholic beverages (r = 0.630), and tobacco use (r = 0.584). In the second, a positive correlation was observed between the consumption of unprocessed or minimally processed foods (r = 0.692) and more sleep time per day (r = 0.654).
After 5 years of PO, combined behavior analysis revealed healthy and unhealthy lifestyle patterns, which points to the relevance of permanent clinical follow-up of these patients to ensure the best health status.
代谢减重手术（MBS）患者的行为已被广泛研究，以更好地了解他们的态度并制定有效的咨询策略。尽管这些因素已分别进行了研究，但仍需要从综合因素的角度来确定这些行为的重要性。本研究旨在确定 5 年以上前接受 MBS 的患者的生活方式模式。
在这项观察性研究中，纳入了 123 名至少 5 年前接受 MBS 的患者。所有参与者均收集了人体测量学数据、社会人口统计学资料、饮食摄入、身体活动水平、睡眠、吸烟和饮酒情况。使用主成分分析（PCA）评估生活方式模式，并应用 Kaiser-Meyer-Olkin（KMO）指数评估数据因子可变性。
PCA 确定了 MBS 术后（超过 5 年）后期参与者采用的两种行为模式。在第一种模式中，超加工食品的消费（r=0.459）、高风险酒精饮料消费（r=0.630）和烟草使用（r=0.584）之间存在正相关关系。在第二种模式中，未加工或最低限度加工食品的消费（r=0.692）与每天更多的睡眠时间（r=0.654）之间存在正相关关系。
在 PO 5 年后，综合行为分析揭示了健康和不健康的生活方式模式，这表明对这些患者进行永久的临床随访具有重要意义，以确保最佳的健康状况。
