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影响减重手术后头 6 个月体重成分降低率的选定因素:一项队列研究。

Selected factors affecting the rate of reduction of body weight components during the first six months after bariatric surgery: A cohort study.

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Lodz, Lodz, Poland.

Department of General Surgery, RCZ Lubin, Lubin, Poland.

出版信息

Pol Przegl Chir. 2023 Oct 12;96(1):34-41. doi: 10.5604/01.3001.0053.8609.

DOI:10.5604/01.3001.0053.8609
PMID:38353095
Abstract

<b><br>Aim:</b> To determine whether the rate of slimming following bariatric surgery depends on the sex, type of bariatric surgery, time elapsed since surgery or body weight components.</br> <b><br>Materials and methods:</b> The material is comprised of the results of three series of anthropometric measurements in 91 obese patients (before bariatric surgery, about 3 months after bariatric surgery and about 6 months afterwards). The inclusion criteria were patients of Polish origin admitted to the hospital from July 1, 2017 to January 31, 2019 for surgical treatment of obesity and written consent for the surgery and participation in the study. The measurements included body weight components assessed by bioelectrical impedance analysis.</br> <b><br>Results:</b> The reduction of all features was greater after SG than GB (p<0.0001), greater in the first quartile than in the second quartile after surgery (p<0.0001), and higher for fat mass than for other body weight components (p<0.0001). The sex of the patients, type of bariatric surgery, time elapsed since the operation, and type of body weight component constituted interactive modifiers of the rate of reduction.</br> <b><br>Conclusion:</b> After bariatric surgery, the reduction of fat mass was quicker in men than in women. SG and RYGB lead to a greater reduction of fat mass than GB. Among all three analyzed procedures, only for SG did the rate of body weight component reduction not decrease in the second quartile after surgery. This finding should be taken into account when creating an algorithm for treating a patient after bariatric surgery</br&gt.

摘要

目的

确定减重手术后的减肥速度是否取决于性别、减重手术类型、手术时间或体重成分。

材料和方法

该材料由 91 名肥胖患者的三组人体测量学测量结果组成(手术前、手术后约 3 个月和手术后约 6 个月)。纳入标准为 2017 年 7 月 1 日至 2019 年 1 月 31 日因肥胖症接受手术治疗并同意手术和参与研究的波兰裔住院患者。测量包括通过生物电阻抗分析评估的体重成分。

结果

SG 后所有特征的减少均大于 GB(p<0.0001),手术后第一四分位比第二四分位减少更大(p<0.0001),脂肪质量的减少大于其他体重成分(p<0.0001)。患者的性别、减重手术类型、手术时间和体重成分类型构成了减肥速度的交互修饰因子。

结论

减重手术后,男性的脂肪质量减少速度快于女性。SG 和 RYGB 导致的脂肪质量减少大于 GB。在所有三种分析的手术中,只有 SG 在手术后的第二四分位体重成分减少率没有降低。在制定减重手术后患者的治疗方案时应考虑到这一点。

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