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情绪性进食和失控性进食作为接受公共医院减重手术候选人中饮食失调态度的风险预测因素。

Emotional Eating and Uncontrolled Eating as Risk Predictors for Disordered Eating Attitudes in Candidates for Bariatric Surgery Treated at a Public Hospital in the Amazon.

机构信息

Graduate Program in Neuroscience and Behavior, Behavior Theory and Research Center, Federal University of Pará, Belém 66075-110, Brazil.

Social Service of Commerce, Belém 66010-010, Brazil.

出版信息

Nutrients. 2024 May 24;16(11):1600. doi: 10.3390/nu16111600.

Abstract

This study analyzes the eating behavior and factors associated with the presence of disordered eating attitudes in patients undergoing bariatric surgery. It is a cross-sectional, descriptive, and analytical study conducted at a hospital in the Amazon region of Brazil. The Disordered Eating Attitude Scale reduced version (DEAS-s) was used to assess the risk of eating disorders and the Three-Factor Eating Questionnaire (TFEQ-R21) was used to characterize eating behavior. A total of 205 patients participated, with a mean age of 37.5 ± 8.6 years. The majority of participants were female (93.7%; < 0.001), and the mean BMI was 45.3 ± 6.7 kg/m. It was found that cognitive restraint had the highest mean (52.6 ± 19.9; < 0.001). As for the DEAS-s, the question with the highest mean response was "spending one or more days without eating or consuming only liquids to lose weight" (2.80 ± 1.99). Female participants had a higher score for emotional eating ( = 0.016). Disordered eating attitudes showed a correlation with emotional eating and uncontrolled eating. These results suggest that candidates for bariatric surgery may have susceptibility to eating disorders. The importance of a multidisciplinary team conducting monitoring during the preoperative period is highlighted.

摘要

本研究分析了接受减重手术患者的饮食行为和与饮食障碍态度相关的因素。这是一项在巴西亚马逊地区医院进行的横断面、描述性和分析性研究。使用简化版饮食障碍态度量表(DEAS-s)评估饮食障碍风险,使用三因素饮食问卷(TFEQ-R21)描述饮食行为。共有 205 名患者参与,平均年龄为 37.5 ± 8.6 岁。大多数参与者为女性(93.7%;<0.001),平均 BMI 为 45.3 ± 6.7 kg/m。结果发现,认知约束的平均得分最高(52.6 ± 19.9;<0.001)。在 DEAS-s 方面,平均反应最高的问题是“为了减肥,有一天或几天不吃东西或只吃液体”(2.80 ± 1.99)。女性参与者的情绪性进食得分较高( = 0.016)。饮食障碍态度与情绪性进食和失控性进食呈正相关。这些结果表明,接受减重手术的患者可能存在饮食障碍的易感性。强调了多学科团队在术前期间进行监测的重要性。

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