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毅力与代谢和减重手术后体重减轻之间的关系。

The Association Between Grit and Weight Loss After Metabolic and Bariatric Surgery.

机构信息

Section of Bariatric Surgery, Department of Surgery, David Geffen UCLA School of Medicine, Los Angeles, CA, 90095, USA.

出版信息

Obes Surg. 2024 Nov;34(11):4196-4202. doi: 10.1007/s11695-024-07328-9. Epub 2024 Sep 24.

DOI:10.1007/s11695-024-07328-9
PMID:39313696
Abstract

OBJECTIVE

Grit is a person's ability to establish long-term goals and work to achieve those goals irrespective of any barriers. We examined the relationship between the personality trait grit, obesity, and metabolic and bariatric surgery (MBS)-induced weight loss.

METHODS

In an ongoing prospective cohort, 104 adult patients who underwent laparoscopic sleeve gastrectomy (LSG) had preoperative grit questionnaires administered. The association between grit domains and 1-year weight loss was evaluated by ANCOVA.

RESULTS

Among the 104 patients who completed a pre-operative grit survey, 74 completed the survey again 1 year after surgery (72.1%). One year percent total body weight loss (TBW) was 28.4% for the entire cohort and 27.9% for the 74 patients who had complete follow-up at 1 year. Grit scores were not significantly different between baseline and postoperative measurements (pre-op 3.69 ± 0.68 versus post-op 3.67 ± 0.67). Neither the pre-operative total grit score nor its major domains consistency of interests and perseverance of effort were associated with 1-year weight loss (r = 0.034, P = 0.733).

CONCLUSIONS

There was no correlation between grit and MBS-induced weight loss at 1 year after surgery. As a physiologic solution, MBS may result in weight loss independent of a person's ability to set long-term goals and achieve those goals.

摘要

目的

坚毅是一个人建立长期目标并努力实现这些目标的能力,无论遇到任何障碍都能坚持。我们研究了人格特质坚毅、肥胖以及代谢与减重手术(MBS)诱导的体重减轻之间的关系。

方法

在一项正在进行的前瞻性队列研究中,对 104 例行腹腔镜袖状胃切除术(LSG)的成年患者进行了术前坚毅问卷评估。通过方差分析(ANCOVA)评估坚毅各维度与 1 年体重减轻的关系。

结果

在完成术前坚毅调查的 104 名患者中,有 74 名在术后 1 年再次完成了调查(72.1%)。整个队列的 1 年总体重减轻百分比(TBW)为 28.4%,74 名完成 1 年随访的患者为 27.9%。坚毅评分在基线和术后测量之间没有显著差异(术前 3.69±0.68 与术后 3.67±0.67)。术前总坚毅评分及其主要维度(兴趣一致性和努力坚持)均与 1 年体重减轻无关(r=0.034,P=0.733)。

结论

在术后 1 年,坚毅与 MBS 诱导的体重减轻之间没有相关性。作为一种生理解决方案,MBS 可能导致体重减轻,而与一个人设定长期目标和实现这些目标的能力无关。

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本文引用的文献

1
The Relation of Grit to Weight Loss Maintenance Outcomes.坚毅与体重减轻维持结果的关系。
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Personality Traits and Weight Loss Surgery Outcome.人格特质与减重手术结果。
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Personality characteristics and bariatric surgery outcomes: a systematic review.人格特征与减肥手术结果:一项系统综述。
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Changing weight-loss expectations: a randomized pilot study.改变减肥预期:一项随机试点研究。
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Psychological predictors of weight regain in obesity.肥胖症体重反弹的心理预测因素
Behav Res Ther. 2004 Nov;42(11):1341-56. doi: 10.1016/j.brat.2003.09.004.
10
Are unrealistic weight loss goals associated with outcomes for overweight women?不切实际的减肥目标与超重女性的结局有关吗?
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