Boles Richard E, Moore Jaime M
Section of Nutrition, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Section of Nutrition, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Surg Obes Relat Dis. 2025 Jan;21(1):16-23. doi: 10.1016/j.soard.2024.09.003. Epub 2024 Sep 14.
The prevalence of severe obesity among adolescents continues to be a significant global concern. Metabolic and bariatric surgery (MBS) has increasingly shown to produce safe, efficacious, and durable effects on weight loss and related physical health complications, and evidence of psychosocial outcomes are beginning to mature. The revised American Society for Metabolic and Bariatric Surgery pediatric guidelines published in 2018 reported emergent data regarding key psychosocial outcomes, including mental health, disordered eating, and quality of life, although data were limited by small, short-term studies and often without comparison groups. The purpose of this narrative review was to expand the relevant findings regarding youth with severe obesity who receive MBS to further clarify the impact of surgery on psychosocial outcomes.
青少年严重肥胖的患病率仍然是一个重大的全球问题。代谢和减重手术（MBS）越来越多地显示出对体重减轻和相关身体健康并发症产生安全、有效和持久的效果，并且心理社会结果的证据也开始成熟。2018年发布的修订版美国代谢和减重外科学会儿科指南报告了关于关键心理社会结果的新数据，包括心理健康、饮食失调和生活质量，尽管这些数据受到小型短期研究的限制，且往往没有对照组。本叙述性综述的目的是扩展关于接受MBS的重度肥胖青少年的相关研究结果，以进一步阐明手术对心理社会结果的影响。
