Association between Nutrient Adequacy and Psychosocial Factors with Overall Rate of Weight Loss after Bariatric Surgery

减肥手术患者营养充足和心理社会因素与总失重率的关系

Divya Vanoh ； Suzana Shahar ； Nik Ritza Kosai Nik Mahmood

《Asia Pacific Journal of Clinical Nutrition》 24卷4期 (2015/12) Pp. 610-619

https://doi.org/10.6133/apjcn.2015.24.4.11

摘要

该研究是一项横断面研究，旨在探讨减肥手术患者营养摄入和社会心理因素与总失重率的关系。研究对象为来自马来西亚Kebangsaan大学医疗中心接受袖状胃切除术的患者（UKMMC）。共招募43名受试者（15名男性和28名女性）参加了本研究，受试者完成的问卷中有暴饮暴食规模（BES）、Beck抑郁问卷（Beck）、家庭支持和同伴关系指标（IPR）等。结果表明，总失重率的中位数为4.3±5.5千克／月，低于3个月时的5.0±5.6千克／月。术前体重是总失重率的预测因子（p＜0.05，R^2=0.52）。减肥手术患者暴饮暴食和抑郁之间有密切相关（p＜0.001，R^2=0.46）。对饮食建议有良好依从性的患者暴饮暴食得分较低。减肥手术患者平均热量和蛋白质的摄入量非常低，只有562±310千卡／天和29.6±16.1克／天，维生素A、B-1、B-2、B-3、B-12、C、叶酸和铁的摄入量达到马来西亚的推荐摄入量（RNI）。然而，钙、锌、硒、维生素D和维生素E的摄入量未达到RNI。总之，虽然减肥手术对健康有很多好处，有几个因素阻碍了减肥手术后减重，医护人员应密切监测减肥手术后患者。

關鍵字

肥胖 ； 减肥手术 ； 暴饮暴食 ； 抑郁 ； 失重率

並列摘要

This was a cross-sectional study that investigated the relationship between nutrient intake and psychosocial factors with the overall rate of weight loss after bariatric surgery among patients who had undergone sleeve gastrectomy in University Kebangsaan Malaysia Medical Centre (UKMMC). Forty-three subjects (15 men and 28 women) were recruited for this study. Subjects completed assessment questionnaires including the Binge Eating Scale (BES), Beck Depression Inventory (BECK), Family Support Questionnaires, and the Index of Peer Relation (IPR). Results showed that the median overall rate of weight loss was 4.3±5.5 kg/month, which was lower when compared to the rate of weight loss at three months which was 5.0±5.6 kg/month. Pre-operative weight was the predictor of overall rate of weight loss (p＜0.05, R^2=0.52). Binge eating disorder (BED) and depression were also closely associated with each other after bariatric surgery (p＜0.001, R^2=0.46). Subjects with good compliance to dietary advice had lower scores on the binge eating scale. The mean caloric and protein intake was very low, only 562±310 kcal/day and 29.6±16.1 g/day. The intake of vitamin A, B-1, B-2, B-3, B-12, C, folate, and iron met the Malaysian Recommended Nutrient Intake (RNI). However, the RNI for calcium, zinc, selenium, vitamin D, and vitamin E was not met. In conclusion, although bariatric surgery had many health benefits, several factors hindered weight loss after bariatric surgery. Health care professionals should closely monitor patients after bariatric surgery.

並列關鍵字

obesity ； bariatric surgery ； binge eating disorder ； depression ； rate of weight loss