PDF(Pubmed)
Abstract：
This study investigated associations between maladaptive ingestive behaviors and weight regain in women who underwent metabolic surgery 2-10 years ago. Using a web-based survey, we assessed emotional, external, and restrained eating (Dutch Eating Behavior Questionnaire-DEBQ), food cravings (Food-Craving Inventory-FCI), and other behaviors (e.g., Eating Disorder Examination Questionnaire-EDE-Q; Alcohol Use Disorder Identification Test-Concise-AUDIT-C) in 36 women (42.9 ± 9.5 years old) post-surgery. We found that weight regain was specifically associated with increased frequency of cravings for sweets (r = 0.43), higher global scores in the EDE-Q (r = 0.38), and time elapsed since surgery (r = 0.35; all p\'s < 0.04). Multiple regression analysis revealed that the association between weight regain and sweet cravings interacted with time after surgery (p = 0.04), with the strongest association observed in women assessed closer to the surgery (i.e., 2.0-2.8 years). The combination of time after surgery and its interaction with sweet cravings accounted for 31% of the individual variations in weight regain (p = 0.005). Notably, among participants who reported alcohol consumption (31 of 36), 55% had an AUDIT-C score indicating hazardous drinking. These findings highlight the relevance of attending to patients\' reports of frequent sweet cravings and screening for alcohol use to enhance strategies tailored to prevent weight regain and alcohol-related health problems post-surgery.
摘要：
这项研究调查了2-10年前接受代谢手术的女性的不良饮食行为与体重恢复之间的关系。使用基于网络的调查，我们评估了情绪，外部,和节制饮食(荷兰饮食行为问卷-DEBQ)，食物渴望(食物渴望清单-FCI)，和其他行为(例如，饮食障碍检查问卷-EDE-Q;36名女性（42.9±9.5岁）术后酒精使用障碍鉴定测试-简明AUDIT-C。我们发现，体重恢复与对甜食的渴望频率增加有关（r=0.43），EDE-Q的全球得分较高(r=0.38)，和手术后经过的时间(r=0.35；所有p<0.04)。多元回归分析显示，体重恢复和甜味渴望之间的关联与手术后的时间相互作用（p=0.04），在评估更接近手术的女性中观察到最强的关联(即，2.0-2.8年）。手术后时间及其与甜味渴望的相互作用的组合占体重恢复的个体差异的31％（p=0.005）。值得注意的是,在报告饮酒的参与者中（36人中的31人），55％的AUDIT-C评分表明有害饮酒。这些发现强调了对患者进行频繁的甜味渴望和酒精使用筛查的相关性，以加强针对预防术后体重恢复和酒精相关健康问题的策略。
