切换至 "中华医学电子期刊资源库"

中华肥胖与代谢病电子杂志 ›› 2023, Vol. 09 ›› Issue (04) : 274 -279. doi: 10.3877/cma.j.issn.2095-9605.2023.04.008

综述

肥胖代谢外科手术后不良饮食行为:评估与干预
王艳雯1, 杨华2,(), 钱玉秀3,(), 中国肥胖代谢外科研究协作组   
  1. 1. 510632 广州,暨南大学护理学院
    2. 510630 广州,暨南大学附属第一医院减重中心
    3. 510630 广州,暨南大学附属第一医院手术室
  • 收稿日期:2023-10-07 出版日期:2023-11-30
  • 通信作者: 杨华, 钱玉秀

Research on the study of maladaptive eating behavior after metabolic and bariatric surgery: assessment and intervention

Yanwen Wang1, Wah Yang2,(), Yuxiu Qian3,(), Chinese Obesity and Metabolic Surgery Collaborative   

  1. 1. School of Nursing, Jinan University, Guangzhou 510632, China
    2. Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China
    3. Operating Room, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China
  • Received:2023-10-07 Published:2023-11-30
  • Corresponding author: Wah Yang, Yuxiu Qian
引用本文:

王艳雯, 杨华, 钱玉秀, 中国肥胖代谢外科研究协作组. 肥胖代谢外科手术后不良饮食行为:评估与干预[J]. 中华肥胖与代谢病电子杂志, 2023, 09(04): 274-279.

Yanwen Wang, Wah Yang, Yuxiu Qian, Chinese Obesity and Metabolic Surgery Collaborative. Research on the study of maladaptive eating behavior after metabolic and bariatric surgery: assessment and intervention[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(04): 274-279.

肥胖代谢外科手术后不良饮食行为是导致术后体重减轻不足、发生远期复胖、降低生活质量的重要因素。但目前减重手术后不良饮食行为各个概念间暂不明晰,且术后随访不足,国内研究对此关注较少,临床上未引起足够重视。本文将综述减重手术后患者不良饮食行为的类型、分析其影响因素,阐述现有的评估工具和干预方式,为医护人员选择科学的评估方法、制定有效的干预方案提供参考,以期改善减重患者术后结局。

Maladaptive diet behavior after metabolic and bariatric surgery is an important factor that leads to postoperative insufficient weight loss, long-term weight regain and reduced quality of life. However, the concepts of maladaptive eating behavior after weight loss are unclear, and postoperative follow-up needs improvement. Research on this aspect is limited and has not been paid enough attention in the clinic. This paper reviews the types of maladaptive diet behavior, analyzes its influencing factors, describes the assessment tools and intervention methods, and provides references for medical staff to scientifically select appropriate assessment methods and formulate effective intervention programs to improve the postoperative outcome of the weight loss population.

[1]
FEDERATION WO. World Obesity Atlas 2023[EB/OL].

URL    
[2]
Roth AE, Thornley CJ, Blackstone RP. Outcomes in bariatric and metabolic surgery: An updated 5-year review [J]. Curr Obes Rep, 2020, 9(3): 380-389.
[3]
Noria SF, Shelby RD, Atkins KD, et al. Weight regain after bariatric surgery: Scope of the problem, causes, prevention, and treatment [J]. Curr Diab Rep, 2023, 23(3): 31-42.
[4]
El Ansari W, Elhag W. Weight regain and insufficient weight loss after bariatric surgery: Definitions, prevalence, mechanisms, predictors, prevention and management strategies, and knowledge gaps-a scoping review [J]. Obes Surg, 2021, 31(4): 1755-1766.
[5]
闫文貌, 白日星. 减重代谢术后体重反弹的原因和防治措施 [J]. 外科理论与实践, 2020, 25(05): 386-390.
[6]
Mauro M, Papelbaum M, Brasil MAA, et al. Is weight regain after bariatric surgery associated with psychiatric comorbidity? A systematic review and meta-analysis [J]. Obes Rev, 2019, 20(10): 1413-1425.
[7]
Adler S, Fowler N, Robinson AH, et al. Correlates of dietary adherence and maladaptive eating patterns following roux-en-y bariatric surgery [J]. Obes Surg, 2018, 28(4): 1130-1135.
[8]
Brode CS, Mitchell JE. Problematic eating behaviors and eating disorders associated with bariatric surgery [J]. Psychiatr Clin North Am, 2019, 42(2): 287-297.
[9]
Gradaschi R, Molinari V, Sukkar SG, et al. Disordered eating and weight loss after bariatric surgery [J]. Eat Weight Disord, 2020, 25(5): 1191-1196.
[10]
花红霞, 梁辉, 徐欣怡, 等. 减重代谢术后不良饮食行为:概念分析 [J]. 中国全科医学, 2022, 25(5): 1-8.
[11]
Smith KE, Varnado A, Thomas JG, et al. Characterizing the course of loss of control eating and prognostic factors following bariatric surgery: An exploratory analysis [J]. Obes Surg, 2023, 33(4): 1170-1177.
[12]
Smith KE, Orcutt M, Steffen KJ, et al. Loss of control eating and binge eating in the 7 years following bariatric surgery [J]. Obes Surg, 2019, 29(6): 1773-1780.
[13]
Goldschmidt AB, Khoury J, Jenkins TM, et al. Adolescent loss-of-control eating and weight loss maintenance after bariatric surgery [J]. Pediatrics, 2018, 141(1): e20171659
[14]
Aylward L, Konsor M, Cox S. Binge eating before and after bariatric surgery [J]. Curr Obes Rep, 2022, 11(4): 386-394.
[15]
De Lourdes M, Pinto-Bastos A, Machado PP, et al. Problematic eating behaviors in patients undergoing bariatric surgery: Studying their relationship with psychopathology [J]. J Health Psychol, 2022, 27(7): 1535-1546.
[16]
Pizato N, Botelho PB, Gonçalves VSS, et al. Effect of grazing behavior on weight regain post-bariatric surgery: A systematic review [J]. Nutrients, 2017, 9(12): 1322.
[17]
Conceição EM, Mitchell JE, Pinto-Bastos A, et al. Stability of problematic eating behaviors and weight loss trajectories after bariatric surgery: A longitudinal observational study [J]. Surg Obes Relat Dis, 2017, 13(6): 1063-1070.
[18]
Conceição EM, De Lourdes M, Pinto-Bastos A, et al. Problematic eating behaviors and psychopathology in patients undergoing bariatric surgery: The mediating role of loss of control eating [J]. Int J Eat Disord, 2018, 51(6): 507-517.
[19]
Geller S, Dahan S, Levy S, et al. Body image and emotional eating as predictors of psychological distress following bariatric surgery [J]. Obes Surg, 2020, 30(4): 1417-1423.
[20]
Guerrero-Hreins E, Foldi CJ, Oldfield BJ, et al. Gut-brain mechanisms underlying changes in disordered eating behaviour after bariatric surgery: A review [J]. Rev Endocr Metab Disord, 2022, 23(4): 733-751.
[21]
Braden A, Musher-Eizenman D, Watford T, et al. Eating when depressed, anxious, bored, or happy: Are emotional eating types associated with unique psychological and physical health correlates? [J]. Appetite, 2018, 125: 410-417.
[22]
Athanasiadis DI, Martin A, Kapsampelis P, et al. Factors associated with weight regain post-bariatric surgery: A systematic review [J]. Surg Endosc, 2021, 35(8): 4069-4084.
[23]
Schulte EM, Avena NM, Gearhardt AN. Which foods may be addictive? The roles of processing, fat content, and glycemic load [J]. PLoS One, 2015, 10(2): e0117959.
[24]
Constant A, Moirand R, Thibault R, et al. Meeting of minds around food addiction: Insights from addiction medicine, nutrition, psychology, and neurosciences [J]. Nutrients, 2020, 12(11): 3564.
[25]
Praxedes DR, Silva-Júnior AE, Macena ML, et al. Prevalence of food addiction among patients undergoing metabolic/bariatric surgery: A systematic review and meta-analysis [J]. Obes Rev, 2023, 24(2): e13529.
[26]
Wong E, Fleishman A, Brem A, et al. High-risk alcohol use and disordered eating behavior before and 1 year after sleeve gastrectomy [J]. Obes Surg, 2022, 32(3): 593-598.
[27]
Dickhut C, Hase C, Gruner-Labitzke K, et al. No addiction transfer from preoperative food addiction to other addictive behaviors during the first year after bariatric surgery [J]. Eur Eat Disord Rev, 2021, 29(6): 924-936.
[28]
Polivy J, Herman CP, Mills JS. What is restrained eating and how do we identify it? [J]. Appetite, 2020, 155: 104820.
[29]
Williams D, Chaves E, Mcknight E, et al. Diagnostic and treatment challenges of eating disorders after adolescent bariatric surgery: A case report [J]. Clin Obes, 2020, 10(4): e12367.
[30]
Abu Dayyeh BK, Jirapinyo P, Thompson CC. Plasma ghrelin levels and weight regain after roux-en-y gastric bypass surgery [J]. Obes Surg, 2017, 27(4): 1031-1036.
[31]
Evers SS, Sandoval DA, Seeley RJ. The physiology and molecular underpinnings of the effects of bariatric surgery on obesity and diabetes [J]. Annu Rev Physiol, 2017, 79: 313-334.
[32]
Nicoletti CF, Delfino HBP, Ferreira FC, et al. Role of eating disorders-related polymorphisms in obesity pathophysiology [J]. Rev Endocr Metab Disord, 2019, 20(1): 115-125.
[33]
Dong TS, Gupta A, Jacobs JP, et al. Improvement in uncontrolled eating behavior after laparoscopic sleeve gastrectomy is associated with alterations in the brain-gut-microbiome axis in obese women [J]. Nutrients, 2020, 12(10): 2924.
[34]
Müller A, Hase C, Pommnitz M, et al. Depression and suicide after bariatric surgery [J]. Curr Psychiatry Rep, 2019, 21(9): 84.
[35]
Martin-Fernandez KW, Martin-Fernandez J, Marek RJ, et al. Associations among psychopathology and eating disorder symptoms and behaviors in post-bariatric surgery patients [J]. Eat Weight Disord, 2021, 26(8): 2545-2553.
[36]
De Luis DA, Pacheco D, Izaola O, et al. Micronutrient status in morbidly obese women before bariatric surgery [J]. Surg Obes Relat Dis, 2013, 9(2): 323-327.
[37]
Braun TD, Puhl RM, Quinn DM, et al. Weight stigma and posttraumatic stress disorder symptoms in individuals seeking bariatric surgery [J]. Surg Obes Relat Dis, 2022, 18(8): 1066-1073.
[38]
张雯, 陈希, 王存川, 等. 肥胖代谢外科手术污名化:歧视与偏见 [J/CD]. 中华肥胖与代谢病电子杂志, 2021, 7(1): 53-56.
[39]
Watson C, Riazi A, Ratcliffe D. Exploring the experiences of women who develop restrictive eating behaviours after bariatric surgery [J]. Obes Surg, 2020, 30(6): 2131-2139.
[40]
Verhaak AMS, Ferrand J, Puhl RM, et al. Experienced weight stigma, internalized weight bias, and clinical attrition in a medical weight loss patient sample [J]. Int J Obes (Lond), 2022, 46(6): 1241-1243.
[41]
Durso LE, Latner JD. Understanding self-directed stigma: Development of the weight bias internalization scale [J]. Obesity (Silver Spring), 2008, 16(Suppl 2): S80-86.
[42]
Lawson JL, Lecates A, Ivezaj V, et al. Internalized weight bias and loss-of-control eating following bariatric surgery [J]. Eat Disord, 2021, 29(6): 630-643.
[43]
Braun TD, Gorin AA, Puhl RM, et al. Shame and self-compassion as risk and protective mechanisms of the internalized weight bias and emotional eating link in individuals seeking bariatric surgery [J]. Obes Surg, 2021, 31(7): 3177-3187.
[44]
Cooper Z, Fairburn C. The eating disorder examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders [J]. Int J Eat Disord, 1987, 6: 1-8.
[45]
De Zwaan M, Hilbert A, Swan-Kremeier L, et al. Comprehensive interview assessment of eating behavior 18-35 months after gastric bypass surgery for morbid obesity [J]. Surg Obes Relat Dis, 2010, 6(1): 79-85.
[46]
Williams-Kerver GA, Steffen KJ, Mitchell JE. Eating pathology after bariatric surgery: An updated review of the recent literature [J]. Curr Psychiatry Rep, 2019, 21(9): 86.
[47]
Globus I, Kissileff HR, Hamm JD, et al. Comparison of interview to questionnaire for assessment of eating disorders after bariatric surgery [J]. J Clin Med, 2021, 10(6): 1174.
[48]
Siervo M, Boschi V, Papa A, et al. Application of the scoff, eating attitude test 26 (eat 26) and eating inventory (tfeq) questionnaires in young women seeking diet-therapy [J]. Eat Weight Disord, 2005, 10(2): 76-82.
[49]
Dymek-Valentine M, Rienecke-Hoste R, Alverdy J. Assessment of binge eating disorder in morbidly obese patients evaluated for gastric bypass: Scid versus qewp-r [J]. Eat Weight Disord, 2004, 9(3): 211-216.
[50]
Gearhardt AN, Corbin WR, Brownell KD. Development of the yale food addiction scale version 2.0 [J]. Psychol Addict Behav, 2016, 30(1): 113-121.
[51]
Conceicao EM, Mitchell JE, Engel SG, et al. What is "grazing"? Reviewing its definition, frequency, clinical characteristics, and impact on bariatric surgery outcomes, and proposing a standardized definition [J]. Surg Obes Relat Dis, 2014, 10(5): 973-982.
[52]
花红霞, 梁辉, 许勤, 等. 放牧饮食行为测评量表的汉化及其在减重代谢术后患者中的信效度检验 [J]. 中国全科医学, 2023, 26(07): 810-815.
[53]
Zhu H, Ren Z, Hua H, et al. Development and validation of a questionnaire to assess the determinants of dietary adherence among patients after bariatric surgery [J]. Patient Prefer Adher, 2021, 15: 2865-2875.
[54]
Segura-Garcia C, Aloi M, Rania M, et al. Development, validation and clinical use of the eating behaviors assessment for obesity (eba-o) [J]. Eat Weight Disord-ST, 2022, 27(6): 2143-2154.
[55]
Engel SG, Crosby RD, Thomas G, et al. Ecological momentary assessment in eating disorder and obesity research: A review of the recent literature [J]. Curr Psychi Rep, 2016, 18(4): 37.
[56]
David LA, Sijercic I, Cassin SE. Preoperative and post-operative psychosocial interventions for bariatric surgery patients: A systematic review [J]. Obes Rev, 2020, 21(4): e12926.
[57]
Grilo CM, Ivezaj V, Duffy AJ, et al. Randomized controlled trial of treatments for loss-of-control eating following bariatric surgery [J]. Obes, 2021, 29(4): 689-697.
[58]
Cassin S, Leung S, Hawa R, et al. Food addiction is associated with binge eating and psychiatric distress among post-operative bariatric surgery patients and may improve in response to cognitive behavioural therapy [J]. Nutrients, 2020, 12(10): 2905.
[59]
Sockalingam S, Leung SE, Hawa R, et al. Telephone-based cognitive behavioural therapy for female patients 1-year post-bariatric surgery: A pilot study [J]. Obes Res Clin Pract, 2019, 13(5): 499-504.
[60]
Grilo CM, Ivezaj V, Duffy AJ, et al. 24-month follow-up of randomized controlled trial of guided-self-help for loss-of-control eating after bariatric surgery [J]. Int J Eat Disord, 2022, 55(11): 1521-1531.
[61]
Gallé F, Marte G, Cirella A, et al. An exercise-based educational and motivational intervention after surgery can improve behaviors, physical fitness and quality of life in bariatric patients [J]. PLoS One, 2020, 15(10): e0241336.
[62]
Schreyer CC, Guarda AS, Pletch AW, et al. A modified inpatient eating disorders treatment protocol for postbariatric surgery patients: Patient characteristics and treatment response [J]. Surg Obes Relat Dis, 2019, 15(9): 1612-1619.
[1] 常程, 乙苏北, 白丽晓, 李佳怡, 丁萃萃, 陈欣蕾. 白蛋白结合型紫杉醇注射液治疗乳腺癌所致的速发型2级药物过敏反应一例[J]. 中华乳腺病杂志(电子版), 2024, 18(04): 251-252.
[2] 丁莹莹, 宋恺, 金姬延, 田华. 机器人辅助膝髋关节置换术后精细化临床护理[J]. 中华关节外科杂志(电子版), 2024, 18(04): 553-557.
[3] 陈嘉婷, 杜美君, 石冰, 黄汉尧. 母体系统性疾病对新生儿唇腭裂发生的影响[J]. 中华口腔医学研究杂志(电子版), 2024, 18(04): 262-268.
[4] 孟令凯, 李大勇, 王宁, 王桂明, 张炳南, 李若彤, 潘立峰. 袖状胃切除术对肥胖伴2型糖尿病大鼠的作用及机制研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(06): 638-642.
[5] 李猛, 姜腊, 董磊, 吴情, 贾犇黎. 腹腔镜胃袖状切除术治疗肥胖合并2型糖尿病及脂肪胰的临床研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(05): 554-557.
[6] 吉顺富, 汤晓燕, 徐进. 腹腔镜近端胃癌根治术中拓展胃后间隙在肥胖患者中的应用研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(04): 393-396.
[7] 杨波, 胡旭, 何金艳, 谢铭. 腹腔镜袖状胃切除术管胃固定研究现状[J]. 中华普外科手术学杂志(电子版), 2024, 18(04): 452-455.
[8] 徐淑英, 张汪, 王玲, 江照凤. 个体化护理对腹股沟疝无张力修补术后疼痛及舒适度的影响[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(04): 461-465.
[9] 成紫琳, 戴明, 李建华, 马靓. 加速康复外科理念在儿童腹股沟疝围手术期的应用[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(03): 331-335.
[10] 林建琴, 孔令敏, 陆银凤, 陈勇, 金凤, 叶磊, 陈方梅. PERMA模式对肺癌患者治疗获益感及生活质量的影响分析[J]. 中华肺部疾病杂志(电子版), 2024, 17(04): 634-638.
[11] 唐小久, 胡曼, 许必君, 肖亚. 肥胖合并胃食管反流病患者严重程度与其焦虑抑郁及营养状态的相关性研究[J]. 中华消化病与影像杂志(电子版), 2024, 14(04): 360-364.
[12] 王星, 陈园, 热孜万古丽·乌斯曼, 郭艳英. T2DM、Obesity、NASH、PCOS共同致病因素相关的分子机制[J]. 中华临床医师杂志(电子版), 2024, 18(05): 481-490.
[13] 周倩妹, 王宪娥, 徐筱, 老慧琳, 赵欣悦, 胡菁颖. 多元化系统护理对老年人群牙周健康指标影响的系统评价[J]. 中华临床医师杂志(电子版), 2024, 18(05): 500-506.
[14] 胡琴, 莫伟, 中国研究型医院学会出血专业委员会, 中国出血中心联盟护理专家委员会. 失血性休克急救护理专家共识[J]. 中华介入放射学电子杂志, 2024, 12(03): 193-199.
[15] 何雯, 王颖, 汪晓攀, 龚玉枝, 冯毕龙, 田丹, 代凯利, 凌传仁, 唐杏, 董然, 黄清平, 姜汉兰, 肖洁, 张军辉, 郭庆, 张小红, 袁观惺. 中毒患者急诊护理专家共识(2024版)[J]. 中华卫生应急电子杂志, 2024, 10(03): 129-139.
阅读次数
全文


摘要