Construction and application of informatized weight management mode for patients undergoing bariatric and metabolism sugery based on ecological momentary assessment

doi:10.3877/cma.j.issn.2095-9605.2023.01.004

Abstract

Abstract:

Objective

To construct and apply the informatized weight management mode for patients undergoing bariatric and metabolism sugery based on ecological momentary assessment.

Methods

Using the convenient sampling method, a total of 150 patients who underwent bariatric and metabolism surgery in the First Affiliated Hospital of Nanjing Medical University from July 2019 to October 2020 were selected as the research objects. According to the random number table method, they were randomly divided into the intervention group and the control group, with 75 cases in each group. The weight-loss outcomes, eating behavior, exercise behavior and complication rate were compared between the two groups.

Results

There were significant differences in body mass index (t=2.439, P=0.016), excess weight loss percentage (t=1.991, P=0.048), body fat mass percentage (t=2.777, P=0.006), anemia cases (χ²=4.641, P=0.036), and vitamin D deficiency cases (χ²=4.891, P=0.031) between the two groups (P<0.05).

Conclusions

Our study found the informatized weight management mode for patients undergoing bariatric and metabolism sugerybased on ecological momentary assessment can improve weight-loss outcomes andeatingbehavior, also reduce the incidence of anemia and vitamin D deficiency.

Key words: Bariatric metabolism sugery, Postoperative follow-up, Informatized weight management mode, Design, Application

Ningli Yang, Hongxia Hua, Rui Lin, Hui Liang. Construction and application of informatized weight management mode for patients undergoing bariatric and metabolism sugery based on ecological momentary assessment[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(01): 17-21.

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References 20

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变量		研究组（n=71）	对照组（n=70）	t/χ²值	P值
性别	男	23	26	0.351	0.554
	女	48	44
年龄	<30岁	31	36	0.900	0.638
	31~40岁	28	23
	>40岁	12	11
学历	初中及以下	16	19
	高中	12	14	0.854	0.652
	大专及以上	43	37
基线BMI（kg/m²）		39.05±6.91	39.65±7.50	0.483	0.630
基线BF（%）		42.29±5.81	43.24±6.17	0.879	0.381
基线身体活动水平		1867.87±1882.83	1947.20±1864.36	0.251	0.802
基线饮食行为得分		101.89±16.49	103.67±15.92	0.654	0.514

变量		研究组（n=71）	对照组（n=70）	t/χ²值	P值
性别	男	23	26	0.351	0.554
	女	48	44
年龄	<30岁	31	36	0.900	0.638
	31~40岁	28	23
	>40岁	12	11
学历	初中及以下	16	19
	高中	12	14	0.854	0.652
	大专及以上	43	37
基线BMI（kg/m²）		39.05±6.91	39.65±7.50	0.483	0.630
基线BF（%）		42.29±5.81	43.24±6.17	0.879	0.381
基线身体活动水平		1867.87±1882.83	1947.20±1864.36	0.251	0.802
基线饮食行为得分		101.89±16.49	103.67±15.92	0.654	0.514

	研究组（n=71）	对照组（n=70）	t值	P值
BMI（kg/m²）	30.05±4.33	32.38±5.75	2.439	0.016*
%EWL	60.88±16.14	54.92±19.81	1.991	0.048*
BF（%）	33.40±6.63	37.07±8.92	2.777	0.006*
身体活动水平	2690.10±2180.53	2038.90±1948.62	1.543	0.125
饮食行为得分	82.03±13.63	91.43±13.20	4.161	<0.001*

	研究组（n=71）	对照组（n=70）	t值	P值
BMI（kg/m²）	30.05±4.33	32.38±5.75	2.439	0.016*
%EWL	60.88±16.14	54.92±19.81	1.991	0.048*
BF（%）	33.40±6.63	37.07±8.92	2.777	0.006*
身体活动水平	2690.10±2180.53	2038.90±1948.62	1.543	0.125
饮食行为得分	82.03±13.63	91.43±13.20	4.161	<0.001*

	研究组（n=71）	对照组（n=70）	χ²值	P值
贫血	4（5.6%）	12（17.1%）	4.641	0.036*
胃肠功能紊乱	9（12.7%）	13（18.6%）	0.930	0.363
疲劳	25（35.2%）	36（51.4%）	3.777	0.062
维生素D缺乏	8（11.3%）	18（25.7%）	4.891	0.031*

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