Cristina Reche-García, Carmen Piernas, Eva M García-Vizcaíno, Ana M Lorente-Gallego, Graziela Piuvezam, María Dolores Frutos, Juan José Hernández Morante
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引用次数: 0
摘要
针对食物成瘾（FA）症状有多种不同的治疗方法，但目前还缺乏通过荟萃分析确定最有效干预方法的综合综述。本综述旨在研究药物、行为和减肥代谢手术干预对减轻食物成瘾症状的疗效。包括15项成人研究在内的元分析表明，这些干预措施具有明显的积极效果（干预前与干预后FA症状的平均差为0.72（0.58-0.95）），其中减肥代谢手术干预措施在改善FA症状方面的疗效最高（干预前与干预后的平均差为1.17（0.58-1.76））。现有证据表明，减肥代谢外科手术、药物和行为干预依次对超重/肥胖症患者的 FA 症状产生有益影响。手术后减轻体重、改变行为和生活方式可能是改善 FA 症状的决定性因素。
Bariatric-Metabolic Surgery is the Most Effective Intervention in Reducing Food Addiction Symptoms: A Systematic Review and Meta-Analysis.
There are different treatments for food addiction (FA) symptomatology, but a comprehensive review with a meta-analysis to determine the most effective intervention is lacking. The aim of this review is to investigate the efficacy of pharmacological, behavioral, and bariatric-metabolic surgical interventions in reducing FA symptomatology. Meta-analyses including 15 studies in adults showed a significantly positive effect (std mean difference in FA symptoms before vs after intervention 0.72 (0.58-0.95)), with bariatric-metabolic surgical interventions showing the highest efficacy in improving FA symptoms (1.17 (0.58-1.76) before vs after intervention). The existing evidence suggests a beneficial effect of bariatric-metabolic surgical, pharmacological, and behavioral interventions, in that order, on FA symptomatology in people with overweight/obesity. Weight loss and behavioral and lifestyle changes after surgery may be determinants in improving FA symptomatology.
期刊介绍：
Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions.
Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.
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