减肥手术对暴食症、食物成瘾和饮食行为的影响：一项对随机对照试验的全面系统回顾。

IF 2.9 Q3 NUTRITION & DIETETICS

Clinical nutrition ESPEN Pub Date : 2025-03-18 DOI:10.1016/j.clnesp.2025.03.016

Reyhaneh Morad-Abbasi , Fatemeh zare-shahne , Fatemeh Naeini , Atoosa saidpour , Farnaz Etesam , Mohammad Javad Hosseinzadeh-Attar

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引用次数: 0

摘要

不同类型的减肥手术已经成为治疗肥胖的主要和最有效的方法。随着近十年来减肥手术的快速增长，了解手术后的结果，特别是与饮食有关的结果，如非既往存在的饮食失调、食物成瘾、情绪化饮食和饮食行为至关重要。本系统综述旨在评估各种减肥手术对饮食行为、饮食失调和食物成瘾的影响，以更好地了解其术后影响，并指导未来的临床实践。根据2015年PRISMA指南，到2024年5月，使用PubMed/Medline、Scopus和WOS数据库进行了系统评价。在评估了1158篇全文文章后，根据既定标准选择了14项研究。根据获得的结果，减肥手术显著改善了患者的饮食行为和体重问题。通过不同类型的减肥手术（包括RYGB、SG、LSG、DJBL和LAGB）的TFEQ和PFS等问卷来评估饮食行为。虽然一些研究发现不同手术方式的改善程度不同，但总的趋势表明，减肥手术可以显著改善饮食行为。总之，减肥手术似乎通过改变肠道微生物群、肠道激素和与食欲相关的大脑区域来影响饮食行为、食物成瘾和暴食症。然而，在不同类型的手术中，这些结果没有显著差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Effects of bariatric surgeries on Binge eating disorders, Food addiction, and eating behaviors: A comprehensive systematic review of RCTs

Different types of bariatric surgery have emerged as a major and most effective treatment for obesity. With the rapid growth of bariatric surgery in this decade, it is crucial to understand the postoperative outcomes, especially eating-related outcomes, such as non-preexisting eating disorders, food addiction, emotional eating, and eating behaviors. This systematic review of RCTs seeks to evaluate the impact of various bariatric surgery procedures on eating behaviors, eating disorders, and food addiction to better understand their post-operative effects and guide future clinical practice. Following the 2015 PRISMA guidelines, a systematic review was conducted using PubMed/Medline, Scopus, and WOS databases through May 2024. After assessing 1158 full-text articles, 14 studies were selected based on the established criteria.

Based on the obtained results, bariatric surgery significantly improved eating behaviors and weight concerns among patients. Eating behavior was assessed by various questionnaires, such as TFEQ and PFS, across different types of bariatric surgeries, including RYGB, SG, LSG, DJBL, and LAGB. While some studies found varying degrees of improvements across different surgical procedures, the general trend suggests that bariatric surgery can lead to significant improvements in eating behaviors.

In conclusion, bariatric surgery appears to influence eating behaviors, food addiction, and binge eating disorders by altering the gut microbiota, gut hormones, and brain regions associated with appetite. However, there is no significant difference in these outcomes among different types of surgery.

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来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.