Assessment of Physical Activity and Healthy Eating Behaviors Among US Adults Receiving Bariatric Surgery.

Autor:	Hong YR; Department of Health Services Research, Management and Policy, College of Public Health and Health Professions University of Florida, Gainesville.; University of Florida Health Cancer Center, Gainesville., Yadav S; Department of Health Services Research, Management and Policy, College of Public Health and Health Professions University of Florida, Gainesville., Suk R; Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston School of Public Health, Houston., Lee AM; Department of Kinesiology, Pennsylvania State University, University Park., Newsome FA; Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville., Johnson-Mann CN; Department of Surgery, University of Florida College of Medicine, Gainesville., Cardel MI; Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville.; WW International, Inc, New York, New York., Ross KM; Department of Clinical and Health Psychology, College of Public Health and Health Professions University of Florida, Gainesville.
Jazyk:	angličtina
Zdroj:	JAMA network open [JAMA Netw Open] 2022 Jun 01; Vol. 5 (6), pp. e2217380. Date of Electronic Publication: 2022 Jun 01.
DOI:	10.1001/jamanetworkopen.2022.17380
Abstrakt:	Importance: Bariatric surgery effectively treats severe obesity and metabolic diseases. However, individual outcomes vary depending on sustainable lifestyle change. Little is known about lifestyle patterns after bariatric surgery among the US population. Objective: To compare the level of physical activity and eating behavior among postbariatric surgery patients, individuals eligible for surgery, and those with normal weight. Design, Setting, and Participants: A cross-sectional study using nationally representative survey data from National Health and Nutrition Examination Survey 2015-2018. Respondents included for analysis were age 18 years or older, and categorized by individuals with normal weight, individuals who received bariatric surgery, and individuals clinically eligible for bariatric surgery. Analyses were performed from February to October 2021. Main Outcomes and Measures: Self-reported measures were used to assess physical activity (moderate-to-vigorous physical activity [MVPA], sedentary activity, and whether PA guidelines were met) and eating behaviors (total energy intake and Healthy Eating Index [HEI]-2015 diet quality scores). Results: Of 4659 study participants (mean [SD] age, 46.1 [18.6] years; 2638 [weighted percentage, 58.8%] women; 1114 [weighted percentage, 12.7%] Black, 1570 [weighted percentage, 68.6%] White), 132 (3.7%) reported that they had undergone any bariatric surgery. Median (IQR) time since surgery was 7 (3-10) years. After propensity-score weighting, individuals who underwent bariatric surgery reported more time spent in MVPA than those eligible for surgery (147.9 min/wk vs 97.4 min/wk). Among respondents with normal weight, 45.6% (95% CI, 40.8% to 52.4%) reported meeting PA guidelines, almost 2 times higher than those in the bariatric surgery (23.1%; 95% CI, 13.8% to 32.4%) or in the surgery-eligible group (20.3%; 95% CI, 15.6% to 25.1%). Propensity-score weighted overall HEI was higher for individuals with normal weight (54.4; 95% CI, 53.0 to 55.9) than those who underwent bariatric surgery (50.0; 95% CI, 47.2 to 52.9) or were eligible for the surgery (48.0; 95% CI, 46.0 to 50.0). Across all HEI components, mean scores were similar between the bariatric surgery and surgery-eligible groups. Total energy intake was the lowest among those who underwent bariatric surgery (1746 kcal/d; 95% CI, 1554 to 1937 kcal/d), followed by those with normal weight (1943 kcal/d; 95% CI, 1873 to 2013 kcal/d) and those eligible for bariatric surgery (2040 kcal/d; 1953 to 2128 kcal/d). Conclusions and Relevance: In this cross-sectional study, individuals who underwent bariatric surgery had beneficial lifestyle patterns compared with those eligible for surgery; however, these improvements seemed suboptimal based on the current guidelines. Efforts are needed to incorporate benefits of physical activity and a healthy, balanced diet in postbariatric care.
Databáze:	MEDLINE
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