认知因素视角下减重代谢术后饮食与体力活动行为促进策略的整合性综述
Dietary and physical activity behavior promotion strategies after bariatric surgery from the perspective of cognitive factors: an integrative review
摘要
背景随着肥胖问题日益严重，减重代谢手术需求量也逐年增加，患者术后仍需维持良好生活习惯以巩固减重效果。但在相应行为指南已较为成熟的同时，患者行为依从性并不理想，导致术后较高的复胖率。可考虑从认知因素这一核心视角出发采取策略以促进患者的饮食与体力活动行为。目的系统编码整合认知因素视角下的减重代谢术后饮食、体力活动行为促进策略。方法采用Whittemore&Knafl的整合性综述方法，检索PubMed、Web of Science、Cochrane、CINAHL英文数据库和中国知网(CNKI)、万方数据知识服务平台中文数据库中与减重代谢术后饮食与体力活动行为促进策略有关研究，检索时限为1994年1月至2022年6月。采用2016版“关键评估清单”(CASP)进行文献质量评价，纳入符合标准研究，根据“体力活动与饮食行为改变技术分类法”(CALO-RE taxonomy)对策略统一编码并加以合并。结果共纳入25篇文献，包括17篇随机对照试验、4篇观察性研究、4篇综述。通过编码，所有策略均被CALO-RE taxonomy覆盖，涉及其中的25类策略，主要包括行为情况监测、社会支持、目标设定、障碍识别解决等。整合得到的“减重代谢术后饮食与体力活动行为促进策略集”共46条策略。结论通过整合性综述方法的运用和CALO-RE taxonomy的指导，可系统、全面、规范的整合适用于减重代谢术后患者的认知因素视角下饮食与体力活动行为促进策略。本研究结果为减重代谢外科术后行为管理提供了技术储备，有望进一步促进患者的饮食和体力活动行为状况，从而巩固减重代谢手术效果。
Abstract
BackgroundWith the growing problem of obesity, the demand for bariatric surgery has increased these years. Patients still need to maintain good living habits after surgery to consolidate the weight loss effects.While the behavioral guidelines are relatively mature, patient’s behavioral compliance is not ideal, resulting in a higher rate of re-obesity postoperative. We can depend onstrategies to promote dietary and physical activity behaviors in patients from theperspective of cognitive factors.ObjectiveSystematic coding of dietary and physical activity behavior promotion strategies after bariatric surgery from the perspective of cognitive factors.Methods The Whittemore&Knafl integrative review method was used. The database of PubMedWeb of ScienceCochraneCINAHLCNKI and Wanfang Data were searched for studies related to diet and physical activity behavior promotion strategies after bariatric surgery from January 1994 to June 2022.The 2016 version of the Critical Appraisal Skills Program (CASP) was used to evaluate the quality of the literatures.Studies met the inclusion criteria were included, and the strategies were uniformly coded and merged according to CALO-RE taxonomy.Results A total of 25 studies were included, including 17 randomized controlled trials, 4 observational studies, and 4 reviews.After coding, all strategies were covered by CALO-REtaxonomy, involving 25kinds of strategies, mainly including behavior monitoring, social support, goal setting, obstacle recognition, etc.A total of 46 strategies were obtained in the “behavioral promotion strategies of diet and physical activity after bariatric surgery”.ConclusionsThrough the application of the integrative review method and the guidance of CALO-REtaxonomy, a systematic, comprehensive and standardized integration of dietary and physical activity behavior promotion strategies from the perspective of cognitive factors was achieved for post-bariatric patients.This study provided a technical reserve for behavior management after bariatric surgery, and are expected to further improve patients’ dietary and physical activity behavior status, thereby consolidating the effect sof bariatric surgery.关键词
整合性综述/促进策略/减重代谢手术/饮食/体力活动/认知因素Key words
Integrative review/Promotion stratigies/Bariatric surgery/Diet/Physical activity/Cognitive factors引用本文复制引用
徐婷,朱涵菲,许勤,缪雪怡,赵康,蒋小曼.认知因素视角下减重代谢术后饮食与体力活动行为促进策略的整合性综述[EB/OL].(2022-10-13)[2026-04-02].https://chinaxiv.org/abs/202210.00074.学科分类
医药卫生理论/医学研究方法/临床医学
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