Department of Surgery, David Geffen School of Medicine at UCLA, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Obes Rev. 2011 Feb;12(2):142-8. doi: 10.1111/j.1467-789X.2010.00720.x.
Social support may be associated with increased weight loss after bariatric surgery. The objective of this article is to determine impact of post-operative support groups and other forms of social support on weight loss after bariatric surgery. MEDLINE search (1988-2009) was completed using MeSH terms including bariatric procedures and a spectrum of patient factors with potential relationship to weight loss outcomes. Of the 934 screened studies, 10 reported on social support and weight loss outcomes. Five studies reported on support groups and five studies reported on other forms of social support (such as perceived family support or number of confidants) and degree of post-operative weight loss (total n = 735 patients). All studies found a positive association between post-operative support groups and weight loss. One study found a positive association between marital status (being single) and weight loss, while three studies found a non-significant positive trend and one study was inconclusive. Support group attendance after bariatric surgery is associated with greater post-operative weight loss. Further research is necessary to determine the impact of other forms of social support. These factors should be addressed in prospective studies of weight loss following bariatric surgery, as they may represent ways to improve post-operative outcomes.
社会支持可能与减重手术后体重减轻有关。本文的目的是确定术后支持小组和其他形式的社会支持对减重手术后体重减轻的影响。使用包括减肥手术和与减肥结果有潜在关系的一系列患者因素的 MeSH 术语，完成了对 MEDLINE（1988-2009 年）的搜索。在筛选出的 934 项研究中，有 10 项报告了社会支持与减肥结果的关系。其中 5 项研究报告了支持小组的情况，5 项研究报告了其他形式的社会支持（如感知到的家庭支持或知己的数量）和术后体重减轻的程度（总共有 735 名患者）。所有研究都发现术后支持小组与体重减轻之间存在积极的关联。有一项研究发现婚姻状况（单身）与体重减轻之间存在积极关联，而有三项研究发现非显著的积极趋势，一项研究没有定论。减重手术后参加支持小组与术后体重减轻较多有关。需要进一步研究以确定其他形式的社会支持的影响。这些因素应在减肥手术后的前瞻性研究中加以考虑，因为它们可能是改善术后结果的方法。
