Mackey Eleanor R, York Megan M, Nadler Evan P
Children's National Hospital, Washington, DC 20010, USA.
School of Medicine and Health Sciences, George Washington University, Washington, DC 20037, USA.
Children (Basel). 2021 Nov 1;8(11):990. doi: 10.3390/children8110990.
Bariatric surgery is the most effective current treatment option for patients with severe obesity. More children and adolescents are having surgery, many whose parents have also had surgery. The current study examines whether parental surgery status moderates the association between perceived social support, emotional eating, food addiction and weight loss following surgery, with those whose parents have had surgery evidencing a stronger relationship between the psychosocial factors and weight loss as compared to their peers.
Participants were 228 children and adolescents undergoing sleeve gastrectomy between 2014 and 2019 at one institution. Children and adolescents completed self-report measures of perceived family social support, emotional eating, and food addiction at their pre-surgical psychological evaluation. Change in body mass index (BMI) from pre-surgery to 3, 6, and 12 months post-surgery was assessed at follow-up clinic visits. Parents reported their surgical status as having had surgery or not.
There were no differences in perceived family support, emotional eating, or food addiction symptoms between those whose parents had bariatric surgery and those whose parents did not. There were some moderating effects of parent surgery status on the relationship between social support, emotional eating/food addiction, and weight loss following surgery. Specifically, at 3 months post-surgery, higher change in BMI was associated with lower perceived family support only in those whose parents had not had surgery. More pre-surgical food addiction symptoms were associated with greater weight loss at 3 months for those whose parents had not had surgery, whereas this finding was true only for those whose parents had surgery at 12 months post-surgery.
Children and adolescents whose parents have had bariatric surgery may have unique associations of psychosocial factors and weight loss. More research is needed to determine mechanisms of these relationships.
减肥手术是目前治疗重度肥胖患者最有效的方法。越来越多的儿童和青少年接受手术，其中许多人的父母也接受过手术。本研究旨在探讨父母的手术状况是否会调节手术后感知到的社会支持、情绪化进食、食物成瘾与体重减轻之间的关联，与同龄人相比，父母接受过手术的儿童和青少年在心理社会因素与体重减轻之间的关系是否更强。
研究对象为2014年至2019年在一家机构接受袖状胃切除术的228名儿童和青少年。儿童和青少年在术前心理评估时完成了关于感知到的家庭社会支持、情绪化进食和食物成瘾的自我报告测量。在随访门诊中评估从术前到术后3个月、6个月和12个月的体重指数（BMI）变化。父母报告他们是否接受过手术。
父母接受减肥手术的儿童和青少年与父母未接受手术的儿童和青少年在感知到的家庭支持、情绪化进食或食物成瘾症状方面没有差异。父母手术状况对社会支持、情绪化进食/食物成瘾与术后体重减轻之间的关系有一些调节作用。具体而言，术后3个月，仅在父母未接受手术的儿童和青少年中，BMI变化较大与感知到的家庭支持较低有关。对于父母未接受手术的儿童和青少年，术前食物成瘾症状较多与术后3个月体重减轻较多有关，而这一发现仅在术后12个月父母接受过手术的儿童和青少年中成立。
父母接受过减肥手术的儿童和青少年在心理社会因素与体重减轻之间可能存在独特的关联。需要更多的研究来确定这些关系的机制。
