Glenney Anne E, Mocharnuk Joseph W, Humar Pooja, Zhang Casey, Rubin J Peter, Gusenoff Jeffrey A
Aesthet Surg J. 2023 Dec 14;44(1):NP119-NP124. doi: 10.1093/asj/sjad297.
As the prevalence of obesity increases, the number of patients seeking body contouring procedures after bariatric surgery for massive weight loss is increasing. Although the positive impact of bariatric surgery on physical and emotional health is well-described, few studies have reported on the psychosocial well-being of patients undergoing body contouring procedures. Psychosocial well-being can impact patient satisfaction and maintenance of weight loss, and is an important area to study.
The aim of this study was to characterize social and psychiatric factors of patients undergoing body contouring surgery, and to evaluate their impact on maintenance of weight loss.
A retrospective review was performed of patients who presented to a single institution for body contouring procedures between 2002 and 2018. Demographic details, medical history, psychosocial support, and operative details were collected. Univariate analysis and multinomial logistic regressions were performed with R statistical software (version 1.3.1093).
A total of 1187 patients underwent at least 1 body contouring procedure during the study time frame. Mean BMI at presentation was 31.21 ± 10.49 kg/m2. Patients diagnosed with obesity at age 18 or older had significantly greater odds of suffering from generalized anxiety disorder (odds ratio [OR] 1.08 [95% CI, 1.02-1.15], P = .008). Patients with spousal support had 1.93 times higher odds of having maintained postbariatric weight loss at their 6-month follow-up (OR 1.93 [95% CI, 1.84-2.01], P = .028).
Social support and age of obesity diagnosis impact psychological well-being and maintenance of weight loss following body contouring procedures.
随着肥胖患病率的上升，接受减肥手术后进行身体塑形手术以大幅减重的患者数量不断增加。尽管减肥手术对身体和心理健康的积极影响已有详细描述，但很少有研究报道接受身体塑形手术患者的心理社会幸福感。心理社会幸福感会影响患者满意度和体重减轻的维持情况，是一个重要的研究领域。
本研究旨在描述接受身体塑形手术患者的社会和精神因素，并评估其对体重减轻维持情况的影响。
对2002年至2018年间在单一机构接受身体塑形手术的患者进行回顾性研究。收集人口统计学细节、病史、心理社会支持和手术细节。使用R统计软件（版本1.3.1093）进行单因素分析和多项逻辑回归。
在研究时间段内，共有1187例患者接受了至少1次身体塑形手术。就诊时的平均体重指数为31.21±10.49kg/m²。18岁及以上被诊断为肥胖的患者患广泛性焦虑症的几率显著更高（优势比[OR]1.08[95%CI，1.02-1.15]，P=.008）。有配偶支持的患者在6个月随访时维持减肥后体重减轻的几率高出1.93倍（OR 1.93[95%CI，1.84-2.01]，P=.028）。
社会支持和肥胖诊断年龄会影响身体塑形手术后的心理健康和体重减轻维持情况。
