Sailer Uta, Asgari Fatemeh, Kristinsson Jon A, Kvalem Ingela Lundin
Faculty of Medicine Department of Behavioural Medicine Institute of Basic Medical Sciences University of Oslo Oslo Norway.
Department of Endocrinology, Obesity and Nutrition Vestfold Hospital Trust Tønsberg Norway.
Obes Sci Pract. 2025 Mar 24;11(2):e70068. doi: 10.1002/osp4.70068. eCollection 2025 Apr.
Social relationships and support are vital for well-being and health. In the context of metabolic bariatric surgery (MBS), these relationships might influence emotion regulation and health behaviors that affect surgical outcomes. Conversely, the outcomes of MBS can impact an individual's social dynamics due to enhanced social engagement or potential shifts in social structures resulting from changes in self-perception.
This study investigated the bidirectional relationship between social factors and metabolic bariatric surgery (MBS) outcomes, testing if social factors are associated with improved MBS outcomes, and if MBS outcomes are associated with changes in social relationships.
Patients reported about structural and functional aspects of their social relations before surgery and at 1-, 3- and 5-year post-surgery. Physiological and mental health parameters were also collected. The relationship between pre-surgery social factors and MBS outcomes 5 years post-surgery was tested with a path model based on regression analysis. The relationship between MBS outcomes 1-year post-surgery and social relationships 3 years post-surgery was tested with multiple and logistic regressions.
Non-family support predicted higher satisfaction with surgery. Increased family coherence in partnered patients was linked to a greater reduction in blood pressure 5 years post-surgery. However, relationship stability, social competence, relationship satisfaction, and weight-loss specific support were not related to biopsychosocial outcomes.On the other hand, changes in social relationships post-surgery were not related to weight loss or other outcomes. Depression and anxiety symptoms 1 year after surgery were associated with decreased relationship satisfaction 3 years post-surgery.
Overall, social factors had limited and selective predictive value to outcomes, potentially due to the dominant influence of physical changes or generally satisfactory relationships. These findings offer insights for patients and healthcare providers on the nuanced implications of MBS beyond physical health.
社会关系与支持对幸福和健康至关重要。在代谢性减肥手术（MBS）的背景下，这些关系可能会影响情绪调节和健康行为，进而影响手术结果。反之，由于社交参与度提高或自我认知变化导致社会结构的潜在转变，MBS的结果可能会影响个人的社会动态。
本研究调查了社会因素与代谢性减肥手术（MBS）结果之间的双向关系，测试社会因素是否与MBS结果改善相关，以及MBS结果是否与社会关系变化相关。
患者在手术前以及术后1年、3年和5年报告其社会关系的结构和功能方面。还收集了生理和心理健康参数。基于回归分析的路径模型测试了术前社会因素与术后5年MBS结果之间的关系。使用多元和逻辑回归测试了术后1年MBS结果与术后3年社会关系之间的关系。
非家庭支持预示着对手术的更高满意度。伴侣患者家庭凝聚力的增加与术后5年血压的更大降低有关。然而，关系稳定性、社交能力、关系满意度和减肥特定支持与生物心理社会结果无关。另一方面，术后社会关系的变化与体重减轻或其他结果无关。术后1年的抑郁和焦虑症状与术后3年的关系满意度降低有关。
总体而言，社会因素对结果的预测价值有限且具有选择性，这可能是由于身体变化的主导影响或关系总体令人满意。这些发现为患者和医疗保健提供者提供了关于MBS对身体健康之外的细微影响的见解。
