Examining differences in long-term weight loss outcomes after bariatric surgery: The role of romantic relationship status.

IF 1.2 4区医学 Q3 FAMILY STUDIES

Families Systems & Health Pub Date : 2024-03-01 Epub Date: 2023-08-24 DOI:10.1037/fsh0000832

Megan Ferber, Leah M Hecht, Kellie M Martens, Aaron Hamann, Arthur M Carlin, Lisa R Miller-Matero

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引用次数: 0

Abstract

Introduction: This study tested for differences based on relationship status at the time of surgery in baseline body mass index (BMI), weight loss outcomes (change in BMI [ΔBMI], percent total weight loss [%TWL], percent excess weight loss [%EWL]), and rates of successful weight loss (defined as ≥ 50%EWL) up to 4-year postbariatric surgery.

Method: Data came from a secondary analysis of patients (N = 492) who were up to 4-year postsurgery and completed a presurgical psychological evaluation and postsurgical survey.

Results: Sixty-nine percent of participants were patients in committed relationships and 31% were single/divorced/widowed patients. Single patients had higher presurgical BMIs than those who were partnered (t = 2.28, p = .02). There were no differences between those who were partnered and singles regarding ΔBMI and %TWL, although singles had smaller %EWL (t = -2.08, p = .04), which became nonsignificant after controlling for covariates. Most participants had successful weight loss (76.8%); however, this was not related to romantic relationship status.

Discussion: The results suggest those who were partnered undergo surgery at better-starting weights than singles and maintain this advantage in the long term. Providers working with patients considering bariatric surgery could inquire about how their romantic and social relationships play a part in their decision-making process. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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研究减肥手术后长期减肥效果的差异：恋爱关系状况的作用

简介：本研究检测了基于手术时关系状况的基线体重指数（BMI）、减重结果（BMI变化[ΔBMI]、总减重百分比[%TWL]、超重百分比[%EWL]）以及减肥手术后4年的成功减重率（定义为≥50%EWL）的差异：数据来自对术后 4 年内完成术前心理评估和术后调查的患者（N = 492）的二次分析：69%的参与者是有伴侣关系的患者，31%是单身/离婚/鳏寡患者。单身患者的术前体重指数高于有伴侣的患者（t = 2.28，p = .02）。有伴侣者和单身者在ΔBMI和%TWL方面没有差异，但单身者的%EWL较小（t = -2.08，p = .04），在控制协变量后，差异变得不显著。大多数参与者成功减重（76.8%），但这与恋爱关系状况无关：讨论：研究结果表明，有伴侣者接受手术时的起始体重优于单身者，并能长期保持这一优势。为考虑进行减肥手术的患者提供服务的医生可以询问他们的恋爱关系和社会关系在其决策过程中的作用。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

1.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.