The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes—A 5‐Year Prospective Study
ABSTRACT Introduction 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 in...
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| Language: | English |
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Wiley
2025-04-01
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| Series: | Obesity Science & Practice |
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| Online Access: | https://doi.org/10.1002/osp4.70068 |
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| author | Uta Sailer Fatemeh Asgari Jon A. Kristinsson Ingela Lundin Kvalem |
| author_facet | Uta Sailer Fatemeh Asgari Jon A. Kristinsson Ingela Lundin Kvalem |
| author_sort | Uta Sailer |
| collection | DOAJ |
| description | ABSTRACT Introduction 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. Objective 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. Methods 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. Results 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. Conclusion 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. |
| format | Article |
| id | doaj-art-74bc14959f934e34a1b9702bf55f0927 |
| institution | OA Journals |
| issn | 2055-2238 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj-art-74bc14959f934e34a1b9702bf55f09272025-08-20T02:29:39ZengWileyObesity Science & Practice2055-22382025-04-01112n/an/a10.1002/osp4.70068The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes—A 5‐Year Prospective StudyUta Sailer0Fatemeh Asgari1Jon A. Kristinsson2Ingela Lundin Kvalem3Faculty of Medicine Department of Behavioural Medicine Institute of Basic Medical Sciences University of Oslo Oslo NorwayFaculty of Medicine Department of Behavioural Medicine Institute of Basic Medical Sciences University of Oslo Oslo NorwayCenter for Morbid Obesity and Bariatric Surgery Oslo University Hospital Oslo NorwayDepartment of Psychology University of Oslo Oslo NorwayABSTRACT Introduction 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. Objective 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. Methods 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. Results 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. Conclusion 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.https://doi.org/10.1002/osp4.70068mental healthmetabolic bariatric surgery (MBS)post‐surgery outcomessocial relationshipssocial support |
| spellingShingle | Uta Sailer Fatemeh Asgari Jon A. Kristinsson Ingela Lundin Kvalem The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes—A 5‐Year Prospective Study Obesity Science & Practice mental health metabolic bariatric surgery (MBS) post‐surgery outcomes social relationships social support |
| title | The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes—A 5‐Year Prospective Study |
| title_full | The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes—A 5‐Year Prospective Study |
| title_fullStr | The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes—A 5‐Year Prospective Study |
| title_full_unstemmed | The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes—A 5‐Year Prospective Study |
| title_short | The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes—A 5‐Year Prospective Study |
| title_sort | interplay between social factors and metabolic bariatric surgery outcomes a 5 year prospective study |
| topic | mental health metabolic bariatric surgery (MBS) post‐surgery outcomes social relationships social support |
| url | https://doi.org/10.1002/osp4.70068 |
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