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The Interplay Between Social Factors and Metabolic Bariatric Surgery Outcomes-A 5-Year Prospective Study
Uta Sailer1, Fatemeh Asgari1,2, Jon A Kristinsson3
1Faculty of Medicine Department of Behavioural Medicine Institute of Basic Medical Sciences University of Oslo Oslo Norway.
Obesity Science & Practice
|March 25, 2025
Summary
Social support impacts metabolic bariatric surgery (MBS) outcomes selectively. While non-family support boosts satisfaction, changes in social relationships post-MBS did not affect weight loss or other outcomes.
Area of Science:
- Bariatric Surgery
- Social Psychology
- Health Outcomes
Background:
- Social relationships are crucial for overall well-being and health.
- Metabolic bariatric surgery (MBS) can influence and be influenced by social dynamics.
Purpose of the Study:
- To investigate the bidirectional relationship between social factors and MBS outcomes.
- To determine if social factors predict MBS outcomes and if MBS outcomes affect social relationships.
Main Methods:
- Longitudinal study tracking social relationships (pre- and post-surgery at 1, 3, 5 years).
- Collected physiological and mental health data.
- Utilized path modeling and regression analyses to assess relationships.
Main Results:
- Non-family support predicted higher surgical satisfaction.
- Increased family coherence in partnered patients correlated with better blood pressure reduction.
- No significant links found between relationship stability, social competence, satisfaction, or weight-loss support and biopsychosocial outcomes.
- Post-surgery social relationship changes did not correlate with weight loss or other outcomes.
- Post-surgery depression and anxiety were linked to decreased relationship satisfaction.
Conclusions:
- Social factors have a limited, selective impact on MBS outcomes.
- Physical changes post-MBS may overshadow social influences.
- Findings highlight the complex interplay between social dynamics and surgical results, extending beyond physical health.
