Background: Postoperative outcomes vary considerably across bariatric patients and may be related to psychosocial factors. In this study, we examined whether a patients family support predicts weight loss and the remission of type 2 diabetes (T2DM) up to 5 years following surgery. Methods: Between 2008 to 2018, 359 patients completed a pre-surgical questionnaire before undergoing gastric bypass or sleeve gastrectomy. As part of the questionnaire, patients described their family support in terms of structure (marital status, number of family members in the household) and function (marriage satisfaction, family emotional support, family practical support). These were applied as predictors to percent total weight loss (%TWL) and T2DM remission at 1, 2, 3, 4, and 5 years following surgery. Results: Marital satisfaction was found to be a significant predictor of post-surgical weight trajectories. Namely, patients who reported higher marital satisfaction were more likely to sustain weight loss than patients who reported lower marital satisfaction. Conclusions: Given the link between marital support and long-term weight outcomes, providers could consider asking patients about their spousal relationships during pre-surgical counselling.

中文翻译：

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检查配偶和家庭支持作为减肥手术后长期体重减轻和 2 型糖尿病缓解的预测因素

背景：减肥患者的术后结果差异很大，可能与心理社会因素有关。在这项研究中，我们检查了患者家属的支持是否可以预测手术后长达 5 年的体重减轻和 2 型糖尿病 (T2DM) 的缓解。方法：2008 年至 2018 年间，359 名患者在接受胃绕道术或袖状胃切除术前完成了术前问卷。作为问卷的一部分，患者从结构（婚姻状况、家庭成员人数）和功能（婚姻满意度、家庭情感支持、家庭实际支持）方面描述了他们的家庭支持。这些被用作手术后 1、2、3、4 和 5 年总体重减轻百分比 (%TWL) 和 T2DM 缓解的预测因子。结果：发现婚姻满意度是术后体重轨迹的重要预测指标。即，报告较高婚姻满意度的患者比报告较低婚姻满意度的患者更可能保持体重减轻。结论：鉴于婚姻支持与长期体重结果之间存在联系，提供者可以考虑在术前咨询期间询问患者的配偶关系。