The role of social support in bariatric surgery weight and behavioral outcomes

社会支持在减肥手术体重和行为结果中的作用

• 批准号: 8513776
• 负责人: Michelle R Lent
• 金额: $ 5.21万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8513776
• 关键词: Adherence; African American; Age; American; Bariatrics; Behavioral; Body Weight; Body Weight decreased; Comorbidity; Diabetes Mellitus; Diet; Disease remission; Dyslipidemias; Eating; Eating Behavior; Fellowship; Frequencies; Health; Health Benefit; Health behavior; Health behavior change; Health behavior outcomes; Heart Diseases; Hypertension; Intervention; Life; Life Style; Low income; Malignant Neoplasms; Medical; Morbid Obesity; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Operative Surgical Procedures; Outcome; Outcome Measure; Patient Self-Report; Patients; Physical activity; Postoperative Period; Prevalence; Procedures; Psychosocial Factor; Refractory Disease; Research; Risk; Role; Sleep Apnea Syndromes; Social Change; Social support; Weight; bariatric surgery; diet and exercise; effective therapy; high risk; improved; novel; patient population; psychological distress; self esteem

DESCRIPTION (provided by applicant): Over five million Americans live with extreme obesity (BMI e 40). Bariatric surgery is currently the most effective long-term treatment for extreme obesity; however, research regarding the relationship between bariatric outcomes and psychosocial factors such as social support is mixed and inconclusive. The proposed fellowship will prospectively and systematically assess the role of social support in weight loss, adherence to diet and lifestyle changes, and health behavior outcomes following bariatric surgery in a predominantly African American and low income patient population (N=55), groups disproportionately impacted by obesity and related conditions. Outcome measures at pre-operative baseline and 6-months post-operatively include weight, as well as self-report assessments of physical activity, eating behaviors, adherence and food intake frequency. Hypotheses posit that 1) greater increases in health-related social support will be associated with greater weight loss 6-months post-operatively; 2) greater increases in general social support will be associated with greater weight loss 6-months post-operatively; 3) greater increases in health-related social support will be associated with greater improvements in health behaviors and adherence 6-months post- operatively; and 4) greater increases in general social support will be associated with greater health behavior changes and adherence 6-months post-operatively. Secondary analyses will evaluate the relationship between specific aspects of health-related social support (i.e., diet and exercise) and general social support (i.e., structura or functional) and post-operative outcomes. Evaluating the role of social support in bariatric surgery provides an opportunity to identify novel targets for obesity interventions to help improve the treatment of bariatric surgery patients.

描述（由申请人提供）：超过 500 万美国人患有极度肥胖症 (BMI e 40)。减肥手术是目前治疗极度肥胖最有效的长期治疗方法；然而，关于减肥结果与社会支持等社会心理因素之间关系的研究是混杂的且尚无定论。拟议的研究金将前瞻性地、系统地评估社会支持在减肥、坚持饮食和生活方式改变以及减肥手术后健康行为结果中的作用，主要针对非裔美国人和低收入患者群体（N = 55），这些群体受肥胖和相关疾病的影响尤为严重。术前基线和术后 6 个月的结果测量包括体重以及对体力活动、饮食行为、依从性和食物摄入频率的自我报告评估。假设 1) 与健康相关的社会支持的更大增加将与术后 6 个月更大的体重减轻相关； 2）一般社会支持的更大增加将与术后 6 个月更大的体重减轻相关； 3) 与健康相关的社会支持的更大增加将与术后 6 个月健康行为和依从性的更大改善相关； 4) 一般社会支持的更大增加将与术后 6 个月更大的健康行为变化和依从性相关。二次分析将评估与健康相关的社会支持（即饮食和运动）的特定方面和一般社会支持（即结构或功能）与术后结果之间的关系。评估社会支持在减肥手术中的作用提供了一个机会来确定肥胖干预的新目标，以帮助改善体重 减肥手术患者的治疗。

项目成果

A randomized controlled study of a healthy corner store initiative on the purchases of urban, low-income youth.

一项针对城市低收入青年购买健康街角商店倡议的随机对照研究。

• DOI: 10.1002/oby.20878
• 发表时间: 2014
• 期刊: Obesity (Silver Spring, Md.)
• 作者: Lent,MichelleR;VanderVeur,StephanieS;McCoy,TaraA;Wojtanowski,AlexisC;Sandoval,Brianna;Sherman,Sandy;Komaroff,Eugene;Foster,GaryD
• 通讯作者: Foster,GaryD