Changes in BMI and Psychosocial Functioning in Partners of Women Who Undergo Gastric Bypass Surgery for Obesity

Willmer, Mikaela; Berglind, Daniel; Thorell, Anders; Sundbom, Magnus; Uddén, Joanna; Raoof, Mustafa; Hedberg, Jakob; Tynelius, Per; Ghaderi, Ata; Näslund, Erik; Rasmussen, Finn

doi:10.1007/s11695-014-1398-4

Cited by 11 publications

(11 citation statements)

References 196 publications

(226 reference statements)

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“…While patients had more body fat than family members, most patients were women, who typically have more body fat than men. Several studies [8, 9, 25, 39, 40] also evaluated the weight of patients’ family members and similarly found high rates of obesity. Collectively, our findings indicate that bariatric surgery patients’ family members also live with overweight and obesity, and in our study, many lived with obesity-related comorbidities.…”

Section: Resultsmentioning

confidence: 99%

“…Future studies could follow patients over time to evaluate the impact of social support and familial dietary and activity patterns on weight loss, as well as changes in social support and familial health behaviors. To date, three studies [8, 9, 40] have examined changes in weight in spouses of bariatric surgery patients, with mixed results. Two studies [9, 39] found that obese spouses experienced reductions in weight, while a third [40] found that many obese spouses gained weight and postulated that spouses may consume the patients’ leftover food.…”

Section: Resultsmentioning

confidence: 99%

“…Couples display similar BMIs [5] that trend together over time [6]. When one spouse participates in behavioral [7] or surgical [8, 9] weight loss treatment, the other may also experience reductions in weight. Children with obese parents are more likely to live with obesity [1], which may relate to modeling, shared environments, and genetics [2–4].…”

Section: Introduction/purposementioning

confidence: 99%

“…Findings are inconsistent, with some reporting an association between support and postoperative outcomes [20, 21], and others reporting no such connection [17, 18, 22–24]. Three studies [8, 9, 25] indicated that patients’ family members also live with overweight or obesity. However, how family dietary and physical activity behaviors support or hinder behavior change in bariatric surgery patients remains largely unexplored.…”

Section: Introduction/purposementioning

confidence: 99%

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Bariatric Surgery Patients and Their Families: Health, Physical Activity, and Social Support

et al. 2016

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Background This study evaluated the social environment of bariatric surgery patients in the preoperative period. Methods Forty bariatric surgery patients (mean = 46.2 ± 11.2 years), 35 adult cohabitating family members (mean = 45.2 ± 12.7 years), and 15 cohabitating children (mean = 11.5 ± 3.6 years) were recruited from a large rural medical center. Adult participants (patients and family members) completed height, weight, body composition, blood draws, and physical activity assessments (accelerometry), as well as eating behavior and social support inventories before the patient underwent bariatric surgery. Child participants completed demographic, height, and weight assessment only. Results Over 90 % of adult family members were overweight or obese (body mass index (BMI) ≥25 kg/m2, as were 50 % of children (BMI percentile ≥85 %). More than one third (37.1 %) of family members met the criteria for moderate to severe insulin resistance. Physical activity measured by accelerometry was moderately correlated between the patient and adult family members (r = 0.46, p = 0.023). Bariatric surgery patients reported high levels of social support from their family members on multiple social support measures. Conclusions Many family members of bariatric surgery patients also lived with obesity and related comorbidities, and demonstrate high sedentary behavior. However, patients reported high levels of support from family members, including support in following a healthy diet and engaging in physical activity. Engaging families in behavior change may help bariatric surgery patients and their families to become healthier.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introduction/purposementioning

confidence: 99%

Section: Introduction/purposementioning

confidence: 99%

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Bariatric Surgery Patients and Their Families: Health, Physical Activity, and Social Support

et al. 2016

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“…Although weight loss surgery has shown good results, it is not a “quick fix”; it requires lifestyle modifications, so persistent weight loss and health effects can be fully appreciated (Vidot et al, 2015). Lifestyle modifications can affect both the individual and his/her family (Bylund et al, 2013; Willmer et al, 2015; Woodard, Encarnacion, Peraza, Hernadez-Boussard, & Morton, 2011) when they are faced with a new situation, as a result of GBP (Sogg & Gorman, 2008). However, research on how families handle lifestyle modification and associated physical and psychosocial changes is scarce (Grimaldi, 2010; Vidot et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Stabilizing family life after gastric bypass surgery

Bylund

Benzein

Sandgren

2017

International Journal of Qualitative Studies on Health and Well

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Weight-loss surgery requires lifelong lifestyle modifications for the maintenance of weight loss and health effects, and can affect both the individual and family. Earlier research indicates that the quality of social relationships has positive and negative influences on wellbeing and health. There is little research on family-life after a member has undergone gastric bypass (GBP) against obesity. Thus, this study aimed to develop a classic grounded theory about families with a member treated with GBP against obesity. The study design used classic grounded theory and included data from 16 interviews. Families’ shared a main concern of unexpected changes after GBP, resulting in the theory Stabilizing family life, explained as a social process to decrease uncertainty and find stability and well-being in family interactions. The social process develops differently which entail families: attaining unity, returning to old patterns, or disconnecting to find stability, depending on the discrepancy in expectations and knowledge. This is affected by the overall life situation, life-stage and relationship quality. The theory highlights unexpected change as a potential challenge for the family, as well as how they resolve this. Hence, the theory can be applied in care strategies for families. Identification of families needing support to stabilize family life after GBP requires further research.

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Randomized Controlled Trial Examining the Ripple Effect of a Nationally Available Weight Management Program on Untreated Spouses

Gorin

Lenz

Cornelius

et al. 2018

Obesity

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ObjectiveFor married couples, when one spouse participates in weight loss treatment, the untreated spouse can also experience weight loss. This study examined this ripple effect in a nationally available weight management program.MethodsOne hundred thirty dyads were randomized to Weight Watchers (WW; n = 65) or to a self‐guided control group (SG; n = 65) and assessed at 0, 3, and 6 months. Inclusion criteria were age ≥ 25 years, BMI 27 to 40 kg/m2 (≥ 25 kg/m2 for untreated spouses), and no weight loss contraindications. WW participants received 6 months of free access to in‐person meetings and online tools. SG participants received a weight loss handout. Spouses did not receive treatment.ResultsUntreated spouses lost weight at 3 months (WW = −1.5 ± 2.9 kg; SG = −1.1 ± 3.3 kg) and 6 months (WW = −2.2 ± 4.2 kg; SG = −1.9 ± 3.6 kg), but weight losses did not differ by condition. Overall, 32.0% of untreated spouses lost ≥ 3% of initial body weight by 6 months. Baseline weight was significantly correlated within couples (r = 0.26; P < 0.01) as were weight loss trajectories (r = 0.52; P < 0.001).ConclusionsEvidence of a ripple effect was found in untreated spouses in both formal and self‐guided weight management approaches. These data suggest that weight loss can spread within couples, and that widely available lifestyle programs have weight loss effects beyond the treated individual.

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Changes in BMI and Psychosocial Functioning in Partners of Women Who Undergo Gastric Bypass Surgery for Obesity

Abstract: Overweight/obese male partners of RYGB patients also lose weight during the first 9 months post-operatively. However, symptoms of body dissatisfaction, anxiety, and depression remain unchanged, as does self-reported sleep quality.

Cited by 11 publications

References 196 publications

Bariatric Surgery Patients and Their Families: Health, Physical Activity, and Social Support

Bariatric Surgery Patients and Their Families: Health, Physical Activity, and Social Support

Stabilizing family life after gastric bypass surgery

Randomized Controlled Trial Examining the Ripple Effect of a Nationally Available Weight Management Program on Untreated Spouses

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