Abstract：
OBJECTIVE: Metabolic and bariatric surgery (MBS) is presently the most evidence-based, effective treatment of obesity. Nevertheless, only half of the eligible individuals who are referred for this procedure complete it. This study aims to investigate the association between social support and MBS completion, considering race and ethnicity.
METHODS: In this prospective cohort study, 413 participants were enrolled between 2019 and 2022. Using the 19-item Brief Family Relationship Scale, which comprises three subscales (eight-item Cohesion subscale, four-item Expressiveness subscale, and seven-item Conflict subscale), the quality of family relationship functioning was assessed. Multivariable logistic regression models were used to determine the association between MBS completion and social support status, adjusting for variables including race, ethnicity, age, gender, body mass index, and insurance.
RESULTS: The mean age of the sample was 47.55 years (SD 11.57), with 87% of the participants being female and 39% non-Hispanic White. Nearly 35% of participants (n = 145) completed MBS. Multivariable logistic regression analysis showed overall cohesion (adjusted odds ratio [aOR], 1.52 [95% CI, 1.15-2.00]; p = .003) and overall expressiveness (aOR, 1.58 [95% CI, 1.22-2.05]; p < .001) were associated with higher odds of pursuing MBS. There was no significant interaction between overall cohesion, expressiveness, conflict, and race/ethnicity (p = .61, p = .63, p = .25, respectively).
CONCLUSIONS: The findings indicated that there is a link between family-based social support and MBS completion, regardless of race and ethnicity. Future research should continue to explore the complex interplay between family dynamics and MBS outcomes, considering cultural variations to enhance the effectiveness of obesity interventions within diverse communities.
METHODS: In this prospective cohort study, 413 participants were enrolled between 2019 and 2022. Using the 19-item Brief Family Relationship Scale, which comprises three subscales (eight-item Cohesion subscale, four-item Expressiveness subscale, and seven-item Conflict subscale), the quality of family relationship functioning was assessed. Multivariable logistic regression models were used to determine the association between MBS completion and social support status, adjusting for variables including race, ethnicity, age, gender, body mass index, and insurance.
RESULTS: The mean age of the sample was 47.55 years (SD 11.57), with 87% of the participants being female and 39% non-Hispanic White. Nearly 35% of participants (n = 145) completed MBS. Multivariable logistic regression analysis showed overall cohesion (adjusted odds ratio [aOR], 1.52 [95% CI, 1.15-2.00]; p = .003) and overall expressiveness (aOR, 1.58 [95% CI, 1.22-2.05]; p < .001) were associated with higher odds of pursuing MBS. There was no significant interaction between overall cohesion, expressiveness, conflict, and race/ethnicity (p = .61, p = .63, p = .25, respectively).
CONCLUSIONS: The findings indicated that there is a link between family-based social support and MBS completion, regardless of race and ethnicity. Future research should continue to explore the complex interplay between family dynamics and MBS outcomes, considering cultural variations to enhance the effectiveness of obesity interventions within diverse communities.
摘要：
目的：代谢和减肥手术（MBS）是目前最循证的，有效治疗肥胖。然而，被转介参加此程序的合格个人中只有一半完成了该程序。本研究旨在调查社会支持与MBS完成度之间的关系。考虑种族和民族。
方法：在这项前瞻性队列研究中，在2019年至2022年之间招募了413名参与者。使用19项简短的家庭关系量表，其中包括三个分量表(八项凝聚力分量表，四项表现力分量表，和七项冲突分量表)，评估了家庭关系功能的质量.使用多变量逻辑回归模型来确定MBS完成情况与社会支持状况之间的关联。调整变量，包括种族，种族,年龄,性别,身体质量指数,和保险。
结果：样本的平均年龄为47.55岁（SD11.57），87%的参与者是女性，39%是非西班牙裔白人。近35%的参与者（n=145）完成了MBS。多变量逻辑回归分析显示总体凝聚力(调整后的优势比[aOR]，1.52[95%CI，1.15-2.00]；p=0.003)和总体表达能力(aOR，1.58[95%CI，1.22-2.05]；p<.001）与追求MBS的几率更高相关。整体凝聚力之间没有显著的相互作用，表现力,冲突,和种族/民族（分别为p=.61，p=.63，p=.25）。
结论：研究结果表明，基于家庭的社会支持与完成MBS之间存在联系，不分种族和民族。未来的研究应该继续探索家庭动态和MBS结果之间复杂的相互作用，考虑文化差异，以提高不同社区肥胖干预措施的有效性。
方法：在这项前瞻性队列研究中，在2019年至2022年之间招募了413名参与者。使用19项简短的家庭关系量表，其中包括三个分量表(八项凝聚力分量表，四项表现力分量表，和七项冲突分量表)，评估了家庭关系功能的质量.使用多变量逻辑回归模型来确定MBS完成情况与社会支持状况之间的关联。调整变量，包括种族，种族,年龄,性别,身体质量指数,和保险。
结果：样本的平均年龄为47.55岁（SD11.57），87%的参与者是女性，39%是非西班牙裔白人。近35%的参与者（n=145）完成了MBS。多变量逻辑回归分析显示总体凝聚力(调整后的优势比[aOR]，1.52[95%CI，1.15-2.00]；p=0.003)和总体表达能力(aOR，1.58[95%CI，1.22-2.05]；p<.001）与追求MBS的几率更高相关。整体凝聚力之间没有显著的相互作用，表现力,冲突,和种族/民族（分别为p=.61，p=.63，p=.25）。
结论：研究结果表明，基于家庭的社会支持与完成MBS之间存在联系，不分种族和民族。未来的研究应该继续探索家庭动态和MBS结果之间复杂的相互作用，考虑文化差异，以提高不同社区肥胖干预措施的有效性。
