Halo Effect for Bariatric Surgery

Woodard, Gavitt A.; Encarnacion, Betsy; Peraza, Joe; Hernandez‐Boussard, Tina; Morton, John

doi:10.1001/archsurg.2011.244

Cited by 64 publications

(33 citation statements)

References 27 publications

(23 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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The Influence of Partner’s Behavior on Health Behavior Change

2015

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IMPORTANCE Couples are highly concordant for unhealthy behaviors, and a change in one partner's health behavior is often associated with a change in the other partner's behavior. However, no studies have explicitly compared the influence of having a partner who takes up healthy behavior (eg, quits smoking) with one whose behavior is consistently healthy (eg, never smokes). OBJECTIVE To examine the influence of partner's behavior on making positive health behavior changes. DESIGN, SETTING, AND PARTICIPANTS We used prospective data from married and cohabiting couples (n, 3722) participating in the English Longitudinal Study of Ageing, a large populationbased cohort of older adults (Ն50 years). Studying men and women who had unhealthy behaviors in 3 domains at baseline (ie, smoking, physically inactive, or overweight/obese), we used logistic regression analysis to examine the influence of the partner's behavior in the same domain on the odds of positive health behavior change over time. MAIN OUTCOMES AND MEASURES Smoking cessation, increased physical activity, and 5% weight loss or greater. RESULTS Across all domains, we found that when one partner changed to a healthier behavior (newly healthy), the other partner was more likely to make a positive health behavior change than if their partner remained unhealthy (smoking: men 48% vs 8%, adjusted odds ratio [OR], 11.82 [95% CI, 4.84-28.90]; women 50% vs 8%, OR, 11.23 [4.58-27.52]) (physical activity: men 67% vs 26%, OR, 5.28 [3.70-7.54]; women 66% vs 24%, OR, 5.36 [3.74-7.68]) (weight loss: men 26% vs 10%, OR, 3.05 [1.96-4.74]; women 36% vs 15%, OR, 3.08 [1.98-4.80]). For smoking and physical activity, having a consistently healthy partner also predicted positive change, but for each domain, the odds were significantly higher in individuals with a newly healthy partner than those with a consistently healthy partner (smoking: men OR, 3.08 [1.43-6.62]; women OR, 5.45 [2.44-12.16]) (physical activity: men OR, 1.92 [1.37-2.70]; women OR, 1.84 [1.33-2.53]) (weight loss: men OR, 2.28 [1.36-3.84]; women OR, 2.86 [1.55-5.26]). CONCLUSIONS AND RELEVANCE Men and women are more likely to make a positive health behavior change if their partner does too, and with a stronger effect than if the partner had been consistently healthy in that domain. Involving partners in behavior change interventions may therefore help improve outcomes.

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Halo Effect for Bariatric Surgery

Cited by 64 publications

References 27 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

The Influence of Partner’s Behavior on Health Behavior Change

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