
02/14/2025
Relationship Between the Quality of Perseverance, Metabolism, and Weight Loss After Bariatric Surgery
Perseverance refers to a person’s ability to set long-term goals and strive to achieve them despite challenges. We examined the relationship between the personality trait of perseverance, obesity, and weight loss induced by metabolic and bariatric surgery (MBS).
METHODS:
As part of an ongoing prospective cohort study, 104 adult patients undergoing laparoscopic sleeve gastrectomy (LSG) completed a perseverance questionnaire prior to surgery. The association between the character strength domain and weight loss at one year was assessed using ANCOVA.
RESULTS:
Of the 104 patients who completed the preoperative perseverance questionnaire, 74 completed it again one year after surgery (72.1%). The mean total weight loss percentage at one year was 28.4% for the full cohort and 27.9% among the 74 patients with complete one-year follow-up. There was no significant difference in perseverance scores between baseline and one year post-op (3.69 ± 0.68 pre-op vs. 3.67 ± 0.67 post-op). The total preoperative perseverance score, including the key domains of consistency of interests and perseverance of effort, was not associated with weight loss at one year (r = 0.034, P = 0.733).
Conclusion:
There is no correlation between perseverance and postoperative weight loss one year after MBS. As a result, MBS should be viewed primarily as a physiological solution to obesity rather than one dependent on psychological traits such as perseverance.