Limited Food Budget Affects Weight Loss Outcomes After Bariatric Surgery in an Appalachian Population

Mock, Kaitlin; Cox, Stéphanie; Bias, Sara; Grogg, Kristin A.; Iams, Kiley; Brown, Courtney W.; Olgers, Forrest; Murray, Jessica; Brode, Cassie; Tabone, Lawrence E.

doi:10.1016/j.soard.2016.08.305

Cited by 2 publications

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“…However, insurance was a confounding factor in the study and often barred rural individuals from obtaining surgery [21]. Additionally, Mock et al [22] examined limited food budgets among bariatric patients and found a significant reduction in weight loss outcomes when on a limited budget at 3-month post-bariatric surgery. However, that significance was not found at 12-month post-bariatric surgery [22].…”

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confidence: 99%

“…Additionally, Mock et al [22] examined limited food budgets among bariatric patients and found a significant reduction in weight loss outcomes when on a limited budget at 3-month post-bariatric surgery. However, that significance was not found at 12-month post-bariatric surgery [22]. These studies highlight the importance of how variables such as baseline patient health and demographics may influence outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Bariatric Surgery Outcomes in Appalachia Influenced by Surgery Type, Diabetes, and Depression

et al. 2019

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Background Most effective treatment for morbid obesity and its comorbidities is bariatric surgery. However, research is limited on weight loss and associated outcomes among patients in Appalachia. The objective of this study was to examine demographic and comorbidity influence on surgical outcomes of this population including age, sex, race, state of residence, education, marital status, body mass index (BMI kg/m 2), excess body weight (EBW), percent excess weight loss (%EWL), blood pressure, diagnosed depression, diagnosed type 2 diabetes (T2D), Beck Depression Inventory-II (BDI-II), and laboratory values (i.e., hemoglobin A1c). Methods A retrospective electronic medical record (EMR) data extraction was performed on N = 582 patients receiving bariatric surgery (laparoscopic Roux-en-Y gastric bypass [RYGB] and laparoscopic sleeve gastrectomy [SG]) between 10/2013 and 2/2017. Results Patient population was 92.5% Caucasian, 79.3% female, 62.8% married, 45 ± 11.1 years, 75.8% received RYGB, and 24.2% received SG. Average %EWL from baseline to 1-year follow-up was 68.5 ± 18.4% (n = 224). In final descriptive models, surgery type, diagnosed T2D, HbA1c, and depressive symptoms were significant covariates associated with lower %EWL. Conclusions Findings suggest patients completing surgery within an Appalachian region have successful surgical outcomes at 1year post-surgery, as indicated by significant reductions of > 50% EWL, regardless of other covariates. Results suggest that bariatric programs should consider paying special consideration to patients with T2D or depressive symptoms to improve outcomes. Results have potential to inform future prospective studies and aid in guiding specific interventions tailored to address needs of this unique population.

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confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bariatric Surgery Outcomes in Appalachia Influenced by Surgery Type, Diabetes, and Depression

et al. 2019

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“…Moreover, individuals living in rural communities face unique, multifaceted barriers to making changes in eating and activity behaviors (e.g., limited access to healthy grocery options, lack of sidewalks and recreational facilities/gyms, time restraints due to caregiving or other family responsibilities, social networks promoting unhealthy eating/activity behaviors, higher financial strain, and poverty), 6 which may in turn impact postoperative weight-loss success. Indeed, one study by Mock and colleagues 7 found that, among 34 patients pursuing bariatric surgery in rural Appalachia, a limited food budget was significantly associated with less weight loss at 3 months post-surgery; however, this association was no longer significant at 12 months following surgery completion. Given the limited amount of research investigating rural/ urban bariatric surgery outcomes and the multifactorial influences that may impact the ability of adults in rural areas to engage in health behaviors required to enhance postsurgical weight loss, the current study aimed to evaluate demographic differences and postoperative weight-loss outcomes in a larger sample of rural and urban residents undergoing bariatric surgery.…”

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Rural/urban weight‐loss outcomes following bariatric surgery

Bauman

Apostolopoulos

Hasse

et al. 2021

Obesity Science & Practice

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Obesity disproportionately affects rural populations; however, there is limited research examining disparities in bariatric surgery outcomes between patients from rural versus urban areas. This study aimed to compare the demographic characteristics of patients undergoing bariatric surgery from rural versus urban bariatric areas and to explore differences in weight-loss outcomes between these groups. A retrospective chart review identified a sample of 170 patients (52 rural, 118 urban) who underwent Roux-en-Y gastric bypass or vertical sleeve gastrectomy procedures over a 1-year period. Data collected included age, race, gender, insurance status, surgery type, height, and pre-and postoperative weights at 3 and 6 months.Significant differences in race, ethnicity, and surgery type were observed between rural/urban patients (ps < 0.05). Patients from rural areas demonstrated significantly greater percent total weight losses at 3 months (p = 0.018; however, there were no significant differences between groups at 6 months (p > 0.05). The results suggest that patients from rural counties experience postoperative weight-loss outcomes comparable to those of their urban counterparts. K E Y W O R D Sbariatric surgery, health disparities, obesity, rural/urban | INTRODUCTIONAdults living in rural areas in the United States are disproportionately affected by obesity; as of 2016, the estimates show obesity prevalence of 43.1% of adults in non-metropolitan statistical areas compared to 35.1% in large metropolitan statistical areas. 1 Higher obesity prevalence among adults from rural areas contributes to the higher rates of chronic disease and mortality and poorer overall health and quality of life observed in rural versus urban areas. 2 Given these significant disparities, there is an urgent need for increased access to, and dissemination of, evidence-based obesity treatments in rural communities. Bariatric surgery is recognized as one of the most effective interventions for substantial weight loss among patients with moderate to severe obesity 3 ; however, eligible residents of rural areas are 23% less likely to undergo bariatric surgery than urban counterparts. 4 Further, there is a paucity of research evaluating bariatric surgery outcomes among patients living in rural communities. One study conducted by Bergmann and colleagues 5 found that rural status significantly predicted bariatric surgery completion among adults evaluated in a large university hospital in West Virginia; however, the authors noted that this finding was confounded by insurance type, given that patients from rural areas were more likely to be denied access to surgery based on their insurance payer (specifically,

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Limited Food Budget Affects Weight Loss Outcomes After Bariatric Surgery in an Appalachian Population

Cited by 2 publications

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Bariatric Surgery Outcomes in Appalachia Influenced by Surgery Type, Diabetes, and Depression

Bariatric Surgery Outcomes in Appalachia Influenced by Surgery Type, Diabetes, and Depression

Rural/urban weight‐loss outcomes following bariatric surgery

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