The Bariatric Experience Long Term (BELONG): Factors Related to Having Bariatric Surgery in a Large Integrated Healthcare System

Moore, Darren D.; Arterburn, David; Bai, Yun; Cornejo, Melissa; Crawford, Cecelia L.; Drewnowski, Adam; Gray, Marlaine Figueroa; Ji, Ming; Lewis, Kristina H.; Paz, Silvia R.; Taylor, Brianna; Yoon, Tae Ki; Young, Deborah Rohm; Coleman, Karen J.

doi:10.1007/s11695-020-05045-7

Cited by 5 publications

(6 citation statements)

References 39 publications

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“…Half ( n = 978; 50%) of survey respondents completed the baseline survey using the website. The domains in the survey and the instruments have been published [24]. The current study used the domains of self‐reported sleep quality, physical activity, and demographics captured from the survey.…”

Section: Methodsmentioning

confidence: 99%

“…Participants were part of the Bariatric Experience Long Term (BELONG) study, which was designed to understand self‐reported and electronic medical record (EMR) predictors of weight loss after bariatric surgery. The details of this study have been published elsewhere [24]. Briefly, all participants were patients in a large integrated health care system in Southern California who were preparing to have either sleeve gastrectomy (SG) or Roux‐en‐Y gastric bypass (RYGB) surgery.…”

Section: Methodsmentioning

confidence: 99%

“…• Black and Hispanic adults may achieve greater benefits than their White counterparts for some components of sleep quality. [24]. The current study used the domains of self-reported sleep quality, physical activity, and demographics captured from the survey.…”

Section: Study Importancementioning

confidence: 99%

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The association of 1‐year weight loss from bariatric surgery and self‐reported sleep: a prospective cohort

Young

Hong

Lewis

et al. 2022

Obesity

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Objective This study examined the association of weight loss following bariatric surgery with self‐reported sleep quality after accounting for other sleep‐related factors. Methods Participants were from the Bariatric Experience Long Term (BELONG) study. Participants completed a survey up to 6 months before surgery and approximately 1 year after surgery. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality. One‐year percentage total weight loss (%TWL) was determined from electronic medical records. Covariates included demographics, Charlson Comorbidity Index, geocoded variables to assess neighborhood quality, and physical activity. The authors assessed the association between %TWL at 1 year and PSQI component scores with separate cumulative logit models. Results There were 997 participants in the analytic cohort. Participants were 86.2% women, 37.0% Hispanic, and 13.7% Black adults. Mean one‐year %TWL was 26.3 (SD 8.7). Each 1% increase in %TWL was associated with a 3% better daytime dysfunction score (odds ratio = 1.03; 95% CI: 1.02‐1.05) and a 2% better sleep quality score (odds ratio = 1.02; 95% CI: 1.00‐1.03). No significant differences were found for the other PSQI components. Conclusions Weight loss from bariatric surgery was associated with better self‐reported sleep at 1 year. For people undergoing bariatric surgery, there may be an added benefit of better sleep.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The association of 1‐year weight loss from bariatric surgery and self‐reported sleep: a prospective cohort

Young

Hong

Lewis

et al. 2022

Obesity

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“…Only 1-2% of all eligible patients undergo surgery each year. 36 While eligibility is higher amongst AAW compared to White women (22% vs 12%), twice as many White women receive bariatric surgery meaning African American uptake is extremely low. 37 One of the barriers to uptake is health insurance requirements that patients lose at least 5% of their body weight before surgery.…”

Section: Disparities In Treatment Among Individuals With Severe Obesitymentioning

confidence: 99%

Rural African American Women With Severe Obesity: A Cross-Sectional Analysis of Lifestyle Behaviors and Psychosocial Characteristics

Alick,

Braxton,

Skinner

et al. 2023

Am J Health Promot

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Purpose To examine differences in lifestyle behavioral and psychosocial factors between rural African American women with Class 3 obesity and those with overweight, and Class 1-2 obesity. Design Cross-sectional study. Setting Rural Southeastern United States. Subjects Participants included 289 African American women with a mean age of 56 years, 66% with a high school education or less, and a mean body mass index (BMI) of 38.6 kg/m2; 35% (n = 102) were classified with Class 3 obesity. Measures We objectively measured height, weight, and physical activity steps/day. Self-reported dietary and physical activity behaviors, general health-related quality of life, mental health, and social support were measured with validated surveys. Analysis Chi-Square analysis for categorical variables and analysis of variance (ANOVA) – via multiple linear regression – for continuous variables. Results There were no significant demographic differences between BMI groups, except for age, where women with Class 3 obesity were on average younger (51 vs 58 y, P < .001). Although dietary behaviors did not differ significantly between groups, we observed significant group differences in self-reported and objective measures of physical activity. The age-adjusted difference in means for self-reported total physical activity minutes/wk. was 91 minutes, with women categorized with Class 3 obesity reporting significantly fewer weekly minutes than those with overweight/Class 1-2 obesity (64.3 vs 156.4 min/wk. respectively, P < .01). Among psychosocial variables, only in the physical component scores of health-related quality of life did we find significant group differences – lower physical well-being among women with Class 3 obesity compared to those with overweight/Class 1-2 obesity ( P = .02). Conclusion For African American women with Class 3 obesity living in rural setting, these findings suggest behavioral weight loss interventions may need to target physical activity strategies that address physical, psychosocial, and environmental barriers.

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“…Several hundred patients did not have surgery within 6 months of their baseline survey (see figure 1) and thus were not eligible for the analysis of survey and outcome data. In our previously published work, we examined the factors that led BELONG patients to receive or not receive surgery 76. The strongest predictors of having surgery were being a woman and losing at least 5% TWL in the year before surgery.…”

Section: Findings To Datementioning

confidence: 99%

Cohort profile: The Bariatric Experience Long Term (BELONG): a long-term prospective study to understand the psychosocial, environmental, health and behavioural predictors of weight loss and regain in patients who have bariatric surgery

et al. 2022

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PurposeThe Bariatric Experience Long Term (BELONG) prospective study cohort was created to address limitations in the literature regarding the relationship between surgical weight loss and psychosocial, health, behaviour and environmental factors. The BELONG cohort is unique because it contains 70% gastric sleeve and 64% patients with non-white race/ethnicity and was developed with strong stakeholder engagement including patients and providers.ParticipantsThe BELONG cohort study included 1975 patients preparing to have bariatric surgery who completed a baseline survey in a large integrated health system in Southern California. Patients were primarily women (84%), either black or Hispanic (59%), with a body mass index (BMI) of 45.1±7.4 kg/m2, age 43.3±11.5 years old, and 32% had at least one comorbidity.Findings to dateA total of 5552 patients were approached before surgery between February 2016 and May 2017, and 1975 (42%) completed a baseline survey. A total of 1203 (73%) patients completed the year 1 and 1033 (74%) patients completed the year 3 postoperative survey. Of these survey respondents, 1341 at baseline, 999 at year 1, and 951 at year 3 were included in the analyses of all survey and weight outcome data. A total of 803 (60% of eligible patients) had survey data for all time points. Data collected were self-reported constructs to support the proposed theoretical model. Height, weight and BMI were abstracted from the electronic medical record to obtain the main outcomes of the study: weight loss and regain.Future plansWe will collect self-reported constructs and obtain height, weight and BMI from the electronic medical record 5 years after bariatric surgery between April 2022 and January 2023. We will also collect patient experiences using focus groups of 8–12 patients each throughout 2022.

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The Bariatric Experience Long Term (BELONG): Factors Related to Having Bariatric Surgery in a Large Integrated Healthcare System

Cited by 5 publications

References 39 publications

The association of 1‐year weight loss from bariatric surgery and self‐reported sleep: a prospective cohort

The association of 1‐year weight loss from bariatric surgery and self‐reported sleep: a prospective cohort

Rural African American Women With Severe Obesity: A Cross-Sectional Analysis of Lifestyle Behaviors and Psychosocial Characteristics

Cohort profile: The Bariatric Experience Long Term (BELONG): a long-term prospective study to understand the psychosocial, environmental, health and behavioural predictors of weight loss and regain in patients who have bariatric surgery

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