Neighborhood deprivation and residential property values do not affect weight loss at 1 or 3 years after bariatric surgery

Author:

Drewnowski Adam1,Hong Benjamin D.2,Shen Ernest2,Ji Ming3,Paz Silvia R.2,Bhakta Bhumi B.2ORCID,Macias Mayra2,Crawford Cecelia L.4ORCID,Lewis Kristina H.5ORCID,Liu Jialuo2,Moore Darren D.6,Murali Sameer B.7,Young Deborah R.2ORCID,Coleman Karen J.2ORCID

Affiliation:

1. Center for Public Health Nutrition University of Washington Seattle Washington USA

2. Department of Research and Evaluation Kaiser Permanente Southern California Pasadena California USA

3. College of Nursing University of South Florida Tampa Florida USA

4. Regional Nursing Research Program Kaiser Permanente Southern California Pasadena California USA

5. Division of Public Health Sciences, Department of Epidemiology & Prevention Wake Forest University Health Sciences Winston‐Salem North Carolina USA

6. Marriage and Family Therapy Program The Family Institute, Northwestern University Evanston Illinois USA

7. Center for Obesity Medicine & Metabolic Performance, Department of Surgery University of Texas McGovern Medical School Houston Texas USA

Abstract

AbstractObjectiveThis study examined the association between individual‐ and neighborhood‐level sociodemographic factors and surgical weight loss at 1 year (short term) and 3 years (long term).MethodsData were obtained from the baseline survey of the BELONG (Bariatric Experience Long Term) prospective longitudinal cohort study. Individual‐level self‐reported data on sex, race and ethnicity, education, and household income were obtained by survey. Data from the 2010 US Census were used to calculate area Neighborhood Deprivation Index score and median value of owner‐occupied housing units at the census tract level.ResultsPatients (N = 1341) had a mean age of 43.4 (SD 11.3) years, were mostly female (86%), were mostly Black or Hispanic (52%), had some college education (83%), and had annual household incomes ≥$51,000 (55%). Percentage total weight loss was 25.8% (SD 9.0%) at year 1 and 22.2% (SD 10.5%) at year 3. Race and ethnicity and age were significant predictors of weight loss at 1 and 3 years with a small effect of self‐reported household income at year 1. There were no significant associations between census tract–level Neighborhood Deprivation Index score or value of owner‐occupied housing units and weight loss at either time point.ConclusionsHealth systems could improve the chances of weight‐loss maintenance after surgery by addressing factors related to racial and ethnic disparities and to income disparities.

Funder

National Institute of Diabetes and Digestive and Kidney Diseases

National Institute on Minority Health and Health Disparities

Publisher

Wiley

Subject

Nutrition and Dietetics,Endocrinology,Endocrinology, Diabetes and Metabolism,Medicine (miscellaneous)

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