Association between density of food retailers and fitness centers and gestational diabetes mellitus in Eastern Massachusetts, USA: population-based study

Shupler, Matthew; Klompmaker, Jochem O.; Leung, Michael; Petimar, Joshua; Drouin-Chartier, Jean-Philippe; Modest, Anna M.; Hacker, Michele; Farid, Huma; James, Peter; Hernandez-Diaz, Sonia; Papatheodorou, Stefania

doi:10.1016/j.lana.2024.100775

The Lancet Regional Health - Americas

2024

DOI: 10.1016/j.lana.2024.100775

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Association between density of food retailers and fitness centers and gestational diabetes mellitus in Eastern Massachusetts, USA: population-based study

Matthew Shupler,

Jochem O. Klompmaker,

Michael Leung

et al.

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Cited by 2 publications

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“…The article by Shupler et al. 1 provides valuable insights into assessing the impact of the density of various food retailers and fitness centers on the incidence of gestational diabetes mellitus (GDM). As physicians, we are pleased to see the authors' focus on the environmental influences surrounding pregnant women.…”

mentioning

confidence: 99%

Urban environment and gestational diabetes: insights and recommendations

Yang,

Zhang

2024

The Lancet Regional Health - Americas

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mentioning

confidence: 99%

Urban environment and gestational diabetes: insights and recommendations

Yang,

Zhang

2024

The Lancet Regional Health - Americas

View full text Add to dashboard Cite

Association between geospatial disparities in food security with weight loss and nutritional outcomes of metabolic surgery

Wilkerson,

Gentle,

Dewey

et al. 2024

Surg Endosc

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Background Food insecurity has been linked to higher rates of obesity. It has also been shown to diminish the effectiveness of weight loss strategies, including intensive lifestyle interventions. One essential component of food insecurity is having a geospatial disadvantage in access to healthy, affordable food, such as living within a food desert. This study aims to determine if food insecurity also impacts weight loss and nutritional outcomes in patients who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). Methods Clinical outcomes of patients who underwent RYGB or SG at Cleveland Clinic or affiliate regional hospitals in the United States from 2010 to 2018 were collected. Modified Retail Food Environmental Index (mRFEI) data was collected from the Center for Disease Control and merged with patient census tract data, allowing the patient cohort to be divided into those living in areas identified as food secure (mRFEI > 10%), food swamps (mRFEI = 1–10%), or food deserts (mRFEI = 0). Postoperative weight change was evaluated with quadratic growth mixture models and stratified by surgery type. Results A total of 5097 patients were included in this study cohort, including 3424 patients who underwent RYGB and 1673 who underwent SG. The median duration of follow-up was 2.3 years (IQR 0.89–3.6 years). Food security status was not associated with postoperative weight change (RYGB p = 0.73, SG p = 0.60), weight loss nadir (RYGB p = 0.60, SG p = 0.79), or weight regain (RYGB p = 0.93, SG p = 0.85). Deficiencies in nutritional markers at 1–2 years after surgery were also not significantly different between food security groups. Conclusion Despite the established relationship between food insecurity and obesity, food insecurity does not negatively impact weight loss or nutritional outcomes following RYGB or SG, demonstrating metabolic surgery as a powerful and equitable tool for treating obesity. Level of Evidence IV.

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Association between density of food retailers and fitness centers and gestational diabetes mellitus in Eastern Massachusetts, USA: population-based study

Cited by 2 publications

References 35 publications

Urban environment and gestational diabetes: insights and recommendations

Urban environment and gestational diabetes: insights and recommendations

Association between geospatial disparities in food security with weight loss and nutritional outcomes of metabolic surgery

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