Patient Access, Utilization, and Perceptions of Neighborhood and Built Environment Resources

Pratt, Keeley J.; Blalock, Jamie; Breslin, Lindsay; Kiser, Haley; Hanks, Andrew S.; Focht, Brian C.; Outrich, Michael; Noria, Sabrena; Needleman, Bradley

doi:10.1007/s11695-021-05788-x

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Self-reported physical activity [39] and adherence to a "Mediterranean-style diet" [40] are associated with more surgical weight loss and maintenance of that weight loss. In some studies, self-reported perceived neighborhood characteristics had a strong influence on energy-balance behaviors [28,41]. In one of the only studies with weight-loss surgery patients, Pratt and colleagues [41] found that patients who perceived their neighborhoods as having access to low-cost nutritious foods and safe physical activity options had greater surgical weight loss.…”

Section: Discussionmentioning

confidence: 99%

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

Drewnowski

Hong

Shen

et al. 2023

Obesity

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Objective This 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). Methods Data 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. Results Patients (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. Conclusions Health systems could improve the chances of weight‐loss maintenance after surgery by addressing factors related to racial and ethnic disparities and to income disparities.

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Section: Discussionmentioning

confidence: 99%

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

Drewnowski

Hong

Shen

et al. 2023

Obesity

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“…While the food environment and the relationship to obesity have been explored in the general population of adults, this work has not adequately extended to adults with clinically severe obesity who undergo bariatric surgery. This is an important missing area of research, given that bariatric patients have reported challenges with access to both affordable healthy foods and available dietary services and professionals (i.e., dietitians) to assist them with their postoperative dietary needs in their local communities [5][6][7]. Two recent studies explored the food environment and included measures of food store availability with patient postoperative weight loss [8,9].…”

Section: Introductionmentioning

confidence: 99%

Proximity to High/Moderate vs Low Diversity Selection Food Stores and Patient Weight loss through 24 Months

et al. 2023

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Purpose Explorations into the neighborhood food environment have not adequately extended to adults with obesity who undergo bariatric surgery. The objective of this study is to determine how diversity of food selection at food retail stores within proximities of 5- and 10-min walks associate with patient postoperative weight loss over 24 months. Materials and Methods Eight hundred eleven patients (82.1% female; 60.0% White) who had primary bariatric surgery (48.6% gastric bypass) from 2015 to 2019 at The Ohio State University were included. EHR variables included race, insurance, procedure, and percent total weight loss (%TWL) at 2, 3, 6, 12, and 24 months. Proximity from patients’ home addresses to food stores within a 5- (0.25 mile)- and 10-min (0.50 mile) walk were totaled for low (LD) and moderate/high (M/HD) diversity food selections. Bivariate analyses were conducted with %TWL at all visits and LD and M/HD selections within 5- (0, ≥ 1) and 10-min (0, 1, ≥ 2) walk proximities. Four mixed multilevel models were conducted with dependent variable %TWL over 24 months with visits as the between subjects factor and covariates: race, insurance, procedure, and interaction between proximity to type of food store selections with visits to determine association with %TWL over 24 months. Results There were no significant differences for patients living within a 5- ( p = 0.523) and 10-min ( p = 0.580) walk in proximity to M/HD food selection stores and weight loss through 24 months. However, patients living in proximity to at least 1 LD selection store within a 5- ( p = 0.027) and 1 or 2 LD stores within a 10-min ( p = 0.015) walk had less weight loss through 24 months. Conclusion Overall, living in proximity to LD selection stores was a better predictor of postoperative weight loss over 24 months than living within proximity of M/HD selection stores. Graphical Abstract

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The BARI-hoods Project: neighborhood social determinants of health and postoperative weight loss using integrated electronic health record, census, and county data

Pratt

Hanks

Miller

et al. 2023

Surgery for Obesity and Related Diseases

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Patient Access, Utilization, and Perceptions of Neighborhood and Built Environment Resources

Cited by 3 publications

References 24 publications

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

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

Proximity to High/Moderate vs Low Diversity Selection Food Stores and Patient Weight loss through 24 Months

The BARI-hoods Project: neighborhood social determinants of health and postoperative weight loss using integrated electronic health record, census, and county data

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