Keller-Biehl Lucas, Mazzini Guilherme S, Campos Guilherme M, Salluzzo Jennifer L
Division of Bariatric and Gastrointestinal Surgery, Virginia Commonwealth University, Richmond, Virginia.
Division of Bariatric and Gastrointestinal Surgery, Virginia Commonwealth University, Richmond, Virginia.
Surg Obes Relat Dis. 2025 Apr;21(4):482-488. doi: 10.1016/j.soard.2024.10.036. Epub 2024 Nov 26.
Lower access to fresh foods and lower income level are associated with greater obesity rates.
We aim to study if weight loss 1 year after bariatric surgery is associated with living in areas defined as food deserts, that is, low access to foods and lower income.
Virginia Commonwealth University Hospital System, Richmond, VA; Academic Center.
Review of consecutive patients who underwent primary bariatric surgery in a single institution. Patients were studied in groups based the USDA Economic Research Service classification: low access (>1 mile grocery urban setting or >10 miles rural setting), low income (poverty rate ≥20%, or family income <80% of state), food desert (low income and low access), and food secure (neither low income nor low access).
A total of 396 patients had surgery, 89% female, 51% Black. Among those patients, 133 (34%) had LRYGB and 263 (66%) LSG. Twenty-nine percent, 26%, 22%, and 23% were defined as low access, low income, food desert, or food secure, respectively. Factors independently associated with inferior excess BMI loss at 1 year were LSG, Black race, being single, and obstructive sleep apnea.
Living in a food desert was not associated with inferior weight loss after bariatric surgery. It suggests that patients can overcome these barriers to attain appropriate weight loss 1 year after surgery.
获得新鲜食物的机会较少和收入水平较低与更高的肥胖率相关。
我们旨在研究减肥手术后1年的体重减轻是否与生活在被定义为食物荒漠的地区有关，即食物获取机会少且收入低。
弗吉尼亚联邦大学医院系统，弗吉尼亚州里士满；学术中心。
回顾在单一机构接受初次减肥手术的连续患者。根据美国农业部经济研究局的分类对患者进行分组：食物获取机会少（城市环境中杂货店距离>1英里或农村环境中>10英里）、低收入（贫困率≥20%，或家庭收入<该州的80%）、食物荒漠（低收入且食物获取机会少）和食物安全（既非低收入也非食物获取机会少）。
共有396例患者接受了手术，89%为女性，51%为黑人。在这些患者中，133例（34%）接受了腹腔镜Roux-en-Y胃旁路术（LRYGB），263例（66%）接受了腹腔镜袖状胃切除术（LSG）。分别有29%、26%、22%和23%的患者被定义为食物获取机会少、低收入、食物荒漠或食物安全。与术后1年较差的超重体重指数降低独立相关的因素为LSG、黑人种族、单身和阻塞性睡眠呼吸暂停。
生活在食物荒漠与减肥手术后较差的体重减轻无关。这表明患者可以克服这些障碍，在术后1年实现适当的体重减轻。
