Weight loss and co-morbidity resolution between different races and ethnicities after gastric bypass

Michael Turner, Yalini Vigneswaran, Elizabeth Dewey, Bruce M. Wolfe, Andrea M. Stroud, Donn Spight, David R. Flum, Anita Courcoulas, James E. Mitchell, Walter J. Pories, Alfons Pomp, Farah A. Husain

Research output: Contribution to journalArticle

Abstract

Background: Several studies have demonstrated that minorities and Hispanic ethnicities have disproportionally greater burden of morbid obesity in the United States. However, the majority of bariatric procedures are performed in the non-Hispanic white population. Objectives: The objective of this study was to investigate the weight loss and remission of obesity-related co-morbidities based on race and ethnicity. Setting: The Longitudinal Assessment of Bariatric Surgery prospective, multicenter, observational study was used to collect patients from 10 different health centers across the United States. Methods: Retrospective analysis of a prospective, multicenter, observational study over a 5-year follow-up. Results: All patients who underwent primary gastric bypass and provided racial/ethnic information were included in the study (n = 1695). Regardless of race or ethnicity, total weight loss was maintained over a 5-year follow-up, which included 87% of the original cohort. However, whites had on average 1.94% higher adjusted total weight loss compared with blacks (P < .0001). After adjusting for confounders there were no significant differences in resolution of co-morbidities, including diabetes. Conclusion: All patients regardless of race or ethnicity have significant and sustained total weight loss and resolution of co-morbidities after gastric bypass at 5-year follow-up.

Original languageEnglish (US)
JournalSurgery for Obesity and Related Diseases
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Gastric Bypass
Weight Loss
Morbidity
Multicenter Studies
Observational Studies
Bariatrics
Bariatric Surgery
Morbid Obesity
Hispanic Americans
Obesity
Health
Population

Keywords

  • Diabetes remission
  • Gastric bypass
  • Racial disparity

ASJC Scopus subject areas

  • Surgery

Cite this

Weight loss and co-morbidity resolution between different races and ethnicities after gastric bypass. / Turner, Michael; Vigneswaran, Yalini; Dewey, Elizabeth; Wolfe, Bruce M.; Stroud, Andrea M.; Spight, Donn; Flum, David R.; Courcoulas, Anita; Mitchell, James E.; Pories, Walter J.; Pomp, Alfons; Husain, Farah A.

In: Surgery for Obesity and Related Diseases, 01.01.2019.

Research output: Contribution to journalArticle

Turner, Michael ; Vigneswaran, Yalini ; Dewey, Elizabeth ; Wolfe, Bruce M. ; Stroud, Andrea M. ; Spight, Donn ; Flum, David R. ; Courcoulas, Anita ; Mitchell, James E. ; Pories, Walter J. ; Pomp, Alfons ; Husain, Farah A. / Weight loss and co-morbidity resolution between different races and ethnicities after gastric bypass. In: Surgery for Obesity and Related Diseases. 2019.
@article{f5d03c2198424cb1bed814ab85d7cbbb,
title = "Weight loss and co-morbidity resolution between different races and ethnicities after gastric bypass",
abstract = "Background: Several studies have demonstrated that minorities and Hispanic ethnicities have disproportionally greater burden of morbid obesity in the United States. However, the majority of bariatric procedures are performed in the non-Hispanic white population. Objectives: The objective of this study was to investigate the weight loss and remission of obesity-related co-morbidities based on race and ethnicity. Setting: The Longitudinal Assessment of Bariatric Surgery prospective, multicenter, observational study was used to collect patients from 10 different health centers across the United States. Methods: Retrospective analysis of a prospective, multicenter, observational study over a 5-year follow-up. Results: All patients who underwent primary gastric bypass and provided racial/ethnic information were included in the study (n = 1695). Regardless of race or ethnicity, total weight loss was maintained over a 5-year follow-up, which included 87{\%} of the original cohort. However, whites had on average 1.94{\%} higher adjusted total weight loss compared with blacks (P < .0001). After adjusting for confounders there were no significant differences in resolution of co-morbidities, including diabetes. Conclusion: All patients regardless of race or ethnicity have significant and sustained total weight loss and resolution of co-morbidities after gastric bypass at 5-year follow-up.",
keywords = "Diabetes remission, Gastric bypass, Racial disparity",
author = "Michael Turner and Yalini Vigneswaran and Elizabeth Dewey and Wolfe, {Bruce M.} and Stroud, {Andrea M.} and Donn Spight and Flum, {David R.} and Anita Courcoulas and Mitchell, {James E.} and Pories, {Walter J.} and Alfons Pomp and Husain, {Farah A.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.soard.2019.09.061",
language = "English (US)",
journal = "Surgery for Obesity and Related Diseases",
issn = "1550-7289",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Weight loss and co-morbidity resolution between different races and ethnicities after gastric bypass

AU - Turner, Michael

AU - Vigneswaran, Yalini

AU - Dewey, Elizabeth

AU - Wolfe, Bruce M.

AU - Stroud, Andrea M.

AU - Spight, Donn

AU - Flum, David R.

AU - Courcoulas, Anita

AU - Mitchell, James E.

AU - Pories, Walter J.

AU - Pomp, Alfons

AU - Husain, Farah A.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Several studies have demonstrated that minorities and Hispanic ethnicities have disproportionally greater burden of morbid obesity in the United States. However, the majority of bariatric procedures are performed in the non-Hispanic white population. Objectives: The objective of this study was to investigate the weight loss and remission of obesity-related co-morbidities based on race and ethnicity. Setting: The Longitudinal Assessment of Bariatric Surgery prospective, multicenter, observational study was used to collect patients from 10 different health centers across the United States. Methods: Retrospective analysis of a prospective, multicenter, observational study over a 5-year follow-up. Results: All patients who underwent primary gastric bypass and provided racial/ethnic information were included in the study (n = 1695). Regardless of race or ethnicity, total weight loss was maintained over a 5-year follow-up, which included 87% of the original cohort. However, whites had on average 1.94% higher adjusted total weight loss compared with blacks (P < .0001). After adjusting for confounders there were no significant differences in resolution of co-morbidities, including diabetes. Conclusion: All patients regardless of race or ethnicity have significant and sustained total weight loss and resolution of co-morbidities after gastric bypass at 5-year follow-up.

AB - Background: Several studies have demonstrated that minorities and Hispanic ethnicities have disproportionally greater burden of morbid obesity in the United States. However, the majority of bariatric procedures are performed in the non-Hispanic white population. Objectives: The objective of this study was to investigate the weight loss and remission of obesity-related co-morbidities based on race and ethnicity. Setting: The Longitudinal Assessment of Bariatric Surgery prospective, multicenter, observational study was used to collect patients from 10 different health centers across the United States. Methods: Retrospective analysis of a prospective, multicenter, observational study over a 5-year follow-up. Results: All patients who underwent primary gastric bypass and provided racial/ethnic information were included in the study (n = 1695). Regardless of race or ethnicity, total weight loss was maintained over a 5-year follow-up, which included 87% of the original cohort. However, whites had on average 1.94% higher adjusted total weight loss compared with blacks (P < .0001). After adjusting for confounders there were no significant differences in resolution of co-morbidities, including diabetes. Conclusion: All patients regardless of race or ethnicity have significant and sustained total weight loss and resolution of co-morbidities after gastric bypass at 5-year follow-up.

KW - Diabetes remission

KW - Gastric bypass

KW - Racial disparity

UR - http://www.scopus.com/inward/record.url?scp=85073983564&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85073983564&partnerID=8YFLogxK

U2 - 10.1016/j.soard.2019.09.061

DO - 10.1016/j.soard.2019.09.061

M3 - Article

C2 - 31629668

AN - SCOPUS:85073983564

JO - Surgery for Obesity and Related Diseases

JF - Surgery for Obesity and Related Diseases

SN - 1550-7289

ER -