Preoperative Hemoglobin A1c Predicts Postoperative Weight Loss following Bariatric Surgery in Patients with Diabetes

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2045-P ◽  
Author(s):  
CAMILA B. ORTEGA ◽  
HUI-JIE LEE ◽  
DANA PORTENIER ◽  
ALFREDO D. GUERRON ◽  
JENNY TONG
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Hemoglobin A1c ◽  
Postoperative Weight Loss ◽  
Preoperative Hemoglobin ◽  
Patients With Diabetes

Responsiveness of virtual beverage portion size tasks and prediction of postoperative weight loss in bariatric surgery patients.

Appetite ◽  
2021 ◽  
pp. 105574
Author(s):  
Tamima Sultana ◽  
Jeon D. Hamm ◽  
Jany Dotel ◽  
Jeanine Albu ◽  
Subhash Kini ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Portion Size ◽  
Postoperative Weight Loss

Abstract 15673: Racial Disparities in Referral for Pre-operative Cardiovascular Evaluation, Surgical Wait Time, and Weight Loss in Patients Undergoing Bariatric Surgery

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Lauren Tragesser ◽  
Kaitlyn Ibrahim ◽  
Rohit Soans ◽  
Abdullah Haddad ◽  
Raj K Dalsania ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Racial Disparities ◽  
Wait Time ◽  
Similar Proportion ◽  
Postoperative Weight Loss ◽  
Cardiovascular Evaluation ◽  
Cardiac Testing ◽  
Surgical Wait Time ◽  
White Patients

Introduction: White patients undergo bariatric surgery more frequently and with fewer complications compared to non-white patients. Yet, racial disparities in referral pattern for preoperative cardiovascular evaluation (CVE) are unexplored. We hypothesized that racial disparities exist in preoperative CVE in white vs. non-white patients undergoing bariatric surgery. Methods: We identified consecutive patients undergoing bariatric surgery at our institution from 2014-2018. The association of white vs. non-white race with referral for CVE, cardiac testing, surgical wait time, and postoperative weight loss was determined in a multivariate model adjusting for baseline demographic comorbidities and income. Additional adjustment for insurance provider was made for surgical wait time. Results: Of the 797 patients undergoing bariatric surgery during the study period, 86% (n=682) were non-white. White vs. non-white patients had similar age, gender distribution, and prevalence of hypertension, hyperlipidemia, Type 2 diabetes, and heart failure. A similar proportion of whites vs. non-whites were referred to cardiology for pre-operative evaluation (65% vs. 68%, p=0.52), while whites were more likely to undergo further preoperative cardiac testing after adjustment (68% vs. 55%, p=0.04; adjusted, OR 0.6, 95%CI 0.35-1.0, p=0.05). Despite less cardiac testing, non-white patients referred to cardiology waited longer for surgery (9.9 months vs. 12.1 months, p=0.008), including after adjustment (HR 0.7, 95%CI 0.53-0.91, p= 0.008. Weight loss at 6 months was higher in whites (12.9 kg/m 2 vs. 11.95 kg/m 2 , p=0.03), but equivalent at 1 year (whites 14.9 kg/m 2 vs. non-whites 14.3 kg/m 2 , p=0.33). Conclusions: In a bariatric surgery population, white vs. non-white patients were referred for CVE in similar proportion. However, white patients underwent more subsequent cardiac testing pre-operatively when compared to non-whites yet had a shorter wait time for surgery. Early weight loss was greater in whites, but equivalent between groups at 1 year.

scholarly journals The association between socioeconomic factors and weight loss 5 years after gastric bypass surgery

2020 ◽  
Vol 44 (11) ◽  
pp. 2279-2290
Author(s):  
Erik Stenberg ◽  
Ingmar Näslund ◽  
Carina Persson ◽  
Eva Szabo ◽  
Magnus Sundbom ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Socioeconomic Status ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Socioeconomic Factors ◽  
First Generation ◽  
First Generation Immigrants ◽  
Preoperative Body Mass Index ◽  
Postoperative Weight Loss ◽  
The Mean

Abstract Introduction Patients with low socioeconomic status have been reported to have poorer outcome than those with a high socioeconomic status after several types of surgery. The influence of socioeconomic factors on weight loss after bariatric surgery remains unclear. The aim of the present study was to evaluate the association between socioeconomic factors and postoperative weight loss. Materials and methods This was a retrospective, nationwide cohort study with 5-year follow-up data for 13,275 patients operated with primary gastric bypass in Sweden between January 2007 and December 2012 (n = 13,275), linking data from the Scandinavian Obesity Surgery Registry, Statistics Sweden, the Swedish National Patient Register, and the Swedish Prescribed Drugs Register. The assessed socioeconomic variables were education, profession, disposable income, place of residence, marital status, financial aid and heritage. The main outcome was weight loss 5 years after surgery, measured as total weight loss (TWL). Linear regression models, adjusted for age, preoperative body mass index (BMI), sex and comorbid diseases were constructed. Results The mean TWL 5 years after surgery was 28.3 ± 9.86%. In the adjusted model, first-generation immigrants (%TWL, B −2.4 [95% CI −2.9 to −1.9], p < 0.0001) lost significantly less weight than the mean, while residents in medium-sized (B 0.8 [95% CI 0.4–1.2], p = 0.0001) or small towns (B 0.8 [95% CI 0.4–1.2], p < 0.0001) lost significantly more weight. Conclusions All socioeconomic groups experienced improvements in weight after bariatric surgery. However, as first-generation immigrants and patients residing in larger towns (>200,000 inhabitants) tend to have inferior weight loss compared to other groups, increased support in the pre- and postoperative setting for these two groups could be of value. The remaining socioeconomic factors appear to have a weaker association with postoperative weight loss.

PATIENT PERSPECTIVES ON OBESITY MANAGEMENT: NEED FOR GREATER DISCUSSION OF BMI AND WEIGHT-LOSS OPTIONS BEYOND DIET AND EXERCISE, ESPECIALLY IN PATIENTS WITH DIABETES

2020 ◽  
Vol 26 (5) ◽  
pp. 471-483 ◽  
Author(s):  
Sabrina Huq ◽  
Supriya Todkar ◽  
Sharon W. Lahiri
Keyword(s):  
Bariatric Surgery ◽  
Body Mass Index ◽  
Weight Loss ◽  
Body Mass ◽  
Early Death ◽  
Specific Weight ◽  
Obesity Management ◽  
Diet And Exercise ◽  
Patients With Diabetes ◽  
Chi Squared

Objective: To identify perceptions of obesity management in patients with and without diabetes. Methods: A 48-question survey was administered in 2018 to our Endocrinology Clinic's adult patients with a body mass index (BMI) ≥30 kg/m2. Chi-squared or Fisher's exact tests were used to compare variables between groups. Results: Of 146 respondents, 105 had diabetes and 41 did not. Most respondents were female (61.4%), African American (66.4%), and with an income <$50,000 (58.6%). Those with diabetes had significantly greater comorbidities of hypertension, high cholesterol, and arthritis. Over 90% in both groups agreed that obesity is related to hypertension, diabetes, heart disease, and early death. Only 48% were aware of their BMI, and only 30.5% with diabetes and 41.5% without diabetes perceived themselves to be obese. Over 60% in each group reported discussion of diet and exercise with their providers, whereas few in both groups reported referral to a formal weight-loss program (18.9%) or to a specialty that manages obesity (4.2%), or discussion of anti-obesity medications (11.2%) or bariatric surgery (8.4%). Reported concerns with anti-obesity medications and bariatric surgery included lack of knowledge and side effects or complications. Conclusion: These findings revealed excellent patient awareness of obesity as a health problem but misperception of obese status and unawareness of BMI. Presence of diabetes and other comorbidities did not result in greater discussion of weight-loss methods beyond diet and exercise. Increased patient education and discussion of specific weight-loss services, anti-obesity medications, and bariatric surgery are needed. Abbreviations: BMI = body mass index; DM = diabetes mellitus; HbA1c = hemoglobin A1c; HCP = healthcare provider

Association of preoperative hemoglobin with weight loss after bariatric surgery: a retrospective study

2019 ◽  
Vol 15 (9) ◽  
pp. 1595-1603 ◽  
Author(s):  
Kuo-Chuan Hung ◽  
Chun-Ning Ho ◽  
Jen-Yin Chen ◽  
Wei-Cheng Liu ◽  
Cheuk-Kwan Sun ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Retrospective Study ◽  
Preoperative Hemoglobin

Qualifying for bariatric surgery: is preoperative weight loss a reliable predictor of postoperative weight loss?

2018 ◽  
Vol 14 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Raman D. Krimpuri ◽  
James M. Yokley ◽  
Eileen L. Seeholzer ◽  
Ewald L. Horwath ◽  
Charles L. Thomas ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Preoperative Weight Loss ◽  
Postoperative Weight Loss ◽  
Reliable Predictor ◽  
Preoperative Weight

Effect of Preoperative Hemoglobin A1c on Bariatric Surgery Outcomes

2015 ◽  
Vol 11 (6) ◽  
pp. S43-S44 ◽  
Author(s):  
Shareef Syed ◽  
Jonathan Finks ◽  
Michael Wood ◽  
Arthur Carlin ◽  
Eyad Wohaibi ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Hemoglobin A1c ◽  
Preoperative Hemoglobin ◽  
Surgery Outcomes
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