Evidence map›Paper›PMID 36633761›Full record

ArticleObesity surgery2023

The Role of Body Appreciation in the Decision to Complete Metabolic and Bariatric Surgery Among Ethnically Diverse Patients.

Olivia Kapera, Luyu Xie, Elisa M Marroquín, Sophia Ngenge, M Sunil Mathew, Jaime P Almandoz, Jeffrey Schellinger, Sachin S Kukreja, Benjamin Schneider, Carrie McAdams and 1 more

Abstract read
In one paragraph

Article in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Olivia KaperaUniversity of Texas Health Science Center, School of Public Health, Austin Campus, Austin, TX, USA.
Luyu XieDepartment of Surgery, Division of Pediatric Surgery, Center for Pediatric Population Health, Children's Health System of Texas and UT Health School of Public Health, University of Texas Southwestern Medical Center, 2777 N. Stemmons Freeway, Suite 8400, Dallas, TX, 75207, USA.
Elisa M MarroquínDepartment of Nutritional Sciences, College of Science and Engineering, Texas Christian University, Fort Worth, TX, USA.
Sophia NgengeDepartment of Surgery, Division of Pediatric Surgery, Center for Pediatric Population Health, Children's Health System of Texas and UT Health School of Public Health, University of Texas Southwestern Medical Center, 2777 N. Stemmons Freeway, Suite 8400, Dallas, TX, 75207, USA.
M Sunil MathewDepartment of Surgery, Division of Pediatric Surgery, Center for Pediatric Population Health, Children's Health System of Texas and UT Health School of Public Health, University of Texas Southwestern Medical Center, 2777 N. Stemmons Freeway, Suite 8400, Dallas, TX, 75207, USA.
Jaime P AlmandozDepartment of Internal Medicine, Division of Endocrinology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Jeffrey SchellingerDepartment of Internal Medicine, Division of Endocrinology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Sachin S KukrejaDFW Bariatrics and General Surgery, Dallas, TX, USA.
Benjamin SchneiderDepartment of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Carrie McAdamsDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Sarah E MessiahDepartment of Surgery, Division of Pediatric Surgery, Center for Pediatric Population Health, Children's Health System of Texas and UT Health School of Public Health, University of Texas Southwestern Medical Center, 2777 N. Stemmons Freeway, Suite 8400, Dallas, TX, 75207, USA. Sarah.E.Messiah@uth.tmc.edu.ORCID 0000-0001-6685-2175

Funding

UT Southwestern NORCP30DK127984 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI JAY D. HORTON · 2022 to 2026
$7.4M
Socioecological Factors Associated with Ethnic Disparities in Bariatric Surgery Utilization - Diversity Supplement R01MD011686R01MD011686 · NIMHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MESSIAH, SARAH ELIZABETH · 2018 to 2023
$3.6M
NIDDK NIH HHS P30 DK127984NIMHD NIH HHS R01 MD011686
6 · The paper itself

Abstract

purposeMetabolic and bariatric surgery (MBS) is an evidence-based safe, effective treatment for obesity. However, only half of referred or eligible persons complete the procedure for unknown reasons. The proposed study examined the association between the degree of body appreciation and the decision to complete MBS by ethnicity.

methodsThis prospective cohort study included 409 participants who had been referred to a bariatric surgeon or an obesity medicine program between August 2019 and May 2022. Participants completed a survey about health behaviors and psychosocial characteristics, including body appreciation by MBS completion status (Y/N). Multivariate logistic regression models generated adjusted odd ratios (aOR) and 95% confidence intervals (CIs) of body appreciation among MBS completers vs. non-completers.

resultsThe sample mean age was 47.18 years (SD 11.63), 87% were female. 39.6% identified as non-Hispanic White (NHW), 38.5% as non-Hispanic Black (NHB), and 17.6% as Hispanic. Over a third of the sample (31.05%, n = 127) completed MBS. "Often" experiencing body appreciation was the most significant predictor of MBS completion (aOR: 28.19, 95% CI: 6.37-124.67, p-value < 0.001), followed by "Sometimes" (aOR: 20.47, 95% CI: 4.82-86.99, p-value < 0.001) and "Always" (aOR: 13.54, 95% CI: 2.55-71.87, p-value < 0.01) after controlling for sex, age, and race/ethnicity. There was not a significant interaction between body appreciation and race/ethnicity (p-value = 0.96).

conclusionResults showed a significant association between body appreciation and MBS completion, controlling for sex, age, and race/ethnicity. MBS clinical settings may want to assess body appreciation as a pre-operative screener among ethnically diverse patients.

Indexed as

Bariatric SurgeryBody ImageObesity, MorbidAdultBlack or African AmericanFemaleHispanic or LatinoHumansMaleMiddle AgedProspective StudiesWhite PeopleBariatric surgeryBody appreciationEthnic disparitiesMBS completion

Identifiers

PMID36633761
PMCPMC12173450

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.