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Bruce M. Wolfe, MD

Arch Surg. 2007;142(10):941.

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In recent years, several associations with class III obesity (BMI > 40) have been described that are complex and interrelated. These include low socioeconomic status, physical inactivity, ethnicity/race (Latino and African American), and disability.^1-2 All of these factors may also be associated with increased reliance on Medicaid for health care services. The report by Wagner et al regarding disability resolution among Medicaid recipients following RYGB is of interest from several standpoints. The frequency of disability is increased among adults with severe obesity, as is the frequency of obesity in the presence of disabilities.³ Thus, obesity and disability each may contribute to the cause of the other. For example, disabilities that limit physical activity may be a primary cause of obesity. Low socioeconomic status is associated with inequality in the built environment, leading to a disparity in access to recreational facilities and diminished physical activity.⁴ Because of this association, . . . [Full Text of this Article]

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Return to Work After Gastric Bypass in Medicaid-Funded Morbidly Obese Patients
Amy J. Wagner, Joseph M. Fabry, Jr, and Richard C. Thirlby
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