• Ginny Garcia, Thankam S Sunil, and Pedro Hinojosa.
• Department of Sociology, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249-0655, USA. ginny.garcia@utsa.edu
• Obes Surg. 2012 May 1; 22 (5): 810-8.

BackgroundRates of extreme forms of obesity are rapidly rising, as is the use of bariatric surgery for its treatment. The aim of the present study was to examine selected behavioral factors associated with severity of obesity among preoperative bariatric surgery patients in the San Antonio area, focusing specifically on the effects of fast food consumption.MethodsWe used ordered logistic regression to model behavioral and attitudinal effects on obesity outcomes among 270 patients. These outcomes were based on the severity of obesity and were measured on the basis of body mass index.ResultsOur results indicated that, among the behavioral factors, fast food consumption exerted the largest influence on higher levels of obesity. These remained after controlling for several social and demographic characteristics.ConclusionsOur findings suggest that higher rates of fast food consumption are connected to the increasing rates of severe obesity. Given that morbid and super morbid obesity rates are growing at a more advanced pace than moderate obesity, it is necessary to explore the behavioral characteristics associated with these trends.

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