A randomized trial comparing two interventions to increase physical activity among patients undergoing bariatric surgery

Creel, David B.; Schuh, Leslie M.; Reed, Christina; Gomez, Adrienne; Hurst, Lori; Stote, Joseph; Cacucci, Brenda

doi:10.1002/oby.21548

Cited by 56 publications

(110 citation statements)

References 37 publications

(45 reference statements)

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“…The decrease in RMR due to weight loss, either with or without the exercise, is consistent with a large body of literature , which could explain some of the decrease in TDEE, as RMR is a main component of TDEE. Both intervention groups had similar reductions in sedentary time, and changes in sedentary behavior did not seem to confound the intervention effects on PA or estimated EE, as reported in a recent study .…”

Section: Discussionsupporting

confidence: 76%

“…There was a wide range, however, in reported exercise, and not all exercise sessions were supervised. Moreover, subjects in both diet and bariatric surgery weight loss programs often increase their PA outside the confines of a structured exercise session or PA counseling . Ours is the first study to assess whether an exercise program might affect other components of PA in patients post bariatric surgery, which has limited other investigations lacking objective measurements of PA and EE and which could confound the effects of exercise training.…”

Section: Discussionmentioning

confidence: 99%

“…There was a wide range, however, in reported exercise, and not all exercise sessions were supervised. Moreover, subjects in both diet (9) and bariatric surgery weight loss programs often increase their PA outside the confines of a structured exercise session or PA counseling (9,20).…”

Section: Effects Of Exercise On Weight Loss Body Composition and Eementioning

confidence: 99%

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Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB

Carnero

Dubis

Hames

et al. 2017

Obesity

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ObjectiveWe investigated the associations of both physical activity time (PA) and energy expenditure (EE) with weight and fat mass (FM) loss in patients following Roux-en-Y gastric bypass (RYGB) surgery.MethodsNinety-six non-diabetic patients were included in this analysis. Post RYGB patients were randomized in one of two treatments: A 6-month exercise training program (RYBG+EX) or lifestyle educational classes (RYGB). Body composition was assessed by dual-energy X-ray absorptiometry and computed tomography. We quantified components of PA and EE by a multisensory device. We explored dose-response relationships of both PA and EE with weight loss and body composition according to quartiles of change in steps/day.ResultsPatients in the highest quartile of steps/day change lost more fat mass (FM) (3rd =−19.5kg and 4th=−22.7kg, P<0.05) and abdominal adipose tissue (− 4th=−313cm2, P<0.05);, maintained skeletal muscle mass (3rd = 3.1cm2 and −4th=−4.5cm2, P<0.05) and had greater reductions in resting metabolic rate. Decreases in sedentary EE, increases in Light EE and age were significant predictors of both Δweight and ΔFM (R2 =73.8% and R2 =70.6%, respectively).ConclusionNon-diabetic patients who perform higher - yet still modest - amounts of PA following RYGB have greater energy deficits, lose more weight and body fat mass, while maintaining higher skeletal muscle mass.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

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Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB

Carnero

Dubis

Hames

et al. 2017

Obesity

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“…Four interventions (n = 6 publications) delivered lifestyle and nutrition counselling‐focused MDT support, four interventions (n = 7 publications) delivered psychology‐focused MDT support, and 10 interventions (n = 21 publications) delivered exercise‐focused MDT support (Table ). There were five interventions delivered preoperatively, 10 post‐operatively, and three preoperatively and post‐operatively (Table ; detailed characteristics in Table S2). Of the post‐operative interventions, seven were concluded within the first 6‐month post‐operative, and six extended beyond or commenced after 6‐month post‐operative …”

Section: Resultsmentioning

confidence: 99%

Does intensive multidisciplinary intervention for adults who elect bariatric surgery improve post‐operative weight loss, co‐morbidities, and quality of life? A systematic review and meta‐analysis

Marshall

Mackay²,

Matthews

et al. 2020

Obesity Reviews

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This systematic review and meta-analysis of intervention studies aims to evaluate the effect of preoperative and/or post-operative support for adults who elect bariatric surgery delivered by a multidisciplinary team (MDT) on post-operative body composition, mental health, co-morbidities, quality of life, and side effects. Six electronic databases were searched. Revman and GRADE were used to assess confidence in pooled effects. Included interventions (N = 1533 participants in total) focused on lifestyle counselling (n = 4 studies), psychology (n = 4 studies), or exercise (n = 10 studies); comparator groups were less intensive usual care. Intensive MDT interventions increased post-operative weight loss (SMD: −0.94; 95% CI: −1.27 to −0.61) if delivered post-operatively. Preoperative and post-operative intensive interventions improved symptoms of depression and anxiety, quality of life, diastolic blood pressure, and resting heart rate but not lipids or glycaemic measures. Whilst usual MDT care is important preoperatively, this review conditionally recommends intensive MDT interventions for enhanced post-operative weight loss if delivered in the post-operative period, led by any health professional, based on moderate evidence. This review also conditionally recommends preoperative and/or post-operative lifestyle, nutrition, or psychology counselling and/or physical activity for improved mental and physical health. Further randomized controlled trials are required, which aim to specifically evaluate the best use of MDT resources. K E Y W O R D S bariatric surgery, interdisciplinary research, obesity, weight loss

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“…The use of a pedometer reduction [14] and the use of a pedometer has been shown to increase physical activity by 26.9 percent [16][17][18]. Possibly, the pedometer increases the motivation to exercise, and leads to healthy changes in daily routines [19].…”

mentioning

confidence: 99%

The use of a pedometer with or without a supervised exercise program for control of pre- to mild hypertension

Chongthawonsatid

Chinjenpradit

2017

JHR

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Purpose Exercise training has been shown to be an effective and integral component of non-pharmacological intervention for the control of blood pressure. The purpose of this paper is to compare the effectiveness of a supervised modified exercise program of moderate-intensity exercise for one hour per week including the use of a pedometer, and with the use of a pedometer alone without additional exercise in reducing blood pressure. Design/methodology/approach The study was a randomized control trial, with an experimental group of 30 people and a control group of 26 people. Participants were males and females aged 30-65 years with pre- to mild hypertension, and who were not receiving any drugs for the treatment of hypertension. Participants of the experimental group were assigned to a fitness program with supervised exercise once a week at the Golden Jubilee Medical Fitness Center, given access to a pedometer, and provided with health education. Participants in the control group were assigned to use a pedometer only. All experimental and control group members participated in the study for three months, as well as a follow-up at the third and sixth month. Findings Comparison of the experimental and control groups at the first, third, and sixth month, using repeated measures analysis found that interaction effect groups and times were significantly different for mean systolic blood pressure (SBP), body mass index (BMI), hip circumference (HC), and high-density lipoprotein (HDL) (p<0.05). Mean SBP, diastolic blood pressure (DBP), BMI, waist circumference (WC), HC, and low-density lipoprotein (LDL) within groups were significantly different (p<0.05). Mean WC, cholesterol, LDL, and triglyceride between groups were significantly different (p<0.05). Both groups had SBP improved at the third and sixth month when compared with baseline data. Mean HDL increased in the experimental group and decreased in the control group. Multiple regression analysis showed that both groups were not statistically different after intervention, SBP was reduced in the experimental group when compared to the control group. However, at six months, members in the experimental group reported spending less time sitting or reclining on a typical day than members of the control group. Originality/value A supervised one-time per week fitness program combined with pedometer and pedometer alone were not different in reducing blood pressure, as both groups showed decreases in blood pressure. However, the group with the supervised exercise program tended to change sedentary behaviors in the longer term compared to those who used the pedometer alone.

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A randomized trial comparing two interventions to increase physical activity among patients undergoing bariatric surgery

Cited by 56 publications

References 37 publications

Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB

Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB

Does intensive multidisciplinary intervention for adults who elect bariatric surgery improve post‐operative weight loss, co‐morbidities, and quality of life? A systematic review and meta‐analysis

The use of a pedometer with or without a supervised exercise program for control of pre- to mild hypertension

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