Effects of a Physical Activity Program on Cardiorespiratory Fitness and Pulmonary Function in Obese Women after Bariatric Surgery: a Pilot Study

Onofre, Tatiana; Carlos, Renata; Oliver, Nicole; Felismino, Amanda Soares; Fialho, Davi; Corte, Renata Cristina; Silva, Eliane Pereira da; Godoy, Eudes Paiva de; Bruno, Selma S.

doi:10.1007/s11695-017-2584-y

Cited by 32 publications

(73 citation statements)

References 49 publications

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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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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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“…). Endurance training was performed in five studies , resistance training in two studies , a combination of endurance and resistance training in eight studies and balance training in one study . Intensity of exercise was usually defined in relative terms, according to maximal heart rate or maximal strength.…”

Section: Resultsmentioning

confidence: 99%

“…The intervention included a behavioural component in four studies (physical activity and/or dietary counseling and a protein, calcium and vitamin D supplementation in one study ). Exercise sessions were fully supervised (10 studies ), partially supervised (one study ) or not supervised (two studies ). Supervision was not described in one study .…”

Section: Resultsmentioning

confidence: 99%

“…In addition, the number of studies was insufficient to conduct a meta‐analysis. Most recently, a number of controlled trials have described the effects of exercise training on various outcomes related to body composition, physical capacity or health status . Therefore, a systematic updated overview of this topic, complemented by a meta‐analysis, is relevant.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of exercise training after bariatric surgery—a systematic literature review and meta‐analysis

et al. 2018

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We aimed to conduct a systematic review and meta-analysis of controlled trials assessing exercise training programs in patients with obesity undergoing bariatric surgery. We systematically searched exercise training studies performed after bariatric surgery published up to June 2017. Studies reporting changes in body composition, physical fitness, functional capacity, objectively measured physical activity, quality of life or relevant health outcomes were included. The review protocol is available from PROSPERO (CRD42017069380). Meta-analyses were conducted using random-effects models when data were available from at least five articles. Twenty articles were included, describing 16 exercise training programs, of which 15 were included in the meta-analysis. Overall, exercise training was associated with higher weight loss (mean difference: -2.4 kg, 95% CI: -4.2; -0.6, I = 49%, n = 12), higher fat mass loss (-2.7 kg, 95% CI: -4.5; -1.0, I = 50%, n = 8) and improved VO max and functional walking (standardized mean difference: 0.86, 95% CI: 0.29; 1.44, I = 57%, n = 6; 1.45, 95% CI: 0.32; 2.58, I = 89%, n = 6, respectively). Exercise training was not associated with lean body mass changes. In conclusion, exercise training programs performed after bariatric surgery were found effective to optimize weight loss and fat mass loss and to improve physical fitness, although no additional effect on lean body mass loss was found.

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“…Aynı zamanda operasyon sonrası fundus rezeksiyonuna bağlı olarak fundustaki ghrelin salgılayan hücreler azalıp ve leptin salınımı artacağı için hastaların iştahı ve VKİ leri azalıp buna bağlı olarak da pulmoner reperfuzyonda artış gözlenecektir (27) Konumuzun bir başka tarafı olan postoperatif komorbiditelerin sonuçlarında ise VKİ si düşük olan gruptaki iyileşme ve azalma oranları diğer gruba oranla anlamlı derecede iyiydi, bunun da erken dönemde etkili kilo kaybına bağlı olduğunu düşünmekteyiz. Onofre ve arkadaşlarının yaptığı çalışmada bariatrik cerrahi sonrası azalan adipoz dokular ve fiziksel aktiviteler nedeni ile diabet ve hipertansiyon oranlarının da azaldığı ve gerilediği belirtilmiştir (28). Gloy ve arkadaşlarının yaptığı başka bir çalışmada ise bariatrik cerrahi sonrası komorbiditelerdeki belirgin gerilemenin pozitif sonuçlarından bahsedilmiştir (29).…”

Section: Gereç Ve Yöntemunclassified

The comparison of pulmonary functions After the bariatric surgery In Morbid obeses Versus Super Obeses

Yormaz¹,

Ece²,

Çolak³

et al. 2018

Van Med J

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Tel: 0(532) 690 05 31, İş Tel: 0(332) 241 50 00/ 44717 ABSTRACT Objective: Nowadays, The increase in incidence of morbid obesity is one of the most common health problems in the world. Bariatric surgery has performed as a curative procedure for morbid obesity. It has give rise to lose excess weight, heal comorbidities and to improve pulmonary functions in obeses.. Our aim was to compare postoperative respiratory outcomes in morbidly obese patients who have underwent Laparoscopic sleeve gastrectomy. Material and Methods: Consecutive 124 morbid obese patients who were underwent Laparoscopic sleeve gastrectomy was followed up 6 months between the years of march 2014 to july 2016 retrospectively. Patients were divided into two groups A and B. Group A patients who have BMI between 40-45kg/m2 and group B patients who have BMI between 45-50kg/m2. FEV1, FVC, FEV1/FVC, MSV, DV/VO2, DV/VCO2, VO2peak results, body mass index, postoperative oxygen saturation and comorbidites, were compared between both groups. Student's t test,chi-square test was used for the variables and homogeneity in the patient group. Preoperative and postoperative values between the groups were compared with the ANOVA test. Results: The mean age values, respiratory function values in both groups were similar in preoperatively. In our postoperative results, there was a significant difference in the FEV1, FVC, FEV1/FVC, MSV, DV/VO2, DV/VCO2, VO2 peak ratios and also identified significant difference in resolution and improvement of comorbidities. Conclusions:The results of the patients who underwent bariatric surgery and whose body mass index (BMI) was 40-45kg / m2 were statistically significant compared to those with body mass index between 45-50kg / m2. The improvement in pulmonary functions and the effect of correction of comorbidities are higher in the morbidly obese group with laparoscopic sleeve gastrectomy.

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Effects of a Physical Activity Program on Cardiorespiratory Fitness and Pulmonary Function in Obese Women after Bariatric Surgery: a Pilot Study

Abstract: Applying a physical training program to a group of obese women after 3 months of bariatric surgery could promote a significant increase in CRF only in the trained group, yet also showing that bariatric surgery alone caused an improvement in the lung function of both groups.

Cited by 32 publications

References 49 publications

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

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

Effectiveness of exercise training after bariatric surgery—a systematic literature review and meta‐analysis

The comparison of pulmonary functions After the bariatric surgery In Morbid obeses Versus Super Obeses

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