Pain and Physical Function Following Bariatric Surgery

Abstract

feeding tubes decreased by approximately 50% between 2000 and 2014. This decline parallels the emergence of research, 1,2 expert opinion, and recommendations by national organizations 3 discouraging this practice. Feeding tube use decreased across racial groups, but remained relatively higher among black residents, consistent with prior research. 2,4 This study has limitations. The number of reported feeding tube insertions are specific to the cohort definitions. The actual number of tubes inserted in all US residents with advanced dementia is likely much higher. Moreover, the reported number of residents with advanced dementia and eating problems declined from 2000 to 2014, reflecting the shifting composition of US nursing homes, such that patients with chronic illnesses, including dementia, are being increasingly maintained in the community with greater access to services. 6 However, given the analyses applied the same definitions to the numerator and denominator in each year, the comparison of annual insertion rates is reasonable. Power was inadequate to examine factors associated with tube feeding use.To ensure the message from existing evidence and expert recommendations is disseminated and disparities are reduced, fiscal and regulatory policies are needed that discourage tube feeding and promote a palliative approach to feeding problems in patients with advanced dementia.

Supervised exercise following bariatric surgery in morbid obese adults: CERT-based exercise study protocol of the EFIBAR randomised controlled trial

“…We will estimate intensity (% of HRR) by monitoring all sessions with Polar heart rate monitors. Moreover, the CR-10 Borg scale [45, 46] (values ranging from 0 to 10) will be used to evaluate perceived exertion during the aerobic part (range between 7 to 9 corresponding to 75 to 85% of HRR) and after that in order to control the final intensity in this part.…”

“…It describes measurement and reporting of adherence to the exercise programme (Item 5), the type and number of adverse events that occur during exercise (Item 11), the adherence and fidelity to the programme (Item 16a and 16b). Moreover, extra physical activity and/or exercise performed (Item 9) will be register as it has been recommended [46, 47]. Briefly, training attendance will be defined as the number of sessions attended divided the number of sessions prescribed ( n = 48).…”