Reversal of Improved Endothelial Function After Bariatric Surgery Is Mitigated by Exercise Training

Dantas, Wagner Silva; Gil, Saulo; Murai, Igor Hisashi; Costa-Hong, Valéria; Peçanha, Tiago; Merege-Filho, Carlos; Sá-Pinto, Ana Lúcia de; Cleva, Roberto de; Santo, Marco Aurélio; Pereira, Rosa Maria Rodrigues; Kirwan, John P.; Roschel, Hamilton; Gualano, Bruno

doi:10.1016/j.jacc.2018.07.094

Cited by 24 publications

(32 citation statements)

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“…In patients who have undergone bariatric surgery, the repercussion of physical inactivity and sedentary behavior during the post-operative period is underexplored; however, higher physical activity has been associated with better cardiometabolic risk factors [6]. Furthermore, exercise training has been shown to improve insulin resistance [7], vascular function [8], and inflammatory markers [8]. Thus, increasing physical activity could be a key strategy to improve overall health among post-bariatric patients and is confined during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Influence of Adherence to Social Distancing Due to the COVID-19 Pandemic on Physical Activity Level in Post-bariatric Patients

et al. 2020

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We assessed physical activity using accelerometers and a questionnaire in 33 post-bariatric patients who reported to be adherent (n = 15) or not (n = 18) to social distancing due to the COVID-19 pandemic. Patients adherent to social distancing spent more time in sedentary behavior (1.1 h/day, 0.1, 2.2; p = 0.045) and less time in moderate-to-vigorous physical activity (− 12.2 min/ day, − 23.8, − 0.6; p = 0.040) vs. non-adherent ones. Bland-Altman analysis comparing objective and subjective physical activity estimates showed a bias for time spent in sedentary behavior and moderate-to-vigorous activity of 2.8 h/day and 8.5 min/day. In conclusion, post-bariatric patients who were adherent to social distancing measures were more inactive and sedentary than nonadherent ones. Strategies to increase physical activity in post-bariatric patients exposed to social distancing are necessary during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Influence of Adherence to Social Distancing Due to the COVID-19 Pandemic on Physical Activity Level in Post-bariatric Patients

et al. 2020

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“…Furthermore, exercise training has been shown to improve insulin resistance (13), vascular function (14), and inflammatory markers (14), and attenuate the loss of bone and muscle mass (15,16). Thus, increasing physical activity could be a key strategy to improve overall health among post-bariatric patients and are confined during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…In patients who have undergone bariatric surgery, the repercussion of physical inactivity and sedentary behavior during the post-operative period is underexplored; however, higher physical activity has been associated with better cardiometabolic risk factors (5). Furthermore, exercise training has been shown to improve insulin resistance (13), vascular function (14), and inflammatory markers (14), and attenuate the loss of bone and muscle mass (15, 16). Thus, increasing physical activity could be a key strategy to improve overall health among post-bariatric patients and are confined during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Influence of adherence to social distancing due to the COVID-19 pandemic on physical activity level in post-bariatric patients

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Pinto

Goessler

et al. 2020

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Objectives: To assess physical activity levels in post-bariatric patients who adhered or not to social distancing measures due to the Covid-19 pandemic. Our secondary aim was to compare physical activity estimates between objectively measured and self-reported physical activity level. Methods: In this descriptive, cross-sectional study, we assessed physical activity level using accelerometers and a validated questionnaire in 33 post-bariatric patients who reported to be adherent (n=15) or not (n=18) to social distancing measures. Results: Patients adherent to social distancing measures spent more time in sedentary behavior (1.1 hours/day [95%CI: 0.1, 2.2]; p=0.045) and less time in moderate-to-vigorous physical activity (-12.2 min/day [95%CI: -23.8, -0.6]; p=0.040) compared to non-adherent ones. No difference was observed for light-intensity physical activity. Bland-Altman analysis comparing objective and subjective physical activity estimates showed a bias for time spent in sedentary behavior and moderate-to-vigorous physical activity of 2.8 hours/day and 8.5 min/day, respectively. Conclusion: Post-bariatric patients who were adherent to social distancing measures due to the Covid-19 outbreak were more inactive and sedentary than non-adherent ones. Additionally, questionnaire data widely underestimated sedentary behavior. Strategies to increase or at least sustain physical activity levels in post-bariatric patients exposed to social distancing measures are necessary during the Covid-19 pandemic.

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“…Importantly, ∼60% failed to meet the prescribed physical activities recommendations, which is actually the reversed depiction of what we have observed in a group of patients from the same outpatient clinic before the pandemic (unpublished data). Sub-optimal nutritional care combined with physical inactivity may reverse the clinical improvements brought about by surgery, even in a short period of time 17-19 . Of relevance, physically inactive patients exhibited lower mental and physical quality of life scores when compared with active ones, supporting the idea that lifestyle plays a role in the patients’ perceived well-being.…”

Section: Figurementioning

confidence: 99%

“…The copyright holder for this this version posted August 2, 2020. ; https://doi.org/10.1101/2020.07.30.20165068 doi: medRxiv preprint data). Sub-optimal nutritional care combined with physical inactivity may reverse the clinical improvements brought about by surgery, even in a short period of time [17][18][19] . Of relevance, physically inactive patients exhibited lower mental and physical quality of life scores when compared with active ones, supporting the idea that lifestyle plays a role in the patients' perceived well-being.…”

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confidence: 99%

Outpatient screening of health status and lifestyle among post-bariatric patients during the Covid-19 pandemic in Sao Paulo, Brazil.

Goessler

Nicoletti

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et al. 2020

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Background/Objectives: This was an out-of-hospital screening of health status and lifestyle during the Covid-19 pandemic in post-operative bariatric patients from Sao Paulo, Brazil, prevented from face-to-face health care. Subjects/Methods: In this cross-sectional study, 66 patients were remotely (via phone call) and in-person (by home visit) assessed for health status and lifestyle habits. Results: Mean age was 47.4 years. Patients were obese grade I (30.0%), II (22.0%), and III (30.0%), and 94.2% had above reference waist circumference values. Sixty-four percent displayed high blood pressure, whereas 24% showed CRP levels above normal range. Nineteen percent of patients reported irregular use of nutritional supplementation and 6.0% reported binge eating habits. Thirty-three exhibited symptoms of depression. Mild-to-moderate and moderate-to-severe anxiety symptoms were reported by 27.4% and 11.3% of the patients; 4.5% exhibited suicidal ideation and were referred to a specialist for healthcare. Of relevance, inactive patients (59.6%) had poorer global mental and physical health scores as compared to active peers (both p<0.05). Conclusion: This out-of-hospital screening revealed that the absence of face-to-face health care due to the Covid-19 pandemic is associated with suboptimal status of physical and mental health as well as lifestyle inadequacies among patients who have recently undergone bariatric surgery.

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Reversal of Improved Endothelial Function After Bariatric Surgery Is Mitigated by Exercise Training

Cited by 24 publications

References 3 publications

Influence of Adherence to Social Distancing Due to the COVID-19 Pandemic on Physical Activity Level in Post-bariatric Patients

Influence of Adherence to Social Distancing Due to the COVID-19 Pandemic on Physical Activity Level in Post-bariatric Patients

Influence of adherence to social distancing due to the COVID-19 pandemic on physical activity level in post-bariatric patients

Outpatient screening of health status and lifestyle among post-bariatric patients during the Covid-19 pandemic in Sao Paulo, Brazil.

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