Aspects of Exercise before or after Bariatric Surgery: A Systematic Review.

Abstract:

BACKGROUND:Bariatric surgery has a considerable effect on weight loss. A positive relation of exercise and weight loss has been described before. However, the mode of exercise and its timing pre- or postoperatively or a combination remains unclear. METHODS:A multi-database search was conducted. Identified articles were reviewed on description of exercise, timing around a bariatric intervention, and outcome. Methodological quality of the included studies was rated using the Physiotherapy Evidence Database scale. A Cohen’s kappa score assessed the level of agreement. Outcome measurements were improvement of anthropometric and physical fitness variables, operation related complications, weight regain, and quality of life. RESULTS:A total of 8 prospective studies were included. Four focused on training before and 4 on training after a bariatric procedure. Details of exercises varied from 45 min treadmill up to full descriptive programs. Supervision was frequently included. Significant improvement was encountered for biometric results physical fitness variables. CONCLUSION:In the majority of reports on exercising in a (future) bariatric population, positive effects on anthropometrics, cardiovascular risk factors and physical fitness were described. However, the results were not unanimous, with a wide range of exercise programs and perioperative timing, therefore hampering adequate practical guidance.

journal_name

Obes Facts

journal_title

Obesity facts

authors

Pouwels S,Wit M,Teijink JA,Nienhuijs SW

doi

10.1159/000381201

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

132-46

issue

2

eissn

1662-4025

issn

1662-4033

pii

000381201

journal_volume

8

pub_type

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