Physical fitness and physical activity in women with obesity: short term effects of sleeve gastrectomy.

Abstract:

Introduction:Introduction: the increase on prevalence of obesity has been linked to a higher number of bariatric surgeries, being sleeve gastrectomy (SG) the most frequent bariatric procedures in the world. However, there are few studies that determine the impact of SG on health's determinants such as physical fitness (PF) and physical activity (PA). Objectives: to describe the changes in PF and PA of patients after SG. Methods: twenty-three women with obesity (mean 36.1 ± 11.1 years old and body mass index [BMI] of 35.1 ± 3.4 kg/m2) were evaluated preoperatively to SG and at one and three months after surgery. An assessment of PF was conducted, including handgrip (HGS) and quadriceps muscle strength (QMS) with dynamometers and cardiorespiratory fitness (CRF) with an ergospirometer. PA was assessed with a three-axis accelerometer. Results: the absolute VO2 peak decreased after the first and third month (p < 0.001) post SG. The VO2 peak relative to body weight showed an increase from baseline after the SG (p = 0.002). After SG, there was a reduction in absolute values for HGS and QMS (p < 0.001) and an increase in relative HGS after three months post-surgery compared to preoperative (p = 0.011), without changes in relative QMS (p = 0.596). No changes in PA were observed. Conclusions: after SG, there is a short term decline on PF when it is expressed on absolute values. However, when it is expressed in relative terms to body weight, some components of PF improve, while others showed no change. There was no modification in PA levels of the participants. Introducción:Introducción: el incremento en la prevalencia de la obesidad se ha relacionado con un mayor número de cirugías bariátricas, siendo la gastrectomía vertical (SG) el procedimiento bariátrico más frecuente en el mundo. Sin embargo, hay pocos estudios que analicen el impacto de la SG en determinantes de la salud, como la condición física (PF) y la actividad física (PA). Objetivo: describir los cambios en la PF y la PA después de la SG. Métodos: veintitrés mujeres con obesidad (36,1 ± 11,1 años e índice de masa corporal [IMC] de 35,1 ± 3,4 kg/m2) fueron evaluadas previo a una SG y al primer y tercer mes postoperatorio. Las evaluaciones incluyeron la valoración de fuerza de prensión manual (HGS) y de cuádriceps (QMS) con dinamómetros y de capacidad cardiorrespiratoria (CRF) con ergoespirometría. La PA fue evaluada con acelerómetros triaxiales. Resultados: el VO2 peak absoluto disminuyó al primer y tercer mes (p < 0,001) luego de la SG. El VO2 peak relativo al peso corporal aumentó después de la SG (p = 0,002). Luego de la cirugía disminuyeron HGS y QMS absolutas (p < 0,001) y aumentó HGS relativa al peso corporal al tercer mes postoperatorio (p = 0,011), sin cambios en QMS relativa (p = 0,559). No se observaron cambios en la PA posterior a SG. Conclusiones: después de SG hay un deterioro a corto plazo de la PF expresada en términos absolutos, pero al expresarse en relación al peso corporal, algunos componentes de la PF no cambian y otros mejoran. No se observaron cambios en la PA poscirugía.

journal_name

Nutr Hosp

journal_title

Nutricion hospitalaria

authors

Ibacache Saavedra P,Cano-Cappellacci M,Miranda Fuentes C,Rojas Montero J,Maldonado Pinuer P,Bottinelli Mercadino A

doi

10.20960/nh.02515

subject

Has Abstract

pub_date

2019-08-26 00:00:00

pages

840-845

issue

4

eissn

0212-1611

issn

1699-5198

journal_volume

36

pub_type

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