Effect of physical exercise in bariatric surgery patients: protocol of a randomized controlled clinical trial

Herrera-Santelices, Andrea; Tabach-Apraiz, Andrea; Andaur-Cáceres, Karen; Zamunér, Antônio Roberto

doi:10.1186/s13063-021-05056-4

Cited by 3 publications

(2 citation statements)

References 29 publications

(11 reference statements)

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“…The main component of these programs was supervised exercise training (65%). Later article additions increased this total to 83 (106)(107)(108)(109)(110)(111)(112)(113)(114)(115)(116)(117), which were analyzed later. See Tables 1A and 1B.…”

Section: Resultsmentioning

confidence: 99%

Role of the exercise professional in metabolic and bariatric surgery

Stults‐Kolehmainen

Bond

Richardson

et al. 2023

Preprint

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Background: Physical activity (PA) is important for the long-term health and weight management of patients who undergo metabolic and bariatric surgery (MBS). However, the roles of exercise professionals in clinical MBS settings have not been systematically determined. Objectives: To investigate: (1) who are the professionals implementing PA programming in MBS clinical settings; and (2) what patient-centric tasks do they perform? Setting: Clinical and academic exercise settings worldwide. Methods: This is a multimethod study. A systematic literature review of all bariatric PA programs was conducted. Data about job tasks were extracted, reduced and provided to a panel of 10 experts to sort into categories. Cluster analysis was utilized to find the hierarchical structure of tasks. A Delphi process was used to agree on a final model, and then the literature was recoded for higher order job task categories. Results: The majority of PA professionals were exercise physiologists in the USA and physiotherapists or other types of exercise professionals elsewhere. Forty-three tasks were identified, the most reported being: supervision of exercise, fitness testing, and exercise prescription. Higher-order categories were: (1) Exercise-related health assessment, (2) Body composition and physical fitness assessment, (3) Lifestyle physical activity and sedentary behavior assessment, (4) Education, instruction, and prescription, (5) Exercise monitoring, (6) Behavioral counseling and psychosocial support, and (7) Dietary support. The most common skills reported in the literature were: supervision of exercise, fitness testing, exercise prescription, heart rate monitoring, and physical activity counseling. The following statements were rated an average of 9.0, indicating "imperative" was indicated by all respondents: 1) "Pre- and post-operative PA/exercise guidelines for bariatric surgery patients are needed", 2) "Bariatric surgery programs need to include PA/exercise as part of multidisciplinary care". Conclusions: Our expert group of bariatric exercise professionals, allied clinicians, and scientists reached a consensus on 7 major classifications of job tasks for the exercise professional. It is important for governing medical associations across the world to formally recognize experienced exercise professionals as playing pivotal roles in continuing, multidisciplinary care for bariatric surgery patients. These findings provide evidence-based guidance on how to solidify these positions within the greater context of healthcare.

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Section: Resultsmentioning

confidence: 99%

Role of the exercise professional in metabolic and bariatric surgery

Stults‐Kolehmainen

Bond

Richardson

et al. 2023

Preprint

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“…In this context, high-intensity interval training (HIIT) can decrease muscle mass loss in the postoperative period and increase fat mass loss. But there is also evidence that it can promote glucose homeostasis in individuals with insulin resistance and improves cardiovascular condition [9].…”

Section: Samplementioning

confidence: 99%

Effects of physical exercise on sarcopenia after bariatric surgery: Study protocol of a randomized controlled trial

Santos¹,

Raimundo²,

Carvalho³

et al. 2022

Arch Clin Trials

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Introduction: Bariatric surgery is the treatment of severe obesity with associated pathologies, with proven evidence in its benefits. By treating overweight allows a better and even reversal of pathologies associated with obesity. Weight loss associated with bariatric surgery is greatly associated with a significant reduction of skeletal muscle and bone mineral mass, which leads us to induce that after bariatric surgery, patients incur an increased risk of sarcopenia. The need for prophylactic programs that prevent sarcopenia in bariatric surgery patients seems to be one of the crucial points for the framing of long-term surgical success of bariatric and metabolic surgery. The aim of this randomized clinical trial will be to study the effects of a 16-week supervised exercise intervention program on the prevention of sarcopenia after bariatric surgery Method: This randomized controlled trial study will include 60 patients of both sexes on the waiting list for bariatric surgery and who have subsequently performed the surgery. They will be randomized into 2 groups, experimental and control. The intervention will take place 1 month after surgery, for a total of 16 weeks. Parameters of body composition, metabolic risk, quality of life, physical activity and sedentary behavior will be determined. Results: Assessments will take place in five moments, the surgery, the intervention, the post-intervention, six months after the intervention, twelve months after the intervention.

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