Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation

Abstract

The purpose of this study was to evaluate the effect of rapid weight loss on static balance and functional mobility among excessively obese patients undergoing Laparoscopic Adjustable Gastric Banding (LAGB) surgery. Subjects (8 females; BMI >35 kg/m2) underwent baseline measurements before LAGB surgery, followed by subsequent evaluations at 6 weeks, 12 weeks, and 24 weeks during the follow-up appointments. During each evaluation, various assessments were conducted, including measurements of anthropometry such as body weight, height, hip and waist circumference, as well as functional tests for static balance, 10-meter walk, and timed get-up-and-go. There were statistically significant changes in weight, BMI, waist circumference, hip circumference, abdominal circumference, waist-hip ratio, static sway eyes open, timed up-and-go, 10-meter walk, and steps in 10-meter walk test values (p<0.001) between the baseline and the postoperative measurements. However static sway values under eyes closed condition were not statistically significant. In the 24-week follow-up, the weight loss, reduction in abdominal circumference, increase in walking speed against time and step count, and recovery in functional movements were shown to persist. Also, reduction in static balance surface oscillation confirmed the improvement of balance control.

Effect of Corrective Exercise on Static Balance, Food Consumption, and Body Composition in the Early Period After Bariatric Surgery

“…Similarly, in our study, unlike GA measurements, a significant reduction in perimeter was observed postoperatively in the CG group. Kucuk Yetgin et al’s [ 10 ] study revealed that while there was no significant difference in eyes-closed static balance during the rapid weight loss period before and after Laparoscopic Adjustable Gastric Banding Surgery at 6, 12, and 24 weeks, a statistically significant improvement in eyes-open static balance occurred at 6 weeks postoperatively.…”

“…It has been concluded that in women with overweight or obesity [ 6 – 8 ], there is an increased sway velocity in both eyes-open and eyes-closed conditions, indicating the adverse impact of obesity on postural stability. To the best of our knowledge, there is a limited body of research investigating static balance both in the preoperative period of bariatric surgery [ 9 ] and during the period of rapid weight loss following bariatric surgery [ 10 ]. However, there is currently no study available that examines the impact of corrective exercises on static balance in bariatric surgery participants after the surgery.…”