Effects of a Combined High-Intensity Interval Training and Resistance Training Program in Patients Awaiting Bariatric Surgery: A Pilot Study

Abstract

Bariatric surgery (BS) is considered the most effective treatment for morbid obesity. Preoperative body weight is directly associated with a higher surgical morbimortality and physical activity could be effective in the preparation of patients. The aim of this study is to determine the effects of a six-month exercise training program (ETP), combining high-intensity interval training (HIIT) and resistance training in patients awaiting BS. Six candidates awaiting BS (38.78 ± 1.18 kg·m−2; 38.17 ± 12.06 years) were distributed into two groups: the ETP group (experimental group (EG), n = 3) and a control group (CG, n = 3). Anthropometrical and blood pressure (BP), cardiorespiratory fitness and maximal strength were registered before and after the ETP. The EG participated in 93.25% of the sessions, showing reductions in body mass index (BMI) compared to the CG (34.61 ± 1.56 vs. 39.75 ± 0.65, p = 0.006, ANOVA). The inferential analysis showed larger effects on BMI, excess body weight percentage and fat mass, in addition to small to moderate effects in BP and the anthropometric measurements. Peak oxygen uptake normalized to fat-free mass showed likely positive effects with a probability of >95–99%. A six-month ETP seems to be a positive tool to improve body composition, cardiometabolic health, and fitness level in patients awaiting BS, but a larger sample size is needed to confirm these findings.

Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis

“…Studies were published between 2011 and 2019 and were either randomized ( n = 14, 67%) or nonrandomized ( n = 7, 33%) 16 , 18 , 20 , 40 , 41 , 42 , 43 controlled trials (Table 1 ). The median (min–max) total sample size was 33 (6–220).…”

“…In four studies, 15 , 19 , 40 , 49 exercise training started during the second postoperative year and inclusion spread over several months. Aerobic training was performed in six (27%) studies, 17 , 19 , 26 , 36 , 40 , 47 resistance training in three (14%) studies, 20 , 45 , 48 a combination of aerobic and resistance training in 12 (54%) studies, 15 , 16 , 17 , 18 , 27 , 37 , 41 , 42 , 43 , 44 , 49 , 50 and balance training in one (5%) study. 46 In two preoperative programs, aerobic training incorporated periods of HIIT.…”

“…Six studies included females only. 18,36,40,[44][45][46] Interventions were performed presurgery in four (19%) studies 37,41,42,47 and postsurgery in 17 (81%) studies. In the latter studies, patients underwent Roux-en-Y gastric bypass (RYGB) in nine studies, 16,26,27,36,40,[43][44][45]48 sleeve gastrectomy in one study, 46 and either RYGB, gastric banding, or sleeve gastrectomy in the remaining studies.…”

“…follow-up (after bariatric surgery) Baillot et al38 Glucose metabolism was assessed by fasting glucose or HbA1c, lipid profile by LDL-c, HDLc, and triglycerides. The study by Pico-Sirvent et al42 …”

Poor Sleep Quality Decreases Concurrent Training Benefits in Markers of Metabolic Syndrome and Quality of Life of Morbidly Obese Patients

“…The CT benefits in patients with MetS have been previously shown [ 34 ]. Barnes et al [ 35 ] reported a WC reduction (19.6 cm) in patients with obstructive sleep apnoea (i.e., PSQ) after a 16-week CT programme (endurance and RT), but this intervention included a higher volume of exercise training per week compared with the present study.…”