Exercise for counteracting weight recurrence after bariatric surgery: a systematic review and meta-analysis of randomized controlled trials

Bond, Dale S.; Manuel, Katherine M.; Wu, Yin; Livingston, Jill; Papasavas, Pavlos; Baillot, Aurélie; Pescatello, Linda S.

doi:10.1016/j.soard.2022.12.029

Cited by 10 publications

(8 citation statements)

References 51 publications

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“…All these data are in favor of surgical treatment for obesity, because it is the only option that achieves concrete and durable results; nevertheless, few patients decide to undergo BS, because of the perceived risks or the need for future additional operations or the possible regain of the original weight, which is not negligible after SL (35%) [ 99 ]. Therefore, after BS, it is pivotal to maintain a healthy lifestyle, to improve the exercise level, and have adequate nutrition, with the necessary supplements based on the treatment type [ 100 , 101 ].…”

Section: Surgical Managementmentioning

confidence: 99%

Obesity and Cardiovascular Risk: Systematic Intervention Is the Key for Prevention

Perone¹,

Pingitore

Conte³

et al. 2023

Healthcare

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Obesity is a serious public health issue and associated with an increased risk of cardiovascular disease events and mortality. The risk of cardiovascular complications is directly related to excess body fat mass and ectopic fat deposition, but also other obesity-related complications such as pre-type 2 diabetes, obstructive sleep apnoea, and non-alcoholic fatty liver diseases. Body mass index and waist circumference are used to classify a patient as overweight or obese and to stratify cardiovascular risk. Physical activity and diet, despite being key points in preventing adverse events and reducing cardiovascular risk, are not always successful strategies. Pharmacological treatments for weight reduction are promising strategies, but are restricted by possible safety issues and cost. Nonetheless, these treatments are associated with improvements in cardiovascular risk factors, and studies are ongoing to better evaluate cardiovascular outcomes. Bariatric surgery is effective in reducing the incidence of death and cardiovascular events such as myocardial infarction and stroke. Cardiac rehabilitation programs in obese patients improve cardiovascular disease risk factors, quality of life, and exercise capacity. The aim of this review was to critically analyze the current role and future aspects of lifestyle changes, medical and surgical treatments, and cardiac rehabilitation in obese patients, to reduce cardiovascular disease risk and mortality, and to highlight the need for a multidisciplinary approach to improving cardiovascular outcomes.

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Section: Surgical Managementmentioning

confidence: 99%

Obesity and Cardiovascular Risk: Systematic Intervention Is the Key for Prevention

Perone¹,

Pingitore

Conte³

et al. 2023

Healthcare

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“…Interventions to help bariatric surgery patients increase PA and limit ST for overall health are needed. However, to better evaluate whether changes in PA and ST influence weight recurrence, randomized controlled trials, in which true changes in behaviors are observed and possible confounders are controlled for, are needed [53]. It might be appropriate to suggest an additional focus on all minutes in MVPA to include all participants and to evaluate PA more appropriately among this specific population.…”

Section: Research and Practical Implicationsmentioning

confidence: 99%

Associations of changes in physical activity and sedentary time with weight recurrence after bariatric surgery: a 5-year prospective study

et al. 2023

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Background Increasing physical activity and limiting sedentary time may minimize weight recurrence after bariatric surgery. However, few studies have evaluated potential associations of objectively-measured physical activity and sedentary time with post-surgical weight recurrence over time. Aims To evaluate associations of change in physical activity and sedentary time with weight recurrence after bariatric surgery. Methods Participants from the Oslo Bariatric Surgery Study, a prospective cohort study, wore an ActiGraph monitor for seven days at 1- and 5 years after surgery to assess daily physical activity and sedentary time. Participants’ weight was measured at in-person clinic visits. Chi-square Test and Paired-samples T-test evaluated group differences and change over time, while Pearson’s Correlation, multiple logistic and linear regression investigated associations between variables. Results Five years after surgery 79 participants (70.5% response rate, 81% female) (mean (sd) age: 54.0 (±9.3), BMI: 32.1 (±4.7)) had valid monitor data. Participants increased their sedentary time (71.4 minutes/day (95% CI: 54.2–88.6, p = <0.001)) and reduced daily steps (−1411.1 (95% CI: 737.8–208.4), p = <0.001), light physical activity (−54.1 min/day (95% CI: 40.9–67.2, p = <0.001)), and total physical activity (−48.2 (95% CI: 34.6–63.3), p = <0.001) from 1- to 5 years after surgery. No change was found for moderate-to-vigorous intensity physical activity. No associations were found between changes in steps, physical activity or sedentary time and weight recurrence. Conclusion Participants increased sedentary time and decreased light- and total physical activity between 1- and 5 years post-surgery. Overall, changes in physical activity and sedentary time were not associated with weight recurrence. Interventions to help patients increase physical activity and limit sedentary time after bariatric surgery are needed.

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“…According to a review by Bellicha et al [24], most patients do not reach the recommended levels of physical activity after bariatric surgery. A recent systematic review by Bond et al [25] demonstrated that participants who were assigned to the exercise interventions achieved only modest weight loss after 12 months, although none of the exercise interventions aligned with the 250-300 weekly minutes of moderate-intensity physical activity recommended by the American College of Sports Medicine and the 2018 physical activity guidelines for the management of obesity and prevention of weight recurrence. This study also showed that adherence rates were only reported in 2 studies [25].…”

Section: Overviewmentioning

confidence: 99%

“…A recent systematic review by Bond et al [25] demonstrated that participants who were assigned to the exercise interventions achieved only modest weight loss after 12 months, although none of the exercise interventions aligned with the 250-300 weekly minutes of moderate-intensity physical activity recommended by the American College of Sports Medicine and the 2018 physical activity guidelines for the management of obesity and prevention of weight recurrence. This study also showed that adherence rates were only reported in 2 studies [25]. The ideal protocol will look different for all patients; however, this study may provide further insight on which protocols have the highest adherence rates and what the characteristics of those protocols are.…”

Section: Overviewmentioning

confidence: 99%

Resistance Training in Patients After Metabolic and Bariatric Surgery: Protocol for a Systematic Review

Elks,

Rooks,

Schulte

et al. 2023

JMIR Res Protoc

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Background Resistance training has been consistently shown to have multiple health benefits, especially for patients who have undergone bariatric surgery. Patients who have undergone bariatric surgery are recommended to participate in resistance exercise; however, protocols and guidelines for resistance training remain poorly implemented. Objective This is a protocol for a systematic review and possibly a meta-analysis that will synthesize evidence of the effects of resistance exercise on changes in body composition, muscular strength, overall weight loss or maintenance of weight loss, and quality of life in patients after metabolic and bariatric surgery (MBS). The findings of this study may provide practice recommendations for resistance training among patients who have undergone MBS. Methods We registered this systematic review on PROSPERO (CRD42023464928) on September 18, 2023. A systematic search of electronic databases (Embase, PubMed, Scopus, Web of Science, and CINAHL) was conducted on studies published from January 1, 1991, to May 15, 2023, to identify English-language human studies on adult patients who have undergone MBS that include a resistance training intervention and describe outcome measurements of body composition or strength. Screening will be performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, and relevant data elements will be extracted. Results Searches and screenings commenced in May 2023. Data extraction and analyses will be completed by the end of December 2023, after which findings will be synthesized and reported by the end of March 2024. Conclusions This systematic review will summarize the evidence regarding resistance training in patients after MBS. The findings from this systematic review and possible meta-analysis may provide practice recommendations for resistance training protocols in this patient population and identify characteristics of protocols with the best adherence and outcomes. With these results, we anticipate that we will gain a deeper understanding of the role of resistance training after MBS. Trial Registration PROSPERO CRD42023464928; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=464928 International Registered Report Identifier (IRRID) PRR1-10.2196/49513

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Exercise for counteracting weight recurrence after bariatric surgery: a systematic review and meta-analysis of randomized controlled trials

Cited by 10 publications

References 51 publications

Obesity and Cardiovascular Risk: Systematic Intervention Is the Key for Prevention

Obesity and Cardiovascular Risk: Systematic Intervention Is the Key for Prevention

Associations of changes in physical activity and sedentary time with weight recurrence after bariatric surgery: a 5-year prospective study

Resistance Training in Patients After Metabolic and Bariatric Surgery: Protocol for a Systematic Review

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