From Prehab to Rehab: The Functional Restoration of a Bariatric Individual

Suhaimi, Anwar; Yuliawiratman, Brenda Saria

doi:10.5772/intechopen.94418

Cited by 2 publications

(4 citation statements)

References 28 publications

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“…Being bariatric surgery patients exposed to multiple systemic risks and particularly for cardiovascular diseases and musculoskeletal impairment, a tailored rehabilitation program through a multidisciplinary approach is key to optimize post-bariatric surgery management ( 254 ). The multidisciplinary approach integrates different clinical specialties including endocrinology, clinical nutrition, psychiatry, rehabilitation medicine, as well as health professionals such as nursing, physiotherapy and occupational therapy ( 255 ).…”

Section: Physical Exercise and Rehabilitationmentioning

confidence: 99%

“…The multidisciplinary approach integrates different clinical specialties including endocrinology, clinical nutrition, psychiatry, rehabilitation medicine, as well as health professionals such as nursing, physiotherapy and occupational therapy ( 255 ). A post-bariatric surgery rehabilitation project should comprise a number of goals: 1) preventing surgical-related complications, 2) enhancing physical function through adapted physical activity, 3) addressing bariatric-related disabilities as well as socio-environmental and psychological barriers, 4) promoting education on nutritional management, and 5) providing primary or secondary prevention for cardiovascular diseases ( 254 ). The rehabilitation program should thus combine musculoskeletal reconditioning, functional mobility, balance training, muscle strengthening, aerobic exercises or physical endurance, activity of daily living (ADL) training, nutritional and psychological support, weight management, and monitoring of clinical aspects ( 254 ).…”

Section: Physical Exercise and Rehabilitationmentioning

confidence: 99%

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Bone Response to Weight Loss Following Bariatric Surgery

et al. 2022

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Obesity is a global health challenge that warrants effective treatments to avoid its multiple comorbidities. Bariatric surgery, a cornerstone treatment to control bodyweight excess and relieve the health-related burdens of obesity, can promote accelerated bone loss and affect skeletal strength, particularly after malabsorptive and mixed surgical procedures, and probably after restrictive surgeries. The increase in bone resorption markers occurs early and persist for up to 12 months or longer after bariatric surgery, while bone formation markers increase but to a lesser extent, suggesting a potential uncoupling process between resorption and formation. The skeletal response to bariatric surgery, as investigated by dual-energy X-ray absorptiometry (DXA), has shown significant loss in bone mineral density (BMD) at the hip with less consistent results for the lumbar spine. Supporting DXA studies, analyses by high-resolution peripheral quantitative computed tomography (HR-pQCT) showed lower cortical density and thickness, higher cortical porosity, and lower trabecular density and number for up to 5 years after bariatric surgery. These alterations translate into an increased risk of fall injury, which contributes to increase the fracture risk in patients who have been subjected to bariatric surgery procedures. As bone deterioration continues for years following bariatric surgery, the fracture risk does not seem to be dependent on acute weight loss but, rather, is a chronic condition with an increasing impact over time. Among the post-bariatric surgery mechanisms that have been claimed to act globally on bone health, there is evidence that micro- and macro-nutrient malabsorptive factors, mechanical unloading and changes in molecules partaking in the crosstalk between adipose tissue, bone and muscle may play a determining role. Given these circumstances, it is conceivable that bone health should be adequately investigated in candidates to bariatric surgery through bone-specific work-up and dedicated postsurgical follow-up. Specific protocols of nutrients supplementation, motor activity, structured rehabilitative programs and, when needed, targeted therapeutic strategies should be deemed as an integral part of post-bariatric surgery clinical support.

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Section: Physical Exercise and Rehabilitationmentioning

confidence: 99%

Section: Physical Exercise and Rehabilitationmentioning

confidence: 99%

Bone Response to Weight Loss Following Bariatric Surgery

et al. 2022

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show abstract

“…Being bariatric surgery patients exposed to multiple systemic risks and particularly for cardiovascular diseases and musculoskeletal impairment, a tailored rehabilitation program through a multidisciplinary approach is key to optimize postbariatric surgery management (254). The multidisciplinary approach integrates different clinical specialties including endocrinology, clinical nutrition, psychiatry, rehabilitation medicine, as well as health professionals such as nursing, physiotherapy and occupational therapy (255).…”

Section: Physical Exercise and Rehabilitationmentioning

confidence: 99%

“…The multidisciplinary approach integrates different clinical specialties including endocrinology, clinical nutrition, psychiatry, rehabilitation medicine, as well as health professionals such as nursing, physiotherapy and occupational therapy (255). A post-bariatric surgery rehabilitation project should comprise a number of goals: 1) preventing surgical-related complications, 2) enhancing physical function through adapted physical activity, 3) addressing bariatric-related disabilities as well as socioenvironmental and psychological barriers, 4) promoting education on nutritional management, and 5) providing primary or secondary prevention for cardiovascular diseases (254). The rehabilitation program should thus combine musculoskeletal reconditioning, functional mobility, balance training, muscle strengthening, aerobic exercises or physical endurance, activity of daily living (ADL) training, nutritional and psychological support, weight management, and monitoring of clinical aspects (254).…”

Section: Physical Exercise and Rehabilitationmentioning

confidence: 99%

Osteodietology

2024

Frontiers Research Topics

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Frontiers is more than just an open access publisher of scholarly articles: it is a pioneering approach to the world of academia, radically improving the way scholarly research is managed. The grand vision of Frontiers is a world where all people have an equal opportunity to seek, share and generate knowledge. Frontiers provides immediate and permanent online open access to all its publications, but this alone is not enough to realize our grand goals. Frontiers journal seriesThe Frontiers journal series is a multi-tier and interdisciplinary set of openaccess, online journals, promising a paradigm shift from the current review, selection and dissemination processes in academic publishing. All Frontiers journals are driven by researchers for researchers; therefore, they constitute a service to the scholarly community. At the same time, the Frontiers journal series operates on a revolutionary invention, the tiered publishing system, initially addressing specific communities of scholars, and gradually climbing up to broader public understanding, thus serving the interests of the lay society, too. Dedication to qualityEach Frontiers article is a landmark of the highest quality, thanks to genuinely collaborative interactions between authors and review editors, who include some of the world's best academicians. Research must be certified by peers before entering a stream of knowledge that may eventually reach the public -and shape society; therefore, Frontiers only applies the most rigorous and unbiased reviews. Frontiers revolutionizes research publishing by freely delivering the most outstanding research, evaluated with no bias from both the academic and social point of view. By applying the most advanced information technologies, Frontiers is catapulting scholarly publishing into a new generation. What are Frontiers Research Topics?Frontiers Research Topics are very popular trademarks of the Frontiers journals series: they are collections of at least ten articles, all centered on a particular subject. With their unique mix of varied contributions from Original Research to Review Articles, Frontiers Research Topics unify the most influential researchers, the latest key findings and historical advances in a hot research area.

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From Prehab to Rehab: The Functional Restoration of a Bariatric Individual

Cited by 2 publications

References 28 publications

Bone Response to Weight Loss Following Bariatric Surgery

Bone Response to Weight Loss Following Bariatric Surgery

Osteodietology

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