Physical Activity Level, Sedentary Time, and Weight Regain After Bariatric Surgery in Patients Without Regular Medical Follow-up: a Cross-Sectional Study

Romagna, Eline Coan; Lopes, Karynne Grutter; Mattos, Diogo M. F.; Farinatti, Paulo; Kraemer‐Aguiar, Luiz Guilherme

doi:10.1007/s11695-020-05184-x

Cited by 19 publications

(23 citation statements)

References 34 publications

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“…This benefit is relevant, given the relationship between osteoporosis and sarcopenia vs. disability and mortality [19,58]. On the other hand, available evidence suggests that several surgical results are worsened by lack of physical exercise leading to the return of obesity-related comorbidities and regression in QoL [47,59]. In this context, defining which exercise strategy better suits this population and which one is more effective in improving these outcomes is relevant.…”

Section: Discussionmentioning

confidence: 99%

“…Presurgery weight and minimum postsurgery weight will be self-reported by patients [47]. EWL and rate of weight regain (RWR) will be calculated as follows: (i) EWL = (presurgery weight − minimum postsurgery weight)/(presurgery weight − ideal weight for BMI of 25 kg/m 2 ) × 100% and (ii) RWR = (current weight − minimum weight postsurgery)/(presurgery weight − minimum weight postsurgery) × 100% [48].…”

Section: Anthropometry Measurementsmentioning

confidence: 99%

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Effects of physical training on physical and functional fitness, physical activity level, endothelial function, hemodynamic variables, bone metabolism, and quality of life of post-bariatric patients: study protocol for a randomized controlled trial

Lopes

Souza

Bezerra

et al. 2022

Trials

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Background Evidence of the benefits induced from resistance exercise on health markers of post-bariatric patients is limited. The study will investigate the effects of a resistance training (RT) program on muscle mass and strength, bone metabolism biomarkers, bone mineral density (BMD), bone microarchitecture, and endothelial function of patients subjected to Roux-en-Y gastric bypass. Methods/design This randomized controlled trial will include 60 post-bariatric patients, physically inactive, aging 18 to 50 years, with a post-surgery period ≥ 12 months. They will be randomly assigned into two groups: (i) the non-exercised control group, which will receive the standard clinical follow-up, or (ii) the intervention group which will consist of RT (60 min/session; 3 times/week, for 6 months). The primary outcomes will include muscle mass and strength, bone metabolism biomarkers, BMD, and bone microarchitecture. The secondary outcomes will be anthropometry, hemodynamic measurements, cardiovascular risk factors, health-related quality of life (QoL), and endothelial function. Outcomes will be assessed by blood biomarkers of bone formation and reabsorption, dual X-ray absorptiometry, repetition maximum and handgrip strength tests, high-resolution peripheral quantitative computed tomography, 36-Item Short-Form Health Survey, venous occlusion plethysmography, and nailfold videocapillaroscopy. Discussion It is expected that there are greater benefits from the RT program, possibly improving muscle mass and strength, bone metabolism, density and microarchitecture, QoL, and cardiovascular risk. Trial registration ClinicalTrials.gov NCT04193397. Registered on 7 December 2019.

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Section: Discussionmentioning

confidence: 99%

Section: Anthropometry Measurementsmentioning

confidence: 99%

Effects of physical training on physical and functional fitness, physical activity level, endothelial function, hemodynamic variables, bone metabolism, and quality of life of post-bariatric patients: study protocol for a randomized controlled trial

Lopes

Souza

Bezerra

et al. 2022

Trials

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“…Auch eine verringerte körperliche Aktivität postoperativ ist mit einer erneuten Gewichtszunahme nach bariatrischer Operation vergesellschaftet [8,16,21].…”

Section: Diagnostikunclassified

Therapieoptionen bei Weight-Regain nach Bariatrischer Operation

et al. 2022

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Zusammenfassung Hintergrund Die Intention dieses Artikels ist, einen Überblick über die Diagnosestellung und Therapiemöglichkeiten bei erneuter Gewichtszunahme (WR) oder unzureichendem Gewichtsverlust (IWL) nach bariatrischer Operation (BS) zu geben. Bei weiter steigenden Zahlen der BS gewinnt WR immer mehr an Relevanz. Methoden Eine ausgiebige Literaturrecherche wurde mit persönlichen Erfahrungen kombiniert, um eine mögliche Handlungsempfehlung bei WR oder IWL zu geben. Ergebnisse Im Falle einer anatomischen Ursache für WR ist der chirurgische Therapieansatz derzeit am effektivsten. Bei idiopathischem WR oder IWL ist ein multimodales Therapiekonzept für eine erfolgreiche Therapie notwendig. Abhängig von der vorangegangenen OP ist eine Kombination von Lebensstilinterventionen, medikamentöser und chirurgischer Therapie ein wirksames Vorgehen. Schlussfolgerungen Eine ausgiebige Diagnostik ist vor Indikationsstellung einer chirurgischen Revision notwendig. Bei idiopathischem WR und IWL nach Roux-Y-Magenbypass (RYGB) schlagen wir die Verlängerung des biliopankreatischen Schenkels bei gleichzeitiger Verkürzung des Common Channels vor. Nach Schlauchmagen (Sleeve-Gastrektomie, SG) sehen wir derzeit die Umwandlung in RYGB bei Patienten mit gleichzeitiger Refluxösophagitis und den SADI-S bei fehlendem Vorliegen eines Refluxes als sinnvollste Therapie an.

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“…The mechanisms involved in these suboptimal responses are not completely understood, but the causes are probably multi-factorial [ 35 ]. They include sedentary lifestyle and low aerobic fitness [ 36 ], non-compliance to dietary programs (including grazing, sweet consumption, emotional eating, binge eating and maladaptive eating) [ 37 ], hormonal activity (for example, a reduction in the alteration of ghrelin, leptin, and incretins levels) [ 38 ], mental health causes and surgical procedure-related factors, such as the volume of the gastric pouch, gastro-gastric fistula or gastro-jejunostomy stoma dilatation [ 34 ]. A recent study outlined some preoperative factors related to weight regain after BS, emphasizing the importance of preoperative body mass index (BMI) and type of surgery [ 39 ].…”

Section: Bariatric Surgerymentioning

confidence: 99%

Bariatric Surgery and Liver Disease: General Considerations and Role of the Gut–Liver Axis

et al. 2021

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Weight loss is a therapeutic solution for many metabolic disorders, such as obesity and its complications. Bariatric surgery aims to achieve lasting weight loss in all patients who have failed after multiple dietary attempts. Among its many benefits, it has been associated with the regression of non-alcoholic fatty liver disease (NAFLD), which is often associated with obesity, with evidence of substantial improvement in tissue inflammation and fibrosis. These benefits are mediated not only by weight loss, but also by favorable changes in systemic inflammation and in the composition of the gut microbiota. Changes in microbial metabolites such as short-chain fatty acids (SCFAs), capable of acting as endocrine mediators, and bile acids (BAs) as well as modifications of the gut-brain axis, are among the involved mechanisms. However, not all bariatric surgeries show beneficial effects on the liver; those leading to malabsorption can cause liver failure or a marked worsening of fibrosis and the development of cirrhosis. Nevertheless, there are still many unclear aspects, including the extent of the benefits and the magnitude of the risks of bariatric surgery in cirrhotic patients. In addition, the usefulness and the safety of these procedures in patients who are candidates to or who have undergone liver transplant need solid supporting evidence. This paper aims to review literature data on the use of bariatric surgery in the setting of chronic liver disease.

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Physical Activity Level, Sedentary Time, and Weight Regain After Bariatric Surgery in Patients Without Regular Medical Follow-up: a Cross-Sectional Study

Cited by 19 publications

References 34 publications

Effects of physical training on physical and functional fitness, physical activity level, endothelial function, hemodynamic variables, bone metabolism, and quality of life of post-bariatric patients: study protocol for a randomized controlled trial

Effects of physical training on physical and functional fitness, physical activity level, endothelial function, hemodynamic variables, bone metabolism, and quality of life of post-bariatric patients: study protocol for a randomized controlled trial

Therapieoptionen bei Weight-Regain nach Bariatrischer Operation

Bariatric Surgery and Liver Disease: General Considerations and Role of the Gut–Liver Axis

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