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Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 year Longitudinal Study

Year 2023, , 392 - 397, 25.10.2023
https://doi.org/10.33438/ijdshs.1358231

Abstract

This study aims to investigate whether a supervised, multicomponent exercise program can provide additional benefits on body composition after bariatric surgery. 18-65 year; body mass index (BMI) >35 kg/m2; 54 patients (Exercise Group 29; Control Group 25) who had mini gastric bypass or Gastric Sleeve Surgery were included in the study. A verbal suggestion was made to the CG to increase physical activity, but this suggestion was not taken into consideration. The exercise group participated in a supervised multicomponent exercise program, 3 days a week, nonconsecutively, lasting 60 minutes each, for 11 months, starting 1 month after surgery. All variables were tested with two-way ANOVA test according to the effect of exercises on body weight (BW), fat mass (FM), fat-free mass (FFM) and BMI. After completion of descriptive statistics (mean ± SD), an independent t test was used to examine between-group differences in anthropometric components at baseline. Accordingly, there was no significant difference between the groups at baseline, including age, BW, BMI, FM and FFM (p>.05). Both groups experienced significant initial BW and FM loss, but these changes did not differ significantly between groups (p>0.05). On the other hand, FFM changes showed significant differences between groups (p<.05). Although there was no statistical difference in BW, FM and BMI values of the exercise group and the control group in this study, the positive change in the FFM of the exercise group was found to be significant compared to the control group. This clearly shows the importance of exercise in our study.

References

  • Abdelaal, M., le Roux, C. W., & Docherty, N. G. (2017). Morbidity and mortality associated with obesity. Annals of translational medicine, 5(7).
  • Andre, L. D., Basso-Vanelli, R. P., Ricci, P. A., Di Thommazo-Luporini, L., de Oliveira, C. R., Haddad, G. F., Arena, R. (2021). Whole-body electrical stimulation as a strategy to improve functional capacity and preserver lean mass after bariatric surgery: a randomized triple-blind controlled trial. International Journal of Obesity, 45(7), 1476-1487.
  • Bellicha, A., Ciangura, C., Roda, C., Torcivia, A., Aron-Wisnewsky, J., Poitou, C., & Oppert, J.-M. (2022). Effect of exercise training after bariatric surgery: A 5-year follow-up study of a randomized controlled trial. PLos One, 17(7), e0271561.
  • Cawley, J. (2015). An economy of scales: A selective review of obesity's economic causes, consequences, and solutions. Journal of health economics, 43, 244-268.
  • Cawley, J., Biener, A., Meyerhoefer, C., Ding, Y., Zvenyach, T., Smolarz, B. G., & Ramasamy, A. (2021). Direct medical costs of obesity in the United States and the most populous states. Journal of managed care & specialty pharmacy, 27(3), 354-366.
  • Coen, P. M., & Goodpaster, B. H. (2016). A role for exercise after bariatric surgery? Diabetes, Obesity and Metabolism, 18(1), 16-23.
  • Daniels, P., Burns, R. D., Brusseau, T. A., Hall, M. S., Davidson, L., Adams, T. D., & Eisenman, P. (2018). Effect of a randomised 12-week resistance training programme on muscular strength, cross-sectional area and muscle quality in women having undergone Roux-en-Y gastric bypass. Journal of sports sciences, 36(5), 529-535.
  • De Lorenzo, A., Soldati, L., Sarlo, F., Calvani, M., Di Lorenzo, N., & Di Renzo, L. (2016). New obesity classification criteria as a tool for bariatric surgery indication. World journal of gastroenterology, 22(2), 681.
  • Fagevik Olsén, M., Wiklund, M., Sandberg, E., Lundqvist, S., & Dean, E. (2022). Long-term effects of physical activity prescription after bariatric surgery: A randomized controlled trial. Physiotherapy Theory and Practice, 38(11), 1591-1601.
  • Flegal, K. M., Kit, B. K., Orpana, H., & Graubard, B. I. (2013). Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. Jama, 309(1), 71-82.
  • Gonzalez, M., Gates, D. H., & Rosenblatt, N. J. (2020). The impact of obesity on gait stability in older adults. Journal of biomechanics, 100, 109585.
  • Guh, D. P., Zhang, W., Bansback, N., Amarsi, Z., Birmingham, C. L., & Anis, A. H. (2009). The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC public health, 9, 1-20.
  • Herring, L. Y., Stevinson, C., Carter, P., Biddle, S. J., Bowrey, D., Sutton, C., & Davies, M. J. (2017). The effects of supervised exercise training 12–24 months after bariatric surgery on physical function and body composition: a randomised controlled trial. International Journal of Obesity, 41(6), 909-916.
  • Huck, C. J. (2015). Effects of supervised resistance training on fitness and functional strength in patients succeeding bariatric surgery. The Journal of Strength & Conditioning Research, 29(3), 589-595.
  • Jakicic, J. M. (2009). The effect of physical activity on body weight. Obesity, 17(S3), S34-S38.
  • King, W. C., Chen, J.-Y., Belle, S. H., Courcoulas, A. P., Dakin, G. F., Elder, K. A., . . . Pories, W. J. (2016). Change in pain and physical function following bariatric surgery for severe obesity. Jama, 315(13), 1362-1371.
  • Lenz, M., Richter, T., & Mühlhauser, I. (2009). The morbidity and mortality associated with overweight and obesity in adulthood: a systematic review. Deutsches Ärzteblatt International, 106(40), 641.
  • McElroy, S. L., Kotwal, R., Malhotra, S., Nelson, E. B., Keck, P. E., & Nemeroff, C. B. (2004). Are mood disorders and obesity related? A review for the mental health professional. J Clin Psychiatry, 65(5), 634-651.
  • Metcalf, B., Rabkin, R. A., Rabkin, J. M., Metcalf, L. J., & Lehman-Becker, L. B. (2005). Weight loss composition: the effects of exercise following obesity surgery as measured by bioelectrical impedance analysis. Obesity surgery, 15(2), 183-186.
  • Miller, G., Hale, E., & Dunlap, G. (2015). Current evidence for physical activity in the bariatric surgery patient for weight loss success. Journal of Obesity & Weight Loss Therapy, 5(5).
  • Mundbjerg, L. H., Stolberg, C. R., Cecere, S., Bladbjerg, E. M., Funch‐Jensen, P., Gram, B., & Juhl, C. B. (2018). Supervised physical training improves weight loss after Roux‐en‐Y gastric bypass surgery: a randomized controlled trial. Obesity, 26(5), 828-837.
  • Petering, R., & Webb, C. W. (2009). Exercise, fluid, and nutrition recommendations for the postgastric bypass exerciser. Current sports medicine reports, 8(2), 92-97.
  • Puzziferri, N., Roshek, T. B., Mayo, H. G., Gallagher, R., Belle, S. H., & Livingston, E. H. (2014). Long-term follow-up after bariatric surgery: a systematic review. Jama, 312(9), 934-942.
  • Sabuncu, T., Bayram, F., Sönmez, A., Güldiken, S., Şahin, İ., Yılmaz, M., Eren, M. (2018). Bariatric surgery guide. Turkish Endocrinology and Metabolism Association publications, Ankara, Turkiye, 96.
  • Wang, Y. C., McPherson, K., Marsh, T., Gortmaker, S. L., & Brown, M. (2011). Health and economic burden of the projected obesity trends in the USA and the UK. The Lancet, 378(9793), 815-825.
Year 2023, , 392 - 397, 25.10.2023
https://doi.org/10.33438/ijdshs.1358231

Abstract

References

  • Abdelaal, M., le Roux, C. W., & Docherty, N. G. (2017). Morbidity and mortality associated with obesity. Annals of translational medicine, 5(7).
  • Andre, L. D., Basso-Vanelli, R. P., Ricci, P. A., Di Thommazo-Luporini, L., de Oliveira, C. R., Haddad, G. F., Arena, R. (2021). Whole-body electrical stimulation as a strategy to improve functional capacity and preserver lean mass after bariatric surgery: a randomized triple-blind controlled trial. International Journal of Obesity, 45(7), 1476-1487.
  • Bellicha, A., Ciangura, C., Roda, C., Torcivia, A., Aron-Wisnewsky, J., Poitou, C., & Oppert, J.-M. (2022). Effect of exercise training after bariatric surgery: A 5-year follow-up study of a randomized controlled trial. PLos One, 17(7), e0271561.
  • Cawley, J. (2015). An economy of scales: A selective review of obesity's economic causes, consequences, and solutions. Journal of health economics, 43, 244-268.
  • Cawley, J., Biener, A., Meyerhoefer, C., Ding, Y., Zvenyach, T., Smolarz, B. G., & Ramasamy, A. (2021). Direct medical costs of obesity in the United States and the most populous states. Journal of managed care & specialty pharmacy, 27(3), 354-366.
  • Coen, P. M., & Goodpaster, B. H. (2016). A role for exercise after bariatric surgery? Diabetes, Obesity and Metabolism, 18(1), 16-23.
  • Daniels, P., Burns, R. D., Brusseau, T. A., Hall, M. S., Davidson, L., Adams, T. D., & Eisenman, P. (2018). Effect of a randomised 12-week resistance training programme on muscular strength, cross-sectional area and muscle quality in women having undergone Roux-en-Y gastric bypass. Journal of sports sciences, 36(5), 529-535.
  • De Lorenzo, A., Soldati, L., Sarlo, F., Calvani, M., Di Lorenzo, N., & Di Renzo, L. (2016). New obesity classification criteria as a tool for bariatric surgery indication. World journal of gastroenterology, 22(2), 681.
  • Fagevik Olsén, M., Wiklund, M., Sandberg, E., Lundqvist, S., & Dean, E. (2022). Long-term effects of physical activity prescription after bariatric surgery: A randomized controlled trial. Physiotherapy Theory and Practice, 38(11), 1591-1601.
  • Flegal, K. M., Kit, B. K., Orpana, H., & Graubard, B. I. (2013). Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. Jama, 309(1), 71-82.
  • Gonzalez, M., Gates, D. H., & Rosenblatt, N. J. (2020). The impact of obesity on gait stability in older adults. Journal of biomechanics, 100, 109585.
  • Guh, D. P., Zhang, W., Bansback, N., Amarsi, Z., Birmingham, C. L., & Anis, A. H. (2009). The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC public health, 9, 1-20.
  • Herring, L. Y., Stevinson, C., Carter, P., Biddle, S. J., Bowrey, D., Sutton, C., & Davies, M. J. (2017). The effects of supervised exercise training 12–24 months after bariatric surgery on physical function and body composition: a randomised controlled trial. International Journal of Obesity, 41(6), 909-916.
  • Huck, C. J. (2015). Effects of supervised resistance training on fitness and functional strength in patients succeeding bariatric surgery. The Journal of Strength & Conditioning Research, 29(3), 589-595.
  • Jakicic, J. M. (2009). The effect of physical activity on body weight. Obesity, 17(S3), S34-S38.
  • King, W. C., Chen, J.-Y., Belle, S. H., Courcoulas, A. P., Dakin, G. F., Elder, K. A., . . . Pories, W. J. (2016). Change in pain and physical function following bariatric surgery for severe obesity. Jama, 315(13), 1362-1371.
  • Lenz, M., Richter, T., & Mühlhauser, I. (2009). The morbidity and mortality associated with overweight and obesity in adulthood: a systematic review. Deutsches Ärzteblatt International, 106(40), 641.
  • McElroy, S. L., Kotwal, R., Malhotra, S., Nelson, E. B., Keck, P. E., & Nemeroff, C. B. (2004). Are mood disorders and obesity related? A review for the mental health professional. J Clin Psychiatry, 65(5), 634-651.
  • Metcalf, B., Rabkin, R. A., Rabkin, J. M., Metcalf, L. J., & Lehman-Becker, L. B. (2005). Weight loss composition: the effects of exercise following obesity surgery as measured by bioelectrical impedance analysis. Obesity surgery, 15(2), 183-186.
  • Miller, G., Hale, E., & Dunlap, G. (2015). Current evidence for physical activity in the bariatric surgery patient for weight loss success. Journal of Obesity & Weight Loss Therapy, 5(5).
  • Mundbjerg, L. H., Stolberg, C. R., Cecere, S., Bladbjerg, E. M., Funch‐Jensen, P., Gram, B., & Juhl, C. B. (2018). Supervised physical training improves weight loss after Roux‐en‐Y gastric bypass surgery: a randomized controlled trial. Obesity, 26(5), 828-837.
  • Petering, R., & Webb, C. W. (2009). Exercise, fluid, and nutrition recommendations for the postgastric bypass exerciser. Current sports medicine reports, 8(2), 92-97.
  • Puzziferri, N., Roshek, T. B., Mayo, H. G., Gallagher, R., Belle, S. H., & Livingston, E. H. (2014). Long-term follow-up after bariatric surgery: a systematic review. Jama, 312(9), 934-942.
  • Sabuncu, T., Bayram, F., Sönmez, A., Güldiken, S., Şahin, İ., Yılmaz, M., Eren, M. (2018). Bariatric surgery guide. Turkish Endocrinology and Metabolism Association publications, Ankara, Turkiye, 96.
  • Wang, Y. C., McPherson, K., Marsh, T., Gortmaker, S. L., & Brown, M. (2011). Health and economic burden of the projected obesity trends in the USA and the UK. The Lancet, 378(9793), 815-825.
There are 25 citations in total.

Details

Primary Language English
Subjects Physical Activity and Health
Journal Section Original Article
Authors

Azize Bingöl Dıedhıou 0000-0002-7983-7190

Ayten Altunsaray 0000-0003-4965-5502

Early Pub Date October 17, 2023
Publication Date October 25, 2023
Published in Issue Year 2023

Cite

APA Bingöl Dıedhıou, A., & Altunsaray, A. (2023). Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 year Longitudinal Study. International Journal of Disabilities Sports and Health Sciences, 6(Special Issue 1- Healthy Life, Sports for Disabled people), 392-397. https://doi.org/10.33438/ijdshs.1358231
AMA Bingöl Dıedhıou A, Altunsaray A. Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 year Longitudinal Study. International Journal of Disabilities Sports &Health Sciences. October 2023;6(Special Issue 1- Healthy Life, Sports for Disabled people):392-397. doi:10.33438/ijdshs.1358231
Chicago Bingöl Dıedhıou, Azize, and Ayten Altunsaray. “Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 Year Longitudinal Study”. International Journal of Disabilities Sports and Health Sciences 6, no. Special Issue 1- Healthy Life, Sports for Disabled people (October 2023): 392-97. https://doi.org/10.33438/ijdshs.1358231.
EndNote Bingöl Dıedhıou A, Altunsaray A (October 1, 2023) Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 year Longitudinal Study. International Journal of Disabilities Sports and Health Sciences 6 Special Issue 1- Healthy Life, Sports for Disabled people 392–397.
IEEE A. Bingöl Dıedhıou and A. Altunsaray, “Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 year Longitudinal Study”, International Journal of Disabilities Sports &Health Sciences, vol. 6, no. Special Issue 1- Healthy Life, Sports for Disabled people, pp. 392–397, 2023, doi: 10.33438/ijdshs.1358231.
ISNAD Bingöl Dıedhıou, Azize - Altunsaray, Ayten. “Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 Year Longitudinal Study”. International Journal of Disabilities Sports and Health Sciences 6/Special Issue 1- Healthy Life, Sports for Disabled people (October 2023), 392-397. https://doi.org/10.33438/ijdshs.1358231.
JAMA Bingöl Dıedhıou A, Altunsaray A. Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 year Longitudinal Study. International Journal of Disabilities Sports &Health Sciences. 2023;6:392–397.
MLA Bingöl Dıedhıou, Azize and Ayten Altunsaray. “Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 Year Longitudinal Study”. International Journal of Disabilities Sports and Health Sciences, vol. 6, no. Special Issue 1- Healthy Life, Sports for Disabled people, 2023, pp. 392-7, doi:10.33438/ijdshs.1358231.
Vancouver Bingöl Dıedhıou A, Altunsaray A. Effects of Supervised Exercise on Body Composition in Patients Succeeding Bariatric Surgery 1 year Longitudinal Study. International Journal of Disabilities Sports &Health Sciences. 2023;6(Special Issue 1- Healthy Life, Sports for Disabled people):392-7.


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