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Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation

Year 2023, Volume: 8 Issue: 2, 264 - 278, 30.06.2023

Meral Küçük Yetgin , Shahla Ray , Halit Eren Taşkın , David Koceja , Koichi Kitano , James Bradley Ray , Wilhelmina Raver

https://doi.org/10.25307/jssr.1246992

Abstract

The purpose of this study was to evaluate the effect of rapid weight loss on static balance and functional mobility among excessively obese patients undergoing Laparoscopic Adjustable Gastric Banding (LAGB) surgery. Subjects (8 females; BMI >35 kg/m2) underwent baseline measurements before LAGB surgery, followed by subsequent evaluations at 6 weeks, 12 weeks, and 24 weeks during the follow-up appointments. During each evaluation, various assessments were conducted, including measurements of anthropometry such as body weight, height, hip and waist circumference, as well as functional tests for static balance, 10-meter walk, and timed get-up-and-go. There were statistically significant changes in weight, BMI, waist circumference, hip circumference, abdominal circumference, waist-hip ratio, static sway eyes open, timed up-and-go, 10-meter walk, and steps in 10-meter walk test values (p<0.001) between the baseline and the postoperative measurements. However static sway values under eyes closed condition were not statistically significant. In the 24-week follow-up, the weight loss, reduction in abdominal circumference, increase in walking speed against time and step count, and recovery in functional movements were shown to persist. Also, reduction in static balance surface oscillation confirmed the improvement of balance control.

Keywords

Static balance Functional mobility Bariatric surgery Obesity Rapid body weight loss

References

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Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation

Year 2023, Volume: 8 Issue: 2, 264 - 278, 30.06.2023

Meral Küçük Yetgin , Shahla Ray , Halit Eren Taşkın , David Koceja , Koichi Kitano , James Bradley Ray , Wilhelmina Raver

https://doi.org/10.25307/jssr.1246992

Abstract

The purpose of this study was to evaluate the effect of rapid weight loss on static balance and functional mobility among excessively obese patients undergoing Laparoscopic Adjustable Gastric Banding (LAGB) surgery. Subjects (8 females; BMI >35 kg/m2) underwent baseline measurements before LAGB surgery, followed by subsequent evaluations at 6 weeks, 12 weeks, and 24 weeks during the follow-up appointments. During each evaluation, various assessments were conducted, including measurements of anthropometry such as body weight, height, hip and waist circumference, as well as functional tests for static balance, 10-meter walk, and timed get-up-and-go. There were statistically significant changes in weight, BMI, waist circumference, hip circumference, abdominal circumference, waist-hip ratio, static sway eyes open, timed up-and-go, 10-meter walk, and steps in 10-meter walk test values (p<0.001) between the baseline and the postoperative measurements. However static sway values under eyes closed condition were not statistically significant. In the 24-week follow-up, the weight loss, reduction in abdominal circumference, increase in walking speed against time and step count, and recovery in functional movements were shown to persist. Also, reduction in static balance surface oscillation confirmed the improvement of balance control.

Keywords

Static balance Functional mobility Bariatric surgery Obesity Rapid body weight loss

References

  • Alberti, K. G. M., Zimmet, P., & Shaw, J. (2005). The metabolic syndrome—a new worldwide definition. The Lancet, 366(9491), 1059-1062. https://doi.org/10.1016/S0140-6736(05)67402-8
  • Alice, A., Yadav, M., Verma, R., Kumari, M., & Arora, S. (2022). Effect of obesity on balance: A literature review. International Journal of Health Sciences, 6(S4), 3261–3279. https://doi.org/10.53730/ijhs.v6nS4.9126
  • Basdevant, A. (2008). Obesity: Pathophysiological concepts. Joint Bone Spine, 75(6), 665-666. https://doi.org/10.1016/j.jbspin.2008.06.007
  • Beck, T. J., Petit, M. A., Wu, G., LeBoff, M. S., Cauley, J. A., & Chen, Z. (2009). Does obesity really make the femur stronger? BMD, geometry, and fracture incidence in the women's health initiative‐observational study. Journal of Bone and Mineral Research, 24(8), 1369-1379. https://doi.org/10.1359/jbmr.090307
  • Błaszczyk, J. W., Cieślinska-Świder, J., Plewa, M., Zahorska-Markiewicz, B., & Markiewicz, A. (2009). Effects of excessive body weight on postural control. Journal of Biomechanics, 42(9), 1295-1300. https://doi.org/10.1016/j.jbiomech.2009.03.006
  • Buchwald, H., & Oien, D. M. (2009). Metabolic/bariatric surgery worldwide 2008. Obesity Surgery, 19, 1605-1611. https://doi.org/10.1007/s11695-009-0014-5
  • Buchwald, H., Avidor, Y., Braunwald, E., Jensen, M. D., Pories, W., Fahrbach, K., & Schoelles, K. (2004). Bariatric surgery: A systematic review and meta-analysis. JAMA, 292(14), 1724-1737. https://doi.org/10.1001/jama.292.14.1724
  • Cau, N., Cimolin, V., Galli, M., Precilios, H., Tacchini, E., Santovito, C., & Capodaglio, P. (2014). Center of pressure displacements during gait initiation in individuals with obesity. Journal of Neuroengineering and Rehabilitation, 11(1), 1-8. http://www.jneuroengrehab.com/content/11/1/82
  • Dutil, M., Handrigan, G. A., Corbeil, P., Cantin, V., Simoneau, M., Teasdale, N., & Hue, O. (2013). The impact of obesity on balance control in community-dwelling older women. Age, 35, 883-890. https://doi.org/10.1007/s11357-012-9386-x
  • Eisenberg, D, Shikora S.A., Aarts, E., Aminian, A., Angrisani, L., Cohen, R.V., De Luca, M., Faria, S.L., Goodpaster, K.P.S., Haddad, A., Himpens, J.M., Kow, L., Kurian, M., Loi, K., Mahawar, K., Nimeri, A., O'Kane, M., Papasavas, P.K., Ponce, J., Pratt, J.S.A., Rogers, A.M., Steele, K.E., Suter, M., Kothari, S.N. (2022). American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for Metabolic and Bariatric Surgery. Surgery for Obesity and Related Diseases (SOARD), 18(12), 1345-1356. https://doi.org/10.1016/j.soard.2022.08.013.
  • Emara, A., Mahmoud, S., & Emira, M. (2020). Effect of body weight on static and dynamic posturography. The Egyptian Journal of Otolaryngology, 36, 1-8. https://doi.org/10.1186/s43163-020-00012-6
  • English, W. J., & Williams, D. B. (2018). Metabolic and bariatric surgery: An effective treatment option for obesity and cardiovascular disease. Progress in Cardiovascular Diseases, 61(2), 253-269. https://doi.org/10.1016/j.pcad.2018.06.003
  • Freeman, L., Brown, W. A., Korin, A., Pilgrim, C. H., Smith, A., & Nottle, P. (2011). An approach to the assessment and management of the laparoscopic adjustable gastric band patient in the emergency department. Emergency Medicine Australasia, 23(2), 186-194. https://doi.org/10.1111/j.1742-6723.2011.01396.x
  • Handrigan, G., Hue, O., Simoneau, M., Corbeil, P., Marceau, P., Marceau, S., ... & Teasdale, N. (2010). Weight loss and muscular strength affect static balance control. International Journal of Obesity, 34(5), 936-942. https://doi.org/10.1038/ijo.2009.300
  • Himes, C. L., & Reynolds, S. L. (2012). Effect of obesity on falls, injury, and disability. Journal of the American Geriatrics Society, 60(1), 124-129. https://doi.org/10.1111/j.1532-5415.2011.03767.x
  • Horak, F. B. (2006). Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls?. Age and Ageing, 35(suppl-2), 7-11. https://doi.org/10.1093/ageing/afl077
  • Hue, O., Berrigan, F., Simoneau, M., Marcotte, J., Marceau, P., Marceau, S., ... & Teasdale, N. (2008). Muscle force and force control after weight loss in obese and morbidly obese men. Obesity Surgery, 18, 1112-1118. https://doi.org/10.1007/s11695-008-9597-5
  • Hue, O., Simoneau, M., Marcotte, J., Berrigan, F., Doré, J., Marceau, P., ... & Teasdale, N. (2007). Body weight is a strong predictor of postural stability. Gait & Posture, 26(1), 32-38. https://doi.org/10.1016/j.gaitpost.2006.07.005
  • Jadelis, K., Miller, M. E., Ettinger Jr, W. H., & Messier, S. P. (2001). Strength, balance, and the modifying effects of obesity and knee pain: Results from the Observational Arthritis Study in Seniors (OASIS). Journal of the American Geriatrics Society, 49(7), 884-891. https://doi.org/10.1046/j.1532-5415.2001.49178.x
  • Kerkez, F. I., Kızılay, F., & Aslan, C. (2013). Relationship between body mass index and postural dynamic balance among 35-45 aged women. Sport Sciences, 8, 57-64. https://doi.org/10.12739/NWSA.2013.8.4.2B0095
  • King, W. C., Chen, J. Y., Belle, S. H., Courcoulas, A. P., Dakin, G. F., Elder, K. A., ... & Yanovski, S. Z. (2016). Change in pain and physical function following bariatric surgery for severe obesity. JAMA, 315(13), 1362-1371. https://doi.org 10.1001/jama.2016.3010
  • Kushner, R. F., & Foster, G. D. (2000). Obesity and quality of life. Nutrition, 16(10), 947-952. https://doi.org/10.1016/S0899-9007(00)00404-4
  • Kwan, M. L., John, E. M., Caan, B. J., Lee, V. S., Bernstein, L., Cheng, I., ... & Wu, A. H. (2014). Obesity and mortality after breast cancer by race/ethnicity: The California Breast Cancer Survivorship Consortium. American Journal of Epidemiology, 179(1), 95-111. https://doi.org/10.1093/aje/kwt233
  • Lee, J. J., Hong, D. W., Lee, S. A., Soh, Y., Yang, M., Choi, K. M., ... & Chon, J. (2020). Relationship between obesity and balance in the community-dwelling elderly population: A cross-sectional analysis. American Journal of Physical Medicine & Rehabilitation, 99(1), 65-70. https://doi.org 10.1097/PHM.0000000000001292
  • Maktouf, W., Boyas, S., Beaune, B., & Durand, S. (2020). Differences in lower extremity muscular coactivation during postural control between healthy and obese adults. Gait & Posture, 81, 197-204. https://doi.org/10.1016/j.gaitpost.2020.07.068
  • Matrangola, S. L., & Madigan, M. L. (2011). The effects of obesity on balance recovery using an ankle strategy. Human Movement Science, 30(3), 584-595. https://doi.org/10.1016/j.humov.2010.11.007
  • McBride, C. L., & Kothari, V. (2011). Evolution of laparoscopic adjustable gastric banding. Surgical Clinics, 91(6), 1239-1247. https://doi.org/10.1016/j.suc.2011.08.006
  • Mignardot, J. B., Olivier, I., Promayon, E., & Nougier, V. (2013). Origins of balance disorders during a daily living movement in obese: can biomechanical factors explain everything?. PLoS One, 8(4), e60491. https://doi.org/10.1371/journal.pone.0060491
  • Miller, E. M., Matrangola, S. L., & Madigan, M. L. (2011). Effects of obesity on balance recovery from small postural perturbations. Ergonomics, 54(6), 547-554. https://doi.org/10.1080/00140139.2011.582959
  • Moore, H., & Boltong, A. (2011). Don't fall for weight: A systematic review of weight status and falls. Nutrition & Dietetics, 68(4), 273-279. https://doi.org/10.1111/j.1747-0080.2011.01557.x
  • Nordin, E., Lindelöf, N., Rosendahl, E., Jensen, J., & Lundin-Olsson, L. (2008). Prognostic validity of the Timed Up-and-Go test, a modified Get-Up-and-Go test, staff's global judgement and fall history in evaluating fall risk in residential care facilities. Age and Ageing, 37(4), 442-448. https://doi.org/10.1093/ageing/afn101
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There are 50 citations in total.

Details

Primary Language English
Subjects Sports Medicine
Journal Section Original Article
Authors

Meral Küçük Yetgin 0000-0002-4916-5661

Shahla Ray 0000-0002-0247-0466

Halit Eren Taşkın 0000-0002-1388-5616

David Koceja 0000-0002-5570-0851

Koichi Kitano 0000-0002-9962-7836

James Bradley Ray 0000-0001-7313-0357

Wilhelmina Raver 0000-0001-8931-8020

Early Pub Date May 27, 2023
Publication Date June 30, 2023
Acceptance Date May 5, 2023
Published in Issue Year 2023 Volume: 8 Issue: 2

Cite

APA Küçük Yetgin, M., Ray, S., Taşkın, H. E., Koceja, D., et al. (2023). Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation. Journal of Sport Sciences Research, 8(2), 264-278. https://doi.org/10.25307/jssr.1246992
AMA Küçük Yetgin M, Ray S, Taşkın HE, Koceja D, Kitano K, Ray JB, Raver W. Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation. JSSR. June 2023;8(2):264-278. doi:10.25307/jssr.1246992
Chicago Küçük Yetgin, Meral, Shahla Ray, Halit Eren Taşkın, David Koceja, Koichi Kitano, James Bradley Ray, and Wilhelmina Raver. “Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals After Laparoscopic Adjustable Gastric Banding Operation”. Journal of Sport Sciences Research 8, no. 2 (June 2023): 264-78. https://doi.org/10.25307/jssr.1246992.
EndNote Küçük Yetgin M, Ray S, Taşkın HE, Koceja D, Kitano K, Ray JB, Raver W (June 1, 2023) Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation. Journal of Sport Sciences Research 8 2 264–278.
IEEE M. Küçük Yetgin, S. Ray, H. E. Taşkın, D. Koceja, K. Kitano, J. B. Ray, and W. Raver, “Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation”, JSSR, vol. 8, no. 2, pp. 264–278, 2023, doi: 10.25307/jssr.1246992.
ISNAD Küçük Yetgin, Meral et al. “Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals After Laparoscopic Adjustable Gastric Banding Operation”. Journal of Sport Sciences Research 8/2 (June 2023), 264-278. https://doi.org/10.25307/jssr.1246992.
JAMA Küçük Yetgin M, Ray S, Taşkın HE, Koceja D, Kitano K, Ray JB, Raver W. Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation. JSSR. 2023;8:264–278.
MLA Küçük Yetgin, Meral et al. “Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals After Laparoscopic Adjustable Gastric Banding Operation”. Journal of Sport Sciences Research, vol. 8, no. 2, 2023, pp. 264-78, doi:10.25307/jssr.1246992.
Vancouver Küçük Yetgin M, Ray S, Taşkın HE, Koceja D, Kitano K, Ray JB, Raver W. Effect of Rapid Body Weight Loss on Balance and Functional Mobility in Obese Individuals after Laparoscopic Adjustable Gastric Banding Operation. JSSR. 2023;8(2):264-78.
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