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Quality of Life Research

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25.07.2018

Physical training following gastric bypass: effects on physical activity and quality of life—a randomized controlled trial

Erschienen in: Quality of Life Research | Ausgabe 12/2018

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Abstract

Background

Obesity is associated with physical inactivity and impaired health-related quality of life (HRQoL). We aim to test the hypothesis that Roux-en-Y gastric bypass (RYGB) followed by supervised physical training improves physical activity (PA) levels and HRQoL.

Methods

Sixty patients, qualified for RYGB, were at 6 months post-surgery randomized to 26 weeks of a supervised physical training intervention (INT) or to a control (CON) group. PA was assessed by accelerometry and using the questionnaire RPAQ. HRQoL was measured by the SF-36 questionnaire. All assessments were performed pre-surgery and 6, 12, and 24 months post-surgery.

Results

RYGB did not improve objectively or self-reported PA, but improved all domains of SF-36 (all p < 0.01). Objectively measured light PA, moderate to vigorous PA, and step counts tended to increase in INT compared to CON 12 months after RYGB (0.05 < p < 0.09), but the effects failed to persist. The SF-36 domain “general health” increased in INT compared to CON 24 months after RYGB (p = 0.041).

Conclusion

RYGB improves HRQoL, but does not increase PA. Supervised physical training intervention improves general health 24 months after RYGB and tends to improve certain domains of PA right after the intervention period, but fails to increase the patients’ overall PA level over time. Clinical Trial Registration Registered at ClinicalTrials.gov—no. NCT01690728.

Pi-Sunyer, F. X. (1999). Comorbidities of overweight and obesity: Current evidence and research issues. Medicine & Science in Sports & Exercise, 31(11 Suppl), S602–S608.CrossRef

Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182.CrossRef

Afshin, A., Forouzanfar, M. H., Reitsma, M. B., Sur, P., Estep, K., Lee, A., et al. (2017). Health effects of overweight and obesity in 195 countries over 25 years. The New England Journal of Medicine, 377(1), 13–27. https://doi.org/10.1056/NEJMoa1614362.CrossRefPubMed

Sjöström, L., Narbro, K., Sjöström, C. D., Karason, K., Larsson, B., Wedel, H., et al. (2007). Effects of bariatric surgery on mortality in Swedish obese subjects. The New England Journal of Medicine, 357, 741–752. https://doi.org/10.1056/NEJMoa066254.CrossRefPubMed

Sjöström, L. (2008). Bariatric surgery and reduction in morbidity and mortality: experiences from the SOS study. International Journal of Obesity, 32(Suppl 7), S93–S97. https://doi.org/10.1038/ijo.2008.244.CrossRefPubMed

Karlsson, J., Taft, C., Ryden, A., Sjostrom, L., & Sullivan, M. (2007). Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: The SOS intervention study. International Journal of Obesity (London), 31(8), 1248–1261. https://doi.org/10.1038/sj.ijo.0803573.CrossRef

Hansen, B. H., Holme, I., Anderssen, S. A., & Kolle, E. (2013). Patterns of objectively measured physical activity in normal weight, overweight, and obese individuals (20–85 years): A cross-sectional study. PLoS ONE, 8(1), e53044. https://doi.org/10.1371/journal.pone.0053044.CrossRefPubMedPubMedCentral

Bond, D. S., Jakicic, J. M., Vithiananthan, S., Thomas, J. G., Leahey, T. M., Sax, H. C., et al. (2010). Objective quantification of physical activity in bariatric surgery candidates and normal-weight controls. Surgery for Obesity and Related Diseases, 6(1), 72–78. https://doi.org/10.1016/j.soard.2009.08.012.CrossRefPubMed

Kesaniemi, Y. K., Danforth, E. Jr., Jensen, M. D., Kopelman, P. G., Lefebvre, P., & Reeder, B. A. (2001). Dose-response issues concerning physical activity and health: An evidence-based symposium. Medicine & Science in Sports & Exercise, 33(6 Suppl), S351–S358.

10.

Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., et al. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1081–1093. https://doi.org/10.1161/CIRCULATIONAHA.107.185649.CrossRefPubMed

11.

Karmali, S., Brar, B., Shi, X., Sharma, A. M., de Gara, C., & Birch, D. W. (2013). Weight recidivism post-bariatric surgery: A systematic review. Obesity Surgery, 23(11), 1922–1933. https://doi.org/10.1007/s11695-013-1070-4.CrossRefPubMed

12.

Bond, D. S., Jakicic, J. M., Unick, J. L., Vithiananthan, S., Pohl, D., Roye, G. D., et al. (2010). Pre- to postoperative physical activity changes in bariatric surgery patients: Self report vs. objective measures. Obesity (Silver Spring), 18(12), 2395–2397. https://doi.org/10.1038/oby.2010.88.CrossRef

13.

Tully, M. A., Panter, J., & Ogilvie, D. (2014). Individual characteristics associated with mismatches between self-reported and accelerometer-measured physical activity. PLoS ONE, 9(6), e99636. https://doi.org/10.1371/journal.pone.0099636.CrossRefPubMedPubMedCentral

14.

Bond, D. S., Phelan, S., Wolfe, L. G., Evans, R. K., Meador, J. G., Kellum, J. M., et al. (2009). Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity (Silver Spring), 17(1), 78–83. https://doi.org/10.1038/oby.2008.501.CrossRef

15.

Colles, S. L., Dixon, J. B., & O’Brien, P. E. (2008). Hunger control and regular physical activity facilitate weight loss after laparoscopic adjustable gastric banding. Obesity Surgery, 18(7), 833–840. https://doi.org/10.1007/s11695-007-9409-3.CrossRefPubMed

16.

Sjöström, L., Lindroos, A.-K., Peltonen, M., Torgerson, J., Bouchard, C., Carlsson, B., et al. (2004). Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. The New England Journal of Medicine, 351, 2683–2693. https://doi.org/10.1056/NEJMoa035622.CrossRefPubMed

17.

Berglind, D., Willmer, M., Eriksson, U., Thorell, A., Sundbom, M., Udden, J., et al. (2015). Longitudinal assessment of physical activity in women undergoing Roux-en-Y gastric bypass. Obesity Surgery, 25(1), 119–125. https://doi.org/10.1007/s11695-014-1331-x.CrossRefPubMed

18.

King, W. C., Chen, J. Y., Bond, D. S., Belle, S. H., Courcoulas, A. P., Patterson, E. J., et al. (2015). Objective assessment of changes in physical activity and sedentary behavior: Pre- through 3 years post-bariatric surgery. Obesity (Silver Spring), 23(6), 1143–1150. https://doi.org/10.1002/oby.21106.CrossRef

19.

Herring, L. Y., Stevinson, C., Davies, M. J., Biddle, S. J., Sutton, C., Bowrey, D., et al. (2016). Changes in physical activity behaviour and physical function after bariatric surgery: A systematic review and meta-analysis. Obesity Reviews, 17(3), 250–261. https://doi.org/10.1111/obr.12361.CrossRefPubMed

20.

Shah, M., Snell, P. G., Rao, S., Adams-Huet, B., Quittner, C., Livingston, E. H., et al. (2011). High-volume exercise program in obese bariatric surgery patients: A randomized, controlled trial. Obesity (Silver Spring, Md.), 19, 1826–1834. https://doi.org/10.1038/oby.2011.172.CrossRef

21.

Coen, P. M., Tanner, C. J., Helbling, N. L., Dubis, G. S., Hames, K. C., Xie, H., et al. (2015). Clinical trial demonstrates exercise following bariatric surgery improves insulin sensitivity. The Journal of Clinical Investigation, 125(1), 248–257. https://doi.org/10.1172/JCI78016.CrossRefPubMed

22.

Herring, L. Y., Stevinson, C., Carter, P., Biddle, S. J., Bowrey, D., Sutton, C., et al. (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 (London). https://doi.org/10.1038/ijo.2017.60.CrossRef

23.

Coleman, K. J., Caparosa, S. L., Nichols, J. F., Fujioka, K., Koebnick, C., McCloskey, K. N., et al. (2017). Understanding the capacity for exercise in post-bariatric patients. Obesity Surgery, 27(1), 51–58. https://doi.org/10.1007/s11695-016-2240-y.CrossRefPubMed

24.

Hassannejad, A., Khalaj, A., Mansournia, M. A., Rajabian Tabesh, M., & Alizadeh, Z. (2017). The effect of aerobic or aerobic-strength exercise on body composition and functional capacity in patients with BMI ≥ 35 after Bariatric Surgery: A Randomized Control Trial. Obesity Surgery. https://doi.org/10.1007/s11695-017-2717-3.CrossRefPubMed

25.

Carnero, E. A., Dubis, G. S., Hames, K. C., Jakicic, J. M., Houmard, J. A., Coen, P. M., et al. (2017). Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB. Obesity (Silver Spring), 25(7), 1206–1216. https://doi.org/10.1002/oby.21864.CrossRef

26.

Bize, R., Johnson, J. A., & Plotnikoff, R. C. (2007). Physical activity level and health-related quality of life in the general adult population: A systematic review. Preventive Medicine, 45(6), 401–415. https://doi.org/10.1016/j.ypmed.2007.07.017.CrossRefPubMed

27.

Brown, D. W., Balluz, L. S., Heath, G. W., Moriarty, D. G., Ford, E. S., Giles, W. H., et al. (2003). Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey. Preventive Medicine, 37(5), 520–528.CrossRef

28.

Mundbjerg, L. H., Stolberg, C. R., Cecere, S., Bladbjerg, E. M., Funch-Jensen, P., Gram, B., et al. (2018). Supervised physical training improves weight loss after Roux-en-Y Gastric Bypass Surgery: A Randomized Controlled Trial. Obesity, 26(5), 828–837. https://doi.org/10.1002/oby.22143. doi.CrossRefPubMed

29.

Tudor-Locke, C., Brashear, M. M., Johnson, W. D., & Katzmarzyk, P. T. (2010). Accelerometer profiles of physical activity and inactivity in normal weight, overweight, and obese U.S. men and women. International Journal of Behavioral Nutrition and Physical Activity, 7, 60. https://doi.org/10.1186/1479-5868-7-60.CrossRefPubMed

30.

Besson, H., Brage, S., Jakes, R. W., Ekelund, U., & Wareham, N. J. (2010). Estimating physical activity energy expenditure, sedentary time, and physical activity intensity by self-report in adults. American Journal of Clinical Nutrition, 91, 106–114. https://doi.org/10.3945/ajcn.2009.28432.CrossRefPubMed

31.

Ainsworth, B. E., Haskell, W. L., Leon, A. S., Jacobs, D. R. Jr., Montoye, H. J., Sallis, J. F., et al. (1993). Compendium of physical activities: Classification of energy costs of human physical activities. Medicine & Science in Sports & Exercise, 25(1), 71–80.CrossRef

32.

Bjorner, J. B., Thunedborg, K., Kristensen, T. S., Modvig, J., & Bech, P. (1998). The Danish SF-36 Health Survey: Translation and preliminary validity studies. Journal of Clinical Epidemiology, 51, 991–999.CrossRef

33.

Donnelly, J. E., Blair, S. N., Jakicic, J. M., Manore, M. M., Rankin, J. W., & Smith, B. K. (2009). American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise, 41(2), 459–471. https://doi.org/10.1249/MSS.0b013e3181949333.CrossRef

34.

Bond, D. S., Vithiananthan, S., Thomas, J. G., Trautvetter, J., Unick, J. L., Jakicic, J. M., et al. (2015). Bari-Active: A randomized controlled trial of a preoperative intervention to increase physical activity in bariatric surgery patients. Surgery for Obesity and Related Diseases, 11(1), 169–177. https://doi.org/10.1016/j.soard.2014.07.010.CrossRefPubMed

35.

Bond, D. S. (2017). Intervention-related increases in preoperative physical activity are maintained 6-months after Bariatric surgery: Results from the bari-active trial. International Journal of Obesity, 41(3), 467–470. https://doi.org/10.1038/ijo.2016.237.CrossRefPubMed

36.

van den Hoek, D. J., Miller, C. T., Fraser, S. F., Selig, S. E., & Dixon, J. B. (2017). Does exercise training augment improvements in quality of life induced by energy restriction for obese populations? A systematic review. Quality of Life Research. https://doi.org/10.1007/s11136-017-1602-9.CrossRefPubMed

37.

Bond, D. S., Thomas, J. G., King, W. C., Vithiananthan, S., Trautvetter, J., Unick, J. L., et al. (2015). Exercise improves quality of life in bariatric surgery candidates: results from the Bari-Active trial. Obesity (Silver Spring), 23(3), 536–542. https://doi.org/10.1002/oby.20988.CrossRef

38.

Kolotkin, R. L., Davidson, L. E., Crosby, R. D., Hunt, S. C., & Adams, T. D. (2012). Six-year changes in health-related quality of life in gastric bypass patients versus obese comparison groups. Surgery for Obesity and Related Diseases, 8(5), 625–633. https://doi.org/10.1016/j.soard.2012.01.011.CrossRefPubMedPubMedCentral

Titel: Physical training following gastric bypass: effects on physical activity and quality of life—a randomized controlled trial
Publikationsdatum: 25.07.2018
Erschienen in: Quality of Life Research / Ausgabe 12/2018
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-1938-9

Springer Medizin

Abstract

Background

Methods

Results

Conclusion

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