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01.01.2011 | Physiology Research | Ausgabe 1/2011

Obesity Surgery 1/2011

Physical Fitness in Morbidly Obese Patients: Effect of Gastric Bypass Surgery and Exercise Training

Zeitschrift:
Obesity Surgery > Ausgabe 1/2011
Autoren:
Sanne Stegen, Wim Derave, Patrick Calders, Christophe Van Laethem, Piet Pattyn

Abstract

Background

There is a growing consensus that bariatric surgery is currently the most efficacious and long-term treatment for clinically severe obesity. However, it remains to be determined whether poor physical fitness, an important characteristic of these patients, improves as well. The purpose of this pilot study is to investigate the effect of gastric bypass surgery on physical fitness and to determine if an exercise program in the first 4 months is beneficial.

Methods

Fifteen morbidly obese patients (BMI 43.0 kg/m2) were tested before and 4 months after gastric bypass surgery. Eight of them followed a combined endurance and strength training program. Before and after 4 months the operation, anthropometrical characteristics were measured, and an extensive assessment of physical fitness (strength, aerobic, and functional capacity) was performed.

Results

Large-scale weight loss through gastric bypass surgery results in a decrease in dynamic and static muscle strength and no improvement of aerobic capacity. In contrast, an intensive exercise program could prevent the decrease and even induced an increase in strength of most muscle groups. Together with an improvement in aerobic capacity, functional capacity increased significantly. Both groups evolved equally with regard to body composition (decrease in fat mass and fat-free mass).

Conclusions

An exercise training program in the first 4 months after bariatric surgery is effective and should be promoted, considering the fact that physical fitness does not improve by weight loss only.

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