Fabiane Monteiro1,2, Diego A N Ponce1, Humberto Silva1, Fabio Pitta3,4,5, Alexandre J F Carrilho2,6. 1. Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Departamento de Fisioterapia, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil. 2. Programa de Doutorado em Ciências da Saúde, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil. 3. Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Departamento de Fisioterapia, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil. fabiopitta@uol.com.br. 4. Programa de Doutorado em Ciências da Saúde, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil. fabiopitta@uol.com.br. 5. Departamento de Fisioterapia - CCS, Hospital Universitário de Londrina, Rua Robert Koch, 60, Vila Operaria, Londrina, Paraná, 86038-350, Brazil. fabiopitta@uol.com.br. 6. Disciplina de Endocrinologia, Departamento de Clínica Médica, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil.
Abstract
OBJECTIVES: This study aimed to evaluate physical function (PF), quality of life (QOL), and energy expenditure (EE) during activities of daily living (ADL) in late outcome post-bariatric surgery (BS) patients and to compare them to severe obese individuals and matched controls. METHODS: Sixty-three subjects were included: 21 patients in post-operative (PO) of BS (3-4 years post-Roux-en-Y gastric bypass) with a stable weight for at least 6 months (16 women, 41 ± 11 years old, BMI = 28 ± 4 kg m-2) (group PO); 21 obese individuals with BS indication (16 women, 44 ± 9 years old, BMI = 44 ± 6 kg m-2) (group OB); and 21 controls matched to PO by gender, age, and BMI (16 women, 42 ± 12 years old, BMI = 27 ± 6 kg m-2) (group MC). PF was objectively assessed by the Glittre and modified Glittre ADL-tests. QOL (SF-36), EE (activity monitoring during ADL), and body composition (bioelectrical impedance) were also assessed. RESULTS: OB had worse PF (Glittre ADL-test) compared to PO and MC (OB = 224 ± 76 s; PO = 143 ± 39 s; and MC = 118 ± 17 s; p < 0.0001). The same was observed for QOL (p < 0.05 for all SF-36 domains). OB also had higher total EE in the Glittre ADL-test. However, 63% of the activity time was in low-intensity EE. In the Glittre modified protocol, OB had poorer performance than PO and MC when walking up/downstairs, rising/sitting in a chair, and moving objects on a shelf. CONCLUSIONS: Post-BS patients have better PF and QOL and perform activities under lower total EE than obese subjects, very similar to matched controls.
OBJECTIVES: This study aimed to evaluate physical function (PF), quality of life (QOL), and energy expenditure (EE) during activities of daily living (ADL) in late outcome post-bariatric surgery (BS) patients and to compare them to severe obese individuals and matched controls. METHODS: Sixty-three subjects were included: 21 patients in post-operative (PO) of BS (3-4 years post-Roux-en-Y gastric bypass) with a stable weight for at least 6 months (16 women, 41 ± 11 years old, BMI = 28 ± 4 kg m-2) (group PO); 21 obese individuals with BS indication (16 women, 44 ± 9 years old, BMI = 44 ± 6 kg m-2) (group OB); and 21 controls matched to PO by gender, age, and BMI (16 women, 42 ± 12 years old, BMI = 27 ± 6 kg m-2) (group MC). PF was objectively assessed by the Glittre and modified Glittre ADL-tests. QOL (SF-36), EE (activity monitoring during ADL), and body composition (bioelectrical impedance) were also assessed. RESULTS: OB had worse PF (Glittre ADL-test) compared to PO and MC (OB = 224 ± 76 s; PO = 143 ± 39 s; and MC = 118 ± 17 s; p < 0.0001). The same was observed for QOL (p < 0.05 for all SF-36 domains). OB also had higher total EE in the Glittre ADL-test. However, 63% of the activity time was in low-intensity EE. In the Glittre modified protocol, OB had poorer performance than PO and MC when walking up/downstairs, rising/sitting in a chair, and moving objects on a shelf. CONCLUSIONS: Post-BS patients have better PF and QOL and perform activities under lower total EE than obese subjects, very similar to matched controls.
Entities:
Keywords:
Activities of daily living; Bariatric surgery; Energy metabolism; Motor activity; Obesity; Physical analysis; Physical fitness
Authors: Roberto Coelho Netto da Cunha Costa; Nagamassa Yamaguchi; Marco Aurelio Santo; Daniel Riccioppo; Paulo Engler Pinto-Junior Journal: Arq Gastroenterol Date: 2014 Jul-Sep
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