Andréa Daiane Fontana1, Alexandre Dias Lopes1,2, Adriana Claudia Lunardi3,4. 1. Universidade Cidade de São Paulo, São Paulo, São Paulo, Brazil. 2. Department of Physical Therapy, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, USA. 3. Universidade Cidade de São Paulo, São Paulo, São Paulo, Brazil. adriana.lunardi@unicid.edu.br. 4. Department of Physical Therapy of School of Medicine, University of Sao Paulo, São Paulo, São Paulo, Brazil. adriana.lunardi@unicid.edu.br.
Abstract
AIM: To evaluate the association of moderate-to-intense physical activity with the effects of bariatric surgery on weight loss, level of activities of daily living, dyspnea, and quality of life in sedentary individuals with grade II and III obesity. METHOD: Seventy-eight candidates for bariatric surgery were evaluated for anthropometry, dyspnea, quality of life, level of activities of daily living, and physical activity. After surgery, all patients were instructed to perform moderate-to-intense physical activity. All 78 patients were reassessed 6 months after bariatric surgery, and 52 patients were reassessed 3 years after bariatric surgery. RESULTS: Adherence to physical activity during the postoperative period was 36% at 6 months and 38% at 3 years. Compared with the patients who did not adhere to physical activity, weight loss was higher in the adherent patients at 6 months (29 ± 4% vs. 26 ± 5%; p = 0.01) and 3 years (32 ± 8% vs. 26 ± 6%, p = 0.005). The level of activities of daily living and quality of life also improved in the patients that adhered to physical activity at both 6 months and 3 years after bariatric surgery. However, no difference in dyspnea was observed between the adherent and non-adherent patients. Adherence to physical activity was an independent factor for postoperative weight loss. CONCLUSION: Moderate-to-intense physical activity after bariatric surgery increases weight loss, quality of life, and level of activities of daily living, but does not directly influence dyspnea in individuals with morbid obesity.
AIM: To evaluate the association of moderate-to-intense physical activity with the effects of bariatric surgery on weight loss, level of activities of daily living, dyspnea, and quality of life in sedentary individuals with grade II and III obesity. METHOD: Seventy-eight candidates for bariatric surgery were evaluated for anthropometry, dyspnea, quality of life, level of activities of daily living, and physical activity. After surgery, all patients were instructed to perform moderate-to-intense physical activity. All 78 patients were reassessed 6 months after bariatric surgery, and 52 patients were reassessed 3 years after bariatric surgery. RESULTS: Adherence to physical activity during the postoperative period was 36% at 6 months and 38% at 3 years. Compared with the patients who did not adhere to physical activity, weight loss was higher in the adherent patients at 6 months (29 ± 4% vs. 26 ± 5%; p = 0.01) and 3 years (32 ± 8% vs. 26 ± 6%, p = 0.005). The level of activities of daily living and quality of life also improved in the patients that adhered to physical activity at both 6 months and 3 years after bariatric surgery. However, no difference in dyspnea was observed between the adherent and non-adherent patients. Adherence to physical activity was an independent factor for postoperative weight loss. CONCLUSION: Moderate-to-intense physical activity after bariatric surgery increases weight loss, quality of life, and level of activities of daily living, but does not directly influence dyspnea in individuals with morbid obesity.
Authors: John A Batsis; Lydia E Gill; Rebecca K Masutani; Anna M Adachi-Mejia; Heather B Blunt; Pamela J Bagley; Francisco Lopez-Jimenez; Stephen J Bartels Journal: J Am Geriatr Soc Date: 2016-09-19 Impact factor: 5.562
Authors: Daniel C Souza; Fernando Wegner; Lucíola C M Costa; Luciana D Chiavegato; Adriana C Lunardi Journal: Braz J Phys Ther Date: 2017-04-09 Impact factor: 3.377
Authors: Rebeca Rocha de Almeida; Márcia Ferreira Cândido de Souza; Dihogo Gama de Matos; Larissa Monteiro Costa Pereira; Victor Batista Oliveira; Joselina Luzia Menezes Oliveira; José Augusto Soares Barreto-Filho; Marcos Antonio Almeida-Santos; Raphael Fabrício de Souza; Aristela de Freitas Zanona; Victor Machado Reis; Felipe J Aidar; Antônio Carlos Sobral Sousa Journal: Int J Environ Res Public Health Date: 2019-11-27 Impact factor: 3.390