Effects of physical activity programmes in severe obesity before and after bariatric surgery: a current framework

Authors

  • Manuel Moya-Ramón Asociación Española de Ciencias del Deporte
  • Inés Picó-Sirvent
  • Adolfo Aracil-Marco

Abstract

Bariatric surgery is considered the gold-standard therapeutic intervention for severe obesity, a form of obesity that is steadily increasing in Western societies. However, surgery must be accompanied by interventions aimed at changing the patients’ lifestyle, with special emphasis on increasing their physical activity levels. The optimal characteristic of physical activity programmes for bariatric surgery patients are largely unknown. This review summarizes the main effects on body composition and physical condition of physical activity programmes developed, both in patients awaiting bariatric surgery or after surgery. Recent research shows that in addition to moderate-to-vigorous aerobic exercise (the form of exercise commonly recommended for this population), strength training may help to avoid the loss of fat-free mass associated to surgery and the extreme dietetic restrictions usually prescribed to these patients. However, heterogeneity in: a) study design; b) components of the physical activity programme; c) sample characteristics; d) outcomes measured; and e) time of recruitment, still limits the possibility of obtaining a clear picture of the effects of physical activity programmes in this population.

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References

Al-Hazzaa, H. M. (2016). Physical activity prescription before bariatric surgery: Feasibility, health impacts, and practical implications. Saudi Journal of Obesity, 4(1), 3–12. http://doi.org/10.4103/2347-2618.184935.

Baillot, A., Audet, M., Baillargeon, J. P., Dionne, I. J., Valiquette, L., Rosa-Fortin, M. M., … Langlois, M. F. (2014). Impact of physical activity and fitness in class II and III obese individuals: a systematic review. Obesity Reviews, 15(9), 721–739. http://doi.org/10.1111/obr.12171.

Baillot, A., Boissy, P., Tousignant, M., & Langlois, M.-F. (2017b). Feasibility and effect of in-home physical exercise training delivered via telehealth before bariatric surgery. Journal of Telemedicine and Telecare, 23(5), 529–535. http://doi.org/10.1177/1357633X16653511.

Baillot, A., Mampuya, W. M., Comeau, E., Méziat-Burdin, A., & Langlois, M. F. (2013). Feasibility and Impacts of Supervised Exercise Training in Subjects with Obesity Awaiting Bariatric Surgery: a Pilot Study. Obesity Surgery, 23(7), 882–891. http://doi.org/10.1007/s11695-013-0875-5.

Baillot, A., Mampuya, W. M., Dionne, I. J., Comeau, E., Méziat-Burdin, A., & Langlois, M. F. (2016). Impacts of Supervised Exercise Training in Addition to Interdisciplinary Lifestyle Management in Subjects Awaiting Bariatric Surgery: a Randomized Controlled Study. Obesity Surgery, 26(11), 2602–2610. http://doi.org/10.1007/s11695-016-2153-9.

Baillot, A., Vallée, C.-A., Mampuya, W. M., Dionne, I. J., Comeau, E., Méziat-Burdin, A., & Langlois, M.-F. (2017a). Effects of a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study. Obesity Surgery, 28(4), 955–962. http://doi.org/10.1007/s11695-017-2943-8.

Bond, D. S., Thomas, J. G., King, W. C., Vithiananthan, S., Trautvetter, J., Unick, J. L., … Wing, R. R. (2015). Exercise Improves Quality of Life in Bariatric Surgery Candidates: Results from the Bari-Active Trial. Obesity, 23(3), 536–542. http://doi.org/10.1002/oby.20988.

Bond, D. S., Vithiananthan, S., Thomas, J. G., Trautvetter, J., Unick, J. L., Jakicic, J. M., … Wing, R. R. (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 : Official Journal of the American Society for Bariatric Surgery, 11(1), 169–77. http://doi.org/10.1016/j.soard.2014.07.010.

Bray, G. A., Frühbeck, G., Ryan, D. H., & Wilding, J. P. H. (2016). Management of obesity. The Lancet, 387(10031), 1947–1956. http://doi.org/10.1016/S0140-6736(16)00271-3.

Colquitt Jill, L., Pickett, K., Loveman, E., & Frampton Geoff, K. (2014). Surgery for weight loss in adults. Cochrane Database of Systematic Reviews, (8), CD003641. http://doi.org/10.1002/14651858.CD003641.pub4.

Delgado Floody, P., Caamaño Navarrete, F., Jerez Mayorga, D., Campos Jara, C., Ramírez Campillo, R., Osorio Poblete, A., … Saldivia Mansilla, C. (2015a). Efectos de un programa de tratamiento multidisciplinar en obesos mórbidos y obesos con comorbilidades candidatos a cirugía bariátrica. Nutrición Hospitalaria, 31(5), 2011–2016. http://doi.org/10.3305/nh.2015.31.5.8569.

Delgado Floody, P., Cofré Lizama, A., Alarcón Hormazábal, M., Osorio Poblete, A., Caamaño Navarrete, F., & Jerez Mayorga, D. (2015c). Evaluación de un programa integral de cuatro meses de duración sobre las condiciones preoperatorias de pacientes obesos candidatos a cirugía bariátrica. Nutrición Hospitalaria, 32(3), 1022–1027. http://doi.org/dx.doi.org/10.3305/nh.2015.32.3.9350.

Delgado Floody, P., Jerez Mayorga, D., Caamaño Navarrete, F., Concha Díaz, M., Ovalle Elgueta, H., & Osorio Poblete, A. (2015b). Efectividad del tratamiento integral sobre las condiciones preoperatorias de mujeres obesas candidatas a cirugía bariátrica. Nutricion Hospitalaria, 32(6), 2570–5. http://doi.org/10.3305/nh.2015.32.6.9761.

Delgado Floody, P., Jerez Mayorga, D., Caamaño Navarrete, F., Osorio Poblete, A., Thullier Lepeley, N., & Alarcón Hormazábal, M. (2015d). Doce semanas de ejercicio físico intervalado con sobrecarga mejora las variables antropométricas de obesos mórbidos y obesos con comorbilidades postulantes a cirugía bariátrica. Nutrición Hospitalaria, 32(5), 2007–2011. http://doi.org/10.3305/nh.2015.32.5.9610.

Egger, G., & Swinburn, B. (1997). An “ecological” approach to the obesity pandemic. BMJ, 315(7106), 477–480. http://doi.org/10.1136/bmj.315.7106.477.

Filou, V., Richou, M., Bughin, F., Fédou, C., de Mauverger, E., Mercier, J., & Brun, J.-F. (2017). Complémentarité de la chirurgie bariatrique et de l’activité physique. Science & Sports. http://doi.org/10.1016/j.scispo.2017.10.002.

Fry, B. T., Hallway, A., & Englesbe, M. J. (2018). Moving Toward Every Patient Training for Surgery. JAMA Surgery. http://doi.org/10.1001/jamasurg.2018.1658.

Guida, B., Cataldi, M., Busetto, L., Aiello, M. L., Musella, M., Capone, D., … Belfiore, A. (2018). Predictors of fat-free mass loss 1 year after laparoscopic sleeve gastrectomy. Journal of Endocrinological Investigation, 1–9. http://doi.org/10.1007/s40618-018-0868-2.

Gul, T., Balkhi, H. M., & Haq, E. (2018). Obesity: Medical Consequences and Treatment Strategies. Haya: The Saudi Journal of Life Sciences, 2(8), 284–297. http://doi.org/10.21276/haya.2017.2.8.2.

Hernández García, A. M., Aracil, A., Fernandez-Fernandez, J., García Valverde, A., Guillén García, S., Mateo-Cubo, F., … Moya-Ramón, M. (2015). A tailored supervised exercise program reduces loss of fat-free mass in bariatric surgery patients. In A. Radmann, S. Hedenborg, & E. Tsolakidis (Eds.), Book of Abstracts of the 20th annual Congress of the European College of Sport Science (p. 71). European College of Sport Science.

Hernández García, A. M., Aracil, A., García Valverde, A., Guillén García, S., & Moya-Ramón, M. (2016). Mejorar la condición física contribuye a reducir factores de riesgo cardiovascular en pacientes bariátricos. In J. M. García García, B. Calvo Rico, & R. Mora Rodríguez (Eds.), IX Congreso Internacional de la Asociación Española de Ciencias del Deporte (p. 497). Cuenca: Ediciones de la Universidad de Castilla-La Mancha. http://doi.org/10.18239/jor_06.2016.04.

Hernández García, A. M., Aracil, A., García Valverde, A., Hernández-Davó, J. L., Javaloyes, A., Mateo-Cubo, F., … Moya-Ramón, M. (2015). Effects of a supervised concurrent endurance and resistance training program on cardiometabolic risk factors after bariatric surgery. In P. J. Benito, A. B. Peinado, I. Gonzalo, & F. J. Calderón (Eds.), VIII International Symposium in Strength Training (p. 69). Madrid: Universidad Politécnica de Madrid.

Herpertz, S., Kessler, H., & Jongen, S. (2017). Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know? Zeitschrift Für Psychosomatische Medizin Und Psychotherapie, 63(4), 344–369. http://doi.org/10.13109/zptm.2017.63.4.344.

Hruby, A., & Hu, F. B. (2015). The Epidemiology of Obesity: A Big Picture. Pharmacoeconomics, 33(7), 673–689. http://doi.org/10.1007/s40273-014-0243-x.

Hutcheon, D. A., Hale, A. L., Ewing, J. A., Miller, M., Couto, F., Bour, E. S., … Scott, J. D. (2018). Short-Term Preoperative Weight Loss and Postoperative Outcomes in Bariatric Surgery. Journal of the American College of Surgeons, 226(4), 514–524. http://doi.org/10.1016/j.jamcollsurg.2017.12.032.

Jensen, M. D., Ryan, D. H., Apovian, C. M., Ard, J. D., Comuzzie, A. G., Donato, K. A., … Yanovski, S. Z. (2014). 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: A report of the American college of cardiology/American heart association task force on practice guidelines and the obesity society. Journal of the American College of Cardiology, 63(25 PART B), 2985–3023. http://doi.org/10.1016/j.jacc.2013.11.004.

Jiménez-Loaisa, A., Beltrán-Carrillo, V. J., González-Cutre, D., & Cervelló, E. M. (2015). Psychosocial effects of surgery and physical activity in bariatric patients: a systematic review. European Journal of Human Movement, (35), 12–33.

Keating, S. E., Johnson, N. A., Mielke, G. I., & Coombes, J. S. (2017). A systematic review and meta-analysis of interval training versus moderate-intensity continuous training on body adiposity. Obesity Reviews, 18(8), 943–964. http://doi.org/10.1111/obr.12536.

Khwaja, H. A., & Bonanomi, G. (2010). Bariatric surgery: techniques, outcomes and complications. Current Anaesthesia and Critical Care, 21(1), 31–38. http://doi.org/10.1016/j.cacc.2009.10.005.

King, W. C., & Bond, D. S. (2014). The Importance of Pre and Postoperative Physical Activity Counseling in Bariatric Surgery. Exercise and Sport Science Reviews, 41(1), 26–35. http://doi.org/10.1097/JES.0b013e31826444e0.

Moya, M., Hernández, A., Sarabia, J. M., Sánchez-Martos, M. Á., Hernández-Davó, J. L., López-Grueso, R., … Fernández-Fernández, J. (2014). Bariatric surgery, weight loss and the role of physical activity: a systematic review. European Journal of Human Movement, 32, 145–160.

Mundbjerg, L. H., Stolberg, C. R., Bladbjerg, E.-M., Funch-Jensen, P., Juhl, C. B., & Gram, B. (2018b). Effects of 6 months supervised physical training on muscle strength and aerobic capacity in patients undergoing Roux-en-Y gastric bypass surgery: a randomized controlled trial. Clinical Obesity. http://doi.org/10.1111/cob.12256.

Mundbjerg, L. H., Stolberg, C. R., Cecere, S., Bladbjerg, E. M., Funch-Jensen, P., Gram, B., & Juhl, C. B. (2018a). Supervised Physical Training Improves Weight Loss After Roux-en-Y Gastric Bypass Surgery: A Randomized Controlled Trial. Obesity, 26(5), 828–837. http://doi.org/10.1002/oby.22143.

NCD Risk Factor Collaboration (NCD-RisC) (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128•9 million children, adolescents, and adults. The Lancet, 390(10113), 2627–2642. http://doi.org/10.1016/S0140-6736(17)32129-3.

Neylan, C. J., Kannan, U., Dempsey, D. T., Williams, N. N., & Dumon, K. R. (2016). The Surgical Management of Obesity. Gastroenterology Clinics of North America, 45(4), 689–703. http://doi.org/10.1016/j.gtc.2016.07.006.

Picó-Sirvent, M. I., Aracil, A., Sarabia-Marín, J. M., Pastor, D., & Moya-Ramón, M. (2018). Could a combined training programme help to maintain basal metabolic rate in women awaiting bariatric surgery? In VI NSCA INTERNATIONAL CONFERENCE, MADRID, SPAIN Journal of Strength and Conditioning Research (Vol. 32, p. e15). http://doi.org/10.1519/JSC.0b013e3182548af1.

Picó-Sirvent, M. I., & Moya-Ramón, M. (2018). Effects of a six-months concurrent training programme in patients awaiting bariatric surgery: a pilot study. In P. Manonelles Marqueta, M. I. Fernández Calero, D. López-Plata, C. D. Quero Calero, O. Abellán Aynés, A. Sánchez Pato, … F. Alacid (Eds.), Prescripción y programación de deporte y de ejercicio en la enfermedad crónica. Actas del I Congreso Internacional sobre Prescripción y Programación de Deporte y de Ejercicio en la Enfermedad Crónica y XXVI Jornadas Nacionales de Traumatología del Deporte (p. 92). Murcia: Grupo de Investigación INGRIS.

Popkin B.M., Adair, L.S., & Ng, S. W. (2017). NOW AND THEN: The Global Nutrition Transition: The Pandemic of Obesity in Developing Countries. Nutrients, 58(1), 1–10. http://doi.org/10.1111/j.1753-4887.2011.00456.x.

Puzziferri, N., & Almandoz, J. P. (2018). Sleeve Gastrectomy for Weight Loss. JAMA, 319(3), 316. http://doi.org/10.1001/jama.2017.18519.

Rodgers, A., Woodward, A., Swinburn, B., & Dietz, W. H. (2018). Prevalence trends tell us what did not precipitate the US obesity epidemic. The Lancet. Public Health, 3(4), e162–e163. http://doi.org/10.1016/S2468-2667(18)30021-5.

Sánchez Ortega, L., Sánchez Juan, C., & Alfonso García, A. (2014). Valoración de un programa de ejercicio físico estructurado en pacientes con obesidad mórbida pendientes de cirugía bariátrica. Nutr Hosp, 29(1), 64–72. http://doi.org/10.3305/nh.2014.29.1.6937.

Schauer, P. R., Ikramuddin, S., Gourash, W., Ramanathan, R., & Luketich, J. (2000). Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Annals of Surgery, 232(4), 515–29. http://doi.org/10.1097/00000658-200010000-00007.

Stewart, F., & Avenell, A. (2016). Behavioural Interventions for Severe Obesity Before and/or After Bariatric Surgery: a Systematic Review and Meta-analysis. Obesity Surgery, 26(6), 1203–1214. http://doi.org/10.1007/s11695-015-1873-6.

The Lancet Public Health. (2018). Tackling obesity seriously: the time has come. The Lancet Public Health, 3(4), e153. http://doi.org/10.1016/S2468-2667(18)30053-7.

Thomas, D. M., Weedermann, M., Fuemmeler, B. F., Martin, C. K., Dhurandhar, N. V., Bredlau, C., … Bouchard, C. (2014). Dynamic Model Predicting Overweight, Obesity, and Extreme Obesity Prevalence Trends. Obesity, 22(2), 590–597. http://doi.org/10.1002/oby.20520.

Von Lengerke, T., & Krauth, C. (2011). Economic costs of adult obesity: A review of recent European studies with a focus on subgroup-specific costs. Maturitas, 69(3), 220–229. http://doi.org/10.1016/j.maturitas.2011.04.005.

Warren, J. A., Ewing, J. A., Hale, A. L., Blackhurst, D. W., Bour, E. S., & Scott, J. D. (2015). Cost-effectiveness of Bariatric Surgery: Increasing the Economic Viability of the Most Effective Treatment for Type II Diabetes Mellitus. The American Surgeon, 81(8), 807–811.

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2018-12-31