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Aerobic Exercise is Associated with Improved Weight Loss after Laparoscopic Adjustable Gastric Banding

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Abstract

Background

Laparoscopic adjustable gastric banding (LAGB) is a common surgical treatment for obesity. Evidence for and against the association of aerobic exercise (AE) and weight loss after LAGB exists. We hypothesize that aerobic exercise is associated with improved weight loss and resolution of comorbidities after LAGB.

Methods

A review of a prospectively collected database identified patients who underwent LAGB over a 3-year period at a single institution. Body mass index (BMI), comorbidities, frequency, and duration of exercise were collected preoperatively and at 6, 12, 24, and 36 months postoperatively. Excess weight loss (EWL) was calculated. Groups were analyzed using Fisher’s exact test and ANOVA.

Results

Of the 145 LAGB patients, 120 had adequate data for analysis. AE had no association with weight loss at 6 months. At 12, 24, and 36 months following LAGB, patients who reported 150 min or more per week of exercise had an EWL of 35.5, 47.3, and 54.1 %, respectively, while those reporting 0–59 min per week of AE had an EWL of 25.3, 32.1, and 33.0 % (p = 0.03, 0.03, and 0.02, respectively). BMI and age was not statistically different among groups. Diabetes and obstructive sleep apnea were significantly improved in patients exercising at least 60 min per week as compared to those exercising 0–59 min.

Conclusions

AE is significantly associated with weight loss and comorbidity resolution after LAGB. We propose that patients who perform more AE will have higher levels of EWL.

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References

  1. Flegal KM, Carroll MD, Kit BK, et al. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA. 2012;307:491–7.

    Article  PubMed  Google Scholar 

  2. Jakicic JM. The effect of physical activity on body weight. Obesity (Silver Spring). 2009;17 Suppl 3:S34–8.

    Article  Google Scholar 

  3. Brolin RE. Bariatric surgery and long-term control of morbid obesity. JAMA. 2002;288:2793–6.

    Article  PubMed  Google Scholar 

  4. Cummings DE, Overduin J, Foster-Schubert KE. Gastric bypass for obesity: mechanisms of weight loss and diabetes resolution. J Clin Endocrinol Metab. 2004;89:2608–15.

    Article  PubMed  CAS  Google Scholar 

  5. Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93.

    Article  PubMed  Google Scholar 

  6. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.

    Article  PubMed  CAS  Google Scholar 

  7. Bueter M, Thalheimer A, Lager C, et al. Who benefits from gastric banding? Obes Surg. 2007;17:1608–13.

    Article  PubMed  Google Scholar 

  8. Gouillat C, Denis A, Badol-Van Straaten P, et al. Prospective, multicenter, 3-year trial of laparoscopic adjustable gastric banding with the MIDBAND. Obes Surg. 2012;22:572–81.

    Article  PubMed  Google Scholar 

  9. Shaw K, Gennat H, O’Rourke P et al. Exercise for overweight or obesity. Cochrane Database Syst Rev 2006; CD003817

  10. Cook CM, Schoeller DA. Physical activity and weight control: conflicting findings. Curr Opin Clin Nutr Metab Care. 2011;14:419–24.

    Article  PubMed  Google Scholar 

  11. Colles SL, Dixon JB, O’Brien PE. Hunger control and regular physical activity facilitate weight loss after laparoscopic adjustable gastric banding. Obes Surg. 2008;18:833–40.

    Article  PubMed  Google Scholar 

  12. Josbeno DA, Kalarchian M, Sparto PJ, et al. Physical activity and physical function in individuals post-bariatric surgery. Obes Surg. 2011;21:1243–9.

    Article  PubMed  Google Scholar 

  13. Das SK, Roberts SB, McCrory MA, et al. Long-term changes in energy expenditure and body composition after massive weight loss induced by gastric bypass surgery. Am J Clin Nutr. 2003;78:22–30.

    PubMed  CAS  Google Scholar 

  14. Larsen JK, Geenen R, van Ramshorst B, et al. Binge eating and exercise behavior after surgery for severe obesity: a structural equation model. Int J Eat Disord. 2006;39:369–75.

    Article  PubMed  Google Scholar 

  15. Egberts K, Brown WA, Brennan L, et al. Does exercise improve weight loss after bariatric surgery? A systematic review. Obes Surg. 2012;22:335–41.

    Article  PubMed  Google Scholar 

  16. Chevallier JM, Paita M, Rodde-Dunet MH, et al. Predictive factors of outcome after gastric banding: a nationwide survey on the role of center activity and patients’ behavior. Ann Surg. 2007;246:1034–9.

    Article  PubMed  Google Scholar 

  17. Wing RR, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr. 2005;82:222S–5S.

    PubMed  CAS  Google Scholar 

  18. Thalheimer A, Bueter M, Wierlemann A, et al. Predictability of outcome in laparoscopic gastric banding. Obes Facts. 2009;2 Suppl 1:27–30.

    Article  PubMed  Google Scholar 

  19. Bond DS, Phelan S, Wolfe LG, et al. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity (Silver Spring). 2009;17:78–83.

    Article  Google Scholar 

  20. Dixon JB, O’Brien PE, Playfair J, et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA. 2008;299:316–23.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

No funding source was used for this study. This manuscript has been read and approved by all authors. Amber Shada declares no conflicts of interest or financial disclosures. Peter Hallowell declares no conflicts of interest or financial disclosures. Bruce Schirmer declares no conflicts of interest or financial disclosures. Philip Smith declares no conflicts of interest or financial disclosures.

Funding

There is no outside source of funding for this study.

Conflicts of interest

The authors declare no conflicts of interest or financial disclosures.

This manuscript has been read and approved by all authors.

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Authors and Affiliations

  1. Department of Surgery, Healthsystem, PO Box 800709, Charlottesville, VA, 22908, USA

    Amber L. Shada, Peter T. Hallowell, Bruce D. Schirmer & Philip W. Smith

Authors
  1. Amber L. Shada
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  2. Peter T. Hallowell
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  3. Bruce D. Schirmer
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  4. Philip W. Smith
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Corresponding author

Correspondence to Philip W. Smith.

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Shada, A.L., Hallowell, P.T., Schirmer, B.D. et al. Aerobic Exercise is Associated with Improved Weight Loss after Laparoscopic Adjustable Gastric Banding. OBES SURG 23, 608–612 (2013). https://doi.org/10.1007/s11695-012-0826-6

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  • DOI: https://doi.org/10.1007/s11695-012-0826-6

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