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Road Running After Gastric Bypass for Morbid Obesity: Rationale and Results of a New Protocol

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Abstract

Background

In recent years, the pandemic explosion of obesity has led to the definition of a pre-eminent therapeutic role for bariatric surgery, confining physical activity to a success parameter of surgery rather than a primary prevention measure. The aim of this study is to evaluate the role for aerobic physical activity (road running) in strengthening the metabolic and psychosocial effects of bariatric surgery.

Methods

Ten patients who underwent gastric bypass for morbid obesity were submitted to an intensive program of road running training, aimed at completing a 10.5-km competition in September 2013. Inclusion criteria included age (<50), BMI (<35), suitability for sport activity, and good compliance. A cohort of 10 patients excluded for logistical issues were enrolled as a control group. During the training period, patients were submitted to biometrical, sport performance, cardiopulmonary, metabolic, and psychiatric evaluations.

Results

Protocol adherence was 70 %; no physical injury was registered among participants. More than weight loss (BMI 29.3 to 27.1), the runners experienced a redistribution of body mass with significant differences in fat percentage and waist/hip ratio. Participants had a significant running performance improvement and, differently from the controls, a significant amelioration of echocardiographic and cardiopulmonary parameters, predicting a reduction in cardiovascular risk. Psychiatric evaluation underlined a tendency to a reduction in anxiety, depression, and general psychopathology symptoms.

Conclusions

Road running seems to have an important supporting role in boosting bariatric surgery results. The utilization of monitored and regulated training programs represents a fundamental prerequisite to achieving satisfactory results and patient compliance.

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Conflict of Interest

Dr. Federico Marchesi, Dr. Giuseppina De Sario, Dr. Valeria Reggiani, Dr. Francesco Tartamella, Dr. Stefano Cecchini, Dr. Renato Costi, Dr. Giovanni Guareschi, Dr. Gianfranco Beltrami, Dr. Chiara De Panfilis, Dr. Elisabetta Dall’Aglio, Dr. Matteo Ricco’, and Dr. Valerio Brambilla have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Dipartimento di Scienze Chirurgiche, Sezione di Clinica Chirurgica, Generale e Terapia Chirurgica, Università degli Studi di Parma, Via Gramsci n. 14, 43100, Parma, Italy

    Federico Marchesi, Giuseppina De Sario, Valeria Reggiani, Francesco Tartamella, Andrea Giammaresi, Stefano Cecchini, Renato Costi & Giovanni Guareschi

  2. Servizio di Medicina dello Sport, Via Galilei 9, Parma, Italy

    Gianfranco Beltrami

  3. Unità di Psichiatria, Università degli Studi di Parma, Str. Università 12, Parma, Italy

    Chiara De Panfilis

  4. Unità di Diabetologia, Università degli Studi di Parma, Via Gramsci n. 14, Parma, Italy

    Elisabetta Dall’Aglio

  5. Medicina del Lavoro, AUSL Parma, Str. Quartiere, 2/a, Parma, Italy

    Matteo Ricco’

  6. Unità di Prevenzione e Riabilitazione Cardiovascolare, Fondazione Don Gnocchi, Piazzale dei Servi 3, Parma, Italy

    Valerio Brambilla

Authors
  1. Federico Marchesi
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  2. Giuseppina De Sario
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  3. Valeria Reggiani
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  7. Renato Costi
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  8. Giovanni Guareschi
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  9. Gianfranco Beltrami
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  10. Chiara De Panfilis
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  11. Elisabetta Dall’Aglio
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  12. Matteo Ricco’
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  13. Valerio Brambilla
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Corresponding author

Correspondence to Federico Marchesi.

Additional information

Informed consent was obtained from all individual participants, for whom identifying information is included in this article.

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Marchesi, F., De Sario, G., Reggiani, V. et al. Road Running After Gastric Bypass for Morbid Obesity: Rationale and Results of a New Protocol. OBES SURG 25, 1162–1170 (2015). https://doi.org/10.1007/s11695-014-1517-2

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  • DOI: https://doi.org/10.1007/s11695-014-1517-2

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