Obesity Surgery

, Volume 30, Issue 1, pp 146–153 | Cite as

Body Contouring Surgery Improves Physical Activity in Patients After Massive Weight Loss—a Retrospective Study

  • Aijia CaiEmail author
  • Linda Maringa
  • Theresa Hauck
  • Anja M. Boos
  • Marweh Schmitz
  • Andreas Arkudas
  • Raymund E. Horch
  • Ingo Ludolph
Original Contributions



The aim of the study was to compare physical activity (PA) in patients who had undergone massive weight loss (MWL), before and after body contouring procedures.


All patients undergoing body contouring surgery after MWL between 2007 and 2017 with a minimum follow-up of 6 months after the last procedure were included in this retrospective study. Excluded were those with a body mass index > 35 kg/m2 and those with comorbidities leading to impaired PA. Quality of life (QOL) was assessed using the Moorehead-Ardelt QOL Questionnaire II. Evaluation of PA was obtained with the International Physical Activity Questionnaire (IPAQ) short form and the Freiburg PA Questionnaire. Functional impairment during exercise was analyzed using a self-designed functional impairment score (FIS).


In the 45 patients completing the survey (37 female, 8 male), an improvement in QOL (p < 0.001) and PA scored by the IPAQ (p = 0.017) was found. The Freiburg PA Questionnaire showed no difference in PA before and after body contouring surgery (p = 0,274). Furthermore, scores of the FIS indicated a decrease of functional impairment during physical activity after body contouring surgery (p < 0.001).


Body contouring improves QOL and PA in patients after massive weight loss. The results of our study confirm the important role of plastic surgery in the treatment and maintenance of health of patients with former obesity.


Physical activity Body contouring surgery Massive weight loss Quality of life 


Compliance with Ethical Standards

This retrospective study was approved by the institutional ethics committee (approval number 3_17 B) and was in accordance with the 1964 Helsinki declaration and its later amendments. All subjects gave informed consent prior to their enrollment.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

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

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Plastic and Hand Surgery, University Hospital of ErlangenFriedrich Alexander University Erlangen-Nuernberg FAUErlangenGermany
  2. 2.Department of Plastic Surgery, Hand Surgery and Burn Center, Medical FacultyRWTH Aachen University HospitalAachenGermany

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