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Towards Optimized Care After Bariatric Surgery by Physical Activity and Exercise Intervention: a Review

Abstract

Although there is growing evidence on the importance of physical activity and exercise intervention after bariatric surgery, it remains to be clarified as to why and how post-operative exercise intervention should be implemented. In this narrative and practically oriented review, it is explained why exercise interventions and physical activity are important after bariatric surgery, how to prescribe exercise and monitor physical activity and how and when physical fitness, muscle strength, fat (-free) mass and bone mineral density could be assessed during follow-up. It is suggested that the inclusion of physical activity and exercise training in the clinical follow-up trajectory could be of great benefit to bariatric surgery patients, since it leads to greater improvements in body composition, bone mineral density, muscle strength and physical fitness.

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Correspondence to Dominique Hansen.

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Author 1 received personal fees from Johnson & Johnson, but this did not affect the content of this manuscript and was not in support of the preparation of this manuscript.

Author 2 is a scientific affairs consultant for Pro Well, but this did not affect the content of this manuscript. Author 3 is the general manager of Pro Well, but this did not affect the content of this manuscript.

Author 4 received personal fees from Johnson & Johnson, Olympus, MID and Gore, but this did not affect the content of this manuscript and was not in support of the preparation of this manuscript.

Author 6 received personal fees from Johnson & Johnson and Medtronic, but this did not affect the content of this manuscript and was not in support of the preparation of this manuscript.

Authors 5 and 7 have nothing to declare.

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Hansen, D., Decroix, L., Devos, Y. et al. Towards Optimized Care After Bariatric Surgery by Physical Activity and Exercise Intervention: a Review. OBES SURG 30, 1118–1125 (2020). https://doi.org/10.1007/s11695-020-04390-x

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Keywords

  • Bariatric surgery
  • Physical activity
  • Exercise training
  • Body composition
  • Muscle strength
  • Endurance capacity
  • Bone mineral density