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Dynamic Relations Between Sedentary Behavior, Physical Activity, and Body Composition After Bariatric Surgery

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Abstract

Background

Physical activity has been shown to increase following obesity surgery; however, changes in sedentary behavior in this setting are not known. Our aim was to describe changes in both physical activity and sedentary behavior of obese patients after gastric bypass (GBP) and their relationships with changes in body composition.

Methods

Physical activity, time spent watching TV as typical sedentary behavior (self-report), and body composition (DXA) were assessed before and 6 and 12 months after GBP in 86 obese patients (67 women, 24–66 years old, BMI 41.3–53.5 kg/m2).

Results

One year after GBP (mean loss of weight −37.1 kg, fat mass −25.7 kg, lean body mass −9.4 kg), leisure-time physical activity (LTPA) significantly increased from 2.0 (SD 3.7) to 3.8 (5.4) h/week and from 7.2 (12.5) to 14.1 (20.1) MET-h/week (MET: metabolic equivalent task), the number of LTPA performed increased from 1.3 (1.3) to 1.8 (1.4), and TV time decreased from 3.0 (1.6) to 2.4 (1.4) h/day (all p < 0.05). The ranking of the most frequently performed LTPA did not change. Positive associations were observed between the increase in lean body mass and (1) the increase in LTPA and (2) the decrease in TV watching. Inverse relationships were found for changes in fat mass.

Conclusions

Together with increased LTPA, this study shows a decrease in sedentary behavior after GBP, which appears related to favorable changes in body composition. These observations are important to design future intervention studies, including physical activity and sedentary occupations aiming to optimize the care of patients after bariatric surgery.

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Acknowledgments

Thanks are expressed to Sophie Festis and Marianne Merlet, both at the Department of Nutrition, Pitié Salpêtrière Hospital (formerly at the Hôtel-Dieu Hospital), Paris, France, for their expert technical assistance with DXA measurements.

Conflicts of interest

There is no conflict of interest

Author information

Authors and Affiliations

  1. Service de Nutrition, Groupe Hospitalier Pitié-Salpêtrière (AP-HP), Université Pierre et Marie Curie-Paris6, 83, boulevard de l’Hôpital, 75013, Paris, France

    Camille Vatier, Corneliu Henegar, Cécile Ciangura, Christine Poitou-Bernert, Arnaud Basdevant & Jean-Michel Oppert

  2. Centre de Recherche Nutrition Humaine Ile-de-France (CRNH IdF), 75013, Paris, France

    Camille Vatier, Corneliu Henegar, Cécile Ciangura, Christine Poitou-Bernert, Arnaud Basdevant & Jean-Michel Oppert

  3. Centre de Recherche des Cordeliers, INSERM, U872, équipe 7 Nutriomique, Université Pierre et Marie Curie-Paris6, 75006, Paris, France

    Corneliu Henegar, Christine Poitou-Bernert & Arnaud Basdevant

  4. Service de Chirurgie Générale, Digestive et Métabolique, Hôpital Ambroise Paré (AP-HP), 92100, Boulogne, France

    Jean-Luc Bouillot

  5. Université Paris-Descartes, 75005, Paris, France

    Jean-Luc Bouillot

Authors
  1. Camille Vatier
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  2. Corneliu Henegar
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  3. Cécile Ciangura
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  4. Christine Poitou-Bernert
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  5. Jean-Luc Bouillot
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  7. Jean-Michel Oppert
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Correspondence to Jean-Michel Oppert.

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Vatier, C., Henegar, C., Ciangura, C. et al. Dynamic Relations Between Sedentary Behavior, Physical Activity, and Body Composition After Bariatric Surgery. OBES SURG 22, 1251–1256 (2012). https://doi.org/10.1007/s11695-012-0619-y

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