Obesity Surgery

, Volume 28, Issue 4, pp 955–962 | Cite as

Effects of a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study

  • Aurélie Baillot
  • Carol-Anne Vallée
  • Warner M. Mampuya
  • Isabelle J. Dionne
  • Emilie Comeau
  • Anne Méziat-Burdin
  • Marie-France Langlois
Original Contributions



We have previously reported on the benefits of Pre-Surgical Exercise Training (PreSET) on physical fitness and social interactions in subjects awaiting bariatric surgery (BS). However, data are needed to know whether these benefits are maintained post-BS.


The purpose of this paper was to evaluate the effect of PreSET on physical activity (PA) level, physical fitness, PA barriers, and quality of life (QoL) 1 year (1-Y) after BS.


Of the 30 participants randomized into two groups (PreSET and usual care), 25 were included in the final analysis. One year after BS, time spent in different PA intensities and number of steps were assessed with an accelerometer. Before BS and until 1-Y after BS, physical fitness was assessed with symptom-limited cardiac exercise test, 6-min walk test (6MWT), and sit-to-stand, half-squat, and arm curl tests. QoL, PA barriers, and PA level were evaluated with questionnaires.


The number of steps (7460 vs 4287) and time spent in light (3.2 vs 2.2 h/day) and moderate (0.6 vs 0.3 h/day) PA were higher in the PreSET group 1-Y after BS. The changes in 6MWT heart cost (1.3 vs 0.6 m/beats/min), half-squat test (38.8 vs 10.3 s), and BMI (− 16.8 vs − 13.5 kg/m2) were significantly greater in the PreSET group compared to those in the usual care group. No other significant difference between groups was observed.


The addition of the PreSET to individual lifestyle counseling seems effective to improve PA level and submaximal physical fitness 1-Y after BS. Studies with larger cohorts are now required to confirm these results.

The trial was registered at (NCT01452230).


Physical activity Severe obesity Physical fitness Quality of life Bariatric surgery 



We would like to gratefully thank research professionals (Vicki Lebrun, Marie-Michèle Rosa-Fortin), the kinesiologist (Anouk Landry), and trainees of Université de Sherbrooke (Canada) (Gabrielle Lebel, Rachel Lapointe, Alexandrine Boucher, Sofia Vasquez) who contributed to the supervised exercise training sessions and data collection.

Funding Information

This study was funded by the Canadian Institutes of Health Research (CIHR, Grant No. OPB-131592 to MFL). At the time of the study, AB was the recipient of a scholarship from the Department of Medicine of Université de Sherbrooke. At the time of the study, MFL was the recipient of a National Researcher Award from the Fonds de recherche du Québec–Santé (FRQ-S). The Research Center of the Centre hospitalier universitaire de Sherbrooke is a FRQ-S-funded research center.

Compliance with Ethical Standards

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

Conflict of Interest

The authors declare that they have no conflict of interest.

Supplementary material

11695_2017_2943_MOESM1_ESM.docx (30 kb)
Table S1 (DOCX 30 kb)


  1. 1.
    King WC, Hsu JY, Belle SH, et al. Pre- to postoperative changes in physical activity: report from the longitudinal assessment of bariatric surgery-2. Surg Obes Relat Dis. 2012;8(5):522–32.CrossRefPubMedGoogle Scholar
  2. 2.
    King WC, Chen JY, Bond DS, et al. Objective assessment of changes in physical activity and sedentary behavior: pre- through 3 years post-bariatric surgery. Obesity. 2015;23(6):1143–50.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Baillot A, Audet M, Baillargeon JP, et al. Impact of physical activity and fitness in class II and III obese individuals: a systematic review. Obes Rev. 2014;15(9):721–39.CrossRefPubMedGoogle Scholar
  4. 4.
    Bond DS, Thomas JG, King WC, et al. Exercise improves quality of life in bariatric surgery candidates: results from the Bari-Active trial. Obesity. 2015;23(3):536–42.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Woodlief TL, Carnero EA, Standley RA, et al. Dose response of exercise training following roux-en-Y gastric bypass surgery: a randomized trial. Obesity. 2015;23(12):2454–61.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Baillot A, Mampuya WM, Dionne IJ, et al. Impacts of supervised exercise training in addition to interdisciplinary lifestyle management in subjects awaiting bariatric surgery: a randomized controlled study. Obes Surg. 2016;26(11):2602–10.CrossRefPubMedGoogle Scholar
  7. 7.
    Bond DS, Evans RK, DeMaria E, et al. Physical activity and quality of life improvements before obesity surgery. Am J Health Behav. 2006;30(4):422–34.CrossRefPubMedGoogle Scholar
  8. 8.
    Bond D. Bari-Active: a preoperative intervention to increase physical activity. Obes Surg. 2011;21(8):1042.Google Scholar
  9. 9.
    Bond DS, Graham Thomas J, Vithiananthan S, et al. Changes in enjoyment, self-efficacy, and motivation during a randomized trial to promote habitual physical activity adoption in bariatric surgery patients. Surg Obes Relat Dis. 2016;12(5):1072–9.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Bond DS, Thomas JG, Vithiananthan S, et al. Intervention-related increases in preoperative physical activity are maintained 6-months after bariatric surgery: results from the bari-active trial. Int J Obes. 2017;41(3):467–70.CrossRefGoogle Scholar
  11. 11.
    Baillot A, Mampuya WM, Comeau E, et al. Feasibility and impacts of supervised exercise training in subjects with obesity awaiting bariatric surgery: a pilot study. Obes Surg. 2013;23(7):882–91.CrossRefPubMedGoogle Scholar
  12. 12.
    Kamga-Ngande CN, Carpentier AC, Nadeau-Marcotte F, et al. Effectiveness of a multidisciplinary program for management of obesity: the Unite d'Enseignement, de Traitement et de Recherche sur l'Obesite (UETRO) database study. Metab Syndr Relat Disord. 2009;7(4):297–304.CrossRefPubMedGoogle Scholar
  13. 13.
    Craig CL, Marshall AL, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95.CrossRefPubMedGoogle Scholar
  14. 14.
    Santos-Lozano A, Marin PJ, Torres-Luque G, et al. Technical variability of the GT3X accelerometer. Med Eng Phys. 2012;34(6):787–90.CrossRefPubMedGoogle Scholar
  15. 15.
    Berglind D, Willmer M, Eriksson U, et al. Longitudinal assessment of physical activity in women undergoing Roux-en-Y gastric bypass. Obes Surg. 2015;25(1):119–25.CrossRefPubMedGoogle Scholar
  16. 16.
    Freedson PS, Melanson E, Sirard J. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30(5):777–81.CrossRefPubMedGoogle Scholar
  17. 17.
    King WC, Li J, Leishear K, et al. Determining activity monitor wear time: an influential decision rule. J Phys Act Health. 2011;8(4):566–80.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    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(5):369–75.CrossRefPubMedGoogle Scholar
  19. 19.
    Therrien F, Marceau P, Turgeon N, et al. The laval questionnaire: a new instrument to measure quality of life in morbid obesity. Health Qual Life Outcomes. 2011;9:66.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Bond DS, Jakicic JM, Unick JL, et al. Pre- to postoperative physical activity changes in bariatric surgery patients: self report vs. objective measures. Obesity. 2010;18(12):2395–7.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Lund MT, Hansen M, Wimmelmann CL, et al. Increased post-operative cardiopulmonary fitness in gastric bypass patients is explained by weight loss. Scand J Med Sci Sports. 2016;26(12):1428–34.CrossRefPubMedGoogle Scholar
  22. 22.
    de Souza SA, Faintuch J, Sant'anna AF. Effect of weight loss on aerobic capacity in patients with severe obesity before and after bariatric surgery. Obes Surg. 2010;20(7):871–5.CrossRefPubMedGoogle Scholar
  23. 23.
    Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31(8):1248–61.CrossRefGoogle Scholar
  24. 24.
    Kolotkin RL, Crosby RD, Gress RE, et al. Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surg Obes Rel Dis. 2009;5(2):250–6.CrossRefGoogle Scholar
  25. 25.
    Castello V, Simões RP, Bassi D, et al. Impact of aerobic exercise training on heart rate variability and functional capacity in obese women after gastric bypass surgery. Obes Surg. 2011;21(11):1739–49.CrossRefPubMedGoogle Scholar
  26. 26.
    Shah M, Snell PG, Rao S, et al. High-volume exercise program in obese bariatric surgery patients: A randomized, controlled trial. Obesity. 2011;19(9):1826–34.CrossRefPubMedGoogle Scholar
  27. 27.
    Coen PM, Tanner CJ, Helbling NL, et al. Clinical trial demonstrates exercise following bariatric surgery improves insulin sensitivity. J Clin Invest. 2015;125(1):248–57.CrossRefPubMedGoogle Scholar
  28. 28.
    Carnero EA, Dubis GS, Hames KC. Jakicic JM. Coen PM, et al. Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB. Obesity: Houmard JA; 2017. [Epub ahead of print]Google Scholar
  29. 29.
    Buckinx F, Reginster JY, Dardenne N, et al. Concordance between muscle mass assessed by bioelectrical impedance analysis and by dual energy X-ray absorptiometry: a cross-sectional study. BMC Musculoskelet Disord. 2015;16:60.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Boneva-Asiova Z, Boyanov MA. Body composition analysis by leg-to-leg bioelectrical impedance and dual-energy X-ray absorptiometry in non-obese and obese individuals. Diabetes Obes Metab. 2008;10(11):1012–8.CrossRefPubMedGoogle Scholar
  31. 31.
    Baillot A, Boissy P, Tousignant M, et al. Feasibility and effect of in-home physical exercise training delivered via telehealth before bariatric surgery. J Telemed Telecare. 2017;23(5):529–35.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Nursing DepartmentUniversité du Québec en Outaouais, Centre de recherche du CISSSOQuebecCanada
  2. 2.Institut du savoir de l’Hôpital Montfort-RechercheOttawaCanada
  3. 3.Department of Medicine, Division of EndocrinologyUniversité de Sherbrooke, Research Center of the Centre Hospitalier Universitaire de SherbrookeQuebecCanada
  4. 4.Department of Medicine, Division of CardiologyUniversité de Sherbrooke, Research Center of the Centre Hospitalier Universitaire de SherbrookeQuebecCanada
  5. 5.Research Centre on Aging, Health and Social Services Centre, Institute of Geriatrics, Faculty of Physical Activity SciencesUniversité de SherbrookeQuebecCanada
  6. 6.Department of Surgery, Division of General SurgeryUniversité de SherbrookeQuebecCanada

Personalised recommendations