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Changes in Physical Activities and Body Composition after Roux-Y Gastric Bypass Surgery

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Abstract

Purpose

Given the importance of physical activities for health outcomes, it is still unclear whether bariatric surgery per se and the standard care after surgery would result in an increase of physical activity level. This study aimed to determine physical activities preoperatively and at 6 and 12 months postoperatively among female patients who underwent bariatric surgery, and to investigate its relationship with body composition changes.

Material and Methods

Thirty-four women who had Roux-Y gastric bypass (RYGB) surgery completed the study. Physical activity was measured objectively for 7 consecutive days by using an ActiGraph GT3X+ accelerometer. Body composition was estimated by using multifrequency bioimpedance analysis.

Results

The percentage of time spent in moderate-to-vigorous physical activity (MVPA) changed significantly from preoperatively to 6 months postoperatively; however, no difference was observed at 12 months. No significant changes were detected for other physical activity variables. Multivariable regression analysis suggested that the percentage of time spent in sedentary activity was associated with fat-free mass loss at 6 months (β = − 0.323; 95% CI = − 0.649 to 0.003) and 12 months (β = − 0.510; 95% CI = − 0.867 to − 0.154) postoperatively.

Conclusion

The overall MVPA increased at 6 months post-RYGB surgery; however, this change was not maintained at 12 months. Despite the considerable body mass loss postoperatively, most of the subjects were classified as being physically inactive and did not change their sedentary behavior. These findings indicate that female patients undergoing bariatric surgery should be encouraged to increase their physical activity level.

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Financial Support

Fundação de Amparo à Pesquisa do Estado de São Paulo—FAPESP (process no. 13/04420-4)

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Authors and Affiliations

  1. Programa de Pós-Graduação de Alimentos e Nutrição—Ciências Nutricionais, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil

    Alex Harley Crisp, Michele Novaes Ravelli & Maria Rita Marques de Oliveira

  2. Universiade Metodista de Piracicaba (UNIMEP), Piracicaba, SP, Brazil

    Rozangela Verlengia

  3. Centro de Gastroenterologia e Cirurgia da Obesidade—Clínica Bariátrica, Hospital Fornecedores de Cana, Piracicaba, SP, Brazil

    Irineu Rasera Junior

  4. Faculdade de Medicina, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil

    Irineu Rasera Junior

  5. Instituto de Biociências—Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil

    Maria Rita Marques de Oliveira

Authors
  1. Alex Harley Crisp
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  2. Rozangela Verlengia
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  3. Michele Novaes Ravelli
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  5. Maria Rita Marques de Oliveira
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Correspondence to Alex Harley Crisp.

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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/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent Statement

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

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Crisp, A.H., Verlengia, R., Ravelli, M.N. et al. Changes in Physical Activities and Body Composition after Roux-Y Gastric Bypass Surgery. OBES SURG 28, 1665–1671 (2018). https://doi.org/10.1007/s11695-017-3074-y

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  • DOI: https://doi.org/10.1007/s11695-017-3074-y

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