Although exercise is recognized as an important component of the management for patients following bariatric surgery (BS), its effectiveness on cardiorespiratory fitness (CRF) is still unclear. To investigate this relationship between BS and CRF, a systematic review was conducted in the MEDLINE database. The literature search included studies involving exercise training in patients following BS. A total of 306 studies were identified, 7 met the criteria and were included in the meta-analysis. Exercise training was found to result in a moderate and significant increase in VO2max (SMD = 0.430, 95% CI 0.157; 0.704, p = 0.002) following BS. The results from this meta-analysis indicate that exercise training can significantly improve CRF. Further research is needed to determine the ideal training duration and exercise training parameters for patients following BS.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic& Bariatric Surgery. Obesity (Silver Spring, Md). 2013;21(Suppl 1):S1–27. https://doi.org/10.1002/oby.20461.
Deitel M. Bariatric surgical practice revisited: unrecorded or overlooked problems in the severely obese. Obes Surg. 2014;24(8):1408–9. https://doi.org/10.1007/s11695-014-1269-z.
Shah M, Snell PG, Rao S, et al. High-volume exercise program in obese bariatric surgery patients: a randomized, Controlled. Trial Obes. 2011;19:1826–34. https://doi.org/10.1038/oby.2011.172.
Coen PM, Menshikova EV, Distefano G, et al. Exercise and weight loss improve muscle mitochondrial respiration, lipid partitioning, and insulin sensitivity after gastric bypass surgery. Diabetes. 2015;64:3737–50. https://doi.org/10.2337/db15-0809.
Marchesi F, De Sario G, Reggiani V, et al. Road running after gastric bypass for morbid obesity: rationale and results of a new protocol. Obes Surg. 2015;25:1162–70. https://doi.org/10.1007/s11695-014-1517-2.
Onofre T, Carlos R, Oliver N, et al. Effects of a physical activity program on cardiorespiratory fitness and pulmonary function in obese women after bariatric surgery: a pilot study. Obes Surg. 2017;27(8):2026–33. https://doi.org/10.1007/s11695-017-2584-y.
Huck CJ. Effects of supervised resistance training on fitness and functional strength in patients succeeding bariatric surgery. J Strength Cond Res. 2015;29(3):589–95. https://doi.org/10.1519/JSC.0000000000000667.
Nunez Lopez YO, Coen PM, Goodpaster BH, et al. Gastric bypass surgery with exercise alters plasma microRNAs that predict improvements in cardiometabolic risk. Int J Obes. 2017;41(7):1121–30. https://doi.org/10.1038/ijo.2017.84.
Kavanagh T, Mertens DJ, Hamm LF, et al. Peak oxygen intake and cardiac mortality in women referred for cardiac rehabilitation. J Am Coll Cardiol. 2003;42(12):2139–43. https://doi.org/10.1016/j.jacc.2003.07.028.
Stegen S, Derave W, Calders P, et al. Physical fitness in morbidly obese patients: effect of gastric bypass surgery and exercise training. Obes Surg. 2011;21(1):61–70. https://doi.org/10.1007/s11695-009-0045-y.
Myers J, Prakash M, Froelicher V, et al. Exercise capacity and mortality among men referred for exercise testing. N Engl J Med. 2002;346(11):793–801. https://doi.org/10.1056/NEJMoa011858.
Neunhaeuserer D, Gasperetti A, Savalla F, et al. Functional evaluation in obese patients before and after sleeve gastrectomy. Obes Surg. 2017;27(12):3230–9. https://doi.org/10.1007/s11695-017-2763-x.
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures were in accordance with good clinical practice and within the Declaration of Helsinki.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
da Silva, A.L.G., Sardeli, A.V., André, L.D. et al. Exercise Training Does Improve Cardiorespiratory Fitness in Post-Bariatric Surgery Patients. OBES SURG 29, 1416–1419 (2019). https://doi.org/10.1007/s11695-019-03731-9
- Bariatric surgery
- Exercise training
- Cardiorespiratory fitness