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Impact of Exercise on Body Composition and Cardiometabolic Risk Factors in Patients Awaiting Bariatric Surgery

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Abstract

Background

The role of exercise to achieve weight reductions in patients awaiting bariatric surgery has been little studied. The aim of this study was to describe the effects of an exercise program on body composition and cardiometabolic risk factors in patients awaiting bariatric surgery.

Methods

Twenty-three patients awaiting bariatric surgery were divided into two groups: (a) an exercise group (EG, n = 12) and (b) a control group (CG, n = 11). Both groups received the usual care prior to surgery, but the EG also performed a 12-week exercise program which combined endurance and resistance training. Body composition, cardiometabolic risk factors, physical fitness, basal metabolic rate, and quality of life were assessed at baseline and at the end of the study.

Results

After the exercise program, the EG achieved significant reductions in total weight (− 7.3 ± 4.1 kg, P < 0.01), fat mass (− 7.1 ± 4.7 kg, P < 0.01), and waist circumference (− 5.3 ± 2.1 cm, P < 0.01), while they maintained their fat-free mass and basal metabolic rate levels. Only the EG showed reductions in HbA1c (− 0.4 ± 0.45%, P < 0.05), systolic (− 10.5 ± 12.7 mmHg), and diastolic blood pressure (− 3.9 ± 5.2 mmHg, P < 0.05), as well as a decrease in waist-to-height ratio (− 0.032 ± 0.12, P < 0.01) and an improvement in quality of life.

Conclusions

The implementation of an exercise program prior to bariatric surgery reduces fat mass and central obesity and improves cardiometabolic risk factors and quality of life, especially in the physical scales.

Trial registration

The study was registered at ClinicalTrials.gov (NCT03613766).

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Author information

Authors and Affiliations

  1. Laboratory of Training Analysis and Optimization, Sport Research Center, Miguel Hernandez University, Elche, Spain

    A. Marc-Hernández, S. Guillén & Manuel Moya-Ramón

  2. Center of Excellence for the Diagnosis and Treatment of Obesity and Diabetes, Valladolid, Spain

    J. Ruiz-Tovar

  3. Department of Sport Sciences, Sport Research Center, Miguel Hernandez University, Elche, Spain

    A. Aracil & Manuel Moya-Ramón

  4. Instituto de Neurociencias, UMH-CSIC, Sant Joan d’Alacant, Spain

    A. Aracil

  5. Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Miguel Hernandez University, Alicante, Spain

    Manuel Moya-Ramón

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  1. A. Marc-Hernández
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Correspondence to Manuel Moya-Ramón.

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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.

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

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Marc-Hernández, A., Ruiz-Tovar, J., Aracil, A. et al. Impact of Exercise on Body Composition and Cardiometabolic Risk Factors in Patients Awaiting Bariatric Surgery. OBES SURG 29, 3891–3900 (2019). https://doi.org/10.1007/s11695-019-04088-9

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  • DOI: https://doi.org/10.1007/s11695-019-04088-9

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