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Physical Activity, Sedentary Behavior, and Sleep Before and After Bariatric Surgery and Associations with Weight Loss Outcome

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A Correction to this article was published on 02 December 2020

This article has been updated

Abstract

Purpose

Physical activity, sedentary behavior, and sleep have been linked to the likelihood of maintaining healthy body weight. This study aimed to determine objectively measured movement behaviors before and up to 18 months after bariatric surgery and to investigate whether preoperative levels of these movement behaviors and potential changes of these behaviors were associated with changes in body weight and boy composition.

Materials and Methods

Accelerometer determined total physical activity, moderate-to-vigorous physical activity (MVPA), light physical activity, sedentary behavior, and sleep (for six consecutive days and seven nights) were assessed approximately 3 months and 1–2 weeks before surgery as well as 6 and 18 months after surgery (n = 41). Body weight and body composition (waist circumference, fat mass, and fat-free mass) were determined at each visit.

Results

Mean weight loss 18 months after surgery was 42.0 ± 1.9 kg. There were no pre- to postoperative improvements in physical activity, sedentary behavior, or sleep. However, greater increases in levels of total physical activity and time spent in MVPA from 3 months before to 6 months after surgery predicted better weight loss and larger reductions in fat mass and waist circumference. Unexpectedly, a lower level of physical activity and a higher level of sedentary behavior before surgery predicted better weight loss outcomes.

Conclusion

Objectively measured movement behaviors do not improve after bariatric surgery despite a substantial weight loss. However, increasing total physical activity and/or more time spent in MVPA after surgery may increase weight loss and lead to favorable changes in body composition.

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Change history

  • 02 December 2020

    A Correction to this paper has been published: <ExternalRef><RefSource>https://doi.org/10.1007/s11695-020-05137-4</RefSource><RefTarget Address="10.1007/s11695-020-05137-4" TargetType="DOI"/></ExternalRef>

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Acknowledgments

We wish to thank the staff at Bariatric Clinic, Køge Hospital, Denmark, the staff, and master’s students at the Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark, for helping with recruitment and data collection, and Lene Stevner for support with the protocol. A special thanks to all the participants in the GO Bypass study.

Funding

This study was carried out as part of the research program “Governing Obesity” funded by the University of Copenhagen Excellence Programme for Interdisciplinary Research (www.go.ku.dk). Additional funding was obtained from the Danish Diabetes Academy supported by the Novo Nordisk Foundation, the Lundbeck Foundation, and the Aase and Ejnar Danielsens Foundation.

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Authors and Affiliations

  1. Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 26, 1958, Frederiksberg C, Denmark

    Mette S. Nielsen, Hagir Alsaoodi, Mads F. Hjorth & Anders Sjödin

  2. The Danish Diabetes Academy, Søndre Blvd. 29, 5000, Odense, Denmark

    Mette S. Nielsen

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  1. Mette S. Nielsen
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  2. Hagir Alsaoodi
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  3. Mads F. Hjorth
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  4. Anders Sjödin
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Correspondence to Mette S. Nielsen.

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Ethical Approval

All procedures performed in the study were in accordance with the ethical standards of the 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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Nielsen, M.S., Alsaoodi, H., Hjorth, M.F. et al. Physical Activity, Sedentary Behavior, and Sleep Before and After Bariatric Surgery and Associations with Weight Loss Outcome. OBES SURG 31, 250–259 (2021). https://doi.org/10.1007/s11695-020-04908-3

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