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Evaluation of the Effect of the Pre-Operative Exercise Training on Weight Loss, Quality of Life, and Cardiopulmonary Parameter in Bariatric Metabolic Surgery: A Systematic Review and Meta-Analysis

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Abstract

The purpose of this study is to assess the impact of pre-surgery exercise training on cardiopulmonary fitness. Ten articles (six RCTs and four non-RCTs) involving 281 individuals were finally included in the synthesis. Regarding the effect on VO2 peak, overall standardized mean differences were 0.71 (95% CI, 0.31 to 1.11, n = 103) with heterogeneity (I2 = 0%, P = 0.49). For 6MWT, overall weighted mean differences (distance in meters) were 31.87 (95% CI, 27.84 to 35.89, n = 100) with heterogeneity (I2 = 0%, P = 0.96). Engaging in pre-bariatric metabolic surgery exercise training might improve anthropometric parameters and cardiopulmonary fitness with no significant changes in components of quality of life. However, considering high levels of heterogeneity, the results should be generalized cautiously.

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Author notes

  1. Shima Ghannadi and Maryam Selk-Ghaffari contributed equally to the work as the first authors.

Authors and Affiliations

  1. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

    Shima Ghannadi, Hanieh-Sadat Ejtahed, Kazem Khalaji, Zahra Hoseini Tavassol & Shirin Hasani-Ranjbar

  2. Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran

    Maryam Selk-Ghaffari & Mohammad Hossein Pourgharib Shahi

  3. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

    Hanieh-Sadat Ejtahed

  4. Osteoporosis Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran

    Kazem Khalaji

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Shima Ghannadi, Maryam Selk-Ghaffari, Hanieh-Sadat Ejtahed, Kazem Khalaji, Zahra Hoseini Tavassol, Mohammad Hossein Pourgharib Shahi, and Shirin Hasani-Ranjbar declare no conflict of interest.

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Key Points

• Exercise training prior to bariatric metabolic surgery might improve anthropometric parameters, such as body weight, body mass index, fat mass, and waist circumference.

• Exercise training prior to bariatric metabolic surgery might improve cardiopulmonary fitness, as measured by VO2 peak and 6-min walk test.

• Exercise training prior to bariatric metabolic surgery might have no significant effect on quality of life.

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Ghannadi, S., Selk-Ghaffari, M., Ejtahed, HS. et al. Evaluation of the Effect of the Pre-Operative Exercise Training on Weight Loss, Quality of Life, and Cardiopulmonary Parameter in Bariatric Metabolic Surgery: A Systematic Review and Meta-Analysis. OBES SURG 34, 2670–2684 (2024). https://doi.org/10.1007/s11695-024-07333-y

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