Skip to main content

Advertisement

SpringerLink
Log in

Physical Activity in Gastric Bypass Patients: Associations with Weight Loss and Psychosocial Functioning at 12-Month Follow-Up

  • Clinical Research
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

This study examined self-reported frequency and intensity of physical activity in gastric bypass patients, and the relationship between physical activity and weight loss and psychosocial outcomes during 12-month postoperative follow-up.

Methods

Participants were 131 obese patients who underwent gastric bypass surgery and completed psychometrically established measures assessing physical activity, depression, and physical and mental health preoperatively and at a 12-month follow-up assessment.

Results

Preoperatively, 62.6% of patients reported at least one episode of a minimum of 15 minutes of physical activity per week. This figure increased to 92.4% at 12-month postoperative follow-up. Both the frequency and intensity levels of physical activity episodes increased significantly from preoperative to 12-month postoperative assessments. Hierarchical regression analyses, controlling for demographic variables and preoperative body mass index (BMI), revealed that the intensity of physical activity was significantly associated with postoperative weight loss at 12-month follow-up. Both the frequency and intensity of physical activity were significantly associated with depression, and physical and mental well-being at the 12-month postoperative follow-up.

Conclusion

Gastric bypass patients increase both the frequency and intensity of their physical activity during the first 12 months postoperatively. Higher postoperative intensity levels of physical activity are associated with better weight loss outcomes while both increased frequency and intensity levels of physical activity are associated with better psychosocial outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Grilo CM, Brownell KD, Stunkard AJ. The metabolic and psychological importance of exercise in weight control. In: Stunkard A, Wadden TA, editors. Obesity: theory and therapy. New York: Raven; 1993. p. 253–73.

    Google Scholar 

  2. Jeffery RW, Wing RR, Sherwood NE, et al. Physical activity and weight loss: does prescribing higher physical activity goals improve outcome? Am J Clin Nutr. 2003;78:684–89.

    PubMed  CAS  Google Scholar 

  3. Elavsky S, McAuley E. Physical activity and mental health outcomes during menopause: a randomized controlled trial. Ann Behav Med. 2007;33:132–42.

    Article  PubMed  Google Scholar 

  4. Wolin KY, Glynn RJ, Colditz GA, et al. Long-term physical activity patterns and health-related quality of life in U.S. women. Am J Prev Med. 2007;32:490–99.

    Article  PubMed  Google Scholar 

  5. Livhits M, Mercado C, Yermilov I, et al. Exercise following bariatric surgery: systematic review. Obes Surg. 2010;20:657–65.

    Article  PubMed  Google Scholar 

  6. Bond DS, Phelan S, Wolfe LG, et al. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity. 2009;17:78–83.

    Article  PubMed  Google Scholar 

  7. Elkins G, Whitfield P, Marcus J, et al. Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg. 2005;15:546–51.

    Article  PubMed  Google Scholar 

  8. Larsen J, Geenen R, van Ramshorst B, et al. Binge eating and exercise behavior after surgery for severe obesity: a structural equation model. Int J Eat Disord. 2006;39:369–75.

    Article  PubMed  Google Scholar 

  9. Godin G, Sheppard RJ. Godin leisure-time exercise questionnaire. Can J Appl Sport Sci. 1985;10:141–46.

    PubMed  CAS  Google Scholar 

  10. Godin G, Amireault S, Belanger-Gravel A, et al. Prediction of leisure-time physical activity among obese individuals. Obesity. 2009;17:706–12.

    Article  PubMed  Google Scholar 

  11. Godin G, Shephard RJ. Godin leisure-time exercise questionnaire. Cited by Kriska AM, Caspersen CJ. A collection of physical activity questionnaires for health-related research. Suppl. Med Sci Sports. 1997;29:s36–8.

    Google Scholar 

  12. Beck AT, Steer RA. BDI beck depression inventory manual. San Antonio: Harcourt Brace; 1993.

    Google Scholar 

  13. Fechner-Bates S, Coyne JC, Schwenk TL. The relationship of self-reported distress to depressive disorders and other psychopathology. J Consult Clin Psychol. 1992;64:550–59.

    Google Scholar 

  14. Grilo CM, Masheb RM, Wilson GT. Subtyping binge eating disorder. J Consult Clin Psychol. 2001;69:1066–72.

    Article  PubMed  CAS  Google Scholar 

  15. Svanborg P, Asborg M. A comparison between the Beck Depression Inventory (BDI) and the self-rating version of the Montgomery Asberg Depression Rating Scale (MADRS). J Affect Disord. 2001;64:203–16.

    Article  PubMed  CAS  Google Scholar 

  16. Clark MM, Balsiger BM, Sletten CD, et al. Psychosocial factors and 2-year outcome following bariatric surgery for weight loss. Obes Surg. 2003;13:739–45.

    Article  PubMed  Google Scholar 

  17. Ware JE, Snow KK, Kosinski M, et al. SF-36 health survey manual and interpretation guide. Boston: New England Medical Center, The Health Institute; 1993.

    Google Scholar 

  18. McHorney CA, Kosinski M, Ware JE. Comparisons of the costs and quality of norms for the Sf-36 Health Survey collected by mail versus telephone interview—results from a national survey. Med Care. 1994;32:551–67.

    Article  PubMed  CAS  Google Scholar 

  19. McHorney CA, Ware JE, Lu JFR, et al. The MOS 36-item short-form health survey (Sf-36).3. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care. 1994;32:40–66.

    Article  PubMed  CAS  Google Scholar 

  20. Evans RK, Bond DS, Wolfe LG, et al. Participation in 150 min/wk of moderate or higher intensity physical activity yields greater weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2007;3:526–30.

    Article  PubMed  Google Scholar 

  21. Elavsky S, McAuley E, Motl R, et al. Physical activity enhances long-term quality of life in older adults: efficacy, esteem, and affective influences. Ann Behav Med. 2003;30:138–45.

    Article  Google Scholar 

  22. Fox KR. The influence of physical activity on mental wellbeing. Public Health Nutr. 1999;2:411–18.

    Article  PubMed  CAS  Google Scholar 

  23. Sallis JF, Saelens JE. Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport. 2000;71:1–14.

    Google Scholar 

  24. Bond DS, Jakicic JM, Unick JL, et al. Pre- to postoperative physical activity changes in bariatric surgery patients: self-report vs. objective measures. Obesity. 2010 (in press).

Download references

Acknowledgments

This study was supported, in part, by funding from the Rudd Center for Food Policy and Obesity (Dr. Henderson) and grants from the National Institutes of Health (K23 DK071646 (Dr. White) and K24 DK070052 (Dr. Grilo)).

Conflict of interest statement

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. VA Connecticut Healthcare System, 950 Campbell Ave. Psychology 116B, West Haven, CT, 06516, USA

    Patricia H. Rosenberger

  2. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

    Patricia H. Rosenberger, Marney A. White, Robin M. Masheb & Carlos M. Grilo

  3. Rudd Center for Food Policy and Obesity, Yale University, New Haven, CT, USA

    Kathryn Elizabeth Henderson

  4. Department of Psychology, Yale University, New Haven, CT, USA

    Carlos M. Grilo

Authors
  1. Patricia H. Rosenberger
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kathryn Elizabeth Henderson
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marney A. White
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robin M. Masheb
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Carlos M. Grilo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Patricia H. Rosenberger.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rosenberger, P.H., Henderson, K.E., White, M.A. et al. Physical Activity in Gastric Bypass Patients: Associations with Weight Loss and Psychosocial Functioning at 12-Month Follow-Up. OBES SURG 21, 1564–1569 (2011). https://doi.org/10.1007/s11695-010-0283-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-010-0283-z

Keywords

Search

Navigation