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A Cross-sectional Study of Reported Exercise and Medium-Term Weight Loss Following Laparoscopic Bariatric Surgery

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Abstract

Background

Exercise is a strong determinant of prolonged weight loss in non-surgical patients. Studies evaluating the impact of exercise beyond the first year after bariatric surgery are lacking. We analyzed the relationship between reported intentional exercise and medium-term weight loss following bariatric surgery.

Methods

Patients who underwent bariatric surgery from 2007 thru 2013 completed a follow-up telephone survey and were separated into groups based on reported weekly exercise, i.e., < 90 min week−1, 90–200 min week−1, and > 200 min week−1. Standardized weight loss measures including percent of total weight loss, percent of excess body mass index (BMI) loss, percent of excess weight loss, and change in BMI were compared using analysis of covariance, with years from surgery as the covariant.

Results

A total of 872 patients were included in this study (age = 48 ± 10 years; BMI = 48 ± 7 kg/m2), with a mean post-surgery follow-up of 39 ± 14 months. Patients reporting > 200 min week−1 of planned exercise had greater weight loss than those who did less than 90 min week−1 (p < 0.05). No significant difference was found between those who reported less than 90 min week−1and those reporting between 91 and 200 min week−1.

Conclusions

This study suggests that regular exercise in excess of 200 min week−1 is associated with greater medium-term weight loss following laparoscopic bariatric surgery. Multidisciplinary bariatric surgery teams should consider emphasizing exercise at this level to help patients achieve optimal weight loss.

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References

  1. Carnero EA, Dubis GS, Hames KC, et al. Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB. Obesity (Silver Spring). 2017;25(7):1206–16.

    Article  Google Scholar 

  2. Karmali S, Brar B, Shi X, et al. Weight recidivism post-bariatric surgery: a systematic review. Obes Surg. 2013;23(11):1922–33.

    Article  Google Scholar 

  3. Lauti M, Kularatna M, Hill AG, et al. Weight regain following sleeve gastrectomy-a systematic review. Obes Surg. 2016;26(6):1326–34.

    Article  Google Scholar 

  4. Egberts K, Brown WA, Brennan L, et al. Does exercise improve weight loss after bariatric surgery? A systematic review. Obes Surg. 2012;22(2):335–41.

    Article  Google Scholar 

  5. Donnelly JE, Blair SN, Jakicic JM, et al. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459–71.

    Article  Google Scholar 

  6. 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(5):526–30.

    Article  Google Scholar 

  7. Woodlief TL, Carnero EA, Standley RA, et al. Dose response of exercise training following roux-en-Y gastric bypass surgery: a randomized trial. Obesity (Silver Spring). 2015;23(12):2454–61.

    Article  Google Scholar 

  8. Watson KB, Frederick GM, Harris CD, et al. U.S. adults' participation in specific activities: behavioral risk factor surveillance system--2011. J Phys Act Health. 2015;12(Suppl 1):S3–10.

    Article  Google Scholar 

  9. Brethauer SA, Kim J, el Chaar M, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Surg Obes Relat Dis. 2015;11(3):489–506.

    Article  Google Scholar 

  10. Schoeller DA, Shay K, Kushner RF. How much physical activity is needed to minimize weight gain in previously obese women? Am J Clin Nutr. 1997;66(3):551–6.

    Article  CAS  Google Scholar 

  11. Fothergill E, Guo J, Howard L, et al. Persistent metabolic adaptation 6 years after “the biggest loser” competition. Obesity (Silver Spring). 2016;24(8):1612–9.

    Article  Google Scholar 

  12. Carey DG, Pliego GJ, Raymond RL. Body composition and metabolic changes following bariatric surgery: effects on fat mass, lean mass and basal metabolic rate: six months to one-year follow-up. Obes Surg. 2006;16(12):1602–8.

    Article  Google Scholar 

  13. Baldwin KM, Joanisse DR, Haddad F, et al. Effects of weight loss and leptin on skeletal muscle in human subjects. Am J Physiol Regul Integr Comp Physiol. 2011;301(5):R1259–66.

    Article  CAS  Google Scholar 

  14. Gallicchio L, Schilling C, Miller SR, et al. Correlates of depressive symptoms among women undergoing the menopausal transition. J Psychosom Res. 2007;63(3):263–8.

    Article  Google Scholar 

  15. Haarasilta LM, Marttunen MJ, Kaprio JA, et al. Correlates of depression in a representative nationwide sample of adolescents (15-19 years) and young adults (20-24 years). Eur J Pub Health. 2004;14(3):280–5.

    Article  Google Scholar 

  16. Records K, Keller C, Coonrod D, et al. Correlates of depressive symptoms after birth for Latinas who are overweight or obese. Health Care Women Int. 2015;36(3):356–74.

    Article  Google Scholar 

  17. Hakola L, Hassinen M, Komulainen P, et al. Correlates of low physical activity levels in aging men and women: the DR’s EXTRA Study (ISRCTN45977199). J Aging Phys Act. 2015;23(2):247–55.

    Article  CAS  Google Scholar 

  18. Polanka BM, Vrany EA, Patel J, et al. Depressive disorder subtypes as predictors of incident obesity in US adults: moderation by race/ethnicity. Am J Epidemiol. 2017;185(9):734–42.

    Article  Google Scholar 

  19. Alger-Mayer S, Rosati C, Polimeni JM, et al. Preoperative binge eating status and gastric bypass surgery: a long-term outcome study. Obes Surg. 2009;19(2):139–45.

    Article  CAS  Google Scholar 

  20. Merrill RM, Richardson JS. Validity of self-reported height, weight, and body mass index: findings from the National Health and Nutrition Examination Survey, 2001-2006. Prev Chronic Dis. 2009;6(4):A121.

    PubMed  PubMed Central  Google Scholar 

  21. Bowring AL, Peeters A, Freak-Poli R, et al. Measuring the accuracy of self-reported height and weight in a community-based sample of young people. BMC Med Res Methodol. 2012;12:175.

    Article  Google Scholar 

  22. Carlin AM, Zeni TM, English WJ, et al. The comparative effectiveness of sleeve gastrectomy, gastric bypass, and adjustable gastric banding procedures for the treatment of morbid obesity. Ann Surg. 2013;257(5):791–7.

    Article  Google Scholar 

  23. Carlin AM, Yager KM, Rao DS. Vitamin D depletion impairs hypertension resolution after Roux-en-Y gastric bypass. Am J Surg. 2008;195(3):349–52. discussion 52

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI, USA

    Dennis J. Kerrigan & Steven J. Keteyian

  2. Division of General Surgery, Henry Ford Hospital, Detroit, MI, USA

    Arthur M. Carlin & Semeret Munie

Authors
  1. Dennis J. Kerrigan
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  2. Arthur M. Carlin
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  3. Semeret Munie
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  4. Steven J. Keteyian
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Corresponding author

Correspondence to Dennis J. Kerrigan.

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All procedures performed 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.

Conflicts of Interest

The authors declare that they have no conflict of interest.

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Kerrigan, D.J., Carlin, A.M., Munie, S. et al. A Cross-sectional Study of Reported Exercise and Medium-Term Weight Loss Following Laparoscopic Bariatric Surgery. OBES SURG 28, 3923–3928 (2018). https://doi.org/10.1007/s11695-018-3434-2

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  • DOI: https://doi.org/10.1007/s11695-018-3434-2

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