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Bariatric Surgery Associated with Practice of Moderate to Intense Physical Activity Related to Weight Loss, Activity Level in Daily Life, Dyspnea, and Quality of Life of Sedentary Individuals with Morbid Obesity: a Prospective Longitudinal Study

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Abstract

Aim

To evaluate the association of moderate-to-intense physical activity with the effects of bariatric surgery on weight loss, level of activities of daily living, dyspnea, and quality of life in sedentary individuals with grade II and III obesity.

Method

Seventy-eight candidates for bariatric surgery were evaluated for anthropometry, dyspnea, quality of life, level of activities of daily living, and physical activity. After surgery, all patients were instructed to perform moderate-to-intense physical activity. All 78 patients were reassessed 6 months after bariatric surgery, and 52 patients were reassessed 3 years after bariatric surgery.

Results

Adherence to physical activity during the postoperative period was 36% at 6 months and 38% at 3 years. Compared with the patients who did not adhere to physical activity, weight loss was higher in the adherent patients at 6 months (29 ± 4% vs. 26 ± 5%; p = 0.01) and 3 years (32 ± 8% vs. 26 ± 6%, p = 0.005). The level of activities of daily living and quality of life also improved in the patients that adhered to physical activity at both 6 months and 3 years after bariatric surgery. However, no difference in dyspnea was observed between the adherent and non-adherent patients. Adherence to physical activity was an independent factor for postoperative weight loss.

Conclusion

Moderate-to-intense physical activity after bariatric surgery increases weight loss, quality of life, and level of activities of daily living, but does not directly influence dyspnea in individuals with morbid obesity.

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Authors and Affiliations

  1. Universidade Cidade de São Paulo, São Paulo, São Paulo, Brazil

    Andréa Daiane Fontana, Alexandre Dias Lopes & Adriana Claudia Lunardi

  2. Department of Physical Therapy, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, USA

    Alexandre Dias Lopes

  3. Department of Physical Therapy of School of Medicine, University of Sao Paulo, São Paulo, São Paulo, Brazil

    Adriana Claudia Lunardi

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  1. Andréa Daiane Fontana
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Correspondence to Adriana Claudia Lunardi.

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The study was approved by the Universidade Cidade de São Paulo Ethics Committee (44734015.5.0000.0064).

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

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The authors declare that they have no conflict of interest.

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Fontana, A.D., Lopes, A.D. & Lunardi, A.C. Bariatric Surgery Associated with Practice of Moderate to Intense Physical Activity Related to Weight Loss, Activity Level in Daily Life, Dyspnea, and Quality of Life of Sedentary Individuals with Morbid Obesity: a Prospective Longitudinal Study. OBES SURG 29, 2442–2448 (2019). https://doi.org/10.1007/s11695-019-03859-8

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