Abstract
Background
The aim of the study was to compare physical activity (PA) in patients who had undergone massive weight loss (MWL), before and after body contouring procedures.
Methods
All patients undergoing body contouring surgery after MWL between 2007 and 2017 with a minimum follow-up of 6 months after the last procedure were included in this retrospective study. Excluded were those with a body mass index > 35 kg/m2 and those with comorbidities leading to impaired PA. Quality of life (QOL) was assessed using the Moorehead-Ardelt QOL Questionnaire II. Evaluation of PA was obtained with the International Physical Activity Questionnaire (IPAQ) short form and the Freiburg PA Questionnaire. Functional impairment during exercise was analyzed using a self-designed functional impairment score (FIS).
Results
In the 45 patients completing the survey (37 female, 8 male), an improvement in QOL (p < 0.001) and PA scored by the IPAQ (p = 0.017) was found. The Freiburg PA Questionnaire showed no difference in PA before and after body contouring surgery (p = 0,274). Furthermore, scores of the FIS indicated a decrease of functional impairment during physical activity after body contouring surgery (p < 0.001).
Conclusion
Body contouring improves QOL and PA in patients after massive weight loss. The results of our study confirm the important role of plastic surgery in the treatment and maintenance of health of patients with former obesity.
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References
Koltz PF, Chen R, Messing S, et al. Prospective assessment of nutrition and exercise parameters before body contouring surgery: optimizing attainability in the massive weight loss population. Plast Reconstr Surg. 2010;125(4):1242–7. https://doi.org/10.1097/PRS.0b013e3181d0aa13.
Constantine RS, Davis KE, Kenkel JM. The effect of massive weight loss status, amount of weight loss, and method of weight loss on body contouring outcomes. Aesthet Surg J. 2014;34(4):578–83. https://doi.org/10.1177/1090820X14528208.
Adams TD, Mehta TS, Davidson LE, et al. All-cause and cause-specific mortality associated with bariatric surgery: a review. Curr Atheroscler Rep. 2015;17(12):74. https://doi.org/10.1007/s11883-015-0551-4.
Coriddi MR, Koltz PF, Chen R, et al. Changes in quality of life and functional status following abdominal contouring in the massive weight loss population. Plast Reconstr Surg. 2011;128(2):520–6. https://doi.org/10.1097/PRS.0b013e31821b62f0.
Baillot A, Asselin M, Comeau E, et al. Impact of excess skin from massive weight loss on the practice of physical activity in women. Obes Surg. 2013;23(11):1826–34. https://doi.org/10.1007/s11695-013-0932-0.
Hauck T, Schmitz M, Horch RE, et al. Operating on the edge? Body contouring procedures in patients with body mass index greater 35. Obes Surg. 2019;29:1563–70. https://doi.org/10.1007/s11695-018-03697-0.
Chatel H, Madar Y, Leyder P, et al. Prevalence and factors associated with persistent pain following body contouring surgery. J Plast Reconstr Aesthet Surg. 2016;69(5):700–5. https://doi.org/10.1016/j.bjps.2016.01.008.
Saris WH, Blair SN, van Baak MA, et al. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st stock conference and consensus statement. Obes Rev. 2003;4(2):101–14.
Kitzinger HB, Abayev S, Pittermann A, et al. After massive weight loss: patients' expectations of body contouring surgery. Obes Surg. 2012;22(4):544–8. https://doi.org/10.1007/s11695-011-0551-6.
Balague N, Combescure C, Huber O, et al. Plastic surgery improves long-term weight control after bariatric surgery. Plast Reconstr Surg. 2013;132(4):826–33. https://doi.org/10.1097/PRS.0b013e31829fe531.
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(1):78–83. https://doi.org/10.1038/oby.2008.501.
Herring LY, Stevinson C, Davies MJ, et al. Changes in physical activity behaviour and physical function after bariatric surgery: a systematic review and meta-analysis. Obes Rev. 2016;17(3):250–61. https://doi.org/10.1111/obr.12361.
Panosian J, Ding SA, Wewalka M, et al. Physical activity in obese type 2 diabetes after gastric bypass or medical management. Am J Med. 2017;130(1):83–92. https://doi.org/10.1016/j.amjmed.2016.07.019.
Boan J, Kolotkin RL, Westman EC, et al. Binge eating, quality of life and physical activity improve after roux-en-Y gastric bypass for morbid obesity. Obes Surg. 2004;14(3):341–8. https://doi.org/10.1381/096089204322917864.
Moorehead MK, Ardelt-Gattinger E, Lechner H, et al. The validation of the Moorehead-Ardelt quality of life questionnaire II. Obes Surg. 2003;13(5):684–92. https://doi.org/10.1381/096089203322509237.
Craig CL, Marshall AL, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95. https://doi.org/10.1249/01.MSS.0000078924.61453.FB.
Frey I, Berg A, Grathwohl D, et al. Freiburger Fragebogen zur körperlichen Aktivität- Entwicklung, Prüfung und Anwendung. Soz Präventivmed. 1999;44(2):55–64.
Ainsworth BE, Haskell WL, Herrmann SD, et al. 2011 compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011;43(8):1575–81. https://doi.org/10.1249/MSS.0b013e31821ece12.
Suijker J, Troncoso E, Pizarro F, et al. Long-term quality-of-life outcomes after body contouring surgery: phase IV results for the body-QoL(R) cohort. Aesthet Surg J. 2018;38(3):279–88. https://doi.org/10.1093/asj/sjx090.
Song P, Patel NB, Gunther S, et al. Body image & quality of life: changes with gastric bypass and body contouring. Ann Plast Surg. 2016;76(Suppl 3):S216–21. https://doi.org/10.1097/SAP.0000000000000788.
Toma TH, Harling L, Athanasiou T, et al. Does body contouring after bariatric weight loss enhance quality of life? A systematic review of QOL studies. Obes Surg. 2018;28:3333–41.
Biorserud C, Olbers T, Fagevik Olsen M. Patients' experience of surplus skin after laparoscopic gastric bypass. Obes Surg. 2011;21(3):273–7. https://doi.org/10.1007/s11695-009-9849-z.
de Brito MJ, Nahas FX, Barbosa MV, et al. Abdominoplasty and its effect on body image, self-esteem, and mental health. Ann Plast Surg. 2010;65(1):5–10. https://doi.org/10.1097/SAP.0b013e3181bc30f7.
Lazar CC, Clerc I, Deneuve S, et al. Abdominoplasty after major weight loss: improvement of quality of life and psychological status. Obes Surg. 2009;19(8):1170–5. https://doi.org/10.1007/s11695-009-9883-x.
Papadopulos NA, Staffler V, Mirceva V, et al. Does abdominoplasty have a positive influence on quality of life, self-esteem, and emotional stability? Plast Reconstr Surg. 2012;129(6):957e–62e. https://doi.org/10.1097/PRS.0b013e31824ecc2b.
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This retrospective study was approved by the institutional ethics committee (approval number 3_17 B) and was in accordance with the 1964 Helsinki declaration and its later amendments. All subjects gave informed consent prior to their enrollment.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Cai, A., Maringa, L., Hauck, T. et al. Body Contouring Surgery Improves Physical Activity in Patients After Massive Weight Loss—a Retrospective Study. OBES SURG 30, 146–153 (2020). https://doi.org/10.1007/s11695-019-04145-3
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DOI: https://doi.org/10.1007/s11695-019-04145-3