Impact of exercise training after bariatric surgery on cardiometabolic risk factors: a systematic review and meta-analysis of controlled trials
The purpose of this systematic review was to provide updated evidence synthesis of the effectiveness of exercise training in patients with obesity undergoing bariatric surgery to improve cardio-metabolic risk. We systematically searched the MEDLINE, EMBASE, Scopus, Cochrane, and Web of Science datab...
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| Veröffentlicht in: | Reviews in endocrine & metabolic disorders 2021-12, Vol.22 (4), p.891-912 |
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| creator | Carretero-Ruiz, Alejandro Martínez-Rosales, Elena Cavero-Redondo, Iván Álvarez-Bueno, Celia Martínez-Vizcaíno, Vicente Gómez Navarro, Carlos Reyes Parrilla, Raúl Ferrer-Márquez, Manuel Soriano-Maldonado, Alberto Artero, Enrique G. |
| description | The purpose of this systematic review was to provide updated evidence synthesis of the effectiveness of exercise training in patients with obesity undergoing bariatric surgery to improve cardio-metabolic risk. We systematically searched the MEDLINE, EMBASE, Scopus, Cochrane, and Web of Science databases. The studies selected were those in which an exercise-based intervention was performed after bariatric surgery, a control group was present, and at least one of the following outcomes was investigated: VO
2max
or VO
2peak
, resting heart rate (RHR), blood pressure, lipid profile, glucose, and insulin. The study quality was assessed using the PEDro scale and the data were meta-analyzed with a random effects model, comparing control groups to intervention groups using standardized measurements. Twenty articles were included in the systematic review and fourteen (70%) in the meta-analysis. Significant differences were observed between the control and intervention groups (always in favor of exercise) for absolute VO
2max
/ VO
2peak
(ES = 0.317; 95% CI = 0.065, 0.569; p = 0.014), VO
2max
/ peak relative to body weight (ES = 0.673; 95% CI = 0.287, 1.060; p = 0.001), HDL cholesterol (ES = 0.22; 95% CI = 0.009, 0.430; p = 0.041) and RHR (ES = -0.438; 95% CI = -0.753, -0.022; p = 0.007). No effects were observed for either systolic or diastolic blood pressure. Exercise training for patients undergoing bariatric surgery appears to be effective in improving absolute and relative VO
2max
/ VO
2peak
, HDL cholesterol and reducing the RHR. More intervention studies using (better) exercise interventions are needed before discarding their effects on other cardiometabolic risk factors. This systematic review and meta-analysis has been registered in Prospero (CRD42020153398). |
| doi_str_mv | 10.1007/s11154-021-09651-3 |
| format | Article |
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2max
or VO
2peak
, resting heart rate (RHR), blood pressure, lipid profile, glucose, and insulin. The study quality was assessed using the PEDro scale and the data were meta-analyzed with a random effects model, comparing control groups to intervention groups using standardized measurements. Twenty articles were included in the systematic review and fourteen (70%) in the meta-analysis. Significant differences were observed between the control and intervention groups (always in favor of exercise) for absolute VO
2max
/ VO
2peak
(ES = 0.317; 95% CI = 0.065, 0.569; p = 0.014), VO
2max
/ peak relative to body weight (ES = 0.673; 95% CI = 0.287, 1.060; p = 0.001), HDL cholesterol (ES = 0.22; 95% CI = 0.009, 0.430; p = 0.041) and RHR (ES = -0.438; 95% CI = -0.753, -0.022; p = 0.007). No effects were observed for either systolic or diastolic blood pressure. Exercise training for patients undergoing bariatric surgery appears to be effective in improving absolute and relative VO
2max
/ VO
2peak
, HDL cholesterol and reducing the RHR. More intervention studies using (better) exercise interventions are needed before discarding their effects on other cardiometabolic risk factors. This systematic review and meta-analysis has been registered in Prospero (CRD42020153398).</description><identifier>ISSN: 1389-9155</identifier><identifier>EISSN: 1573-2606</identifier><identifier>DOI: 10.1007/s11154-021-09651-3</identifier><identifier>PMID: 33860904</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Bariatric Surgery ; Blood Pressure ; Body weight ; Cardiovascular Diseases - prevention & control ; Cholesterol ; Clinical trials ; Diabetes ; Endocrinology ; Exercise ; Fitness training programs ; Gastrointestinal surgery ; Heart rate ; High density lipoprotein ; Humans ; Insulin ; Internal Medicine ; Intervention ; Medicine ; Medicine & Public Health ; Meta-analysis ; Obesity - surgery ; Patients ; Physical training ; Randomized Controlled Trials as Topic ; Risk factors ; Surgery ; Systematic review</subject><ispartof>Reviews in endocrine & metabolic disorders, 2021-12, Vol.22 (4), p.891-912</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-763d84db0b606afab3231c2e1ea3d0316adf6ee2dd9b0549c3fd0922a330772d3</citedby><cites>FETCH-LOGICAL-c375t-763d84db0b606afab3231c2e1ea3d0316adf6ee2dd9b0549c3fd0922a330772d3</cites><orcidid>0000-0001-7614-9133</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11154-021-09651-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11154-021-09651-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33860904$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carretero-Ruiz, Alejandro</creatorcontrib><creatorcontrib>Martínez-Rosales, Elena</creatorcontrib><creatorcontrib>Cavero-Redondo, Iván</creatorcontrib><creatorcontrib>Álvarez-Bueno, Celia</creatorcontrib><creatorcontrib>Martínez-Vizcaíno, Vicente</creatorcontrib><creatorcontrib>Gómez Navarro, Carlos</creatorcontrib><creatorcontrib>Reyes Parrilla, Raúl</creatorcontrib><creatorcontrib>Ferrer-Márquez, Manuel</creatorcontrib><creatorcontrib>Soriano-Maldonado, Alberto</creatorcontrib><creatorcontrib>Artero, Enrique G.</creatorcontrib><title>Impact of exercise training after bariatric surgery on cardiometabolic risk factors: a systematic review and meta-analysis of controlled trials</title><title>Reviews in endocrine & metabolic disorders</title><addtitle>Rev Endocr Metab Disord</addtitle><addtitle>Rev Endocr Metab Disord</addtitle><description>The purpose of this systematic review was to provide updated evidence synthesis of the effectiveness of exercise training in patients with obesity undergoing bariatric surgery to improve cardio-metabolic risk. We systematically searched the MEDLINE, EMBASE, Scopus, Cochrane, and Web of Science databases. The studies selected were those in which an exercise-based intervention was performed after bariatric surgery, a control group was present, and at least one of the following outcomes was investigated: VO
2max
or VO
2peak
, resting heart rate (RHR), blood pressure, lipid profile, glucose, and insulin. The study quality was assessed using the PEDro scale and the data were meta-analyzed with a random effects model, comparing control groups to intervention groups using standardized measurements. Twenty articles were included in the systematic review and fourteen (70%) in the meta-analysis. Significant differences were observed between the control and intervention groups (always in favor of exercise) for absolute VO
2max
/ VO
2peak
(ES = 0.317; 95% CI = 0.065, 0.569; p = 0.014), VO
2max
/ peak relative to body weight (ES = 0.673; 95% CI = 0.287, 1.060; p = 0.001), HDL cholesterol (ES = 0.22; 95% CI = 0.009, 0.430; p = 0.041) and RHR (ES = -0.438; 95% CI = -0.753, -0.022; p = 0.007). No effects were observed for either systolic or diastolic blood pressure. Exercise training for patients undergoing bariatric surgery appears to be effective in improving absolute and relative VO
2max
/ VO
2peak
, HDL cholesterol and reducing the RHR. More intervention studies using (better) exercise interventions are needed before discarding their effects on other cardiometabolic risk factors. This systematic review and meta-analysis has been registered in Prospero (CRD42020153398).</description><subject>Bariatric Surgery</subject><subject>Blood Pressure</subject><subject>Body weight</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Cholesterol</subject><subject>Clinical trials</subject><subject>Diabetes</subject><subject>Endocrinology</subject><subject>Exercise</subject><subject>Fitness training programs</subject><subject>Gastrointestinal surgery</subject><subject>Heart rate</subject><subject>High density lipoprotein</subject><subject>Humans</subject><subject>Insulin</subject><subject>Internal Medicine</subject><subject>Intervention</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Obesity - surgery</subject><subject>Patients</subject><subject>Physical training</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Systematic review</subject><issn>1389-9155</issn><issn>1573-2606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1uFDEQhC0EIiHhBTggS1y4GPwz9qy5oQhCpEhcyNnqsXsih5nxYntI9il45XjZABKHnNpSfV2ldhHySvB3gvP-fRFC6I5xKRi3RgumnpBjoXvFpOHmaXurjWVWaH1EXpRywxtprH5OjpTaGG55d0x-Xcxb8JWmkeIdZh8L0pohLnG5pjBWzHSAHKHm6GlZ8zXmHU0L9ZBDTDNWGNLUpBzLdzo2p5TLBwq07ErFGepewp8Rbyksge55BgtMuxLLPtOnpeY0TRhaaoSpnJJnYxv48mGekKvPn76dfWGXX88vzj5eMq96XVlvVNh0YeBDuxRGGJRUwksUCCpwJQyE0SDKEOzAdWe9GgO3UoJSvO9lUCfk7cF3m9OPFUt1cywepwkWTGtxUovO8J4b09A3_6E3ac3tiEYZoW3rQnSNkgfK51RKxtFtc5wh75zgbl-XO9TlWgnud11OtaXXD9brMGP4u_KnnwaoA1CatLTP_5f9iO09N3Kisg</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Carretero-Ruiz, Alejandro</creator><creator>Martínez-Rosales, Elena</creator><creator>Cavero-Redondo, Iván</creator><creator>Álvarez-Bueno, Celia</creator><creator>Martínez-Vizcaíno, Vicente</creator><creator>Gómez Navarro, Carlos</creator><creator>Reyes Parrilla, Raúl</creator><creator>Ferrer-Márquez, Manuel</creator><creator>Soriano-Maldonado, Alberto</creator><creator>Artero, Enrique G.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7614-9133</orcidid></search><sort><creationdate>20211201</creationdate><title>Impact of exercise training after bariatric surgery on cardiometabolic risk factors: a systematic review and meta-analysis of controlled trials</title><author>Carretero-Ruiz, Alejandro ; 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We systematically searched the MEDLINE, EMBASE, Scopus, Cochrane, and Web of Science databases. The studies selected were those in which an exercise-based intervention was performed after bariatric surgery, a control group was present, and at least one of the following outcomes was investigated: VO
2max
or VO
2peak
, resting heart rate (RHR), blood pressure, lipid profile, glucose, and insulin. The study quality was assessed using the PEDro scale and the data were meta-analyzed with a random effects model, comparing control groups to intervention groups using standardized measurements. Twenty articles were included in the systematic review and fourteen (70%) in the meta-analysis. Significant differences were observed between the control and intervention groups (always in favor of exercise) for absolute VO
2max
/ VO
2peak
(ES = 0.317; 95% CI = 0.065, 0.569; p = 0.014), VO
2max
/ peak relative to body weight (ES = 0.673; 95% CI = 0.287, 1.060; p = 0.001), HDL cholesterol (ES = 0.22; 95% CI = 0.009, 0.430; p = 0.041) and RHR (ES = -0.438; 95% CI = -0.753, -0.022; p = 0.007). No effects were observed for either systolic or diastolic blood pressure. Exercise training for patients undergoing bariatric surgery appears to be effective in improving absolute and relative VO
2max
/ VO
2peak
, HDL cholesterol and reducing the RHR. More intervention studies using (better) exercise interventions are needed before discarding their effects on other cardiometabolic risk factors. This systematic review and meta-analysis has been registered in Prospero (CRD42020153398).</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33860904</pmid><doi>10.1007/s11154-021-09651-3</doi><tpages>22</tpages><orcidid>https://orcid.org/0000-0001-7614-9133</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Reviews in endocrine & metabolic disorders, 2021-12, Vol.22 (4), p.891-912 |
| issn | 1389-9155 1573-2606 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Bariatric Surgery Blood Pressure Body weight Cardiovascular Diseases - prevention & control Cholesterol Clinical trials Diabetes Endocrinology Exercise Fitness training programs Gastrointestinal surgery Heart rate High density lipoprotein Humans Insulin Internal Medicine Intervention Medicine Medicine & Public Health Meta-analysis Obesity - surgery Patients Physical training Randomized Controlled Trials as Topic Risk factors Surgery Systematic review |
| title | Impact of exercise training after bariatric surgery on cardiometabolic risk factors: a systematic review and meta-analysis of controlled trials |
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