Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis
Summary We aimed to assess the effectiveness of exercise training programs in adults with severe obesity undergoing bariatric surgery. A systematic search of controlled trials published up to October 2019 that assigned participants to either a preoperative or postoperative exercise training group or...
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| Veröffentlicht in: | Obesity reviews 2021-07, Vol.22 (S4), p.e13296-n/a |
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| creator | Bellicha, Alice Baak, Marleen A. Battista, Francesca Beaulieu, Kristine Blundell, John E. Busetto, Luca Carraça, Eliana V. Dicker, Dror Encantado, Jorge Ermolao, Andrea Farpour‐Lambert, Nathalie Pramono, Adriyan Woodward, Euan Oppert, Jean‐Michel |
| description | Summary
We aimed to assess the effectiveness of exercise training programs in adults with severe obesity undergoing bariatric surgery. A systematic search of controlled trials published up to October 2019 that assigned participants to either a preoperative or postoperative exercise training group or a nonexercise group was performed. Meta‐analyses were conducted using random‐effects models. Twenty‐two training programs were assessed (18 performed after bariatric surgery). The effect of preoperative exercise training on postsurgery outcomes was reported in only one study. Compared with the control condition without exercise, postoperative exercise training led to higher weight loss (N = 14, mean difference [95% CI] = −1.8 [−3.2; −0.4] kg, P = 0.01), fat loss (N = 9, P = 0.01), increase in VO2max (N = 8, P |
| doi_str_mv | 10.1111/obr.13296 |
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We aimed to assess the effectiveness of exercise training programs in adults with severe obesity undergoing bariatric surgery. A systematic search of controlled trials published up to October 2019 that assigned participants to either a preoperative or postoperative exercise training group or a nonexercise group was performed. Meta‐analyses were conducted using random‐effects models. Twenty‐two training programs were assessed (18 performed after bariatric surgery). The effect of preoperative exercise training on postsurgery outcomes was reported in only one study. Compared with the control condition without exercise, postoperative exercise training led to higher weight loss (N = 14, mean difference [95% CI] = −1.8 [−3.2; −0.4] kg, P = 0.01), fat loss (N = 9, P = 0.01), increase in VO2max (N = 8, P < 0.0001), and increase in muscle strength (N = 9, P < 0.0001). No significant effect was found on lean body mass (N = 11). Preliminary evidence suggests a beneficial effect of postoperative exercise training on bone mineral density (N = 3, P < 0.001) and weight maintenance after the end of the intervention (N = 2, P < 0.001) but no significant effect on quality of life (N = 2), habitual physical activity (N = 2), or cardiometabolic outcomes (N < 4). In conclusion, exercise training performed after bariatric surgery improves physical fitness and leads to a small additional weight and fat loss and may prevent bone loss and weight regain after bariatric surgery.</description><identifier>ISSN: 1467-7881</identifier><identifier>EISSN: 1467-789X</identifier><identifier>DOI: 10.1111/obr.13296</identifier><identifier>PMID: 34080281</identifier><language>eng</language><publisher>Oxford: Wiley Subscription Services, Inc</publisher><subject>bariatric surgery ; body composition ; Body mass ; Body weight loss ; Bone loss ; Bone mineral density ; Bone surgery ; Exercise ; exercise training ; Fitness training programs ; Gastrointestinal surgery ; Lean body mass ; Life Sciences ; Meta-analysis ; Muscle strength ; Obesity ; Oxygen consumption ; Performance evaluation ; Physical activity ; Physical fitness ; Physical training ; Quality of life ; severe obesity ; Supplement ; Surgery ; Systematic review ; Training ; Weight loss</subject><ispartof>Obesity reviews, 2021-07, Vol.22 (S4), p.e13296-n/a</ispartof><rights>2021 The Authors. published by John Wiley & Sons Ltd on behalf of World Obesity Federation.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4826-3eee9c0777f81c2d0b23c99a973c54e48aa262efdb8132e0c4d088f39606d95f3</citedby><cites>FETCH-LOGICAL-c4826-3eee9c0777f81c2d0b23c99a973c54e48aa262efdb8132e0c4d088f39606d95f3</cites><orcidid>0000-0002-5789-811X ; 0000-0003-0324-4820 ; 0000-0001-6478-7269 ; 0000-0003-2159-4576 ; 0000-0002-7085-9596 ; 0000-0003-0542-8340 ; 0000-0003-4883-8980 ; 0000-0001-8546-6245 ; 0000-0002-0546-1514 ; 0000-0003-0760-1354 ; 0000-0001-8926-6953 ; 0000-0002-5572-487X ; 0000-0003-2592-6363</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fobr.13296$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fobr.13296$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://hal.sorbonne-universite.fr/hal-03250105$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Bellicha, Alice</creatorcontrib><creatorcontrib>Baak, Marleen A.</creatorcontrib><creatorcontrib>Battista, Francesca</creatorcontrib><creatorcontrib>Beaulieu, Kristine</creatorcontrib><creatorcontrib>Blundell, John E.</creatorcontrib><creatorcontrib>Busetto, Luca</creatorcontrib><creatorcontrib>Carraça, Eliana V.</creatorcontrib><creatorcontrib>Dicker, Dror</creatorcontrib><creatorcontrib>Encantado, Jorge</creatorcontrib><creatorcontrib>Ermolao, Andrea</creatorcontrib><creatorcontrib>Farpour‐Lambert, Nathalie</creatorcontrib><creatorcontrib>Pramono, Adriyan</creatorcontrib><creatorcontrib>Woodward, Euan</creatorcontrib><creatorcontrib>Oppert, Jean‐Michel</creatorcontrib><title>Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis</title><title>Obesity reviews</title><description>Summary
We aimed to assess the effectiveness of exercise training programs in adults with severe obesity undergoing bariatric surgery. A systematic search of controlled trials published up to October 2019 that assigned participants to either a preoperative or postoperative exercise training group or a nonexercise group was performed. Meta‐analyses were conducted using random‐effects models. Twenty‐two training programs were assessed (18 performed after bariatric surgery). The effect of preoperative exercise training on postsurgery outcomes was reported in only one study. Compared with the control condition without exercise, postoperative exercise training led to higher weight loss (N = 14, mean difference [95% CI] = −1.8 [−3.2; −0.4] kg, P = 0.01), fat loss (N = 9, P = 0.01), increase in VO2max (N = 8, P < 0.0001), and increase in muscle strength (N = 9, P < 0.0001). No significant effect was found on lean body mass (N = 11). Preliminary evidence suggests a beneficial effect of postoperative exercise training on bone mineral density (N = 3, P < 0.001) and weight maintenance after the end of the intervention (N = 2, P < 0.001) but no significant effect on quality of life (N = 2), habitual physical activity (N = 2), or cardiometabolic outcomes (N < 4). In conclusion, exercise training performed after bariatric surgery improves physical fitness and leads to a small additional weight and fat loss and may prevent bone loss and weight regain after bariatric surgery.</description><subject>bariatric surgery</subject><subject>body composition</subject><subject>Body mass</subject><subject>Body weight loss</subject><subject>Bone loss</subject><subject>Bone mineral density</subject><subject>Bone surgery</subject><subject>Exercise</subject><subject>exercise training</subject><subject>Fitness training programs</subject><subject>Gastrointestinal surgery</subject><subject>Lean body mass</subject><subject>Life Sciences</subject><subject>Meta-analysis</subject><subject>Muscle strength</subject><subject>Obesity</subject><subject>Oxygen consumption</subject><subject>Performance evaluation</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Quality of life</subject><subject>severe obesity</subject><subject>Supplement</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>Training</subject><subject>Weight loss</subject><issn>1467-7881</issn><issn>1467-789X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp1kc9KHTEUxoO0qNUu-gaBbuziav7MZBIXwq1YLVwQRKG7kMmcXCMzE01mrp1dH6HP2Ccx1yuWCs0m4eT3fScnH0KfKDmkeR2FOh5SzpTYQru0ENWskurHu9ezpDvoQ0p3hNBKcbqNdnhBJGGS7qLlmXNgBxwchp8QrU-Ah2h87_slrsGFCNj0DTZugIhrE70Zorc4jXEJcTrGc5ymNEBnhlyNsPLw-CzoYDB_fv02vWmn5NM-eu9Mm-Djy76Hbr6dXZ9ezBaX599P54uZLSQTMw4AypKqqpykljWkZtwqZVTFbVlAIY1hgoFrapkHBmKLhkjpuBJENKp0fA-dbHzvx7qDxkKfp2n1ffSdiZMOxut_b3p_q5dhpSUXpeA8G3zZGNy-kV3MF3pdI5yVhJJyRTN78NIshocR0qA7nyy0rekhjEmzkotKlWVRZPTzG_QujDF_zprKMUmmlPrb3MaQUgT3-gJK9DpqnaPWz1Fn9mjDPvoWpv-D-vLr1UbxBHbKqqw</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Bellicha, Alice</creator><creator>Baak, Marleen A.</creator><creator>Battista, Francesca</creator><creator>Beaulieu, Kristine</creator><creator>Blundell, John E.</creator><creator>Busetto, Luca</creator><creator>Carraça, Eliana V.</creator><creator>Dicker, Dror</creator><creator>Encantado, Jorge</creator><creator>Ermolao, Andrea</creator><creator>Farpour‐Lambert, Nathalie</creator><creator>Pramono, Adriyan</creator><creator>Woodward, Euan</creator><creator>Oppert, Jean‐Michel</creator><general>Wiley Subscription Services, Inc</general><general>Wiley</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TS</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5789-811X</orcidid><orcidid>https://orcid.org/0000-0003-0324-4820</orcidid><orcidid>https://orcid.org/0000-0001-6478-7269</orcidid><orcidid>https://orcid.org/0000-0003-2159-4576</orcidid><orcidid>https://orcid.org/0000-0002-7085-9596</orcidid><orcidid>https://orcid.org/0000-0003-0542-8340</orcidid><orcidid>https://orcid.org/0000-0003-4883-8980</orcidid><orcidid>https://orcid.org/0000-0001-8546-6245</orcidid><orcidid>https://orcid.org/0000-0002-0546-1514</orcidid><orcidid>https://orcid.org/0000-0003-0760-1354</orcidid><orcidid>https://orcid.org/0000-0001-8926-6953</orcidid><orcidid>https://orcid.org/0000-0002-5572-487X</orcidid><orcidid>https://orcid.org/0000-0003-2592-6363</orcidid></search><sort><creationdate>202107</creationdate><title>Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis</title><author>Bellicha, Alice ; Baak, Marleen A. ; Battista, Francesca ; Beaulieu, Kristine ; Blundell, John E. ; Busetto, Luca ; Carraça, Eliana V. ; Dicker, Dror ; Encantado, Jorge ; Ermolao, Andrea ; Farpour‐Lambert, Nathalie ; Pramono, Adriyan ; Woodward, Euan ; Oppert, Jean‐Michel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4826-3eee9c0777f81c2d0b23c99a973c54e48aa262efdb8132e0c4d088f39606d95f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>bariatric surgery</topic><topic>body composition</topic><topic>Body mass</topic><topic>Body weight loss</topic><topic>Bone loss</topic><topic>Bone mineral density</topic><topic>Bone surgery</topic><topic>Exercise</topic><topic>exercise training</topic><topic>Fitness training programs</topic><topic>Gastrointestinal surgery</topic><topic>Lean body mass</topic><topic>Life Sciences</topic><topic>Meta-analysis</topic><topic>Muscle strength</topic><topic>Obesity</topic><topic>Oxygen consumption</topic><topic>Performance evaluation</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Quality of life</topic><topic>severe obesity</topic><topic>Supplement</topic><topic>Surgery</topic><topic>Systematic review</topic><topic>Training</topic><topic>Weight loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bellicha, Alice</creatorcontrib><creatorcontrib>Baak, Marleen A.</creatorcontrib><creatorcontrib>Battista, Francesca</creatorcontrib><creatorcontrib>Beaulieu, Kristine</creatorcontrib><creatorcontrib>Blundell, John E.</creatorcontrib><creatorcontrib>Busetto, Luca</creatorcontrib><creatorcontrib>Carraça, Eliana V.</creatorcontrib><creatorcontrib>Dicker, Dror</creatorcontrib><creatorcontrib>Encantado, Jorge</creatorcontrib><creatorcontrib>Ermolao, Andrea</creatorcontrib><creatorcontrib>Farpour‐Lambert, Nathalie</creatorcontrib><creatorcontrib>Pramono, Adriyan</creatorcontrib><creatorcontrib>Woodward, Euan</creatorcontrib><creatorcontrib>Oppert, Jean‐Michel</creatorcontrib><collection>Wiley Open Access</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bellicha, Alice</au><au>Baak, Marleen A.</au><au>Battista, Francesca</au><au>Beaulieu, Kristine</au><au>Blundell, John E.</au><au>Busetto, Luca</au><au>Carraça, Eliana V.</au><au>Dicker, Dror</au><au>Encantado, Jorge</au><au>Ermolao, Andrea</au><au>Farpour‐Lambert, Nathalie</au><au>Pramono, Adriyan</au><au>Woodward, Euan</au><au>Oppert, Jean‐Michel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis</atitle><jtitle>Obesity reviews</jtitle><date>2021-07</date><risdate>2021</risdate><volume>22</volume><issue>S4</issue><spage>e13296</spage><epage>n/a</epage><pages>e13296-n/a</pages><issn>1467-7881</issn><eissn>1467-789X</eissn><abstract>Summary
We aimed to assess the effectiveness of exercise training programs in adults with severe obesity undergoing bariatric surgery. A systematic search of controlled trials published up to October 2019 that assigned participants to either a preoperative or postoperative exercise training group or a nonexercise group was performed. Meta‐analyses were conducted using random‐effects models. Twenty‐two training programs were assessed (18 performed after bariatric surgery). The effect of preoperative exercise training on postsurgery outcomes was reported in only one study. Compared with the control condition without exercise, postoperative exercise training led to higher weight loss (N = 14, mean difference [95% CI] = −1.8 [−3.2; −0.4] kg, P = 0.01), fat loss (N = 9, P = 0.01), increase in VO2max (N = 8, P < 0.0001), and increase in muscle strength (N = 9, P < 0.0001). No significant effect was found on lean body mass (N = 11). Preliminary evidence suggests a beneficial effect of postoperative exercise training on bone mineral density (N = 3, P < 0.001) and weight maintenance after the end of the intervention (N = 2, P < 0.001) but no significant effect on quality of life (N = 2), habitual physical activity (N = 2), or cardiometabolic outcomes (N < 4). In conclusion, exercise training performed after bariatric surgery improves physical fitness and leads to a small additional weight and fat loss and may prevent bone loss and weight regain after bariatric surgery.</abstract><cop>Oxford</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34080281</pmid><doi>10.1111/obr.13296</doi><tpages>18</tpages><orcidid>https://orcid.org/0000-0002-5789-811X</orcidid><orcidid>https://orcid.org/0000-0003-0324-4820</orcidid><orcidid>https://orcid.org/0000-0001-6478-7269</orcidid><orcidid>https://orcid.org/0000-0003-2159-4576</orcidid><orcidid>https://orcid.org/0000-0002-7085-9596</orcidid><orcidid>https://orcid.org/0000-0003-0542-8340</orcidid><orcidid>https://orcid.org/0000-0003-4883-8980</orcidid><orcidid>https://orcid.org/0000-0001-8546-6245</orcidid><orcidid>https://orcid.org/0000-0002-0546-1514</orcidid><orcidid>https://orcid.org/0000-0003-0760-1354</orcidid><orcidid>https://orcid.org/0000-0001-8926-6953</orcidid><orcidid>https://orcid.org/0000-0002-5572-487X</orcidid><orcidid>https://orcid.org/0000-0003-2592-6363</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | bariatric surgery body composition Body mass Body weight loss Bone loss Bone mineral density Bone surgery Exercise exercise training Fitness training programs Gastrointestinal surgery Lean body mass Life Sciences Meta-analysis Muscle strength Obesity Oxygen consumption Performance evaluation Physical activity Physical fitness Physical training Quality of life severe obesity Supplement Surgery Systematic review Training Weight loss |
| title | Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis |
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