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Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis

2021Journal article Open access
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dc.contributor.authorBellicha, Alice
dc.contributor.authorBaak, Marleen Van
dc.contributor.authorBattista, Francesca
dc.contributor.authorBeaulieu, Kristine
dc.contributor.authorBlundell, John
dc.contributor.authorBusetto, Luca
dc.contributor.authorCarraça, Eliana V.
dc.contributor.authorDicker, Dror
dc.contributor.authorEncantado, Jorge
dc.contributor.authorErmolao, Andrea
dc.contributor.authorFarpour-Lambert, Nathalie
dc.contributor.authorPramono, Adriyan
dc.contributor.authorWoodward, Euan
dc.contributor.authorOppert, Jean-Michel
dc.date.accessioned2021-06-18T16:03:23Z
dc.date.available2021-06-18T16:03:23Z
dc.date.issued2021
dc.description.abstractWe 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 VO2 max (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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBellicha, A., Baak, M. V., Battista, F., Beaulieu, K., Blundell,J., Busetto, B., Carraça, E., Encantado, J. Ermolão, J., Farpour-Lambert. N., Pramono, A., Woodward, E, & Oppert, J. (2021). Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis. Obesity Reviews, DOI: 10.1111/obr.13296pt_PT
dc.identifier.doi10.1111/obr.13296pt_PT
dc.identifier.issn14677881
dc.identifier.urihttp://hdl.handle.net/10400.12/8191
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley-Blackwell Publishing Ltdpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectBariatric surgerypt_PT
dc.subjectBody compositionpt_PT
dc.subjectExercise trainingpt_PT
dc.subjectPhysical activitypt_PT
dc.subjectSevere obesitypt_PT
dc.titleEffect of exercise training before and after bariatric surgery: A systematic review and meta‐analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Kingdompt_PT
oaire.citation.endPage18pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleObesity Reviewspt_PT
person.familyNameBellicha
person.familyNamevan Baak
person.familyNameBattista
person.familyNameBeaulieu
person.familyNameBlundell
person.familyNameBusetto
person.familyNameCarraça
person.familyNameDicker
person.familyNameConde Encantado Paulo
person.familyNameErmolao
person.familyNameFarpour-Lambert
person.familyNamePramono
person.familyNameWoodward
person.familyNameOppert
person.givenNameAlice
person.givenNameMarleen
person.givenNameFrancesca
person.givenNameKristine
person.givenNameJohn
person.givenNameLuca
person.givenNameEliana
person.givenNameDror
person.givenNameJorge Eduardo
person.givenNameAndrea
person.givenNameNathalie
person.givenNameAdriyan
person.givenNameEuan
person.givenNameJean-Michel
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person.identifier.scopus-author-id55270369800
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rcaap.rightsopenAccesspt_PT
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