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Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study.

Jassil FC, Manning S, Lewis N, Steinmo S, Kingett H, Lough F, Pucci AB, Cheung WH, Finer N, Walker J, Doyle J, Batterham RL - J Obes (2015)

Bottom Line: Percentage weight loss (%WL) outcomes were compared with a historical matched control group.The intervention group exhibited greater %WL in the 3-12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p = 0.027).Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes.

View Article: PubMed Central - PubMed

Affiliation: Centre for Obesity Research, Rayne Institute, Department of Medicine, University College London, London WC1E 6JJ, UK.

ABSTRACT

Background: Lifestyle intervention programs after bariatric surgery have been suggested to maximise health outcomes. This pilot study aimed to investigate the feasibility and impact of an 8-week combined supervised exercise with nutritional-behavioral intervention following Roux-en-Y gastric bypass and sleeve gastrectomy.

Methods: Eight female patients (44 ± 8 years old, BMI = 38.5 ± 7.2 kg m(-2)) completed the program. Before and after intervention, anthropometric measures, six-minute walk test (6MWT), physical activity level, eating behavior, and quality of life (QoL) were assessed. Percentage weight loss (%WL) outcomes were compared with a historical matched control group.

Results: The program significantly improved functional capacity (mean increment in 6MWT was 127 ± 107 meters, p = 0.043), increased strenuous intensity exercise (44 ± 49 min/week, p = 0.043), increased consumption of fruits and vegetables (p = 0.034), reduced consumption of ready meals (p = 0.034), and improved "Change in Health" in QoL domain (p = 0.039). The intervention group exhibited greater %WL in the 3-12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p = 0.027).

Conclusions: Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes. A large randomised control trial is now warranted.

No MeSH data available.


Related in: MedlinePlus

Comparison of %WL at 12-month postsurgery visit for each patient with the averaged data from their two case-matched controls.
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fig3: Comparison of %WL at 12-month postsurgery visit for each patient with the averaged data from their two case-matched controls.

Mentions: No significant differences were observed between the intervention and control group for %WL at 12 months' follow-up (Figure 3) or ΔBMI at 12 months after surgery (25.2 ± 11% versus 19.3 ± 7.2%, p = 0.208, and 11.2 ± 5 kgm−2 versus 8.7 ± 3.1 kgm−2, p = 0.189, resp.). However, %WL at 3–12-month period was significantly higher in the intervention group than the control (12.2 ± 7.5 versus 5.1 ± 5.4, p = 0.027) (Figure 4) with p = 0.05 for ΔBMI at 3–12-month period between the intervention and control group (5.5 ± 3.5 kgm−2 versus 2.4 ± 4.5 kgm−2).


Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study.

Jassil FC, Manning S, Lewis N, Steinmo S, Kingett H, Lough F, Pucci AB, Cheung WH, Finer N, Walker J, Doyle J, Batterham RL - J Obes (2015)

Comparison of %WL at 12-month postsurgery visit for each patient with the averaged data from their two case-matched controls.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4493296&req=5

fig3: Comparison of %WL at 12-month postsurgery visit for each patient with the averaged data from their two case-matched controls.
Mentions: No significant differences were observed between the intervention and control group for %WL at 12 months' follow-up (Figure 3) or ΔBMI at 12 months after surgery (25.2 ± 11% versus 19.3 ± 7.2%, p = 0.208, and 11.2 ± 5 kgm−2 versus 8.7 ± 3.1 kgm−2, p = 0.189, resp.). However, %WL at 3–12-month period was significantly higher in the intervention group than the control (12.2 ± 7.5 versus 5.1 ± 5.4, p = 0.027) (Figure 4) with p = 0.05 for ΔBMI at 3–12-month period between the intervention and control group (5.5 ± 3.5 kgm−2 versus 2.4 ± 4.5 kgm−2).

Bottom Line: Percentage weight loss (%WL) outcomes were compared with a historical matched control group.The intervention group exhibited greater %WL in the 3-12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p = 0.027).Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes.

View Article: PubMed Central - PubMed

Affiliation: Centre for Obesity Research, Rayne Institute, Department of Medicine, University College London, London WC1E 6JJ, UK.

ABSTRACT

Background: Lifestyle intervention programs after bariatric surgery have been suggested to maximise health outcomes. This pilot study aimed to investigate the feasibility and impact of an 8-week combined supervised exercise with nutritional-behavioral intervention following Roux-en-Y gastric bypass and sleeve gastrectomy.

Methods: Eight female patients (44 ± 8 years old, BMI = 38.5 ± 7.2 kg m(-2)) completed the program. Before and after intervention, anthropometric measures, six-minute walk test (6MWT), physical activity level, eating behavior, and quality of life (QoL) were assessed. Percentage weight loss (%WL) outcomes were compared with a historical matched control group.

Results: The program significantly improved functional capacity (mean increment in 6MWT was 127 ± 107 meters, p = 0.043), increased strenuous intensity exercise (44 ± 49 min/week, p = 0.043), increased consumption of fruits and vegetables (p = 0.034), reduced consumption of ready meals (p = 0.034), and improved "Change in Health" in QoL domain (p = 0.039). The intervention group exhibited greater %WL in the 3-12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p = 0.027).

Conclusions: Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes. A large randomised control trial is now warranted.

No MeSH data available.


Related in: MedlinePlus