Physical Exercise in Postoperative Bariatric Surgery Patients
Study Details
Study Description
Brief Summary
This study aims to determine the effect of two types of exercise training on body composition, cardiopulmonary function and quality of life in people after undergoing bariatric surgery.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Three groups will be studied:
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Control group (CG)
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Group of moderate intensity continuous aerobic exercise (GMICT)
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High intensity interval aerobic exercise group (GHIIT)
The CG will follow the usual protocol adopted by the hospital San Juan de Dios, Curicó, Chile. The protocol consists in delivering information about relevance of engage in regular physical exercise practice according to the World Health Organization (150 minutes of activity per week moderate physical or at least 75 minutes of intense physical activity), but do not include the patients in a supervised physical exercise program.
The GMICT will undergo a physical exercise program in which the aerobic component will be a moderate-intensity continuous exercise training (60% of the heart rate reserve).
The GHIIT will undergo the same exercise program of the GMICT, but the aerobic component will be a high-intensity interval exercise training (10 sets of 1 min at 90% of heart rate reserve, with 1 min of rest between sets).
All groups will receive a nutritional diet plan prescribed by a specialist bariatric nutritionist blinded to the participants group assignment.
At the end of the study, the CG will be invited to enjoy the exercise program showing to be more effective.
Outcomes will be assessed at four time points: 1) one week before surgery; 2) 21 days after surgery (baseline before start exercise program); 3) 8 weeks after the beginning of the exercise program; and 4) one week after the end of intervention.
Main outcomes are: 1) body composition; 2) heart rate variability; 3) six-minute walk test and 4) quality of life. Secondary outcomes will be: 1) maximal respiratory pressures; 2) flowmeter; 3) dynamometry of upper limb; and 4) squat test in 30 seconds.
All procedures will be performed in the Hospital of Curicó, Chile, at the Department of Physical Medicine and Rehabilitation Service.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
No Intervention: Control Group (CG) The CG will receive the standard indications routinely provided by the hospital which consists in information about practice of regular physical activity according to World Health Organization. A leaflet with illustrations and indications will be provided and will be explained by the principal investigator. |
|
Experimental: Moderate-intensity continuous exercise training group (GMICT) The GMICT will be submitted to a physical exercise program in which the aerobic component will be a moderate-intensity continuous exercise training, performed at 60% of the heart rate reserve, two days a week, for 30 minutes. |
Other: Physical Exercise
Moderate-intensity continuous exercise training performed at cycle ergometer.
|
Experimental: High-intensity interval training exercise group (GHIIT) The GHIIT will be will be submitted to a physical exercise program in which the aerobic component will be a high-intensity interval exercise training, performed in a protocol consisted of four one-min sprint at 90% of the heart rate reserve, alternated with one-min rest (at week 1) and progressing until reach 10 bouts of one-min sprint alternated with one-min rest. |
Other: High-intensity interval training performed at cycle ergometer.
High-intensity interval training performed at cycle ergometer.
|
Outcome Measures
Primary Outcome Measures
- Body fat (%) [16 weeks]
To determine the effects of HIIT and MCIT on body composition by measuring percent of body fat using a tetrapolar bioelectrical impedance.
- Muscle mass (Kg) [16 weeks]
To determine the effects of HIIT and MCIT on body composition by measuring muscle mass using a tetrapolar bioelectrical impedance.
- Bone mass (Kg) [16 weeks]
To determine the effects of HIIT and MCIT on body composition by measuring bone mass using a tetrapolar bioelectrical impedance.
- Heart rate variability [16 weeks]
To determine the effects of HIIT and MCIT on cardiac autonomic control in supine and orthostatic positions.
- Six minutes walk test (mts traveled) [16 weeks]
To determine the effects of HIIT and MCIT on functional capacity using the six-minute walk test.
- Moorehead-Ardelt Quality of Life Questionnaire (MAQ II) [16 weeks]
To determine the effects of HIIT and MCIT on quality of life by the Moorehead-Ardelt Quality of Life Questionnaire. The score of each answer ranges from -0.5 (most unfavorable situation) to +0.5 (most favorable situation). According to the score obtained: -3 to -2.1: "very poor"; -2 to -1.1: "poor"; -1 to 1: "fair"; 1.1 to 2: "good"; and 2.1 to 3: "very good" quality of life.
- Bariatric Analysis and Reporting Outcomes System (BAROS Score) [16 weeks]
To determine the effects of HIIT and MCIT on quality of life by the Bariatric Analysis and Reporting Outcomes System. Moorehead-Ardelt questionnaire incorporates the percentage of overweight lost or gained after surgery, resolution of comorbidities associated with morbid obesity, need for reoperation and complications. According to the score obtained, it is categorized as: ≤1: "failure"; > 1 to 3: "fair"; > 3 to 5: "good"; > 5 to 7: "very good"; and > 7 to 9: excellent.
Secondary Outcome Measures
- Maximal inspiratory and expiratory pressures (cmH2O) [16 weeks]
To determine the effects of HIIT and MCIT on the maximal inspiratory and expiratory pressures.
- Flowmeter (L/min) [16 weeks]
To determine the effects of HIIT and MCIT on the peak expiratory flow.
- Hand grip strength test (Kg) [16 weeks]
To determine the effects of HIIT and MCIT on the maximum prehensile force will be measured.
- 30-sec chair stand test (count) [16 weeks]
To determine the effects of HIIT and MCIT on cardiopulmonary function the number of squats in 30 seconds will be counted.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Persons between 18 and 65 years old, both sexes, who have undergone bariatric surgery, with medical authorization to perform physical exercise, that the wound healing process operative is in the final phase, which have been administered with subsequent anti thrombus treatment to surgery, who have no plans to change their place of residence within the current year.
Exclusion Criteria:
- Persons who have had immediate complications after bariatric surgery (dehiscence anastomosis and operative wound dehiscence), presented any comorbidity decompensation after surgery, who are in the process of dialysis or who suffer from neuromotor disease.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hospital San Juan de Dios de Curicó | Curicó | Maule | Chile |
Sponsors and Collaborators
- Universidad Católica del Maule
Investigators
- Study Director: Antonio R Zamunér, PhD, Universidad Católica del Maule
Study Documents (Full-Text)
None provided.More Information
Additional Information:
- Selection of candidates for bariatric surgery
- Epidemiology of obesity in Chile
- Historias de vida: una metodología de investigación cualitativa.
- Recomendaciones de la SECO para la práctica de la cirugía bariátrica y metabólica
- ¿Cómo analizar datos cualitativos?.
- Evaluación mediante score BAROS de los resultados del bypass gástrico en el tratamiento de la obesidad mórbida
- Alteraciones hepáticas en el paciente con obesidad mórbida sometido a cirugía bariátrica
- Tratamiento con cirugía bariátrica en el paciente obeso.
- Encuesta Nacional De Salud 2016-2017, primeros resultados
- Nota Descriptiva Obesidad y Sobrepeso
- Exercise reduces lean mass loss in obese patients undergoing bariatric surgery
- Evaluation of a structured program of physical exercise in morbidly obese patients awaiting bariatric surgery
- Quality of life: A theoretical review
- BODY COMPOSITION ASSESSMENT IN SPORTS MEDICINE. STATEMENT OF SPANISH GROUP OF KINANTHROPOMETRY OF SPANISH FEDERATION OF SPORTS MEDICINE
Publications
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- Delgado Floody P, Cofré Lizama A, Alarcón Hormazábal M, Osorio Poblete A, Caamaño Navarrete F, Jerez Mayorga D. [EVALUATION OF A COMPREHENSIVE PROGRAM OF FOUR MONTHS OF DURATION ON THE PREOPERATIVE CONDITIONS OF OBESE PATIENTS CANDIDATES FOR BARIATRIC SURGERY]. Nutr Hosp. 2015 Sep 1;32(3):1022-7. doi: 10.3305/nh.2015.32.3.9350. Spanish.
- Delgado Floody P, Jerez Mayorga D, Caamaño Navarrete F, Concha Díaz M, Ovalle Elgueta H, Osorio Poblete A. [EFFECTIVENESS OF COMPREHENSIVE TREATMENT ON THE PREOPERATIVE CONDITIONS OF OBESE WOMEN CANDIDATES FOR BARIATRIC SURGERY]. Nutr Hosp. 2015 Dec 1;32(6):2570-5. doi: 10.3305/nh.2015.32.6.9761. Spanish.
- Delgado Floody P, Jerez Mayorga D, Caamaño Navarrete F, Osorio Poblete A, Thuillier Lepeley N, Alarcón Hormazábal M. [TWELVE WEEKS OF PHYSICAL EXERCISE INTERVAL WITH SURCHARGE IMPROVES THE ANTHROPOMETRIC VARIABLES OF OBESE MORBID AND OBESE WITH COMORBIDITIES CANDIDATES TO BARIATRIC SURGERY]. Nutr Hosp. 2015 Nov 1;32(5):2007-11. doi: 10.3305/nh.2015.32.5.9610. Spanish.
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- Herring LY, Stevinson C, Carter P, Biddle SJH, Bowrey D, Sutton C, Davies MJ. The effects of supervised exercise training 12-24 months after bariatric surgery on physical function and body composition: a randomised controlled trial. Int J Obes (Lond). 2017 Jun;41(6):909-916. doi: 10.1038/ijo.2017.60. Epub 2017 Mar 6.
- Hewitt S, Søvik TT, Aasheim ET, Kristinsson J, Jahnsen J, Birketvedt GS, Bøhmer T, Eriksen EF, Mala T. Secondary hyperparathyroidism, vitamin D sufficiency, and serum calcium 5 years after gastric bypass and duodenal switch. Obes Surg. 2013 Mar;23(3):384-90. doi: 10.1007/s11695-012-0772-3.
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- Lund MT, Hansen M, Wimmelmann CL, Taudorf LR, Helge JW, Mortensen EL, Dela F. Increased post-operative cardiopulmonary fitness in gastric bypass patients is explained by weight loss. Scand J Med Sci Sports. 2016 Dec;26(12):1428-1434. doi: 10.1111/sms.12593. Epub 2015 Dec 4.
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- Papapietro K, Massardo T, Riffo A, Díaz E, Araya AV, Adjemian D, Montesinos G, Castro G. [Bone mineral density disminution post Roux-Y bypass surgery]. Nutr Hosp. 2013 May-Jun;28(3):631-6. doi: 10.3305/nh.2013.28.3.6400. Spanish.
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- Tschentscher M, Eichinger J, Egger A, Droese S, Schönfelder M, Niebauer J. High-intensity interval training is not superior to other forms of endurance training during cardiac rehabilitation. Eur J Prev Cardiol. 2016 Jan;23(1):14-20. doi: 10.1177/2047487314560100. Epub 2014 Nov 17.
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