Skip to main content
SpringerLink
Log in

Longitudinal Assessment of Physical Activity in Women Undergoing Roux-en-Y Gastric Bypass

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

Patients undergoing bariatric surgery do not seem to increase objectively measured physical activity (PA) after surgery, despite substantial weight loss. The aims of the present study were (i) to objectively characterize 3 months pre-surgery to 9 months postsurgery PA and sedentary behavior changes in women undergoing Roux-en-Y gastric bypass (RYGB) using tri-axial accelerometers and (ii) to examine associations between pre-surgery versus postsurgery PA and sedentary behavior with anthropometric measures taken in home environment.

Methods

Fifty-six women, with an average pre-surgery body mass index (BMI) of 37.6 (SD 2.6) and of age 39.5 years (SD 5.7), were recruited at five Swedish hospitals. PA was measured for 1 week by the Actigraph GT3X+ accelerometer, and anthropometric measures were taken at home visits 3 months pre-surgery and 9 months postsurgery, thus limiting seasonal effects.

Results

Average BMI loss, 9 months postsurgery, was 11.7 (SD 2.7) BMI units. There were no significant pre- to postsurgery differences in PA or sedentary behavior. However, pre-surgery PA showed negative association with PA change and positive association with postsurgery PA. Adjustments for pre-surgery BMI had no impact on these associations.

Conclusions

No significant differences were observed in objectively measured changes in PA or time spent sedentary from 3 months pre-surgery to 9 months postsurgery among women undergoing RYGB. However, women with higher pre-surgery PA decreased their PA postsurgery while women with lower pre-surgery PA increased their PA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.

    Article  PubMed  Google Scholar 

  2. Fogelholm M. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev. 2010;11(3):202–21.

    Article  CAS  PubMed  Google Scholar 

  3. Iannelli A, Martini F, Rodolphe A, et al. Body composition, anthropometrics, energy expenditure, systemic inflammation, in premenopausal women 1 year after laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2013.

  4. Szulc P, Munoz F, Marchand F, et al. Rapid loss of appendicular skeletal muscle mass is associated with higher all-cause mortality in older men: the prospective MINOS study. Am J Clin Nutr. 2010;91(5):1227–36.

    Article  CAS  PubMed  Google Scholar 

  5. Jakicic JM, Marcus BH, Lang W, et al. Effect of exercise on 24-month weight loss maintenance in overweight women. Arch Intern Med. 2008;168(14):1550–9. discussion 9-60.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Shah M, Snell PG, Rao S, et al. High-volume exercise program in obese bariatric surgery patients: a randomized, controlled trial. Obesity (Silver Spring). 2011;19(9):1826–34.

    Article  Google Scholar 

  7. Josbeno DA, Jakicic JM, Hergenroeder A, et al. Physical activity and physical function changes in obese individuals after gastric bypass surgery. Surg Obes Relat Dis. 2010;6(4):361–6.

    Article  PubMed  Google Scholar 

  8. Bond DS, Jakicic JM, Vithiananthan S, et al. Objective quantification of physical activity in bariatric surgery candidates and normal-weight controls. Surg Obes Relat Dis. 2010;6(1):72–8.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Bond DS, Jakicic JM, Unick JL, et al. Pre- to postoperative physical activity changes in bariatric surgery patients: self report vs. objective measures. Obesity (Silver Spring). 2010;18(12):2395–7.

    Article  Google Scholar 

  10. King WC, Hsu JY, Belle SH, et al. Pre- to postoperative changes in physical activity: report from the longitudinal assessment of bariatric surgery-2 (LABS-2). Surg Obes Relat Dis. 2012;8(5):522–32.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Jakicic JM, Polley BA, Wing RR. Accuracy of self-reported exercise and the relationship with weight loss in overweight women. Med Sci Sports Exerc. 1998;30(4):634–8.

    Article  CAS  PubMed  Google Scholar 

  12. Lagersted-Olsen J, Korshoj M, Skotte J, et al. Comparison of objectively measured and self-reported time spent sitting. Int J Sports Med. 2013.

  13. Duncan GE, Sydeman SJ, Perri MG, et al. Can sedentary adults accurately recall the intensity of their physical activity? Prev Med. 2001;33(1):18–26.

    Article  CAS  PubMed  Google Scholar 

  14. King WC, Belle SH, Eid GM, et al. Physical activity levels of patients undergoing bariatric surgery in the Longitudinal Assessment of Bariatric Surgery study. Surg Obes Relat Dis. 2008;4(6):721–8.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Westerterp KR. Assessment of physical activity: a critical appraisal. Eur J Appl Physiol. 2009;105(6):823–8.

    Article  PubMed  Google Scholar 

  16. Santos-Lozano A, Marin PJ, Torres-Luque G, et al. Technical variability of the GT3X accelerometer. Med Eng Phys. 2012;34(6):787–90.

    Article  PubMed  Google Scholar 

  17. Choi L, Liu Z, Matthews CE, et al. Validation of accelerometer wear and nonwear time classification algorithm. Med Sci Sports Exerc. 2011;43(2):357–64.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Troiano RP, Berrigan D, Dodd KW, et al. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–8.

    Article  PubMed  Google Scholar 

  19. Santos-Lozano A, Santin-Medeiros F, Cardon G, et al. Actigraph GT3X: validation and determination of physical activity intensity cut points. Int J Sports Med. 2013.

  20. Hanggi JM, Phillips LR, Rowlands AV. Validation of the GT3X ActiGraph in children and comparison with the GT1M ActiGraph. J Sci Med Sport. 2013;16(1):40–4.

    Article  PubMed  Google Scholar 

  21. Kyle UG, Genton L, Karsegard L, et al. Single prediction equation for bioelectrical impedance analysis in adults aged 20–94 years. Nutrition. 2001;17(3):248–53.

    Article  CAS  PubMed  Google Scholar 

  22. Widen EM, Strain G, King WC, et al. Validity of bioelectrical impedance analysis for measuring changes in body water and percent fat after bariatric surgery. Obes Surg. 2014.

  23. Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39(8):1423–34.

    Article  PubMed  Google Scholar 

  24. Owen N, Healy GN, Matthews CE, et al. Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev. 2010;38(3):105–13.

    Article  PubMed Central  PubMed  Google Scholar 

  25. Jacobi D, Ciangura C, Couet C, et al. Physical activity and weight loss following bariatric surgery. Obes Rev. 2011;12(5):366–77.

    Article  CAS  PubMed  Google Scholar 

  26. Bond DS, Unick JL, Jakicic JM, et al. Objective assessment of time spent being sedentary in bariatric surgery candidates. Obes Surg. 2011;21(6):811–4.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Hagstromer M, Troiano RP, Sjostrom M, et al. Levels and patterns of objectively assessed physical activity—a comparison between Sweden and the United States. Am J Epidemiol. 2010;171(10):1055–64.

    Article  PubMed  Google Scholar 

  28. Martin CK, Das SK, Lindblad L, et al. Effect of calorie restriction on the free-living physical activity levels of nonobese humans: results of three randomized trials. J Appl Physiol (1985). 2011;110(4):956–63.

    Article  Google Scholar 

  29. Ortega J, Ortega-Evangelio G, Cassinello N, et al. What are obese patients able to eat after Roux-en-Y gastric bypass? Obes Facts. 2012;5(3):339–48.

    Article  PubMed  Google Scholar 

  30. Donnelly JE, Blair SN, Jakicic JM, et al. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459–71.

    Article  PubMed  Google Scholar 

  31. Joosen AM, Gielen M, Vlietinck R, et al. Genetic analysis of physical activity in twins. Am J Clin Nutr. 2005;82(6):1253–9.

    CAS  PubMed  Google Scholar 

  32. Bond D. Bari-Active: a preoperative intervention to increase physical activity. Obes Surg [Original]. 2011;21:1042–4.

    Google Scholar 

  33. O’Connell SE, Griffiths PL, Clemes SA. Seasonal variation in physical activity, sedentary behaviour and sleep in a sample of UK adults. Ann Hum Biol. 2014;41(1):1–8.

    Article  PubMed  Google Scholar 

  34. Ward DS, Evenson KR, Vaughn A, et al. Accelerometer use in physical activity: best practices and research recommendations. Med Sci Sports Exerc. 2005;37(11 Suppl):S582–8.

    Article  PubMed  Google Scholar 

  35. Sjostrom L. Review of the key results from the Swedish Obese Subjects (SOS) trial—a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219–34.

    Article  CAS  PubMed  Google Scholar 

  36. Chaput JP, Klingenberg L, Rosenkilde M, et al. Physical activity plays an important role in body weight regulation. J Obes. 2011;2011.

Download references

Acknowledgments

We would like to thank the staff involved in this study from the five hospitals, Danderyd Hospital, Ersta Hospital, Uppsala University Hospital, Örebro University Hospital, and St. Görans Hospital, for their help in recruiting study participants. Moreover, we would like to thank Professor Ulf Ekelund for meaningful discussions regarding the manuscript.

Grant Support

This study was funded by a grant to Finn Rasmussen from the Swedish Council for Working Life and Social Research (grant number 2008-0654), Stockholm County Council (ALF), Novo Nordisk fund, Karolinska Institutet Diabetes Theme center, the National School in Caring Sciences at Karolinska Institutet (NFV), and through the Erling-Persson Family Foundation.

Conflict of Interest

The authors have no conflicts of interest to declare.

Author information

Authors and Affiliations

  1. Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18A, Widerströmska Huset, 171 77, Stockholm, Sweden

    Daniel Berglind, Mikaela Willmer, Per Tynelius & Finn Rasmussen

  2. Department of Medical Epidemiology and Biostatistics, Karolinska University, Stockholm, Sweden

    Ulf Eriksson

  3. Department of Surgery, Ersta Hospital, Stockholm, Sweden

    Anders Thorell

  4. Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden

    Magnus Sundbom & Jakob Hedberg

  5. Obesity Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden

    Joanna Uddén

  6. Department of Upper Gastrosurgical Research, Örebro University Hospital, Örebro, Sweden

    Mustafa Raoof

  7. Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden

    Erik Näslund

Authors
  1. Daniel Berglind
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mikaela Willmer
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ulf Eriksson
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Anders Thorell
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Magnus Sundbom
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Joanna Uddén
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Mustafa Raoof
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Jakob Hedberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Per Tynelius
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Erik Näslund
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Finn Rasmussen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Finn Rasmussen.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Berglind, D., Willmer, M., Eriksson, U. et al. Longitudinal Assessment of Physical Activity in Women Undergoing Roux-en-Y Gastric Bypass. OBES SURG 25, 119–125 (2015). https://doi.org/10.1007/s11695-014-1331-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-014-1331-x

Keywords

Search

Navigation