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The Effect of Aerobic or Aerobic-Strength Exercise on Body Composition and Functional Capacity in Patients with BMI ≥35 after Bariatric Surgery: a Randomized Control Trial

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Abstract

Background

Although previous studies suggested that bariatric surgery is the most effective and sustainable treatment method for morbid obesity in long term, but without changing in lifestyle, maintaining optimal weight loss is almost impossible.

Methods

Sixty morbid obese patients (BMI ≥ 35) were evaluated before and after 12 weeks of bariatric surgery in order to compare the impact of two different exercise programs on body composition and functional capacity outcomes. Participants were divided into three groups: aerobic (A), aerobic-strength (AS), and control (C) group. Aerobic capacity was assessed with 12-min walk-run test (12MWRT). One-repetition maximum (1RM) test was performed to evaluation upper limb muscle strength. Lower extremity functional capacity was assessed by sit-to-stand test.

Results

Weight, percent body fat (PBF), and fat mass (FM) reduced greater in the trial groups in comparison to the C group (P < 0.05). In the AS group, the reduction of fat-free mass (FFM) was significantly lower than that in the other groups. Mean changes in 12MWRT increased significantly in the intervention groups. The mean change in the sit-to-stand scores was not statistically significant between the three groups. Comparing the intervention groups showed that mean changes in 1RM variables increased in AS group (P = 0.03).

Conclusions

The data suggests a positive effect of exercise on weight and PBF decrease after surgery, and it leads to significant improvement on aerobic capacity. Moreover, doing resisted exercise caused greater preserving of lean mass.

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Acknowledgments

This research has been supported by Tehran University of Medical Sciences and Health Services Grant (No: IRCT201512297903N7).

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Author notes

  1. Alireza Hassannejad and Alireza Khalaj are contributed equally to the study.

Authors and Affiliations

  1. Sports Medicine Research Center, Tehran university of Medical Sciences, Tehran, Iran

    Alireza Hassannejad, Mastaneh Rajabian Tabesh & Zahra Alizadeh

  2. Obesity Treatment Center, Department of Surgery, Shahed University, Tehran, Islamic Republic of Iran

    Alireza Khalaj

  3. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

    Mohammad Ali Mansournia

  4. Department of Sports and Exercise Medicine, Tehran University of Medical Sciences, No7, Ale-ahmad Highway, Opposite of the Shariati Hospital, Tehran, 14395-578, Iran

    Zahra Alizadeh

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  1. Alireza Hassannejad
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  4. Mastaneh Rajabian Tabesh
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Correspondence to Zahra Alizadeh.

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The authors declare that they have no conflict of interest.

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Informed consent was obtained from all individual participants included in the study.

Ethical Approval

All procedures performed in the study were in accordance with the ethical standards of the Tehran University of Medical Sciences (TUMS) and Health Services Grant (No: IRCT201512297903N7) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Hassannejad, A., Khalaj, A., Mansournia, M.A. et al. The Effect of Aerobic or Aerobic-Strength Exercise on Body Composition and Functional Capacity in Patients with BMI ≥35 after Bariatric Surgery: a Randomized Control Trial. OBES SURG 27, 2792–2801 (2017). https://doi.org/10.1007/s11695-017-2717-3

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