Exercise Training Does Improve Cardiorespiratory Fitness in Post-Bariatric Surgery Patients

Andréa L G da Silva; Amanda V Sardeli; Larissa D André; Richard Severin; Claudio R de Oliveira; Chandra Hassan; Audrey Borghi-Silva; Shane A Phillips

doi:10.1007/s11695-019-03731-9

Exercise Training Does Improve Cardiorespiratory Fitness in Post-Bariatric Surgery Patients

Obes Surg. 2019 Apr;29(4):1416-1419. doi: 10.1007/s11695-019-03731-9.

Authors

Andréa L G da Silva^{1

2}, Amanda V Sardeli³, Larissa D André^{4

5}, Richard Severin⁴, Claudio R de Oliveira⁶, Chandra Hassan⁷, Audrey Borghi-Silva⁵, Shane A Phillips⁸

Affiliations

¹ Department of Physical Education and Health, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil. andreag@unisc.br.
² Department of Physical Therapy, Integrative Physiologic Laboratory, College of Applied Health Sciences, University of Illinois at Chicago (UIC), Chicago, IL, USA. andreag@unisc.br.
³ Laboratory of Exercise Physiology - FISEX, Faculty of Physical Education, University of Campinas (UNICAMP), Campinas, SP, Brazil.
⁴ Department of Physical Therapy, Integrative Physiologic Laboratory, College of Applied Health Sciences, University of Illinois at Chicago (UIC), Chicago, IL, USA.
⁵ Cardiopulmonary Physiotherapy Laboratory, Nucleus of Research in Physical Exercise, Federal University of São Carlos (UFSCar), São Carlos, São Paulo, Brazil.
⁶ Department of Medicine, Federal University of São Carlos (UFSCar), São Carlos, São Paulo, Brazil.
⁷ Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago (UIC), Chicago, IL, USA.
⁸ Department of Physical Therapy, Integrative Physiologic Laboratory, College of Applied Health Sciences, University of Illinois at Chicago (UIC), Chicago, IL, USA. shanep@uic.edu.

PMID: 30706319
DOI: 10.1007/s11695-019-03731-9

Abstract

Although exercise is recognized as an important component of the management for patients following bariatric surgery (BS), its effectiveness on cardiorespiratory fitness (CRF) is still unclear. To investigate this relationship between BS and CRF, a systematic review was conducted in the MEDLINE database. The literature search included studies involving exercise training in patients following BS. A total of 306 studies were identified, 7 met the criteria and were included in the meta-analysis. Exercise training was found to result in a moderate and significant increase in VO₂max (SMD = 0.430, 95% CI 0.157; 0.704, p = 0.002) following BS. The results from this meta-analysis indicate that exercise training can significantly improve CRF. Further research is needed to determine the ideal training duration and exercise training parameters for patients following BS.

Keywords: Bariatric surgery; Cardiorespiratory fitness; Exercise training.

Publication types

Meta-Analysis
Systematic Review

MeSH terms

Bariatric Surgery*
Cardiorespiratory Fitness / physiology*
Exercise / physiology*
Humans
Obesity, Morbid / surgery*
Oxygen Consumption / physiology
Postoperative Period