Effects of Exercise Mode on Improving Cardiovascular Function and Cardiorespiratory Fitness After Bariatric Surgery: A Narrative Review

Am J Phys Med Rehabil. 2022 Nov 1;101(11):1056-1065. doi: 10.1097/PHM.0000000000001946. Epub 2022 Jan 18.

Abstract

Obesity affects 600 million people globally and increases the risk of developing cardiovascular disease, stroke, diabetes, and cancer. Bariatric surgery is an increasingly popular therapeutic intervention for morbid obesity to induce rapid weight loss and reduce obesity-related comorbidities. However, some bariatric surgery patients, after what is considered a successful surgical procedure, continue to manifest obesity-related health issues, including weight gain, reduced physical function, persistent elevations in blood pressure, and reduced cardiorespiratory fitness. Cardiorespiratory fitness is a strong predictor of mortality and several health outcomes and could be improved by an appropriate exercise prescription after bariatric surgery. This review provides a broad overview of exercise training for patients after bariatric surgery and discusses cardiorespiratory fitness and other potential physiological adaptations in response to exercise training.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Bariatric Surgery* / methods
  • Cardiorespiratory Fitness* / physiology
  • Exercise
  • Exercise Therapy / methods
  • Humans
  • Obesity, Morbid* / surgery
  • Physical Fitness / physiology