Effect of exercise training after bariatric surgery: A 5-year follow-up study of a randomized controlled trial.
Effect of exercise training after bariatric surgery: A 5-year follow-up study of a randomized controlled trial.
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Background and objectivesWe previously showed in a 6-month randomized controlled trial that resistance training and protein supplementation after bariatric surgery (Roux-en-Y gastric bypass, RYGB) improved muscle strength without significant effect on weight loss and body composition changes.We performed a 5-year follow-up study in these subjects with the aim 1) to assess the long-term effect of this exercise training intervention and 2) to analyze associations between habitual physical activity att nighthawk hotspot (PA) and weight regain at 5 years.MethodsFifty-four out of 76 initial participants (follow-up rate of 71%) completed the 5-year follow-up examination (controls, n = 17; protein supplementation, n = 22; protein supplementation and resistance training, n = 15).We measured body weight and composition (DXA), lower-limb strength (leg-press one-repetition maximum) and habitual PA (Actigraph accelerometers and self-report).
Weight regain at 5 years was considered low when ResultsMean (SD) time elapse since RYGB was 5.7 (0.9) y.At 5 years, weight loss was 32.
8 (10.1) kg, with a mean weight regain of 5.4 (SD 5.9) kg compared with the 12-month assessment.
Moderate-to-vigorous PA (MVPA) assessed by accelerometry did not change significantly compared with pre-surgery values (+5.2 [SD 21.7] min/d, P = 0.059), and only 4 (8.
2%) patients reported participation in resistance training.Muscle strength decreased over time (overall mean [SD]: -49.9 [53.5] My Mom Dad Is Well Trained Funny Cartoon Dog Gift For Dog Lover Personalized Shirt kg, respectively, PConclusionsEarly postoperative participation in a resistance training protocol after bariatric surgery was not associated with improved muscle strength after 5 years of follow-up; however, increasing physical activity of at least moderate intensity may promote weight maintenance after surgery.
PA may therefore play an important role in the long-term management of patients with obesity after undergoing bariatric procedure.