Analysis of the Relationship between Physical Activity and the Factors Related to Weight Management of Bariatric Surgery Patients
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Abstract
Background: We aimed to analyze the relationship between physical activity and the factors related to the weight management of bariatric surgery patients.
Methods: This descriptive-correlational study was conducted on 87 participants, who underwent bariatric surgery in Cyprus between May and Oct 2020. The International Physical Activity Questionnaire and a questionnaire on socio-demographic and obesity characteristics were used to collect data.
Results: Mean age of the participants was 34.7±8.43 and 65.5% were female. A statistically significant difference was found between physical activity levels and weight loss (P=0.021). Post-bariatric surgery physical activity level was low active for 65.5% of the participants. There was a statistically significant difference between the MET scores of the participants according to their gender, and the scores of men were higher than women (2256.9; 1110.9 respectively). Although most of the participants in the study were females, women lost less weight than males (45.5; 54.2 respectively).
Conclusion: Being female, married, and having chronic diseases caused less weight loss after bariatric surgery. As the physical activity levels of the patients increased, their weight loss increased. In line with these results, people undergone bariatric surgery and are at risk of regaining weight should be followed closely after surgery and appropriate physical activities should be planned.
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9. Bond DS, Vithiananthan S, Thomas JG, et al (2015). Bari-Active: A randomized controlled trial of a preoperative intervention to increase physical activity in bariatric surgery patients. Surg Obes Relat Dis, 11 (1):169-177.
10. Bond DS, Phelan S, Wolfe LG, et al (2009). Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity, 17 (1): 78–83.
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14. Poirier P, Cornier MA, Mazzone T, et al (2011). Bariatric surgery and cardiovascular risk factors: A Scientific statement from the American Heart Association. Circulation, 123 (15): 1683–701.
15. Mumena WA, Kutbi HA (2020). Factors Associated with Dietary Intake and Changes in Nutritional Status Following Bariatric Surgery Among Saudi Adults. Bariatr Surg Pract Patient Care, 16 (1): 1–7.
16. Adil MT, Jain V, Rashid F, et al (2019). Meta-analysis of the effect of bariatric surgery on physical activity. Surg Obes Relat Dis, 15 (9): 1620–31.
17. Tolvanen L, Christenson A, Surkan PJ, Lagerros YT (2022). Patients’ Experiences of Weight Regain After Bariatric Surgery. Obes Surg, 32 (5): 1498–507.
18. King WC, Belle SH, Hinerman AS, Mitchell JE, Steffen KJ, Courcoulas AP (2020). Patient Behaviors and Characteristics Related to Weight Regain After Roux-en-Y Gastric Bypass: A Multicenter Prospective Cohort Study. Ann Surg, 272 (6): 1044–52.
19. Liu H, Dai X.(2017). Correlation between physical activity and self-efficacy in Chinese university students. Rev Psicol del Deport / J Sport Psychol, 26 (4): 110–4.
20. Jensen MD, Ryan DH, Donato KA, et al (2014). Executive summary: Guidelines (2013) for the management of overweight and obesity in adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society Published by the Obesity Socie. Obesity. 22 (2): 5–39.
21. Craig CL, Marshall AL, Sjöström M, et al (2003). International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc, 35 (8): 1381–95.
22. Öztürk M. Validity and Reliability of the International Physical Activity Ques-tionnaire and Determination of Physi-cal Activity Levels in University Stu-dents, [Master's Thesis], Hacettepe Uni-versity Institute of Health Sciences, An-kara; 2005.
23. Lopez-Nava G, Asokkumar R, Lacruz T, Rull A, Beltran L (2020). The effect of weight loss and exercise on Health-Related Quality of Life ( HRQOL ) following Endoscopic Bariatric Therapies ( EBT ) for obesity. Health Qual Life Outcomes, 18 (130): 1–9.
24. Athanasiadis D, Hilgendorf W, Kubicki N, Banerjee A (2020). Are Perceived Barriers to Exercise and Level of Interest in Fitness Programs Different Between Preoperative and Postoperative Bariatric Surgery Groups? Bariatr Surg Pract Patient Care, 15 (4): 1–6.
25. Hansen D, Decroix L, Devos Y, et al (2020). Towards Optimized Care After Bariatric Surgery by Physical Activity and Exercise Intervention: a Review. Obes Surg, 30 (3): 1118–25.
26. Ölçücü B, Vatansever Ş, Özcan G, Çelik A, Paktaş Y (2015). The Relatıonshıp Between Depressıon, Anxıety And Physıcal Actıvıty Level Among Unıversıty Students.International Journal of Turkish Education Sciences, (4): 294– 303.
27. Almuzaini Y, Jradi H (2019). Correlates and Levels of Physical Activity and Body Mass Index Among Saudi Men Working in Office-Based Jobs. J Community Health, 44 (4): 815–21.
28. onnelly JE, Hill JO, Jacobsen DJ, et al (2003). Effects of a 16-month randomized controlled exercise trial on body weight and composition in young, overweight men and women: The midwest exercise trial. Arch Intern Med, 163 (11): 1343–50.
29. Swift DL, Johannsen NM, Lavie CJ, Earnest CP, Church TS.(2014). The role of exercise and physical activity in weight loss and maintenance. Prog Cardiovasc Dis, 56 (4): 441–7.
30. Global Strategy on Diet, Physical Activity and Health (2022). Available from: https://www.who.int/publications-detail-redirect/9241592222
31. Herman KM, Carver TE, Christou N V., Andersen RE (2014). Keeping the weight off: Physical activity, sitting time, and weight loss maintenance in bariatric surgery patients 2 to 16 years postsurgery. Obes Surg, 24 (7): 1064–72.
32. Amundsen T, Strømmen M, Martins C (2017). Suboptimal Weight Loss and Weight Regain after Gastric Bypass Surgery—Postoperative Status of Energy Intake, Eating Behavior, Physical Activity, and Psychometrics. Obes Surg, 27 (5): 1316–23.
33. Kerrigan DJ, Carlin AM, Munie S, Keteyian SJ (2018). A Cross-sectional Study of Reported Exercise and Medium-Term Weight Loss Following Laparoscopic Bariatric Surgery. Obes Surg, 28 (12): 3923–3928.
34. Carretero-Ruiz A, del Carmen Olvera-Porcel M, Cavero-Redondo I, et al (2019). Correction to: Effects of Exercise Training on Weight Loss in Patients Who Have Undergone Bariatric Surgery: a Systematic Review and Meta-Analysis of Controlled Trials (Obesity Surgery, (2019), 29, 10, (3371-3384), 10.1007/s11695-019-04096-9). Obes Surg, 29 (11): 3778.
35. Bond DS, Jakicic JM, Vithiananthan S, et al (2010). Objective quantification of physical activity in bariatric surgery candidates and normal-weight controls. Surg Obes Relat Dis, 6 (1): 72–8.
36. Baillot A, Vallée CA, Mampuya WM, et al (2018). Effects of a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study. Obes Surg, 28 (4): 955-962.
2. Jumbe S, Hamlet C, Meyrick J (2017). Psychological Aspects of Bariatric Surgery as a Treatment for Obesity. Curr Obes Rep, 6 (1): 71–78.
3. Goritz T, Duff E (2014). Bariatric surgery: Comprehensive strategies for management in primary care. J Nurse Pract, 10 (9): 687–93.
4. Marfella R, Barbieri M, Ruggiero R, et al (2010). Bariatric surgery reduces oxidative stress by blunting 24-h acute glucose fluctuations in type 2 diabetic obese patients. Diabetes Care, 33 (2): 287–9.
5. Reedy S (2009). An Evidence-Based Review of Obesity and Bariatric Surgery. J Nurse Pract, 5 (1): 22–9.
6. Pizza F, Lucido FS, D’Antonio D, et al (2020). Biliopancreatic Limb Length in One Anastomosis Gastric Bypass: Which Is the Best? Obes Surg, 30 (10): 3685–3694.
7. Pona AA, Heinberg LJ, Lavery M, Ben-Porath YS, Rish JM (2016). Psychological predictors of body image concerns 3 months after bariatric surgery. Surg Obes Relat Dis, 12 (1): 188–93.
8. Faccio E, Nardin A, Cipolletta S (2016). Becoming ex-obese: Narrations about identity changes before and after the experience of the bariatric surgery. J Clin Nurs, 25 (11–12): 1713–1720.
9. Bond DS, Vithiananthan S, Thomas JG, et al (2015). Bari-Active: A randomized controlled trial of a preoperative intervention to increase physical activity in bariatric surgery patients. Surg Obes Relat Dis, 11 (1):169-177.
10. Bond DS, Phelan S, Wolfe LG, et al (2009). Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity, 17 (1): 78–83.
11. King WC, Bond DS (2013). The importance of preoperative and postoperative physical activity counseling in bariatric surgery. Exerc Sport Sci Rev, 41 (1): 26-35.
12. Thorell A, MacCormick AD, Awad S, et al (2016). Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations. World J Surg, 40 (9): 2065–83.
13. Tabesh MR, Maleklou F, Ejtehadi F, Alizadeh Z (2019). Nutrition, Physical Activity, and Prescription of Supplements in Pre- and Post-bariatric Surgery Patients: a Practical Guideline. Obes Surg, 29 (10): 3385–400.
14. Poirier P, Cornier MA, Mazzone T, et al (2011). Bariatric surgery and cardiovascular risk factors: A Scientific statement from the American Heart Association. Circulation, 123 (15): 1683–701.
15. Mumena WA, Kutbi HA (2020). Factors Associated with Dietary Intake and Changes in Nutritional Status Following Bariatric Surgery Among Saudi Adults. Bariatr Surg Pract Patient Care, 16 (1): 1–7.
16. Adil MT, Jain V, Rashid F, et al (2019). Meta-analysis of the effect of bariatric surgery on physical activity. Surg Obes Relat Dis, 15 (9): 1620–31.
17. Tolvanen L, Christenson A, Surkan PJ, Lagerros YT (2022). Patients’ Experiences of Weight Regain After Bariatric Surgery. Obes Surg, 32 (5): 1498–507.
18. King WC, Belle SH, Hinerman AS, Mitchell JE, Steffen KJ, Courcoulas AP (2020). Patient Behaviors and Characteristics Related to Weight Regain After Roux-en-Y Gastric Bypass: A Multicenter Prospective Cohort Study. Ann Surg, 272 (6): 1044–52.
19. Liu H, Dai X.(2017). Correlation between physical activity and self-efficacy in Chinese university students. Rev Psicol del Deport / J Sport Psychol, 26 (4): 110–4.
20. Jensen MD, Ryan DH, Donato KA, et al (2014). Executive summary: Guidelines (2013) for the management of overweight and obesity in adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society Published by the Obesity Socie. Obesity. 22 (2): 5–39.
21. Craig CL, Marshall AL, Sjöström M, et al (2003). International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc, 35 (8): 1381–95.
22. Öztürk M. Validity and Reliability of the International Physical Activity Ques-tionnaire and Determination of Physi-cal Activity Levels in University Stu-dents, [Master's Thesis], Hacettepe Uni-versity Institute of Health Sciences, An-kara; 2005.
23. Lopez-Nava G, Asokkumar R, Lacruz T, Rull A, Beltran L (2020). The effect of weight loss and exercise on Health-Related Quality of Life ( HRQOL ) following Endoscopic Bariatric Therapies ( EBT ) for obesity. Health Qual Life Outcomes, 18 (130): 1–9.
24. Athanasiadis D, Hilgendorf W, Kubicki N, Banerjee A (2020). Are Perceived Barriers to Exercise and Level of Interest in Fitness Programs Different Between Preoperative and Postoperative Bariatric Surgery Groups? Bariatr Surg Pract Patient Care, 15 (4): 1–6.
25. Hansen D, Decroix L, Devos Y, et al (2020). Towards Optimized Care After Bariatric Surgery by Physical Activity and Exercise Intervention: a Review. Obes Surg, 30 (3): 1118–25.
26. Ölçücü B, Vatansever Ş, Özcan G, Çelik A, Paktaş Y (2015). The Relatıonshıp Between Depressıon, Anxıety And Physıcal Actıvıty Level Among Unıversıty Students.International Journal of Turkish Education Sciences, (4): 294– 303.
27. Almuzaini Y, Jradi H (2019). Correlates and Levels of Physical Activity and Body Mass Index Among Saudi Men Working in Office-Based Jobs. J Community Health, 44 (4): 815–21.
28. onnelly JE, Hill JO, Jacobsen DJ, et al (2003). Effects of a 16-month randomized controlled exercise trial on body weight and composition in young, overweight men and women: The midwest exercise trial. Arch Intern Med, 163 (11): 1343–50.
29. Swift DL, Johannsen NM, Lavie CJ, Earnest CP, Church TS.(2014). The role of exercise and physical activity in weight loss and maintenance. Prog Cardiovasc Dis, 56 (4): 441–7.
30. Global Strategy on Diet, Physical Activity and Health (2022). Available from: https://www.who.int/publications-detail-redirect/9241592222
31. Herman KM, Carver TE, Christou N V., Andersen RE (2014). Keeping the weight off: Physical activity, sitting time, and weight loss maintenance in bariatric surgery patients 2 to 16 years postsurgery. Obes Surg, 24 (7): 1064–72.
32. Amundsen T, Strømmen M, Martins C (2017). Suboptimal Weight Loss and Weight Regain after Gastric Bypass Surgery—Postoperative Status of Energy Intake, Eating Behavior, Physical Activity, and Psychometrics. Obes Surg, 27 (5): 1316–23.
33. Kerrigan DJ, Carlin AM, Munie S, Keteyian SJ (2018). A Cross-sectional Study of Reported Exercise and Medium-Term Weight Loss Following Laparoscopic Bariatric Surgery. Obes Surg, 28 (12): 3923–3928.
34. Carretero-Ruiz A, del Carmen Olvera-Porcel M, Cavero-Redondo I, et al (2019). Correction to: Effects of Exercise Training on Weight Loss in Patients Who Have Undergone Bariatric Surgery: a Systematic Review and Meta-Analysis of Controlled Trials (Obesity Surgery, (2019), 29, 10, (3371-3384), 10.1007/s11695-019-04096-9). Obes Surg, 29 (11): 3778.
35. Bond DS, Jakicic JM, Vithiananthan S, et al (2010). Objective quantification of physical activity in bariatric surgery candidates and normal-weight controls. Surg Obes Relat Dis, 6 (1): 72–8.
36. Baillot A, Vallée CA, Mampuya WM, et al (2018). Effects of a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study. Obes Surg, 28 (4): 955-962.
| Files | ||
| Issue | Vol 52 No 11 (2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v52i11.14041 | |
| Keywords | ||
| Physical activity Weight control Bariatric surgery Patient following | ||
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How to Cite
1.
Taştan S, Cevheroglu S, Yıldırım K. Analysis of the Relationship between Physical Activity and the Factors Related to Weight Management of Bariatric Surgery Patients. Iran J Public Health. 2023;52(11):2417-2426.
