Changes in Physical Activity in Relation to Body Composition, Fitness and Quality of Life after Primary Bariatric Surgery: a Two-Year Follow-Up Study.
Changes in Physical Activity in Relation to Body Composition, Fitness and Quality of Life after Primary Bariatric Surgery: a Two-Year Follow-Up Study.
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DOI：
10.1007/s11695-020-05009-x
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发表时间：
2021-03
期刊：
影响因子：
2.9
通讯作者：
Hopman MTE
中科院分区：
文献类型：
--
作者：
Nuijten MAH;Tettero OM;Wolf RJ;Bakker EA;Eijsvogels TMH;Monpellier VM;Hazebroek EJ;Janssen IMC;Hopman MTE
减肥手术的成功率差异很大，这可能与是否采取积极运动的生活方式有关。本研究旨在确定减肥手术后两年内，身体活动（PA）的变化是否与体重减轻、去脂体重、心肺功能以及术后长达两年的生活质量相关。
在这项回顾性研究中，3879名减肥手术患者被分为三组：1）身体活动减少组（n = 388）；2）身体活动维持组（n = 2002）；3）身体活动增加组（n = 1498）。术前及术后两年对身体活动（采用贝克问卷评估）、身体成分（通过生物电阻抗分析）、估计的心肺功能（采用阿斯川德测试）以及健康相关生活质量（采用兰德36项健康调查）进行测量。
与身体活动维持组和减少组的患者相比，身体活动增加的减肥手术患者有更多的超重部分体重减轻（分别为76.3% 、73.2% 和72.9%，P < 0.001），去脂体重百分比增加更多（分别增加14.0% 、13.0% 和12.8%；P < 0.001），最大摄氧量（VO₂max）改善幅度更大（分别增加11.8、10.2和8.0毫升/千克/分钟，P < 0.001），且健康相关生活质量子量表得分增加幅度更大（P < 0.05）。
与身体活动维持甚至减少的患者相比，那些能够改善日常身体活动的减肥手术患者在术后两年有更好的身体成分、体能和生活质量。这些研究结果强调了减肥手术围手术期护理计划对于改变生活方式以及实现身体活动水平可持续改善的重要性。
本文的网络版本（10.1007/s11695 - 020 - 05009 - x）包含补充材料，供授权用户使用。
The success of bariatric surgery varies largely, which may relate to variance in adopting a physically active lifestyle. This study aimed to determine whether two-year changes in physical activity (PA) were associated with weight loss, fat-free mass, cardiorespiratory fitness and quality of life up to two years after bariatric surgery. In this retrospective study, 3879 post-bariatric patients were divided into three groups: 1) decreased PA (n = 388), 2) maintained PA (n = 2002) or 3) increased PA (n = 1498). Measurements regarding PA (Baecke questionnaire), body composition (bioelectrical impedance analysis), estimated cardiorespiratory fitness (Åstrand test) and health-related quality of life (RAND-36) were performed preoperatively and two years post-surgery. Bariatric patients with increased PA had greater excess weight loss (76.3% vs. 73.2% vs. 72.9%, P < 0.001), greater increases in %fat-free mass (Δ14.0% vs. 13.0% vs. 12.8%; P < 0.001), larger improvements in VO2max (Δ11.8 vs. 10.2 vs. 8.0 ml/kg/min, P < 0.001), and larger increases in health related quality of life subscale scores (P < 0.05) compared to patients with maintained- and decreased PA. Bariatric patients who managed to induce improvements in habitual physical activity had better body composition, fitness and quality of life at 2 years post-surgery, compared to patients who maintained or even reduced their PA levels. These findings underscore the importance of perioperative-bariatric care programs to change lifestyle and achieve sustainable improvements in PA levels. The online version of this article (10.1007/s11695-020-05009-x) contains supplementary material, which is available to authorized users.
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