Understanding the Capacity for Exercise in Post-Bariatric Patients
Understanding the Capacity for Exercise in Post-Bariatric Patients
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DOI：
10.1007/s11695-016-2240-y
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发表时间：
2017-01-01
期刊：
影响因子：
2.9
通讯作者：
Levy, Susan S.
中科院分区：
文献类型：
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作者：
Coleman, Karen J.;Caparosa, Susan L.;Levy, Susan S.
本研究的目的是进行一项试点随机试验，测试专门适合减肥后患者的运动计划。共有 51 名手术后 6-24 个月的减肥后患者，被随机分配至常规护理对照组 (n = 25) 或运动干预组 (n = 26)。干预措施包括每周两次每次 60 分钟的团体运动课程，内容涉及功能力量、灵活性和有氧活动；每周至少 3 天的自主锻炼；每日计步器；记录步骤和活动；以及每周电话咨询。还有一个为期 6 个月的维持期。患者年龄为 49 +/- 12 岁，84% 为女性，59% 为非西班牙裔白人，BMI 为 32.9 +/- 5.7 kg/m(2)，自手术以来 BMI 过度损失百分比为 56 +/- 35%。患者术后 14 +/- 5 个月。共有 44 名患者 (86%) 完成了该计划的两个阶段和所有评估。干预参与者的以下测量值显着改善，而对照参与者没有显着变化：6 分钟内行走码数、8 英尺起立所需秒数、手臂弯举次数以及椅子坐姿和伸展距离（以英寸为单位）。维持 6 个月后，干预措施的变化仍然存在。与常规护理的患者相比，针对肥胖后患者的专门调整的运动计划可显着改善客观监测的健康结果。该计划是在临床环境中实施的，可以在各种环境中实施，以改善肥胖后患者的健康结果。
The aim of this study is to conduct a pilot randomized trial testing an exercise program specifically adapted for post-bariatric patients.A total of 51 post-bariatric patients, 6-24 months post-surgery, were randomly assigned to usual care control (n = 25) or the exercise intervention (n = 26). The intervention included twice weekly 60-min group exercise classes with functional strength, flexibility, and aerobic activities; at least 3 days per week of self-directed exercise; daily pedometer; recording of steps and activities; and weekly telephone counseling. There was also a 6-month maintenance period.Patients were 49 +/- 12 years old, 84 % female, 59 % non-Hispanic white, with a BMI of 32.9 +/- 5.7 kg/m(2) and percent excess BMI loss since surgery of 56 +/- 35 %. Patients were 14 +/- 5 months post-surgery. A total of 44 patients (86 %) completed both phases of the program and all assessments. The following measures improved significantly for intervention participants with no significant change in control participants: yards walked in 6 min, seconds for 8-foot up-and-go, number of arm curls, and distance in inches for chair sit-and-reach. Intervention changes remained after 6 months of maintenance.When compared to patients in usual care, a specially adapted exercise program for post-bariatric patients resulted in significant improvements in objectively monitored health outcomes. This program was delivered in a clinical setting and could be implemented in a variety of settings to improve health outcomes for post-bariatric patients.