Effects of a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study
Effects of a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study
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DOI：
10.1007/s11695-017-2943-8
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发表时间：
2018-04-01
期刊：
影响因子：
2.9
通讯作者：
Langlois, Marie-France
中科院分区：
文献类型：
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作者：
Baillot, Aurelie;Vallee, Carol-Anne;Langlois, Marie-France
背景我们以前曾报道过术前运动训练（PreSET）对等待减肥手术（BS）的受试者的身体健康和社会交往的益处。然而，数据需要知道这些好处是否保持后BS.Objectives-本文的目的是评估影响PreSET对体力活动（PA）水平，体能，PA障碍，生活质量（QoL）1年（1-Y）后BS.Methods的30名参与者随机分为两组（PreSET和常规护理），25人被纳入最终分析。BS后一年，用加速度计评估在不同PA强度和步数中花费的时间。在BS前和BS后1年，通过限制性心脏运动试验、6分钟步行试验（6 MWT）、坐立、半蹲和屈臂试验评估体能。结果PreSET组在BS后1-Y的步数（7460 vs 4287）、轻度PA（3.2 vs 2.2 h/d）和中度PA（0.6 vs 0.3 h/d）时间均高于对照组。与常规护理组相比，PreSET组的6 MWT心脏成本（1.3 vs 0.6 m/beats/min）、半蹲试验（38.8 vs 10.3 s）和BMI（- 16.8 vs - 13.5 kg/m2）的变化显著更大。组间无其他显着差异observed.ConclusionThe除了PreSET个人生活方式咨询似乎有效地提高PA水平和次最大体能1-Y BS后。现在需要更大的队列研究来证实这些结果。
Background We have previously reported on the benefits of Pre-Surgical Exercise Training (PreSET) on physical fitness and social interactions in subjects awaiting bariatric surgery (BS). However, data are needed to know whether these benefits are maintained post-BS.Objectives The purpose of this paper was to evaluate the effect of PreSET on physical activity (PA) level, physical fitness, PA barriers, and quality of life (QoL) 1 year (1-Y) after BS.Methods Of the 30 participants randomized into two groups (PreSET and usual care), 25 were included in the final analysis. One year after BS, time spent in different PA intensities and number of steps were assessed with an accelerometer. Before BS and until 1-Y after BS, physical fitness was assessed with symptom-limited cardiac exercise test, 6-min walk test (6MWT), and sit-to-stand, half-squat, and arm curl tests. QoL, PA barriers, and PA level were evaluated with questionnaires.Results The number of steps (7460 vs 4287) and time spent in light (3.2 vs 2.2 h/day) and moderate (0.6 vs 0.3 h/day) PA were higher in the PreSET group 1-Y after BS. The changes in 6MWT heart cost (1.3 vs 0.6 m/beats/min), half-squat test (38.8 vs 10.3 s), and BMI (- 16.8 vs - 13.5 kg/m(2)) were significantly greater in the PreSET group compared to those in the usual care group. No other significant difference between groups was observed.ConclusionThe addition of the PreSET to individual lifestyle counseling seems effective to improve PA level and submaximal physical fitness 1-Y after BS. Studies with larger cohorts are now required to confirm these results.