A role for exercise after bariatric surgery?
A role for exercise after bariatric surgery?
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DOI：
10.1111/dom.12545
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发表时间：
2016-01
期刊：
影响因子：
--
通讯作者：
Goodpaster BH
中科院分区：
文献类型：
--
作者：
Coen PM;Goodpaster BH
肥胖使个人容易患上包括2型糖尿病在内的多种并存疾病，在全球许多国家都是一个主要的医疗保健问题。减肥手术可能是一种有效的治疗选择，可以显著减轻体重并改善代谢健康。然而，并不是所有的患者都取得了类似的体重减轻或代谢改善。锻炼是增进健康的绝佳方式，对生理和心理都有很好的益处。这篇文章回顾了有关证据，以确定运动是否可以作为减肥手术的补充辅助治疗。客观测量的体力活动数据表明，大多数减肥手术患者的运动不足，无法获得运动对健康的好处。虽然缺乏关于运动对减肥和手术后保持体重的影响的数据，但来自卡路里限制和运动的研究证据表明，类似的辅助益处可能会扩展到减肥手术后进行运动的患者。减肥手术后运动干预的最新证据表明，与单纯手术减肥相比，运动可能会进一步改善代谢健康。现在需要更多的随机对照运动试验作为下一步，以更清楚地定义运动在减肥手术后提供额外健康益处的潜力。这一有价值的证据将为临床实践提供有关减肥手术后急需的锻炼指南的信息。
Obesity predisposes an individual to develop numerous co-morbidities including type 2 diabetes and represents a major healthcare issue in many countries worldwide. Bariatric surgery can be an effective treatment option resulting in profound weight loss and improvements in metabolic health. However, not all patients achieve similar weight loss or metabolic improvements. Exercise is an excellent way to improve health, with well-characterized physiological and psychological benefits. This article reviews the evidence to determine whether there may be a role for exercise as a complementary adjunct therapy to bariatric surgery. Objectively measured physical activity data indicate that most bariatric surgery patients do not exercise enough to reap the health benefits of exercise. While there is a dearth of data on the effects of exercise on weight loss and weight loss maintenance following surgery, evidence from studies of caloric restriction and exercise suggest that similar adjunctive benefits may be extended to patients who perform exercise post bariatric surgery. Recent evidence from exercise interventions following bariatric surgery suggests that exercise may provide further improvements in metabolic health, compared to surgery induced weight loss alone. Additional randomized controlled exercise trials are now needed as the next step to more clearly define the potential for exercise to provide additional health benefits following bariatric surgery. This valuable evidence will inform clinical practice regarding much-needed guidelines for exercise following bariatric surgery.
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仅在发生大量体重减轻并与减肥幅度相关后，才能观察到胃旁路手术后的外周葡萄糖吸收的改善。
影响因子：
3.2
作者：
Campos, Guilherme M.;Rabl, Charlotte;Peeva, Sofia;Ciovica, Ruxandra;Rao, Madhu;Schwarz, Jean-Marc;Havel, Peter;Schambelan, Morris;Mulligan, Kathleen
通讯作者：
Mulligan, Kathleen
DOI：
10.1038/oby.2010.88
发表时间：
2010-12
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
Bond DS;Jakicic JM;Unick JL;Vithiananthan S;Pohl D;Roye GD;Ryder BA;Sax HC;Wing RR
通讯作者：
Wing RR
DOI：
10.1001/jama.2010.1505
发表时间：
2010-10-27
期刊：
JAMA
影响因子：
--
作者：
Goodpaster BH;Delany JP;Otto AD;Kuller L;Vockley J;South-Paul JE;Thomas SB;Brown J;McTigue K;Hames KC;Lang W;Jakicic JM
通讯作者：
Jakicic JM
影响因子：
16.2
作者：
Dunn JP;Abumrad NN;Breitman I;Marks-Shulman PA;Flynn CR;Jabbour K;Feurer ID;Tamboli RA
通讯作者：
Tamboli RA
影响因子：
4.9
作者：
Bond, D. S.;Phelan, S.;Leahey, T. M.;Hill, J. O.;Wing, R. R.
通讯作者：
Wing, R. R.