Effects of bariatric surgery on cardiorespiratory fitness: A systematic review and meta‐analysis
Effects of bariatric surgery on cardiorespiratory fitness: A systematic review and meta‐analysis
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减肥手术对心肺健康的影响：系统评价和荟萃分析
DOI：
10.1111/obr.13408
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发表时间：
2021
期刊：
影响因子：
8.9
通讯作者：
E. G. Artero
中科院分区：
文献类型：
--
作者：
Paulina Ibacache;D. Jérez;A. Carretero;Claudia Miranda;Marcelo Cano;E. G. Artero
虽然减肥手术（BS）被认为是一种有效的减肥策略，但其对心肺功能（CRF）的影响尚不清楚。我们的目的是研究成人BS术后CRF （VO2max/peak）的变化及其与体重减轻的关系。我们系统地检索了WoS、PubMed、MEDLINE和Scopus数据库。选择观察性和干预性研究报告手术前和手术后的CRF，通过每次呼吸的VO2或其估计来测量。11篇文章（312例患者）显示，BS可导致绝对VO2max/peak在短期内降低（效应值，ES = - 0.539; 95%CI = - 0.708, - 0.369; p < 0.001），且BS后BMI下降更显著的患者绝对VO2max/peak的损失也更大。但术后VO2max/peak相对于体重增加（ES = 0.658; 95%CI = 0.473, 0.842; p < 0.001）。调查BS后CRF中期和长期变化的研究数量不足。本研究提供了中等质量的证据，表明BS引起的体重减轻可以在短期内降低CRF，这代表了优化BS结局的治疗靶点。需要更多高质量的研究来评估BS对短期、中期和长期VO2max/peak的影响，包括无脂质量的标准化值。
Although bariatric surgery (BS) is recognized as an effective strategy for body weight loss, its impact on cardiorespiratory fitness (CRF) is still unclear. We aimed to examine postoperative changes in CRF (VO2max/peak) and its relationship with weight loss among adults undergoing BS. We systematically searched the WoS, PubMed, MEDLINE, and Scopus databases. Observational and intervention studies were selected reporting the presurgery and postsurgery CRF, measured by breath‐by‐breath VO2 or its estimation. Eleven articles (312 patients) revealed that BS leads to a reduction in absolute VO2max/peak in the short term (effect size, ES = −0.539; 95%CI = −0.708, −0.369; p < 0.001), and those patients who suffered a more significant decrease in BMI after BS also had a greater loss of absolute VO2max/peak. However, VO2max/peak relative to body weight increased after surgery (ES = 0.658; 95%CI = 0.473, 0.842; p < 0.001). An insufficient number of studies were found investigating medium and long‐term changes in CRF after BS. This study provides moderate‐quality evidence that the weight loss induced by BS can reduce CRF in the short term, which represents a therapeutic target to optimize BS outcomes. More high‐quality studies are needed to evaluate the impact of BS on VO2max/peak in the short, medium, and long term including normalized values for fat‐free mass.
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DOI：
10.1176/ajp.2007.164.2.328
发表时间：
2007-02
期刊：
The American journal of psychiatry
影响因子：
--
作者：
M. Kalarchian;M. Marcus;M. Levine;A. Courcoulas;P. Pilkonis;Rebecca M Ringham;Julia N. Soulakova;L. Weissfeld;Dana L. Rofey
通讯作者：
M. Kalarchian;M. Marcus;M. Levine;A. Courcoulas;P. Pilkonis;Rebecca M Ringham;Julia N. Soulakova;L. Weissfeld;Dana L. Rofey
影响因子：
3.3
作者：
C. Caspersen;K. Powell;G. Christenson
通讯作者：
C. Caspersen;K. Powell;G. Christenson
DOI：
10.1093/ajcn/71.6.1421
发表时间：
2000-06
期刊：
The American journal of clinical nutrition
影响因子：
--
作者：
M. Rosenbaum;J. Hirsch;E. Murphy;R. Leibel
通讯作者：
M. Rosenbaum;J. Hirsch;E. Murphy;R. Leibel
DOI：
10.1016/0197-2456(86)90046-2
发表时间：
1986-09-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
DERSIMONIAN, R;LAIRD, N
通讯作者：
LAIRD, N
DOI：
10.1513/pats.200708-137mg
发表时间：
2008-02-15
期刊：
Proceedings of the American Thoracic Society
影响因子：
--
作者：
Schwartz, Alan R;Patil, Susheel P;Smith, Philip L
通讯作者：
Smith, Philip L