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Impacts of Supervised Exercise Training in Addition to Interdisciplinary Lifestyle Management in Subjects Awaiting Bariatric Surgery: a Randomized Controlled Study

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Abstract

Background

Experts recommend physical activity (PA) to optimize bariatric surgery (BS) results. However, evidence on the effect of PA before BS is missing. The aim of this study was to assess the impact of adding a Pre-Surgical Exercise Training (PreSET) to an interdisciplinary lifestyle intervention on physical fitness, quality of life, PA barriers, and anthropometric parameters of subjects awaiting BS.

Methods

Thirty candidates for BS (43.2 ± 9.2 years, 47.5 ± 8.1 kg/m2) have been randomized in two groups: one group following the PreSET (endurance and strength training) and another receiving usual care. Before and after 12 weeks, we assessed physical fitness with a battery of tests (symptom-limited exercise test, 6-min walk test (6MWT), sit-to-stand test, half-squat test, and arm curl test), quality of life with the laval questionnaire, and PA barriers with the physical exercise belief questionnaire.

Results

One control group subject abandoned the study. Subjects in the PreSET group participated in 60.0 % of the supervised exercise sessions proposed. Results showed significant improvements in the 6MWT (17.4 ± 27.2 vs. −16.4 ± 42.4 m; p = 0.03), half-squat test (17.1 ± 17.9 vs. −0.9 ± 14.5 s; p = 0.05), arm curl repetitions (4.8 ± 2.3 vs. 1.0 ± 4.1; p = 0.01), social interaction score (10.7 ± 12.5 vs. −2.1 ± 11.0 %; p = 0.02), and embarrassment (−15.6 ± 10.2 vs. −3.1 ± 17.8 %; p = 0.02) in completers (n = 8) compared to the non-completers (n = 21). No significant difference between groups in BMI and other outcomes studied was observed after the intervention.

Conclusions

Adding a PreSET to an individual lifestyle counselling intervention improved physical fitness, social interactions, and embarrassment. Post-surgery data would be interesting to confirm these benefits on the long term.

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Acknowledgments

The investigators would like to thank Vicki Lebrun and Anouk Landry, kinesiologists; Marie-Michèle Rosa-Fortin, researcher assistant; and the students of Université de Sherbrooke (Canada) involved in the project (Gabrielle Lebel, Rachel Lapointe, Alexandrine Boucher, Sofia Vasquez) for help with the supervised exercise training and data collection.

Author information

Authors and Affiliations

  1. Nursing Department, Université du Québec en Outaouais, Gatineau, Quebec, Canada

    Aurélie Baillot

  2. Research Institute of the Montfort Hospital, Ottawa, Ontario, Canada

    Aurélie Baillot

  3. Division of Cardiology, Department of Medicine, University of Sherbrooke, Research Center of the Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada

    Warner M. Mampuya

  4. Research Centre on Aging, Health and Social Services Centre, Institute of Geriatrics, Faculty of Physical Education and Sports, University of Sherbrooke, Sherbrooke, Quebec, Canada

    Isabelle J. Dionne

  5. Division of General Surgery, Department of Surgery, Université de Sherbrooke, Sherbrooke, Quebec, Canada

    Emilie Comeau & Anne Méziat-Burdin

  6. Division of Endocrinology, Department of Medicine, Université de Sherbrooke, Research Center of the Centre hospitalier universitaire de Sherbrooke (CHUS), 3001, 12th Avenue North, Sherbrooke, QC, J1H 5N4, Canada

    Marie-France Langlois

Authors
  1. Aurélie Baillot
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  2. Warner M. Mampuya
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  3. Isabelle J. Dionne
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  4. Emilie Comeau
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  5. Anne Méziat-Burdin
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  6. Marie-France Langlois
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Corresponding author

Correspondence to Marie-France Langlois.

Ethics declarations

Informed consent was obtained from all individual participants included in the study. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

The authors declare that they have no conflict of interest.

Grant Information

This study was funded by the Canadian Institutes of Health Research (CIHR, Grant No. OPB-131592). AB is the recipient of a scholarship from the Department of Medicine of Université de Sherbrooke. MFL is the recipient of salary awards from the Fonds de recherche du Québec-Santé (FRQ-S). The Research Center of the Centre hospitalier universitaire de Sherbrooke is a FRQ-S-funded research center.

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Baillot, A., Mampuya, W.M., Dionne, I.J. et al. Impacts of Supervised Exercise Training in Addition to Interdisciplinary Lifestyle Management in Subjects Awaiting Bariatric Surgery: a Randomized Controlled Study. OBES SURG 26, 2602–2610 (2016). https://doi.org/10.1007/s11695-016-2153-9

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  • DOI: https://doi.org/10.1007/s11695-016-2153-9

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