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Physical Activity Level, Sedentary Time, and Weight Regain After Bariatric Surgery in Patients Without Regular Medical Follow-up: a Cross-Sectional Study

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Abstract

Purpose

The impact of regular exercises or physical activity (PA) on weight of bariatric patients need to be elucidated. We investigated PA levels, sedentary time (ST), and weight regain on these patients who were without regular medical follow-up before recruitment. Moreover, we investigated correlation and concordance between self-reported and objective measures in moderate-to-vigorous PA (MVPA) and ST.

Materials and Methods

We invited 132 patients previously subjected to a bariatric procedure to a medical appointment in our unit and proposed them to be volunteers. Ninety patients, aged 42 ± 8 years and BMI 32.9 ± 6.6 kg/m2, entered the study and were allocated into groups according to time since surgery < or ≥5 years (G5− or G5+, respectively). They were further assigned into low or high rates of weight regain (RWR; cutoff 20%). PA and ST were measured by International PA Questionnaire (IPAQ) and ActiGraph GT3X+ accelerometer.

Results

In G5- group, PA and ST were similar between low and high RWR. In G5+ group, MVPA time, number of steps/day, percent of patients somewhat active, and 30–60 min/day of MVPA were statistically higher in those with low RWR. Of note, measures of MVPA < 30 min/day occurred more frequently in those with high RWR. MVPA and ST self-reported vs. objective measures were correlated (P < 0.001). Nevertheless, there was no concordance between these measures (P > 0.05).

Conclusions

Low level of PA and longer ST occurred more frequently in those with high RWR and longer time since surgery. Although well-correlated, any concordance between IPAQ and accelerometer measures was noted.

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Funding

Coordination for the Improvement of Higher Education Personnel (CAPES), Brazilian Council for Technological and Scientific Development (CNPq), and Carlos Chagas Filho Foundation for the Research Support in the State of Rio de Janeiro (FAPERJ) supported this work.

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Authors and Affiliations

  1. Postgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Eline Coan Romagna, Karynne Grutter Lopes, Paulo Farinatti & Luiz Guilherme Kraemer-Aguiar

  2. MídiaCom/Postgraduate Program on Electrical and Telecommunications Engineering (PPGEET), Fluminense Federal University, Niterói, RJ, Brazil

    Diogo Menezes Ferrazani Mattos

  3. Postgraduate Program in Physical Exercise and Sport Sciences, Institute of Physical Education and Sports, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Paulo Farinatti

  4. Obesity Unit, Department of Internal Medicine, Faculty of Medical Sciences, State University of Rio de Janeiro, Rua São Francisco Xavier, 524, PHLC, sala 104, Maracanã, Rio de Janeiro, RJ, CEP 20550-13, Brazil

    Luiz Guilherme Kraemer-Aguiar

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Contributions

The original study design was made by LGK-A. The project administration and supervision were performed by LGK-A. ECR and KGL recruited the patients and collected the data. ECR, KGL, DMF, PF, and LGK analyzed the data, interpreted the results, and drafted and revised the manuscript. All authors approved the final version of the manuscript.

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Correspondence to Luiz Guilherme Kraemer-Aguiar.

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Romagna, E.C., Lopes, K.G., Mattos, D.M.F. et al. Physical Activity Level, Sedentary Time, and Weight Regain After Bariatric Surgery in Patients Without Regular Medical Follow-up: a Cross-Sectional Study. OBES SURG 31, 1705–1713 (2021). https://doi.org/10.1007/s11695-020-05184-x

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