The impact of a pre-operative exercise program on patients awaiting bariatric surgery

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Date
2016
Authors
Kwok, Karen
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Abstract
Background: Evidence supports the association between physical activity and weight loss following bariatric surgery but evidence is lacking for preoperative exercise. Objective: Evaluate short term benefits of a preoperative exercise program in patients awaiting bariatric surgery. Our primary outcome was six minute walk test (6MWT). Secondary outcomes included anthropometric measurements, strength testing, and quality of life. Methods: Fifty four patients were enrolled. Twenty-nine patients were randomized to “Control” (standard preoperative care). Twenty-five patients were randomized to “Intervention” (standard preoperative care plus 12 week exercise program). Results: There was a statistically significant difference in 6MWT between intervention and control (Change in Control -4.88 m, p = 0.63; Change in Intervention 27.46 m, p = 0.01; Absolute difference between intervention and control = 32.34 m; p = 0.03). There were no significant differences in secondary outcomes. Conclusion: A preoperative exercise intervention was associated with a statistically significant improvement in 6MWT in patients awaiting bariatric surgery.
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Keywords
Bariatric Surgery, Exercise, Fitness
Citation
AMA