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Long-Term effects of physical activity on weight loss, metabolic parameters and blood pressure in subjects undergoing bariatric surgery : A 5-year follow-up study




TekijätMoriconi, Diego; Manca, Laura; Rebelos, Eleni; Guidotti, Emanuele; Bonvicini, Linda; Troilo, Antonio; Anselmino, Marco; Nannipieri, Monica

KustantajaElsevier

Julkaisuvuosi2024

Lehti: American Journal of Surgery

Tietokannassa oleva lehden nimiThe American Journal of Surgery

Vuosikerta234

Aloitussivu143

Lopetussivu149

ISSN0002-9610

eISSN1879-1883

DOIhttps://doi.org/10.1016/j.amjsurg.2024.04.020

Julkaisun avoimuus kirjaamishetkelläAvoimesti saatavilla

Julkaisukanavan avoimuus Osittain avoin julkaisukanava

Verkko-osoitehttps://doi.org/10.1016/j.amjsurg.2024.04.020

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/393366656

Rinnakkaistallenteen lisenssiCC BY

Rinnakkaistallennetun julkaisun versioKustantajan versio


Tiivistelmä

metabolic control in obesity, although over time there is a proportion of weight regain and type-2-diabetes (T2D) relapse.

Aims: to explore the role of physical activity (PA) after surgery and its impact on metabolic parameters during a 5-year follow-up.

Methods: 148 individuals who underwent bariatric surgery completed scheduled examinations over 5-years. Physical assessments and laboratory tests were conducted pre-surgery and annually thereafter. PA levels were evaluated using the International Physical Activity Questionnaire.

Results: participants were split into the PA group, who engaged in regular physical activity, and No-PA group, who remained sedentary throughout. In T2D individuals before surgery, PA group showed significant reductions in blood pressure and a lower T2D recurrence (6.7 ​% vs 36 ​%) compared to No-PA group. In normoglycemic individuals, the PA group led to sustained BMI reduction and improved blood pressure control (p ​< ​0.001) compared to No-PA group, for the entire duration of follow-up.

Conclusions: regular PA demonstrated cardio-metabolic benefits post-bariatric surgery. Integrating PA into post-bariatric care could enhance long-term outcomes.


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This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.


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