Top

Published in:

01-08-2012 | Clinical Research

Dynamic Relations Between Sedentary Behavior, Physical Activity, and Body Composition After Bariatric Surgery

Authors: Camille Vatier, Corneliu Henegar, Cécile Ciangura, Christine Poitou-Bernert, Jean-Luc Bouillot, Arnaud Basdevant, Jean-Michel Oppert

Published in: Obesity Surgery | Issue 8/2012

Abstract

Background

Physical activity has been shown to increase following obesity surgery; however, changes in sedentary behavior in this setting are not known. Our aim was to describe changes in both physical activity and sedentary behavior of obese patients after gastric bypass (GBP) and their relationships with changes in body composition.

Methods

Physical activity, time spent watching TV as typical sedentary behavior (self-report), and body composition (DXA) were assessed before and 6 and 12 months after GBP in 86 obese patients (67 women, 24–66 years old, BMI 41.3–53.5 kg/m²).

Results

One year after GBP (mean loss of weight −37.1 kg, fat mass −25.7 kg, lean body mass −9.4 kg), leisure-time physical activity (LTPA) significantly increased from 2.0 (SD 3.7) to 3.8 (5.4) h/week and from 7.2 (12.5) to 14.1 (20.1) MET-h/week (MET: metabolic equivalent task), the number of LTPA performed increased from 1.3 (1.3) to 1.8 (1.4), and TV time decreased from 3.0 (1.6) to 2.4 (1.4) h/day (all p < 0.05). The ranking of the most frequently performed LTPA did not change. Positive associations were observed between the increase in lean body mass and (1) the increase in LTPA and (2) the decrease in TV watching. Inverse relationships were found for changes in fat mass.

Conclusions

Together with increased LTPA, this study shows a decrease in sedentary behavior after GBP, which appears related to favorable changes in body composition. These observations are important to design future intervention studies, including physical activity and sedentary occupations aiming to optimize the care of patients after bariatric surgery.

Physical Activity Guidelines Advisory Committee (2008) Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: U.S. Department of Health and Human Services

Jacobi D, Ciangura C, Couet C, et al. Physical activity and weight loss following bariatric surgery. Obes Rev. 2010;12:366–77.CrossRef

Livhits M, Mercado C, Yermilov I, et al. Exercise following bariatric surgery: systematic review. Obes Surg. 2010;20:657–65.PubMedCrossRef

Egberts K, Brown WA, Brennan L et al (2011) Does exercise improve weight loss after bariatric surgery? A systematic review. Obes Surg (e pub Oct 30).

Metcalf B, Rabkin RA, Rabkin JM, et al. Weight loss composition: the effects of exercise following obesity surgery as measured by bioelectrical impedance analysis. Obes Surg. 2005;15:183–6.PubMedCrossRef

Dixon JB, Straznicky NE, Lambert EA, et al. Surgical approaches to the treatment of obesity. Nat Rev Gastroenterol Hepatol. 2011;8:429–37.PubMedCrossRef

Ciangura C, Bouillot JL, Lloret-Linares C, et al. Dynamics of change in total and regional body composition after gastric bypass in obese patients. Obesity (Silver Spring). 2009;18:760–5.CrossRef

Chaston TB, Dixon JB, O'Brien PE. Changes in fat-free mass during significant weight loss: a systematic review. Int J Obes (Lond). 2007;31:743–50.

Biddle SJ. Sedentary behavior. Am J Prev Med. 2007;33:502–4.PubMedCrossRef

10.

Pate RR, O'Neill JR, Lobelo F. The evolving definition of "sedentary". Exerc Sport Sci Rev. 2008;36:173–8.PubMedCrossRef

11.

Owen N, Sugiyama T, Eakin EE, et al. Adults' sedentary behavior determinants and interventions. Am J Prev Med. 2011;41:189–96.PubMedCrossRef

12.

Grontved A, Hu FB. Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. JAMA. 2011;305:2448–55.PubMedCrossRef

13.

Proper KI, Singh AS, van Mechelen W, et al. Sedentary behaviors and health outcomes among adults: a systematic review of prospective studies. Am J Prev Med. 2011;40:174–82.PubMedCrossRef

14.

Thorp AA, Owen N, Neuhaus M, et al. Sedentary behaviors and subsequent health outcomes in adults: a systematic review of longitudinal studies, 1996-2011. Am J Prev Med. 2011;41:207–15.PubMedCrossRef

15.

Bond DS, Unick JL, Jakicic JM, et al. Objective assessment of time spent being sedentary in bariatric surgery candidates. Obes Surg. 2011;21:811–4.PubMedCrossRef

16.

Ciangura C, Nocca D, Lindecker V. Guidelines for clinical practice for bariatric surgery. Presse Med. 2010;39:953–9.PubMedCrossRef

17.

Laville M, Romon M, Chavrier G, et al. Recommendations regarding obesity surgery. Obes Surg. 2005;15:1476–80.PubMedCrossRef

18.

Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg. 2007;17:260–70.PubMedCrossRef

19.

Mechanick JI, Kushner RF, Sugerman HJ, et al. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity. 2009;17 Suppl 1:S1–S70.PubMed

20.

Snow V, Barry P, Fitterman N, et al. Pharmacologic and surgical management of obesity in primary care: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2005;142:525–31.PubMed

21.

Suter M, Giusti V, Heraief E, et al. Laparoscopic Roux-en-Y gastric bypass: initial 2-year experience. Surg Endosc. 2003;17:603–9.PubMedCrossRef

22.

Poitou Bernert C, Ciangura C, Coupaye M, et al. Nutritional deficiency after gastric bypass: diagnosis, prevention and treatment. Diabetes Metab. 2007;33:13–24.PubMedCrossRef

23.

Vuillemin A, Oppert JM, Guillemin F, et al. Self-administered questionnaire compared with interview to assess past-year physical activity. Med Sci Sports Exerc. 2000;32:1119–24.PubMedCrossRef

24.

Kriska AM, Knowler WC, LaPorte RE, et al. Development of questionnaire to examine relationship of physical activity and diabetes in Pima Indians. Diabetes Care. 1990;13:401–11.PubMedCrossRef

25.

Bertrais S, Beyeme-Ondoua JP, Czernichow S, et al. Sedentary behaviors, physical activity, and metabolic syndrome in middle-aged French subjects. Obes Res. 2005;13:936–44.PubMedCrossRef

26.

Ainsworth BE, Haskell WL, Whitt MC, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32:S498–504.PubMedCrossRef

27.

Ferreira I, Snijder MB, Twisk JW, et al. Central fat mass versus peripheral fat and lean mass: opposite (adverse versus favorable) associations with arterial stiffness? The Amsterdam Growth and Health Longitudinal Study. J Clin Endocrinol Metab. 2004;89:2632–9.PubMedCrossRef

28.

Bertrais S, Preziosi P, Mennen L, et al. Sociodemographic and geographic correlates of meeting current recommendations for physical activity in middle-aged French adults: the Supplementation en Vitamines et Mineraux Antioxydants (SUVIMAX) Study. Am J Public Health. 2004;94:1560–6.PubMedCrossRef

29.

Mattsson E, Larsson UE, Rossner S. Is walking for exercise too exhausting for obese women? Int J Obes Relat Metab Disord. 1997;21:380–6.PubMedCrossRef

30.

Despres JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature. 2006;444:881–7.PubMedCrossRef

31.

Kim J, Wang Z, Heymsfield SB, et al. Total-body skeletal muscle mass: estimation by a new dual-energy X-ray absorptiometry method. Am J Clin Nutr. 2002;76:378–83.PubMed

32.

Forbush S, Nof L, Echternach J, et al. Influence of activity levels and energy intake on percent excess weight loss after Roux-en-Y gastric bypass. Obes Surg. 2011;21:1731–8.PubMedCrossRef

33.

Shephard RJ. Limits to the measurement of habitual physical activity by questionnaires. Br J Sports Med. 2003;37:197–206.PubMedCrossRef

34.

Oppert JM, Borys JM, Basdevant A, Ducimetiere P, Charles MA. The relationships between indicators of physical activity, indicators of sedentary behaviour and adiposity in French adults: the FLVS II study. J Public Health. 2006;14:87–93.CrossRef

35.

Healy GN, Clark BK, Winkler EA, et al. Measurement of adults' sedentary time in population-based studies. Am J Prev Med. 2011;41:216–27.PubMedCrossRef

36.

Das SK. Body composition measurement in severe obesity. Curr Opin Clin Nutr Metab Care. 2005;8:602–6.PubMedCrossRef

37.

Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93.PubMedCrossRef

38.

Shah M, Snell PG, Rao S, et al. High-volume exercise program in obese bariatric surgery patients: a randomized, controlled trial. Obesity. 2011;19:1826–34.PubMedCrossRef

39.

Stegen S, Derave W, Calders P, et al. Physical fitness in morbidly obese patients: effect of gastric bypass surgery and exercise training. Obes Surg. 2011;21:61–70.PubMedCrossRef

Title: Dynamic Relations Between Sedentary Behavior, Physical Activity, and Body Composition After Bariatric Surgery
Authors: Camille Vatier
Corneliu Henegar
Cécile Ciangura
Christine Poitou-Bernert
Jean-Luc Bouillot
Arnaud Basdevant
Jean-Michel Oppert
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: Obesity Surgery / Issue 8/2012
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-012-0619-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Dynamic Relations Between Sedentary Behavior, Physical Activity, and Body Composition After Bariatric Surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 8/2012

Evaluation of Gastric Fundus Invagination for Weight Loss in a Porcine Model

Laparoscopic Greater Curvature Plication (LGCP) for Treatment of Morbid Obesity in a Series of 244 Patients

Metabolic Profile of Clinically Severe Obese Patients

“I Didn’t See This Coming.”: Why Are Postbariatric Patients in Substance Abuse Treatment? Patients’ Perceptions of Etiology and Future Recommendations

Comparison Between RYGB, DS, and VSG Effect on Glucose Homeostasis

Eating Behaviors Post-Bariatric Surgery: A Qualitative Study of Grazing