Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 1/2015

01-01-2015 | Original Contributions

Longitudinal Assessment of Physical Activity in Women Undergoing Roux-en-Y Gastric Bypass

Authors: Daniel Berglind, Mikaela Willmer, Ulf Eriksson, Anders Thorell, Magnus Sundbom, Joanna Uddén, Mustafa Raoof, Jakob Hedberg, Per Tynelius, Erik Näslund, Finn Rasmussen

Published in: Obesity Surgery | Issue 1/2015

Login to get access

Abstract

Background

Patients undergoing bariatric surgery do not seem to increase objectively measured physical activity (PA) after surgery, despite substantial weight loss. The aims of the present study were (i) to objectively characterize 3 months pre-surgery to 9 months postsurgery PA and sedentary behavior changes in women undergoing Roux-en-Y gastric bypass (RYGB) using tri-axial accelerometers and (ii) to examine associations between pre-surgery versus postsurgery PA and sedentary behavior with anthropometric measures taken in home environment.

Methods

Fifty-six women, with an average pre-surgery body mass index (BMI) of 37.6 (SD 2.6) and of age 39.5 years (SD 5.7), were recruited at five Swedish hospitals. PA was measured for 1 week by the Actigraph GT3X+ accelerometer, and anthropometric measures were taken at home visits 3 months pre-surgery and 9 months postsurgery, thus limiting seasonal effects.

Results

Average BMI loss, 9 months postsurgery, was 11.7 (SD 2.7) BMI units. There were no significant pre- to postsurgery differences in PA or sedentary behavior. However, pre-surgery PA showed negative association with PA change and positive association with postsurgery PA. Adjustments for pre-surgery BMI had no impact on these associations.

Conclusions

No significant differences were observed in objectively measured changes in PA or time spent sedentary from 3 months pre-surgery to 9 months postsurgery among women undergoing RYGB. However, women with higher pre-surgery PA decreased their PA postsurgery while women with lower pre-surgery PA increased their PA.
Literature
1.
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(26):2683–93.PubMedCrossRef
2.
Fogelholm M. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev. 2010;11(3):202–21.PubMedCrossRef
3.
Iannelli A, Martini F, Rodolphe A, et al. Body composition, anthropometrics, energy expenditure, systemic inflammation, in premenopausal women 1 year after laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2013.
4.
Szulc P, Munoz F, Marchand F, et al. Rapid loss of appendicular skeletal muscle mass is associated with higher all-cause mortality in older men: the prospective MINOS study. Am J Clin Nutr. 2010;91(5):1227–36.PubMedCrossRef
5.
Jakicic JM, Marcus BH, Lang W, et al. Effect of exercise on 24-month weight loss maintenance in overweight women. Arch Intern Med. 2008;168(14):1550–9. discussion 9-60.PubMedCentralPubMedCrossRef
6.
Shah M, Snell PG, Rao S, et al. High-volume exercise program in obese bariatric surgery patients: a randomized, controlled trial. Obesity (Silver Spring). 2011;19(9):1826–34.CrossRef
7.
Josbeno DA, Jakicic JM, Hergenroeder A, et al. Physical activity and physical function changes in obese individuals after gastric bypass surgery. Surg Obes Relat Dis. 2010;6(4):361–6.PubMedCrossRef
8.
Bond DS, Jakicic JM, Vithiananthan S, et al. Objective quantification of physical activity in bariatric surgery candidates and normal-weight controls. Surg Obes Relat Dis. 2010;6(1):72–8.PubMedCentralPubMedCrossRef
9.
Bond DS, Jakicic JM, Unick JL, et al. Pre- to postoperative physical activity changes in bariatric surgery patients: self report vs. objective measures. Obesity (Silver Spring). 2010;18(12):2395–7.CrossRef
10.
King WC, Hsu JY, Belle SH, et al. Pre- to postoperative changes in physical activity: report from the longitudinal assessment of bariatric surgery-2 (LABS-2). Surg Obes Relat Dis. 2012;8(5):522–32.PubMedCentralPubMedCrossRef
11.
Jakicic JM, Polley BA, Wing RR. Accuracy of self-reported exercise and the relationship with weight loss in overweight women. Med Sci Sports Exerc. 1998;30(4):634–8.PubMedCrossRef
12.
Lagersted-Olsen J, Korshoj M, Skotte J, et al. Comparison of objectively measured and self-reported time spent sitting. Int J Sports Med. 2013.
13.
Duncan GE, Sydeman SJ, Perri MG, et al. Can sedentary adults accurately recall the intensity of their physical activity? Prev Med. 2001;33(1):18–26.PubMedCrossRef
14.
King WC, Belle SH, Eid GM, et al. Physical activity levels of patients undergoing bariatric surgery in the Longitudinal Assessment of Bariatric Surgery study. Surg Obes Relat Dis. 2008;4(6):721–8.PubMedCentralPubMedCrossRef
15.
Westerterp KR. Assessment of physical activity: a critical appraisal. Eur J Appl Physiol. 2009;105(6):823–8.PubMedCrossRef
16.
Santos-Lozano A, Marin PJ, Torres-Luque G, et al. Technical variability of the GT3X accelerometer. Med Eng Phys. 2012;34(6):787–90.PubMedCrossRef
17.
Choi L, Liu Z, Matthews CE, et al. Validation of accelerometer wear and nonwear time classification algorithm. Med Sci Sports Exerc. 2011;43(2):357–64.PubMedCentralPubMedCrossRef
18.
Troiano RP, Berrigan D, Dodd KW, et al. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–8.PubMedCrossRef
19.
Santos-Lozano A, Santin-Medeiros F, Cardon G, et al. Actigraph GT3X: validation and determination of physical activity intensity cut points. Int J Sports Med. 2013.
20.
Hanggi JM, Phillips LR, Rowlands AV. Validation of the GT3X ActiGraph in children and comparison with the GT1M ActiGraph. J Sci Med Sport. 2013;16(1):40–4.PubMedCrossRef
21.
Kyle UG, Genton L, Karsegard L, et al. Single prediction equation for bioelectrical impedance analysis in adults aged 20–94 years. Nutrition. 2001;17(3):248–53.PubMedCrossRef
22.
Widen EM, Strain G, King WC, et al. Validity of bioelectrical impedance analysis for measuring changes in body water and percent fat after bariatric surgery. Obes Surg. 2014.
23.
Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39(8):1423–34.PubMedCrossRef
24.
25.
Jacobi D, Ciangura C, Couet C, et al. Physical activity and weight loss following bariatric surgery. Obes Rev. 2011;12(5):366–77.PubMedCrossRef
26.
Bond DS, Unick JL, Jakicic JM, et al. Objective assessment of time spent being sedentary in bariatric surgery candidates. Obes Surg. 2011;21(6):811–4.PubMedCentralPubMedCrossRef
27.
Hagstromer M, Troiano RP, Sjostrom M, et al. Levels and patterns of objectively assessed physical activity—a comparison between Sweden and the United States. Am J Epidemiol. 2010;171(10):1055–64.PubMedCrossRef
28.
Martin CK, Das SK, Lindblad L, et al. Effect of calorie restriction on the free-living physical activity levels of nonobese humans: results of three randomized trials. J Appl Physiol (1985). 2011;110(4):956–63.CrossRef
29.
Ortega J, Ortega-Evangelio G, Cassinello N, et al. What are obese patients able to eat after Roux-en-Y gastric bypass? Obes Facts. 2012;5(3):339–48.PubMedCrossRef
30.
Donnelly JE, Blair SN, Jakicic JM, et al. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459–71.PubMedCrossRef
31.
Joosen AM, Gielen M, Vlietinck R, et al. Genetic analysis of physical activity in twins. Am J Clin Nutr. 2005;82(6):1253–9.PubMed
32.
Bond D. Bari-Active: a preoperative intervention to increase physical activity. Obes Surg [Original]. 2011;21:1042–4.
33.
O’Connell SE, Griffiths PL, Clemes SA. Seasonal variation in physical activity, sedentary behaviour and sleep in a sample of UK adults. Ann Hum Biol. 2014;41(1):1–8.PubMedCrossRef
34.
Ward DS, Evenson KR, Vaughn A, et al. Accelerometer use in physical activity: best practices and research recommendations. Med Sci Sports Exerc. 2005;37(11 Suppl):S582–8.PubMedCrossRef
35.
Sjostrom L. Review of the key results from the Swedish Obese Subjects (SOS) trial—a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219–34.PubMedCrossRef
36.
Chaput JP, Klingenberg L, Rosenkilde M, et al. Physical activity plays an important role in body weight regulation. J Obes. 2011;2011.
Metadata
Title
Longitudinal Assessment of Physical Activity in Women Undergoing Roux-en-Y Gastric Bypass
Authors
Daniel Berglind
Mikaela Willmer
Ulf Eriksson
Anders Thorell
Magnus Sundbom
Joanna Uddén
Mustafa Raoof
Jakob Hedberg
Per Tynelius
Erik Näslund
Finn Rasmussen
Publication date
01-01-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1331-x

Other articles of this Issue 1/2015

Obesity Surgery 1/2015 Go to the issue

Original Contributions

Argon Plasma Coagulation of Gastrojejunal Anastomosis for Weight Regain After Gastric Bypass

Original Contributions

Anemia After Roux-en-Y Gastric Bypass. How Feasible to Eliminate the Risk by Proper Supplementation?

Original Contributions

Effect of a Post-operative Structured Exercise Programme on Short-Term Weight Loss After Obesity Surgery Using Adjustable Gastric Bands

Original Contributions

Cardiovascular Risk Profile in Mediterranean Patients Submitted to Bariatric Surgery and Intensive Lifestyle Intervention: Impact of Both Interventions After 1 Year of Follow-Up

Review Article

The Long-Term Effects of Bariatric Surgery for Type 2 Diabetes: Systematic Review and Meta-analysis of Randomized and Non-randomized Evidence

Original Contributions

Duodeno-Jejunal Tube Placement in an Experimental Model of Obesity: Effects on Food Behaviour and Basal Energy Expenditure