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Published in: Obesity Surgery 7/2015

01-07-2015 | Original Contributions

Road Running After Gastric Bypass for Morbid Obesity: Rationale and Results of a New Protocol

Authors: Federico Marchesi, Giuseppina De Sario, Valeria Reggiani, Francesco Tartamella, Andrea Giammaresi, Stefano Cecchini, Renato Costi, Giovanni Guareschi, Gianfranco Beltrami, Chiara De Panfilis, Elisabetta Dall’Aglio, Matteo Ricco’, Valerio Brambilla

Published in: Obesity Surgery | Issue 7/2015

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Abstract

Background

In recent years, the pandemic explosion of obesity has led to the definition of a pre-eminent therapeutic role for bariatric surgery, confining physical activity to a success parameter of surgery rather than a primary prevention measure. The aim of this study is to evaluate the role for aerobic physical activity (road running) in strengthening the metabolic and psychosocial effects of bariatric surgery.

Methods

Ten patients who underwent gastric bypass for morbid obesity were submitted to an intensive program of road running training, aimed at completing a 10.5-km competition in September 2013. Inclusion criteria included age (<50), BMI (<35), suitability for sport activity, and good compliance. A cohort of 10 patients excluded for logistical issues were enrolled as a control group. During the training period, patients were submitted to biometrical, sport performance, cardiopulmonary, metabolic, and psychiatric evaluations.

Results

Protocol adherence was 70 %; no physical injury was registered among participants. More than weight loss (BMI 29.3 to 27.1), the runners experienced a redistribution of body mass with significant differences in fat percentage and waist/hip ratio. Participants had a significant running performance improvement and, differently from the controls, a significant amelioration of echocardiographic and cardiopulmonary parameters, predicting a reduction in cardiovascular risk. Psychiatric evaluation underlined a tendency to a reduction in anxiety, depression, and general psychopathology symptoms.

Conclusions

Road running seems to have an important supporting role in boosting bariatric surgery results. The utilization of monitored and regulated training programs represents a fundamental prerequisite to achieving satisfactory results and patient compliance.
Literature
1.
go back to reference Sjöström 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 Sjöström 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.
go back to reference Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.PubMedCrossRef Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.PubMedCrossRef
3.
go back to reference Marcus BH, Williams DM, Dubbert PM, et al. Physical activity intervention studies: what we know and what we need to know: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation. 2006;114(24):2739–52. Review. Erratum in: Circulation. 2010 Jul 6;122(1):e8.PubMedCrossRef Marcus BH, Williams DM, Dubbert PM, et al. Physical activity intervention studies: what we know and what we need to know: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation. 2006;114(24):2739–52. Review. Erratum in: Circulation. 2010 Jul 6;122(1):e8.PubMedCrossRef
4.
7.
go back to reference Egberts K, Brown WA, Brennan L, et al. Does exercise improve weight loss after bariatric surgery? A systematic review. Obes Surg. 2012;22(2):335–41.PubMedCrossRef Egberts K, Brown WA, Brennan L, et al. Does exercise improve weight loss after bariatric surgery? A systematic review. Obes Surg. 2012;22(2):335–41.PubMedCrossRef
8.
go back to reference First MB, Spitzer RL, Gibbon M, et al. Structured Clinical Interview for DSM-IV-TR Axis-I Disorders, research version, patient edition (SCID-I/P-RV). New York: Biometrics Research Department, New York State Psychiatric Institute, November 2002 Revision. http://www.scid4.org (Italian translation by Perrone R). First MB, Spitzer RL, Gibbon M, et al. Structured Clinical Interview for DSM-IV-TR Axis-I Disorders, research version, patient edition (SCID-I/P-RV). New York: Biometrics Research Department, New York State Psychiatric Institute, November 2002 Revision. http://​www.​scid4.​org (Italian translation by Perrone R).
10.
11.
go back to reference Derogatis LR, Lipman RS, Covi L. SCL-90: an outpatient psychiatric rating scale-preliminary report. Psychopharmacol Bull. 1973;9(1):13–28.PubMed Derogatis LR, Lipman RS, Covi L. SCL-90: an outpatient psychiatric rating scale-preliminary report. Psychopharmacol Bull. 1973;9(1):13–28.PubMed
12.
go back to reference Ware JE. SF-36 health survey: manual and interpretation guide. Boston: The Health Institute, New England Medical Center, 1993 Ware JE. SF-36 health survey: manual and interpretation guide. Boston: The Health Institute, New England Medical Center, 1993
14.
go back to reference Cooper KH. Testing and developing cardiovascular fitness. Del Med J. 1971;43(1):16–8.PubMed Cooper KH. Testing and developing cardiovascular fitness. Del Med J. 1971;43(1):16–8.PubMed
15.
go back to reference Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg. 2007;17(2):260–70.PubMedCrossRef Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg. 2007;17(2):260–70.PubMedCrossRef
18.
go back to reference NIH Conference. Gastrointestinal surgery for severe obesity. Consensus development conference panel. Ann Intern Med. 1991;115(12):956–61.CrossRef NIH Conference. Gastrointestinal surgery for severe obesity. Consensus development conference panel. Ann Intern Med. 1991;115(12):956–61.CrossRef
19.
go back to reference Saltzman E, Anderson W, Apovian CM, et al. Criteria for patient selection and multidisciplinary evaluation and treatment of the weight loss surgery patient. Obes Res. 2005;13(2):234–43. Review.PubMedCrossRef Saltzman E, Anderson W, Apovian CM, et al. Criteria for patient selection and multidisciplinary evaluation and treatment of the weight loss surgery patient. Obes Res. 2005;13(2):234–43. Review.PubMedCrossRef
21.
go back to reference Marti B. Health effects of recreational running in women. Some epidemiological and preventive aspects. Sports Med. 1991;11(1):20–51. Review.PubMedCrossRef Marti B. Health effects of recreational running in women. Some epidemiological and preventive aspects. Sports Med. 1991;11(1):20–51. Review.PubMedCrossRef
22.
go back to reference 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(5):743–50. Review. 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(5):743–50. Review.
23.
go back to reference Janssen I, Fortier A, Hudson R, et al. Effects of an energy-restrictive diet with or without exercise on abdominal fat, intermuscular fat, and metabolic risk factors in obese women. Diabetes Care. 2002;25(3):431–8.PubMedCrossRef Janssen I, Fortier A, Hudson R, et al. Effects of an energy-restrictive diet with or without exercise on abdominal fat, intermuscular fat, and metabolic risk factors in obese women. Diabetes Care. 2002;25(3):431–8.PubMedCrossRef
24.
go back to reference Marks BL, Rippe JM. The importance of fat free mass maintenance in weight loss programmes. Sports Med. 1996;22(5):273–81. Review.PubMedCrossRef Marks BL, Rippe JM. The importance of fat free mass maintenance in weight loss programmes. Sports Med. 1996;22(5):273–81. Review.PubMedCrossRef
25.
go back to reference Levy WC, Cerqueira MD, Harp GD, et al. Effect of endurance exercise training on heart rate variability at rest in healthy young and older men. Am J Cardiol. 1998;82(10):1236–41.PubMedCrossRef Levy WC, Cerqueira MD, Harp GD, et al. Effect of endurance exercise training on heart rate variability at rest in healthy young and older men. Am J Cardiol. 1998;82(10):1236–41.PubMedCrossRef
26.
go back to reference Wong CY, Byrne NM, O’Moore-Sullivan T, et al. Effect of weight loss due to lifestyle intervention on subclinical cardiovascular dysfunction in obesity (body mass index >30 kg/m2). Am J Cardiol. 2006;98(12):1593–8.PubMedCrossRef Wong CY, Byrne NM, O’Moore-Sullivan T, et al. Effect of weight loss due to lifestyle intervention on subclinical cardiovascular dysfunction in obesity (body mass index >30 kg/m2). Am J Cardiol. 2006;98(12):1593–8.PubMedCrossRef
27.
go back to reference Alpert MA, Lambert CR, Terry BE, et al. Effect of weight loss on left ventricular diastolic filling in morbid obesity. Am J Cardiol. 1995;76(16):1198–201.PubMedCrossRef Alpert MA, Lambert CR, Terry BE, et al. Effect of weight loss on left ventricular diastolic filling in morbid obesity. Am J Cardiol. 1995;76(16):1198–201.PubMedCrossRef
28.
go back to reference Mora S, Cook N, Buring JE, et al. Physical activity and reduced risk of cardiovascular events: potential mediating mechanisms. Circulation. 2007;116(19):2110–8.PubMedCentralPubMedCrossRef Mora S, Cook N, Buring JE, et al. Physical activity and reduced risk of cardiovascular events: potential mediating mechanisms. Circulation. 2007;116(19):2110–8.PubMedCentralPubMedCrossRef
29.
go back to reference Jouven X, Empana JP, Schwartz PJ, et al. Heart-rate profile during exercise as a predictor of sudden death. N Engl J Med. 2005;352(19):1951–8.PubMedCrossRef Jouven X, Empana JP, Schwartz PJ, et al. Heart-rate profile during exercise as a predictor of sudden death. N Engl J Med. 2005;352(19):1951–8.PubMedCrossRef
30.
go back to reference Levy D, Garrison RJ, Savage DD, et al. Prognostic implications of echocardiographically determined left ventricular mass in the Framingham Heart Study. N Engl J Med. 1990;322(22):1561–6.PubMedCrossRef Levy D, Garrison RJ, Savage DD, et al. Prognostic implications of echocardiographically determined left ventricular mass in the Framingham Heart Study. N Engl J Med. 1990;322(22):1561–6.PubMedCrossRef
31.
go back to reference Wei M, Kampert JB, Barlow CE, et al. Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. JAMA. 1999;282(16):1547–53.PubMedCrossRef Wei M, Kampert JB, Barlow CE, et al. Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. JAMA. 1999;282(16):1547–53.PubMedCrossRef
Metadata
Title
Road Running After Gastric Bypass for Morbid Obesity: Rationale and Results of a New Protocol
Authors
Federico Marchesi
Giuseppina De Sario
Valeria Reggiani
Francesco Tartamella
Andrea Giammaresi
Stefano Cecchini
Renato Costi
Giovanni Guareschi
Gianfranco Beltrami
Chiara De Panfilis
Elisabetta Dall’Aglio
Matteo Ricco’
Valerio Brambilla
Publication date
01-07-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1517-2

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