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Obesity Surgery
Published in: Obesity Surgery 7/2016

01-07-2016 | Original Contributions

Accelerometer-Measured Versus Self-Reported Physical Activity Levels and Sedentary Behavior in Women Before and 9 Months After Roux-en-Y Gastric Bypass

Authors: Daniel Berglind, Mikaela Willmer, Per Tynelius, Ata Ghaderi, Erik Näslund, Finn Rasmussen

Published in: Obesity Surgery | Issue 7/2016

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Abstract

Background

Roux-en-Y gastric bypass (RYGB) patients report significant pre- to post-surgery increases in physical activity (PA). Conversely, objectively assessed PA does not increase after RYGB. The aim of the study was to compare self-reported and accelerometer-measured changes in moderate-to-vigorous PA (MVPA) and exercise from pre- to post-surgery, in women undergoing RYGB.

Methods

Forty-three women with an average pre-surgery body mass index of 39.2 kg/m2 (SD 3.1) were recruited at Swedish hospitals. PA was measured by the Actigraph GT3X+ and by a previously validated short PA questionnaire, at home visits 3 months before and 9 months after surgery, thus limiting seasonal effects.

Results

Self-reported time spent in exercise increased with 75 % and time spent in MVPA increased with 51 %, whereas accelerometer-assessed time spent in exercise increased with 0.9 % and time spent in MVPA increased with 2.1 %, from before to after surgery. Correlations comparing accelerometers with the questionnaire were 0.35 (P = 0.02) for MVPA and 0.13 (P = 0.4) for exercise before RYGB and 0.52 (P ≤ 0.001) for MVPA and 0.12 (P = 0.4) for exercise after RYGB.

Conclusions

Pre- to post-RYGB surgery increases in self-reported PA were not confirmed by accelerometer-measured PA. Thus, health care workers should use objective measures of PA in patients undergoing RYGB, in order to assess whether patients achieve sufficient levels of PA.
Literature
1.
Welch G, Wesolowski C, Piepul B, et al. Physical activity predicts weight loss following gastric bypass surgery: findings from a support group survey. Obes Surg. 2008;18(5):517–24.CrossRefPubMed
2.
Jacobi D, Ciangura C, Couet C, et al. Physical activity and weight loss following bariatric surgery. Obes Rev: Off J Int Assoc Study Obes. 2011;12(5):366–77.CrossRef
3.
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.CrossRefPubMed
4.
Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8:CD003641.PubMed
5.
WHO. Global recommendations on physical activity for health. Geneva: WHO Press; 2011.
6.
Fogelholm M. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev: Off J Int Assoc Study Obes. 2010;11(3):202–21.CrossRef
7.
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;28(2):500–7. doi:10.​1007/​s00464-013-3191-1.
8.
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.CrossRefPubMed
9.
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: Off J Am Soc Bariatric Surg. 2010;6(4):361–6.CrossRef
10.
Bond DS, Jakicic JM, Unick JL, et al. Pre- to postoperative physical activity changes in bariatric surgery patients: self report vs. objective measures. Obesity. 2010;18(12):2395–7.CrossRefPubMedPubMedCentral
11.
Berglind DWM, Eriksson U, Thorell A, et al. Longitudinal assessment of physical activity in women undergoing Roux-en-Y gastric bypass. Obes Surg. 2015;25(1):119–25.CrossRefPubMed
12.
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: Off J Am Soc Bariatric Surg. 2012;8(5):522–32.CrossRef
13.
Colles SL, Dixon JB, O’Brien PE. Hunger control and regular physical activity facilitate weight loss after laparoscopic adjustable gastric banding. Obes Surg. 2008;18(7):833–40.CrossRefPubMed
14.
Reid RE, Carver TE, Andersen KM, et al. Physical activity and sedentary behavior in bariatric patients long-term post-surgery. Obes Surg. 2015;25(6):1073–7.CrossRefPubMed
15.
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.CrossRefPubMed
16.
Lagersted-Olsen J, Korshoj M, Skotte J, et al. Comparison of objectively measured and self-reported time spent sitting. Int J Sports Med. 2013;35(6):534–40. doi:10.​1055/​s-0033-1358467.
17.
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.CrossRefPubMed
18.
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: Off J Am Soc Bariatric Surg. 2008;4(6):721–8.CrossRef
19.
Olbers T, Lonroth H, Fagevik-Olsen M, et al. Laparoscopic gastric bypass: development of technique, respiratory function, and long-term outcome. Obes Surg. 2003;13(3):364–70.CrossRefPubMed
20.
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.CrossRefPubMed
21.
Norman A, Bellocco R, Bergstrom A, et al. Validity and reproducibility of self-reported total physical activity—differences by relative weight. Int J Obes Relat Metab Disord. 2001;25(5):682–8.CrossRefPubMed
22.
Orsini N, Bellocco R, Bottai M, et al. Validity of self-reported total physical activity questionnaire among older women. Eur J Epidemiol. 2008;23(10):661–7.CrossRefPubMed
23.
Santos-Lozano A, Marin PJ, Torres-Luque G, et al. Technical variability of the GT3X accelerometer. Med Eng Phys. 2012;34(6):787–90.CrossRefPubMed
24.
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.CrossRefPubMed
25.
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.CrossRefPubMedPubMedCentral
26.
Trost SG, McIver KL, Pate RR. Conducting accelerometer-based activity assessments in field-based research. Med Sci Sports Exerc. 2005;37(11 Suppl):S531–43.CrossRefPubMed
27.
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;34(11):975–82.CrossRefPubMed
28.
Hanggi JM, Phillips LR, Rowlands AV. Validation of the GT3X ActiGraph in children and comparison with the GT1M ActiGraph. Aust J Sci Med Sport/Sports Med Aust. 2013;16(1):40–4.CrossRef
29.
Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes (Lond). 2007;31(8):1248–61.CrossRef
30.
31.
de Souza SA, Faintuch J, Sant’anna AF. Effect of weight loss on aerobic capacity in patients with severe obesity before and after bariatric surgery. Obes Surg. 2010;20(7):871–5.CrossRefPubMed
32.
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
33.
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
34.
Bond DS, Thomas JG, Unick JL, et al. Self-reported and objectively measured sedentary behavior in bariatric surgery candidates. Surg Obes Relat Dis: Off J Am Soc Bariatric Surg. 2013;9(1):123–8.CrossRef
35.
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.CrossRefPubMed
36.
Lyden K, Kozey Keadle SL, Staudenmayer JW, et al. Validity of two wearable monitors to estimate breaks from sedentary time. Med Sci Sports Exerc. 2012;44(11):2243–52.CrossRefPubMedPubMedCentral
37.
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.CrossRefPubMed
38.
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.CrossRefPubMed
39.
Bond DS, Phelan S, Wolfe LG, et al. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity. 2009;17(1):78–83.CrossRefPubMed
40.
Nakamura KM, Haglind EG, Clowes JA, et al. Fracture risk following bariatric surgery: a population-based study. Osteoporos Int: J Established Result Cooperation Between Eur Found Osteoporos Natl Osteoporos Found USA. 2014;25(1):151–8.CrossRef
41.
Bass S, Pearce G, Bradney M, et al. Exercise before puberty may confer residual benefits in bone density in adulthood: studies in active prepubertal and retired female gymnasts. J Bone Miner Res: Off J Am Soc Bone and Miner Res. 1998;13(3):500–7.CrossRef
42.
Prince SA, Adamo KB, Hamel ME, et al. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5:56.CrossRefPubMedPubMedCentral
43.
Lyzwinski LN. A systematic review and meta-analysis of mobile devices and weight loss with an intervention content analysis. J Pers Med. 2014;4(3):311–85.CrossRefPubMedPubMedCentral
Metadata
Title
Accelerometer-Measured Versus Self-Reported Physical Activity Levels and Sedentary Behavior in Women Before and 9 Months After Roux-en-Y Gastric Bypass
Authors
Daniel Berglind
Mikaela Willmer
Per Tynelius
Ata Ghaderi
Erik Näslund
Finn Rasmussen
Publication date
01-07-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1971-5

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