Weight Loss and Fitness Expo

Biography

Biography: Sjaak Pouwels

Abstract

Introduction Bariatric surgery has a considerable effect on weight loss. A positive relation of exercise and weight loss has been described before. Objectives To systematically review the mode of exercise and its timing pre- or postoperative or a combination in the bariatric surgical population. Methods A multi database search was conducted. Identified articles were reviewed on description of exercise, timing around a bariatric intervention and outcome. Methodological quality of the included studies was rated using the Physiotherapy Evidence Database scale. A Cohen’s kappa score assessed the level of agreement. Outcome measurements were improvement of anthropometric and physical fitness variables, operation related complications, weight regain and quality of life. Results A total of eight prospective studies were included. Four focussed on training before and four on training after a bariatric procedure. Details of exercises varied from 45 minutes treadmill up to full descriptive programs. Supervision was frequently included. Significant improvement was encountered for biometric results physical fitness variables. Conclusion In the majority of reports on exercising in a (future) bariatric population, a positive effect on anthropometrics, cardiovascular risk factors and physical fitness was described. However, the results were not unanimous, with a wide range of exercise programs and peri-operative timing and therefore hampering adequate practical guidance