Effects of 6 months supervised physical training on muscle strength and aerobic capacity in patients undergoing Roux-en-Y gastric bypass surgery:a randomized controlled trial
| Autor: | Mundbjerg, L H, Stolberg, C R, Bladbjerg, E-M, Funch-Jensen, P, Juhl, C B, Gram, B |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Mundbjerg, L H, Stolberg, C R, Bladbjerg, E M, Funch-Jensen, P, Juhl, C B & Gram, B 2018, ' Effects of 6 months supervised physical training on muscle strength and aerobic capacity in patients undergoing Roux-en-Y gastric bypass surgery : a randomized controlled trial ', Clinical Obesity, vol. 8, no. 4, pp. 227-235 . https://doi.org/10.1111/cob.12256 Mundbjerg, L H, Stolberg, C R, Bladbjerg, E-M, Funch-Jensen, P, Juhl, C B & Gram, B 2018, ' Effects of 6 months supervised physical training on muscle strength and aerobic capacity in patients undergoing Roux-en-Y gastric bypass surgery : a randomized controlled trial ', Clinical Obesity, vol. 8, no. 4, pp. 227-235 . https://doi.org/10.1111/cob.12256 |
| DOI: | 10.1111/cob.12256 |
| Popis: | Obesity and physical inactivity are major health problems. Roux-en-Y gastric bypass (RYGB) surgery results in significant weight loss and reduces obesity-related morbidity and mortality. Physical activity lowers the risk of cardiovascular disease and premature death. The aims of this study were to elucidate the effects of RYGB followed by 6 months of supervised physical training on physical capacity. In a randomized controlled trial, 60 participants eligible for RYGB were randomized 6 months post-surgery to either two weekly physical training sessions for 26 weeks (INT) or a control group (CON). Aerobic capacity (VO2 max), muscle strength (MS) of the shoulder and hip and physical function were measured pre-surgery and 6, 12 and 24 months post-surgery. RYGB per se decreased MS in all tested muscle groups, had no effects on VO2 max but improved physical function. After the intervention, INT had a significant 0.33 L min-1 increase in VO2 max compared to CON (95% CI: 0.07-0.57, P = 0.013). Furthermore, MS in the hip adductor increased significantly with 13 N (95% CI: 3.6-22.4, P = 0.007) and a between-group difference was found in the Stair Climb Test (0.46 repetitions [95% CI: 0.02-0.91, P = 0.042]). The effects were not maintained at follow-up. Supervised physical training following RYGB improved VO2 max, hip MS and physical function, but the positive effects were not maintained at follow-up. While activities of daily life may become easier as a result of RYGB, the observed extensive post-operative loss of MS requires more attention to increase the patient's physical capacity prospectively. |
| Databáze: | OpenAIRE |
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