Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Aug;28(8):2321-2326.
doi: 10.1007/s11695-018-3154-7.

Effectiveness of a Functional Rehabilitation Program After Bariatric Surgery: a Pilot Study

Claire Morana  1 , Marie Collignon  2 , David Nocca  3
Affiliations

Effectiveness of a Functional Rehabilitation Program After Bariatric Surgery: a Pilot Study

Claire Morana et al. Obes Surg. 2018 Aug.

Abstract

Background: Beyond obesity-related comorbidities, overweight patients have a high risk of developing osteoarticular pathologies. Moreover, weight loss following bariatric surgery induces a decrease in fat mass but also in muscle mass, thus affecting the physical capacities of these patients. Functional rehabilitation is a solution to correct these imbalances. The aim of this study was to evaluate the effectiveness of a functional rehabilitation program after bariatric surgery.

Methods: Twenty-three patients with severe obesity (BMI = 37.9 ± 5.7 kg/m2; 41.1 ± 12.9 years) participated in a functional rehabilitation protocol, 2 months after sleeve gastrectomy. Rehabilitation program consisted of 20 sessions of 1h30 (two sessions per week), based on endurance training, muscle strengthening, and proprioception work. An initial and final assessment included bioelectrical impedance measurements, questionnaires, and physical function tests.

Results: All impedance parameters were significantly improved in 20 sessions: % excess weight loss (%EWL) from 27.6 ± 9.1 to 51.1 ± 13.4% and % fat-free mass from 52.7 ± 5.6 to 57.6 ± 6.7%. Waist and hip circumferences were significantly reduced in 20 sessions: from 107.4 ± 13.7 to 94.5 ± 12.6 cm and from 120.5 ± 12.4 to 108.7 ± 11.7 cm, respectively (p < 0.001). Physical function tests were significantly improved between the 1st and the 20th sessions (p < 0.001). The cycloergometer stress test progressed from 77.7 ± 24.1 to 93.6 ± 27.2 W, and the sit-to-stand test from 20 ± 5.2 to 24.8 ± 7.6 flexions in 30 s. The Quality Of Life, Obesity and Dietetics (QOLOD) scale increased by 12.6%.

Conclusions: The functional rehabilitation protocol of 20 sessions significantly improved patients' body composition, functional tests, and quality of life. The standardization of tests and sessions allowed to objectively assess progress.

Keywords: Exercise; Fat mass; Physical fitness; Severe obesity; Sleeve gastrectomy.

PubMed Disclaimer

References

    1. Obes Facts. 2015;8(2):132-46 - PubMed
    1. Pain. 2003 Aug;104(3):549-57 - PubMed
    1. Obes Surg. 2005 Feb;15(2):183-6 - PubMed
    1. Int J Obes (Lond). 2007 Jan;31(1):114-20 - PubMed
    1. Obes Surg. 2010 May;20(5):657-65 - PubMed

LinkOut - more resources