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Meta-Analysis
. 2022 Mar;32(3):912-923.
doi: 10.1007/s11695-021-05873-1. Epub 2022 Jan 15.

The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

Florêncio Diniz-Sousa  1   2 , Giorjines Boppre  3   4 , Lucas Veras  3   4 , Alba Hernández-Martínez  5 , José Oliveira  3   4 , Hélder Fonseca  3   4
Affiliations
Meta-Analysis

The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

Florêncio Diniz-Sousa et al. Obes Surg. 2022 Mar.

Erratum in

Abstract

We aimed to assess if exercise applied after bariatric surgery (BS) improves bone mineral density (BMD) compared to usual care. Systematic search was conducted up to January 2021. Effect measures were determined using standardized mean difference (SMD) with 95% confidence interval (CI). Certainty evidence was assessed according to GRADE. Four clinical trials encompassing 340 patients were included. Exercise induced a positive BMD effect at total hip (SMD = 0.37 [95% CI 0.02, 0.71]; very low certainty evidence), femoral neck (SMD = 0.63 [95% CI 0.19, 1.06]; low certainty evidence), lumbar spine (SMD = 0.41 [95% CI 0.19, 0.62]; low certainty evidence), and 1/3 radius (SMD = 0.58 [95% CI 0.19, 0.97]; low certainty evidence). Exercise undertaken after BS seems to induce a positive effect on BMD.

Keywords: Bone mass; Exercise; Meta-analysis; Weight loss surgery.

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References

    1. Puzziferri N, Roshek TB 3rd, Mayo HG, Gallagher R, Belle SH, Livingston EH. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312(9):934–42. https://doi.org/10.1001/jama.2014.10706 . - DOI - PubMed - PMC
    1. Gagnon C, Schafer AL. Bone health after bariatric surgery. JBMR Plus. 2018;2(3):121–33. https://doi.org/10.1002/jbm4.10048 . - DOI - PubMed - PMC
    1. Schafer AL, Kazakia GJ, Vittinghoff E, Stewart L, Rogers SJ, Kim TY, et al. Effects of gastric bypass surgery on bone mass and microarchitecture occur early and particularly impact postmenopausal women. J Bone Miner Res. 2018;33(6):975–86. https://doi.org/10.1002/jbmr.3371 . - DOI - PubMed
    1. Zhang Q, Dong J, Zhou D, Liu F. Comparative risk of fracture for bariatric procedures in patients with obesity: a systematic review and Bayesian network meta-analysis. Int J Surg. 2020;75:13–23. https://doi.org/10.1016/j.ijsu.2020.01.018 . - DOI - PubMed
    1. Hansen S, Jørgensen NR, Hermann AP, Støving RK. Continuous decline in bone mineral density and deterioration of bone microarchitecture 7 years after Roux-en-Y gastric bypass surgery. Eur J Endocrinol. 2020;182(3):303–11. https://doi.org/10.1530/eje-19-0741 . - DOI - PubMed - PMC

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