Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study

Background. Lifestyle intervention programs after bariatric surgery have been suggested to maximise health outcomes. This pilot study aimed to investigate the feasibility and impact of an 8-week combined supervised exercise with nutritional-behavioral intervention following Roux-en-Y gastric bypass...

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Main Authors:	Jassil, Friedrich C., Manning, Sean, Lewis, Neville, Steinmo, Siri, Kingett, Helen, Lough, Fiona, Pucci, Andrea B. F., Cheung, W. H., Finer, Nicholas, Walker, Judith, Doyle, Jaqueline, Batterham, Rachel L.
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493296/

id	pubmed-4493296
recordtype	oai_dc
spelling	pubmed-44932962015-07-21 Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study Jassil, Friedrich C. Manning, Sean Lewis, Neville Steinmo, Siri Kingett, Helen Lough, Fiona Pucci, Andrea B. F. Cheung, W. H. Finer, Nicholas Walker, Judith Doyle, Jaqueline Batterham, Rachel L. Clinical Study Background. Lifestyle intervention programs after bariatric surgery have been suggested to maximise health outcomes. This pilot study aimed to investigate the feasibility and impact of an 8-week combined supervised exercise with nutritional-behavioral intervention following Roux-en-Y gastric bypass and sleeve gastrectomy. Methods. Eight female patients (44 ± 8 years old, BMI = 38.5 ± 7.2 kgm−2) completed the program. Before and after intervention, anthropometric measures, six-minute walk test (6MWT), physical activity level, eating behavior, and quality of life (QoL) were assessed. Percentage weight loss (%WL) outcomes were compared with a historical matched control group. Results. The program significantly improved functional capacity (mean increment in 6MWT was 127 ± 107 meters, p = 0.043), increased strenuous intensity exercise (44 ± 49 min/week, p = 0.043), increased consumption of fruits and vegetables (p = 0.034), reduced consumption of ready meals (p = 0.034), and improved “Change in Health” in QoL domain (p = 0.039). The intervention group exhibited greater %WL in the 3–12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p = 0.027). Conclusions. Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes. A large randomised control trial is now warranted. Hindawi Publishing Corporation 2015 2015-06-23 /pmc/articles/PMC4493296/ /pubmed/26199740 http://dx.doi.org/10.1155/2015/693829 Text en Copyright © 2015 Friedrich C. Jassil et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Jassil, Friedrich C. Manning, Sean Lewis, Neville Steinmo, Siri Kingett, Helen Lough, Fiona Pucci, Andrea B. F. Cheung, W. H. Finer, Nicholas Walker, Judith Doyle, Jaqueline Batterham, Rachel L.
spellingShingle	Jassil, Friedrich C. Manning, Sean Lewis, Neville Steinmo, Siri Kingett, Helen Lough, Fiona Pucci, Andrea B. F. Cheung, W. H. Finer, Nicholas Walker, Judith Doyle, Jaqueline Batterham, Rachel L. Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study
author_facet	Jassil, Friedrich C. Manning, Sean Lewis, Neville Steinmo, Siri Kingett, Helen Lough, Fiona Pucci, Andrea B. F. Cheung, W. H. Finer, Nicholas Walker, Judith Doyle, Jaqueline Batterham, Rachel L.
author_sort	Jassil, Friedrich C.
title	Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study
title_short	Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study
title_full	Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study
title_fullStr	Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study
title_full_unstemmed	Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study
title_sort	feasibility and impact of a combined supervised exercise and nutritional-behavioral intervention following bariatric surgery: a pilot study
description	Background. Lifestyle intervention programs after bariatric surgery have been suggested to maximise health outcomes. This pilot study aimed to investigate the feasibility and impact of an 8-week combined supervised exercise with nutritional-behavioral intervention following Roux-en-Y gastric bypass and sleeve gastrectomy. Methods. Eight female patients (44 ± 8 years old, BMI = 38.5 ± 7.2 kgm−2) completed the program. Before and after intervention, anthropometric measures, six-minute walk test (6MWT), physical activity level, eating behavior, and quality of life (QoL) were assessed. Percentage weight loss (%WL) outcomes were compared with a historical matched control group. Results. The program significantly improved functional capacity (mean increment in 6MWT was 127 ± 107 meters, p = 0.043), increased strenuous intensity exercise (44 ± 49 min/week, p = 0.043), increased consumption of fruits and vegetables (p = 0.034), reduced consumption of ready meals (p = 0.034), and improved “Change in Health” in QoL domain (p = 0.039). The intervention group exhibited greater %WL in the 3–12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p = 0.027). Conclusions. Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes. A large randomised control trial is now warranted.
publisher	Hindawi Publishing Corporation
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493296/
_version_	1613244569796739072

Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study

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