Users Online: 201 Home Print this page Email this pageSmall font sizeDefault font sizeIncrease font size
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
REVIEW ARTICLE
Year : 2016  |  Volume : 4  |  Issue : 1  |  Page : 3-12

Physical activity prescription before bariatric surgery: Feasibility, health impacts, and practical implications


Pediatric Exercise Physiology Research Laboratory, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Prof. Hazzaa M Al-Hazzaa
Pediatric Exercise Physiology Research Laboratory, King Saud University, P.O. Box: 93216, Riyadh 11673
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2347-2618.184935

Rights and Permissions

Obesity is a challenging health problem. For people with morbid obesity who cannot lose weight, using conventional weight loss methods, they may resort to bariatric surgery. However, despite increasing evidence that physical activity (PA) can reduce weight and improve postsurgical outcomes, most preoperative obese patients are inactive. Therefore, the aim of the present paper was to review the evidence for the feasibility and beneficial health impact of prebariatric surgery PA program for obese patients and to discuss the practical implications of PA counseling and exercise prescription to healthcare providers. A systematic electronic search was conducted utilizing keywords related to PA, exercise, and prebariatric surgery using MEDLINE databases. The findings of this review indicated that a presurgical intervention targeting PA among obese patients awaiting bariatric surgery is feasible and has the potential to increase patient's engagement in PA postoperatively. In addition, higher levels of preoperative PA or physical fitness were associated with lower postsurgical complications and a shorter length of stay in hospital. There is also evidence to support that higher levels of preoperative PA may improve weight loss outcomes following laparoscopic surgery. Research showed that the daily time spent being sedentary among obese patients was quite excessive. In adult population, the available evidence demonstrates a dose-response relationship between the amount of moderate-to-vigorous intensity PA and reduced weight loss and increased health benefits. It is recommended that healthcare providers to increase their use of the five A's (Assess, Advise, Agree, Assist, and Arrange) counseling model when counseling obese patients about PA and weight loss. Finally, the future studies must seek to make PA more effective and compliant for obese patients and focus on identifying major barriers that are preventing most patients from assuming active lifestyles.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2750    
    Printed126    
    Emailed0    
    PDF Downloaded407    
    Comments [Add]    

Recommend this journal