Pouwels Sjaak, Wit Marjon, Teijink Joep A W, Nienhuijs Simon W
Obes Facts. 2015;8(2):132-46. doi: 10.1159/000381201.
Bariatric surgery has a considerable effect on weight loss. A positive relation of exercise and weight loss has been described before. However, the mode of exercise and its timing pre- or postoperatively or a combination remains unclear.
A multi-database search was conducted. Identified articles were reviewed on description of exercise, timing around a bariatric intervention, and outcome. Methodological quality of the included studies was rated using the Physiotherapy Evidence Database scale. A Cohen’s kappa score assessed the level of agreement. Outcome measurements were improvement of anthropometric and physical fitness variables, operation related complications, weight regain, and quality of life.
A total of 8 prospective studies were included. Four focused on training before and 4 on training after a bariatric procedure. Details of exercises varied from 45 min treadmill up to full descriptive programs. Supervision was frequently included. Significant improvement was encountered for biometric results physical fitness variables.
In the majority of reports on exercising in a (future) bariatric population, positive effects on anthropometrics, cardiovascular risk factors and physical fitness were described. However, the results were not unanimous, with a wide range of exercise programs and perioperative timing, therefore hampering adequate practical guidance.
减肥手术对体重减轻有显著影响。此前已有运动与体重减轻之间存在正相关关系的描述。然而，运动方式及其在术前或术后的时间安排或两者结合仍不明确。
进行了多数据库检索。对纳入的文章进行了关于运动描述、减肥干预前后的时间安排以及结果的综述。使用物理治疗证据数据库量表对纳入研究的方法学质量进行评分。采用科恩kappa评分评估一致性水平。结果测量指标包括人体测量和体能变量的改善、手术相关并发症、体重反弹以及生活质量。
共纳入8项前瞻性研究。4项关注减肥手术前的训练，4项关注减肥手术后的训练。运动细节从45分钟的跑步机训练到完整的描述性方案各不相同。经常包括监督。生物测量结果和体能变量有显著改善。
在大多数关于（未来）肥胖人群运动的报告中，描述了对人体测量、心血管危险因素和体能的积极影响。然而，结果并不一致，运动方案和围手术期时间安排范围广泛，因此妨碍了充分的实践指导。
