肥胖、减肥手术后及健康受试者日常生活活动期间的身体功能、生活质量和能量消耗

Physical Function, Quality of Life, and Energy Expenditure During Activities of Daily Living in Obese, Post-Bariatric Surgery, and Healthy Subjects.

作者信息

Monteiro Fabiane, Ponce Diego A N, Silva Humberto, Pitta Fabio, Carrilho Alexandre J F

机构信息

Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Departamento de Fisioterapia, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil.

Programa de Doutorado em Ciências da Saúde, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil.

出版信息

Obes Surg. 2017 Aug;27(8):2138-2144. doi: 10.1007/s11695-017-2619-4.

DOI:10.1007/s11695-017-2619-4

PMID:28261757

Abstract

OBJECTIVES

This study aimed to evaluate physical function (PF), quality of life (QOL), and energy expenditure (EE) during activities of daily living (ADL) in late outcome post-bariatric surgery (BS) patients and to compare them to severe obese individuals and matched controls.

METHODS

Sixty-three subjects were included: 21 patients in post-operative (PO) of BS (3-4 years post-Roux-en-Y gastric bypass) with a stable weight for at least 6 months (16 women, 41 ± 11 years old, BMI = 28 ± 4 kg m) (group PO); 21 obese individuals with BS indication (16 women, 44 ± 9 years old, BMI = 44 ± 6 kg m) (group OB); and 21 controls matched to PO by gender, age, and BMI (16 women, 42 ± 12 years old, BMI = 27 ± 6 kg m) (group MC). PF was objectively assessed by the Glittre and modified Glittre ADL-tests. QOL (SF-36), EE (activity monitoring during ADL), and body composition (bioelectrical impedance) were also assessed.

RESULTS

OB had worse PF (Glittre ADL-test) compared to PO and MC (OB = 224 ± 76 s; PO = 143 ± 39 s; and MC = 118 ± 17 s; p < 0.0001). The same was observed for QOL (p < 0.05 for all SF-36 domains). OB also had higher total EE in the Glittre ADL-test. However, 63% of the activity time was in low-intensity EE. In the Glittre modified protocol, OB had poorer performance than PO and MC when walking up/downstairs, rising/sitting in a chair, and moving objects on a shelf.

CONCLUSIONS

Post-BS patients have better PF and QOL and perform activities under lower total EE than obese subjects, very similar to matched controls.

摘要

目的

本研究旨在评估减肥手术后（BS）晚期结局患者日常生活活动（ADL）期间的身体功能（PF）、生活质量（QOL）和能量消耗（EE），并将其与重度肥胖个体及匹配的对照组进行比较。

方法

纳入63名受试者：21名BS术后（PO）患者（Roux-en-Y胃旁路术后3 - 4年），体重稳定至少6个月（16名女性，41±11岁，BMI = 28±4 kg/m）（PO组）；21名有BS指征的肥胖个体（16名女性，44±9岁，BMI = 44±6 kg/m）（OB组）；以及21名在性别、年龄和BMI方面与PO组匹配的对照组（16名女性，42±12岁，BMI = 27±6 kg/m）（MC组）。通过Glittre和改良Glittre ADL测试客观评估PF。还评估了QOL（SF - 36）、EE（ADL期间的活动监测）和身体成分（生物电阻抗）。

结果

与PO组和MC组相比，OB组的PF（Glittre ADL测试）较差（OB组 = 224±76秒；PO组 = 143±39秒；MC组 = 118±17秒；p < 0.0001）。QOL方面也观察到同样情况（所有SF - 36领域p < 0.05）。在Glittre ADL测试中，OB组的总EE也更高。然而，63%的活动时间处于低强度EE。在Glittre改良方案中，OB组在上下楼梯、从椅子上起身/坐下以及在架子上移动物体时的表现比PO组和MC组差。