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运动训练对减重手术患者体重减轻的影响:对照试验的系统评价和荟萃分析。

Effects of Exercise Training on Weight Loss in Patients Who Have Undergone Bariatric Surgery: a Systematic Review and Meta-Analysis of Controlled Trials.

机构信息

Department of Education, Faculty of Education Sciences, University of Almería, Ctra. Sacramento s/n, La Cañada de San Urbano, 04120, Almería, Spain.

SPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, Almería, Spain.

出版信息

Obes Surg. 2019 Oct;29(10):3371-3384. doi: 10.1007/s11695-019-04096-9.

DOI:10.1007/s11695-019-04096-9
PMID:31359343
Abstract

The combination of bariatric surgery and physical exercise has been suggested as a promising strategy to positively influence obesity, not only body weight but also all associated comorbidities. An electronic search of intervention studies was carried out in which an exercise training program was implemented after bariatric surgery. The quality of each study was assessed and the data were meta-analyzed using a random effect model. Twenty-six articles were included in the systematic review and 16 in the meta-analysis. As the main conclusion, exercise in patients who have undergone bariatric surgery does not seem to be effective in enhancing weight loss (SMD = 0.15; 95% CI = - 0.02, 0.32; p = 0.094). However, the variability in the protocols used makes it too early to reach a definite conclusion.

摘要

减重手术与身体运动相结合已被认为是一种有前途的策略,可以积极影响肥胖,不仅是体重,还有所有相关的合并症。对干预性研究进行了电子检索,其中在减重手术后实施了运动训练计划。评估了每项研究的质量,并使用随机效应模型对数据进行了荟萃分析。系统评价纳入了 26 篇文章,荟萃分析纳入了 16 篇文章。主要结论是,接受减重手术的患者进行运动似乎并不能有效促进体重减轻(SMD=0.15;95%CI=-0.02, 0.32;p=0.094)。然而,由于所使用方案的可变性,现在下明确的结论还为时过早。

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