Institute of Nursing Theory and Practice, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic.
Faculty of Physical Education and Sport, Charles University, 162 52 Prague, Czech Republic.
Int J Environ Res Public Health. 2021 Mar 3;18(5):2508. doi: 10.3390/ijerph18052508.
The aim of this study was to determine the effect of changes in cardiopulmonary fitness on the mental health of patients with severe obesity who underwent gastric bypass surgery (prior to and 1, 3, and 6 months after surgery). Study participants were recruited from among patients of a regional hospital in Czechia who underwent gastric bypass surgery between April 2018 and October 2019. They were eligible if they (a) were between 18 and 65 years old, (b) provided written informed consent, and (c) were able to walk independently. Twenty-six patients (age 45.4 ± 9.0 years, body mass index 45.1 ± 7.4 kg·m, body fat 43.8 ± 4.8%) were included in the analysis. The key finding revealed that the greater the increase in cardiopulmonary fitness (i.e., longer distance walked in the six-minute walk test, 6MWT), the better the improvement in depression score among patients who underwent bariatric surgery. In particular, increments of 10 m in the 6MWT lead to the improvement of 0.5 points on the depression subscale of the Hospital Anxiety and Depression Scale (HADS) questionnaire. As the main implication, these results suggest that patients should participate in exercise training programs to increase their fitness status for optimal physical and mental outcomes of bariatric surgery.
本研究旨在确定心肺适能变化对接受胃旁路手术的重度肥胖患者心理健康的影响（手术前、手术后 1 个月、3 个月和 6 个月）。研究参与者从捷克一家地区医院接受胃旁路手术的患者中招募。符合以下条件的患者有资格入组：（a）年龄在 18 至 65 岁之间；（b）书面知情同意；（c）能够独立行走。共有 26 名患者（年龄 45.4 ± 9.0 岁，体重指数 45.1 ± 7.4kg·m，体脂 43.8 ± 4.8%）纳入分析。主要发现表明，心肺适能（即 6 分钟步行测试中行走的距离）增加越多，接受减重手术的患者抑郁评分的改善越好。特别是，6MWT 中增加 10m 可使医院焦虑和抑郁量表（HADS）问卷的抑郁亚量表改善 0.5 分。其主要意义在于，这些结果表明患者应参加运动训练计划以提高他们的健康状况，以获得减重手术的最佳身心效果。
