Herrera-Santelices Andrea, Argüello-Florencio Graciela, Westphal Greice, Nardo Junior Nelson, Zamunér Antonio Roberto
Facultad de Ciencias de la Salud, Universidad Católica de Maule, Talca 3480112, Chile.
Servicio de Medicina Física y Rehabilitación, Hospital San Juan de Dios, Curicó 3343005, Chile.
J Clin Med. 2022 Aug 30;11(17):5091. doi: 10.3390/jcm11175091.
Prehabilitation is a strategy used aiming to reduce the risk factors and complications of surgery procedures, but there is no consensus on the effectiveness of supervised physical exercise and its optimal prescription during this phase.
To determine the effects of exercise prehabilitation on body composition, functional capacity and quality of life in candidates for bariatric surgery.
A search was conducted in PubMed, Web of Science, SciELO, Scopus, MEDLINE and CINAHL.
Only randomized clinical trials that examined the effectiveness of supervised physical exercise were included. The main outcomes were body composition, functional capacity, quality of life and surgical outcomes.
Two researchers independently selected the literature, extracted the data and evaluated the risk of bias. A third researcher was consulted when a consensus was not reached. The risk of bias was assessed by the tool recommended by the Cochrane Collaboration, the quality of the evidence by GRADE, and to analyze the effects of prehabilitation on the primary objectives, RevMan software, version 5.3 was used.
The search resulted in 4550 articles, of which 22 met the eligibility criteria, leaving 5 articles selected for this review. One article was assessed as a high bias risk and four as an uncertain risk, which included 139 candidates for bariatric surgery. Most of the studies evaluated the body composition, functional capacity and quality of life; none reported surgical outcomes.
Supervised physical exercise has positive effects on the body composition, functional capacity and quality of life; there was no evidence for surgical outcomes, which opens up a field of study for future research of this population.
术前康复是一种旨在降低手术风险因素和并发症的策略，但在此阶段，关于有监督的体育锻炼的有效性及其最佳处方尚无共识。
确定运动术前康复对减肥手术候选人身体成分、功能能力和生活质量的影响。
在PubMed、科学网、SciELO、Scopus、MEDLINE和CINAHL中进行了检索。
仅纳入了检查有监督体育锻炼有效性的随机临床试验。主要结局包括身体成分、功能能力、生活质量和手术结局。
两名研究人员独立选择文献、提取数据并评估偏倚风险。未达成共识时会咨询第三名研究人员。使用Cochrane协作网推荐的工具评估偏倚风险，用GRADE评估证据质量，并使用RevMan 5.3软件分析术前康复对主要目标的影响。
检索得到4550篇文章，其中22篇符合纳入标准，最终选择5篇纳入本综述。1篇文章被评估为高偏倚风险，4篇为不确定风险，共纳入139名减肥手术候选人。大多数研究评估了身体成分、功能能力和生活质量；均未报告手术结局。
有监督的体育锻炼对身体成分、功能能力和生活质量有积极影响；没有证据表明对手术结局有影响，这为该人群的未来研究开辟了一个研究领域。
