Background: In recent years, the pandemic explosion of obesity has led to the definition of a pre-eminent therapeutic role for bariatric surgery, confining physical activity to a success parameter of surgery rather than a primary prevention measure. The aim of this study is to evaluate the role for aerobic physical activity (road running) in strengthening the metabolic and psychosocial effects of bariatric surgery. Methods: Ten patients who underwent gastric bypass for morbid obesity were submitted to an intensive program of road running training, aimed at completing a 10.5-km competition in September 2013. Inclusion criteria included age (<50), BMI (<35), suitability for sport activity, and good compliance. A cohort of 10 patients excluded for logistical issues were enrolled as a control group. During the training period, patients were submitted to biometrical, sport performance, cardiopulmonary, metabolic, and psychiatric evaluations. Results: Protocol adherence was 70 %; no physical injury was registered among participants. More than weight loss (BMI 29.3 to 27.1), the runners experienced a redistribution of body mass with significant differences in fat percentage and waist/hip ratio. Participants had a significant running performance improvement and, differently from the controls, a significant amelioration of echocardiographic and cardiopulmonary parameters, predicting a reduction in cardiovascular risk. Psychiatric evaluation underlined a tendency to a reduction in anxiety, depression, and general psychopathology symptoms. Conclusions: Road running seems to have an important supporting role in boosting bariatric surgery results. The utilization of monitored and regulated training programs represents a fundamental prerequisite to achieving satisfactory results and patient compliance.

Road Running After Gastric Bypass for Morbid Obesity: Rationale and Results of a New Protocol / Marchesi, Federico; DE SARIO, Giuseppina; Reggiani, Valeria; Tartamella, Francesco; Giammaresi, Andrea; Cecchini, Stefano; Costi, Renato; Guareschi, Giovanni; Beltrami, Gianfranco; DE PANFILIS, Chiara; Dall'Aglio, Elisabetta; Ricco', Matteo; Brambilla, Valerio. - In: OBESITY SURGERY. - ISSN 0960-8923. - 25:7(2015), pp. 1162-1170. [10.1007/s11695-014-1517-2]

Road Running After Gastric Bypass for Morbid Obesity: Rationale and Results of a New Protocol

MARCHESI, Federico;COSTI, Renato;DE PANFILIS, Chiara;DALL'AGLIO, Elisabetta;
2015

Abstract

Background: In recent years, the pandemic explosion of obesity has led to the definition of a pre-eminent therapeutic role for bariatric surgery, confining physical activity to a success parameter of surgery rather than a primary prevention measure. The aim of this study is to evaluate the role for aerobic physical activity (road running) in strengthening the metabolic and psychosocial effects of bariatric surgery. Methods: Ten patients who underwent gastric bypass for morbid obesity were submitted to an intensive program of road running training, aimed at completing a 10.5-km competition in September 2013. Inclusion criteria included age (<50), BMI (<35), suitability for sport activity, and good compliance. A cohort of 10 patients excluded for logistical issues were enrolled as a control group. During the training period, patients were submitted to biometrical, sport performance, cardiopulmonary, metabolic, and psychiatric evaluations. Results: Protocol adherence was 70 %; no physical injury was registered among participants. More than weight loss (BMI 29.3 to 27.1), the runners experienced a redistribution of body mass with significant differences in fat percentage and waist/hip ratio. Participants had a significant running performance improvement and, differently from the controls, a significant amelioration of echocardiographic and cardiopulmonary parameters, predicting a reduction in cardiovascular risk. Psychiatric evaluation underlined a tendency to a reduction in anxiety, depression, and general psychopathology symptoms. Conclusions: Road running seems to have an important supporting role in boosting bariatric surgery results. The utilization of monitored and regulated training programs represents a fundamental prerequisite to achieving satisfactory results and patient compliance.
Road Running After Gastric Bypass for Morbid Obesity: Rationale and Results of a New Protocol / Marchesi, Federico; DE SARIO, Giuseppina; Reggiani, Valeria; Tartamella, Francesco; Giammaresi, Andrea; Cecchini, Stefano; Costi, Renato; Guareschi, Giovanni; Beltrami, Gianfranco; DE PANFILIS, Chiara; Dall'Aglio, Elisabetta; Ricco', Matteo; Brambilla, Valerio. - In: OBESITY SURGERY. - ISSN 0960-8923. - 25:7(2015), pp. 1162-1170. [10.1007/s11695-014-1517-2]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2785271
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