Road Racing After Gastric Bypass for Morbid Obesity: Final Results of a New Protocol

Introduction: 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. Objectives: The aim of this study was to re-define a role for aerobic physical activity (road running) in strengthening the metabolic and psycho-social effects of bariatric surgery. Methods: 10 patients who underwent gastric bypass (RYGB) for morbid obesity were submitted to an intensive program of road running training. After a preparatory trimester, a six-month intensive training program started, aimed at completing a 10.5 km competition in September 2013. Inclusion criteria included age (<50), BMI (<35), suitability for sporting 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 measurements, sport performance tests (Cooper), and cardio-pulmonary, metabolic and psychiatric evaluations. Results: Protocol compliance was 70%. Completing the protocol resulted in an impressive increase in cardiopulmonary and athletic performance (from 1050 to 1800 m at Cooper test). Weight loss was higher in the cases, with a variation in waist circumference and body fat percentage significantly higher than in the control group. Psychiatric evaluation attested to an improvement in mood, drive and volition for the runners. Conclusion: Road running appears to have an important supporting role in boosting bariatric surgery results. The utilization of monitorized and regulated training programs represents a fundamental prerequisite to achieving satisfactory results and adequate patient compliance