Effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery

Abstract We evaluated the effect of preoperative standard medical care (SC) vs. unsupervised aerobic exercise combined with SC (EX + SC) on cardiometabolic health and quality of life (QoL) 30 days after bariatric surgery. Bariatric patients (n = 14, age: 42.3 ± 2.5 years, body mass index: 45.1 ± 2.5...

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Autores principales:	Nicole M. Gilbertson, Natalie Z. M. Eichner, Julian M. Gaitán, Mahnoor Khurshid, Elizabeth A. Rexrode, Sibylle Kranz, Peter T. Hallowell, Steven K. Malin
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	arterial stiffness body composition fitness inflammation quality of life Physiology QP1-981
Acceso en línea:	https://doaj.org/article/5ee5f84168f445d796a6bf742fbadc58
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spelling	oai:doaj.org-article:5ee5f84168f445d796a6bf742fbadc582021-11-15T09:54:40ZEffect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery2051-817X10.14814/phy2.15039https://doaj.org/article/5ee5f84168f445d796a6bf742fbadc582021-11-01T00:00:00Zhttps://doi.org/10.14814/phy2.15039https://doaj.org/toc/2051-817XAbstract We evaluated the effect of preoperative standard medical care (SC) vs. unsupervised aerobic exercise combined with SC (EX + SC) on cardiometabolic health and quality of life (QoL) 30 days after bariatric surgery. Bariatric patients (n = 14, age: 42.3 ± 2.5 years, body mass index: 45.1 ± 2.5 kg/m2) were match‐paired to presurgical SC (n = 7) or EX + SC (n = 7; walking 30 min/day, 5 day/week, 65–85% HRpeak) for 30 days. Body composition, peak cardiorespiratory fitness (VO2peak), QoL, inflammation (adiponectin, leptin, cytokeratin‐18), and a 120 min mixed meal tolerance test was performed to assess aortic waveforms (augmentation index, AIx@75), insulin sensitivity, and glucose total area under the curve (tAUC) at the time of surgery (post‐intervention) and 30 days post‐surgery. EX + SC had significantly higher high molecular weight (HMW) adiponectin (p = 0.01) and ratio of HMW to total adiponectin (p = 0.04) than SC at 30 days post‐surgery, although they significantly (p = 0.006; ES = 1.86) decreased total time spent in moderate to vigorous physical activity (MVPA). SC had a significantly greater increase in VO2peak (p = 0.02; ES = 1.54) and decrease in 120 min AIx@75 (p = 0.02; ES = 1.78) than EX + SC during the post‐surgical period. The increase in MVPA was associated with a reduction in cytokeratin‐18 (r = −0.67, p = 0.02). Increased VO2peak was associated with increased activity/mobility QoL domain (r = 0.52, p = 0.05) and decreased 120 min AIx@75 (r = −0.61, p = 0.03) from surgery to post‐surgery. Preoperative EX + SC did not maintain more favorable cardiometabolic health 30 days post‐operation in this pilot study. However, changes in MVPA appear important for QoL and should be considered in future work.Nicole M. GilbertsonNatalie Z. M. EichnerJulian M. GaitánMahnoor KhurshidElizabeth A. RexrodeSibylle KranzPeter T. HallowellSteven K. MalinWileyarticlearterial stiffnessbody compositionfitnessinflammationquality of lifePhysiologyQP1-981ENPhysiological Reports, Vol 9, Iss 21, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	arterial stiffness body composition fitness inflammation quality of life Physiology QP1-981
spellingShingle	arterial stiffness body composition fitness inflammation quality of life Physiology QP1-981 Nicole M. Gilbertson Natalie Z. M. Eichner Julian M. Gaitán Mahnoor Khurshid Elizabeth A. Rexrode Sibylle Kranz Peter T. Hallowell Steven K. Malin Effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery
description	Abstract We evaluated the effect of preoperative standard medical care (SC) vs. unsupervised aerobic exercise combined with SC (EX + SC) on cardiometabolic health and quality of life (QoL) 30 days after bariatric surgery. Bariatric patients (n = 14, age: 42.3 ± 2.5 years, body mass index: 45.1 ± 2.5 kg/m2) were match‐paired to presurgical SC (n = 7) or EX + SC (n = 7; walking 30 min/day, 5 day/week, 65–85% HRpeak) for 30 days. Body composition, peak cardiorespiratory fitness (VO2peak), QoL, inflammation (adiponectin, leptin, cytokeratin‐18), and a 120 min mixed meal tolerance test was performed to assess aortic waveforms (augmentation index, AIx@75), insulin sensitivity, and glucose total area under the curve (tAUC) at the time of surgery (post‐intervention) and 30 days post‐surgery. EX + SC had significantly higher high molecular weight (HMW) adiponectin (p = 0.01) and ratio of HMW to total adiponectin (p = 0.04) than SC at 30 days post‐surgery, although they significantly (p = 0.006; ES = 1.86) decreased total time spent in moderate to vigorous physical activity (MVPA). SC had a significantly greater increase in VO2peak (p = 0.02; ES = 1.54) and decrease in 120 min AIx@75 (p = 0.02; ES = 1.78) than EX + SC during the post‐surgical period. The increase in MVPA was associated with a reduction in cytokeratin‐18 (r = −0.67, p = 0.02). Increased VO2peak was associated with increased activity/mobility QoL domain (r = 0.52, p = 0.05) and decreased 120 min AIx@75 (r = −0.61, p = 0.03) from surgery to post‐surgery. Preoperative EX + SC did not maintain more favorable cardiometabolic health 30 days post‐operation in this pilot study. However, changes in MVPA appear important for QoL and should be considered in future work.
format	article
author	Nicole M. Gilbertson Natalie Z. M. Eichner Julian M. Gaitán Mahnoor Khurshid Elizabeth A. Rexrode Sibylle Kranz Peter T. Hallowell Steven K. Malin
author_facet	Nicole M. Gilbertson Natalie Z. M. Eichner Julian M. Gaitán Mahnoor Khurshid Elizabeth A. Rexrode Sibylle Kranz Peter T. Hallowell Steven K. Malin
author_sort	Nicole M. Gilbertson
title	Effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery
title_short	Effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery
title_full	Effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery
title_fullStr	Effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery
title_full_unstemmed	Effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery
title_sort	effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/5ee5f84168f445d796a6bf742fbadc58
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Effect of presurgical aerobic exercise on cardiometabolic health 30 days after bariatric surgery

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