Pre-bariatric Surgery Physical Activity Intervention PDF Download
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Author: Kayla M. Campbell
Publisher:
ISBN:
Category : Exercise
Languages : en
Pages : 122
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Book Description
Author: Kayla M. Campbell
Publisher:
ISBN:
Category : Exercise
Languages : en
Pages : 122
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Book Description
Author: Alex Edye-Mazowita
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Physical activity, obesity, and bariatric surgery independently exert effects on cytokines related to inflammation. Less is known of the effect of a physical activity intervention on the cytokine profile of obese patients prior to undergoing bariatric surgery, particularly since the standard cytokine profile of a bariatric surgery candidate is not established. Indices contained within the cytokine profile may predict suitability for bariatric surgery and prognosticate long-term outcomes. This thesis will examine the cytokine profile of 20 patients of the Centre for Metabolic and Bariatric Surgery in Winnipeg, Manitoba in addition to the effects of a 16 week pre-operative physical activity intervention for 7 of those patients. The study recruited patients (n=26, BMI = 47.1 ± 6.2) from the Centre for Metabolic and Bariatric Surgery (CMBS) in Winnipeg, Manitoba between September 2017 and May 2018. A time-series quasi-experimental design was used to evaluate the effect of the intervention, which took place at the University of Manitoba's Active Living Centre. Outcomes measured included physical fitness, cardiovascular disease risk, mental health, and self-compassion measurements. The focus of this thesis will be to examine the effect of the intervention on several biomarkers found in tissue samples drawn at the baseline and 16-week time points. These measurements will include cytokines as measured via magnetic bead multiplex assay. Significance was reached in several pre-post improvements of cardiovascular endurance and muscular strength as well as mental health, including the primary outcome of 6 minute walk test. Baseline cytokine profiles of 20 participants were comparable to demographically similar cohorts. Pre-post changes in cytokine profiles did not reach significance. Significant correlations were found between baseline and 16-week cytokine data and leg press and/or BMI. The intervention effectively improved several measures of health and is generalizable to other pre-operative bariatric patients. The data can be used to inform the development of future physical activity trials for patients waiting for bariatric surgery.
Author: Karen Kwok
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Background: Evidence supports the association between physical activity and weight loss following bariatric surgery but evidence is lacking for preoperative exercise. Objective: Evaluate short term benefits of a preoperative exercise program in patients awaiting bariatric surgery. Our primary outcome was six minute walk test (6MWT). Secondary outcomes included anthropometric measurements, strength testing, and quality of life. Methods: Fifty four patients were enrolled. Twenty-nine patients were randomized to "Control" (standard preoperative care). Twenty-five patients were randomized to "Intervention" (standard preoperative care plus 12 week exercise program). Results: There was a statistically significant difference in 6MWT between intervention and control (Change in Control -4.88 m, p = 0.63; Change in Intervention 27.46 m, p = 0.01; Absolute difference between intervention and control = 32.34 m; p = 0.03). There were no significant differences in secondary outcomes. Conclusion: A preoperative exercise intervention was associated with a statistically significant improvement in 6MWT in patients awaiting bariatric surgery.
Author: Megan M. Johnson
Publisher:
ISBN:
Category : Exercise
Languages : en
Pages : 142
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Author: James E. Mitchell
Publisher: Taylor & Francis
ISBN: 113662273X
Category : Psychology
Languages : en
Pages : 288
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Book Description
Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.
Author: Jaime Ruiz-Tovar
Publisher: Springer Nature
ISBN: 3031266145
Category : Medical
Languages : en
Pages : 161
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Book Description
Hypocaloric diet and physical exercise are the first therapeutic steps in the treatment of obesity. In morbidly obese patients, physical activity is essential to optimise their preparation for bariatric surgery. But physical activity is essential even after surgery, to avoid loss of muscle mass and the deriving complications. The aim of this book is to present the most current evidence of the effect different physical activity programs on morbidly obese patients before and after bariatric surgery. Written by experts in the field, the book will be a useful tool for all health professionals interested in learning more on this disabling condition.
Author: Christina Biesemeier
Publisher: American Dietetic Associati
ISBN: 0880914246
Category : Diet therapy
Languages : en
Pages : 209
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Book Description
This user-friendly pocket guide provides evidence-based data on the pre and post-operative nutrition care issues surrounding this increasingly popular weight management tool. Topics include: * Weight loss surgery overview. * The Nutrition Care Process. * Co-morbidity issues. * Long-term care post surgery. * Sample PES statements throughout.
Author: Thomas A. Wadden
Publisher: Guilford Publications
ISBN: 1462535569
Category : Psychology
Languages : en
Pages : 737
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Book Description
The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook has given thousands of practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews the state of the science of evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, pharmacological treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.
Author: Betty Jean Vanek
Publisher:
ISBN:
Category : Exercise for women
Languages : en
Pages : 432
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Author: Ryan Reid
Publisher:
ISBN:
Category :
Languages : en
Pages :
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"Over the past 30 years, the prevalence of obesity (BMI ≥ 30kg/m2) in Canada has increased 400 %. Even more concerning, the prevalence of Class III (BMI ≥ 40kg/m2) obesity has increased over 1000 % during the same period. Obesity is associated with type-2-diabetes, cardiovascular disease, depression, and musculoskeletal pain. These co-morbidities collectively cost the Canadian economy $ 4.3 billion per year in healthcare costs and lost productivity at work. Moreover, obesity results in mobility impairments including reduced stride length and slower walking cadence. For individuals living with extreme obesity and a related co-morbidity, bariatric surgery is the preferred treatment option. Bariatric surgery yields dramatic weight loss, resolution of most co-morbidities, reductions in pain, and improvements in physical functioning. Although these alterations are thought to yield more physical activity, to date, no changes in steps per day or sedentary time have been objectively measured from pre- to one-year post-surgery. After surgery, patients fail to meet established physical activity guidelines and begin to show small amounts of weight regain as early as two-years post-surgery.The first two manuscripts presented in this dissertation focused on evaluating the free-living movement patterns of individuals' long-term post-bariatric surgery (steps, sedentary time, and cadence), and determining if these patterns affect weight regain. It was found that patients do not step enough (6375 ± 2690 steps/day), are excessively sedentary (9.7 ± 2.3 hrs/day), and walk at significantly slower speeds on weekends compared to weekdays. As the built environment plays a role in physical activity and sedentary time on a population scale, it became important to assess if these constructs had the same effect on the bariatric population. Therefore, the third and fourth investigations evaluated the effect of neighbourhood walkability and employment status on physical activity, sedentary time, and weight regain respectively. These investigations proved that the built environment does not affect activity habits or obesity severity in the bariatric population. As substantial weight loss from surgery and aspects of the built environment have failed to promote physical activity and limit sedentary time, it is apparent that self-monitoring in this population is important. Therefore, the final investigation of this dissertation examined the validity of inexpensive, commercially available physical activity monitors against a research-grade accelerometer. This study showed that FitbitTM activity monitors are effective measurement tools for monitoring daily steps and time spent in light intensity activities. This confirmation allows bariatric surgeons to prescribe these activity monitors with confidence and can help patients self-monitor, meet established physical activity guidelines, and avoid weight regain post-surgery.This thesis was the first to objectively monitor physical activity and sedentary time long-term post-bariatric surgery. These studies filled important gaps in the literature related to the effects of the built and occupational environments on physical activity, sedentary habits, and weight regain post-surgery. Future studies should evaluate the effectiveness of interventions pre- and post-surgery designed to reduce and break up extended periods of sedentary time, while simultaneously promoting walking through light intensity activities. Interventions should employ the use of inexpensive commercially available activity monitors to improve self-monitoring, which can help individuals to meet established national activity guidelines." --
