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Changes in physical activity behaviour and physical function after bariatric surgery: A systematic review and meta-analysis

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journal contribution
posted on 12.02.2016, 13:44 by Louisa Herring, Clare StevinsonClare Stevinson, Melanie J. Davies, Stuart J.H. Biddle, Christopher Sutton, David Bowrey, Patrice Carter
© 2016 World Obesity. Although physical activity performed after bariatric surgery is associated with enhanced weight loss outcomes, there is limited information on patients' physical activity behaviour in this context. This systematic review and meta-analysis assessed pre-operative to post-operative changes in physical activity and physical function outcomes among obese adults undergoing bariatric surgery. A total of 50 studies met inclusion criteria with 26 papers reporting data for meta-analysis. Increases in both objectively recorded and self-reported physical activity at 12months were demonstrated. Studies indicated that there was a shift towards a greater amount of active time, but of a lower intensity within the first 6months of bariatric surgery, suggested by a reduction in moderate to vigorous physical activity but an increase in step count. A standardized mean difference (SMD) of 1.53 (95% CI: 1.02-2.04) based on nine studies indicated improved walking performance at 12months. Similarly, analysis of five studies demonstrated increased musculoskeletal function at 3-6months (SMD: 1.51; 95% CI: 0.60-2.42). No relationship was identified between changes in weight and walking performance post-surgery. More studies assessing physical activity, physical function and weight loss would help understand the role of physical activity in optimizing post-operative weight and functional outcomes.

History

School

  • Sport, Exercise and Health Sciences

Published in

Obesity Reviews

Volume

17

Issue

3

Pages

250–261

Citation

HERRING, L.Y. ...et al., 2016. Changes in physical activity behaviour and physical function after bariatric surgery: A systematic review and meta-analysis. Obesity Reviews, 17(3), pp. 250–261.

Publisher

© World Obesity. Published by Wiley

Version

AM (Accepted Manuscript)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Acceptance date

02/11/2015

Publication date

2016-01-18

Copyright date

2016

Notes

This is the peer reviewed version of the following article: HERRING, L.Y. ...et al., 2016. Changes in physical activity behaviour and physical function after bariatric surgery: A systematic review and meta-analysis. Obesity Reviews, 17(3), pp. 250–261, which has been published in final form at http://dx.doi.org/10.1111/obr.12361. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

ISSN

1467-7881

eISSN

1467-789X

Language

en