Display options
Cite
Adil MT, Jain V, Rashid F, et al. Meta-analysis of the effect of bariatric surgery on physical activity. Surg Obes Relat Dis. 2019;15(9):1620-1631doi: 10.1016/j.soard.2019.06.014.
Adil, M. T., Jain, V., Rashid, F., Al-Taan, O., Al-Rashedy, M., Jambulingam, P., & Whitelaw, D. (2019). Meta-analysis of the effect of bariatric surgery on physical activity. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 15(9), 1620-1631. https://doi.org/10.1016/j.soard.2019.06.014
Adil, Md Tanveer, et al. "Meta-analysis of the effect of bariatric surgery on physical activity." Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery vol. 15,9 (2019): 1620-1631. doi: https://doi.org/10.1016/j.soard.2019.06.014
Adil MT, Jain V, Rashid F, Al-Taan O, Al-Rashedy M, Jambulingam P, Whitelaw D. Meta-analysis of the effect of bariatric surgery on physical activity. Surg Obes Relat Dis. 2019 Sep;15(9):1620-1631. doi: 10.1016/j.soard.2019.06.014. Epub 2019 Jun 20. PMID: 31358394.
Copy Download .nbib Format: NLM
Share it on

Surg Obes Relat Dis. 2019 Sep;15(9):1620-1631. doi: 10.1016/j.soard.2019.06.014. Epub 2019 Jun 20.

Meta-analysis of the effect of bariatric surgery on physical activity.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Md Tanveer Adil, Vigyan Jain, Farhan Rashid, Omer Al-Taan, Mohammad Al-Rashedy, Periyathambi Jambulingam, Douglas Whitelaw

Affiliations

  1. Department of Upper GI and Bariatric Surgery, Luton and Dunstable University Hospital, Luton, United Kingdom. Electronic address: [email protected].
  2. Department of Upper GI and Bariatric Surgery, Luton and Dunstable University Hospital, Luton, United Kingdom.

PMID: 31358394 DOI: 10.1016/j.soard.2019.06.014

Abstract

BACKGROUND: Obesity leads to impairment of physical activity as measured by an inability to perform activities of daily living. Literature on the effect of bariatric surgery on physical activity is conflicting.

OBJECTIVE: The aim of this study was to perform a meta-analysis of the effect of bariatric surgery on physical activity from studies employing objective measurement and self-reporting of physical activity before and after bariatric surgery.

METHODS: Bibliographic databases were searched systematically for relevant literature until December 31, 2018. Studies employing objective and self-reported measurement of physical activity were included. Study quality was assessed using Risk of Bias in Nonrandomized Studies - of Interventions tool. Meta-analysis was performed using random effects model and presented as standardized mean difference (SMD) with 95% confidence intervals (CI).

RESULTS: Twenty studies identified 5886 patients suitable for the analysis. Physical activity showed significant improvement at 0-6 months (SMD: .50; 95% CI: .25-.76; P = .0001), >6-12 months (SMD: .58; 95% CI: .26-.91; P = .0004), and >12-36 months (SMD: .82; 95% CI: .27-1.36; P = .004) after bariatric surgery. Self-reported assessment after bariatric surgery showed significant improvement at 0-6 months (SMD: .65; 95% CI: .29-1.01; P = .0004), >6 to 12 months (SMD: .53; 95% CI: .18-.88; P = .003), and >12-36 months (SMD: .51; 95% CI: .46-.55; P < .00001). Objective assessment after bariatric surgery did not show improvement at 0-6 months (SMD: .31; 95%CI:-.05-.66; P = .09), but showed significant improvement at >6-12 months (SMD: .85; 95% CI:-.07-1.62; P = .03), and >12-36 months (SMD: 1.99; 95% CI: 1.13-2.86; P < .00001) after bariatric surgery.

CONCLUSIONS: Bariatric surgery improves physical activity significantly in a population with obesity up to 3 years after surgery. Objective measurement of physical activity does not show significant improvement within 6 months of bariatric surgery but begins to improve at >6 months. Self-reported measurement of physical activity begins to show improvement within 6 months of a bariatric procedure.

Copyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Keywords: Bariatric surgery; Meta-analysis; Physical activity

MeSH terms

Publication Types