Comment on: Exercise for counteracting weight recurrence after bariatric surgery: a systematic review and meta-analysis of randomized controlled trials.

Abstract

Bariatric surgery is effective for the treatment of obesity and related co-morbidities such as diabetes [ [1] Kirwan J.P. Courcoulas A.P. Cummings D.E. et al. Diabetes remission in the Alliance of Randomized Trials of Medicine Versus Metabolic Surgery in Type 2 Diabetes (ARMMS-T2D). Diabetes Care. 2022; 45: 1574-1583 Crossref PubMed Scopus (8) Google Scholar ]. Despite the overall effectiveness of this medical treatment for obesity, weight recurrence may still occur in response to bariatric surgery and remission from diabetes may not be sustained [ [2] Courcoulas A.P. Gallagher J.W. Neiberg R.H. et al. Bariatric surgery vs lifestyle intervention for diabetes treatment: 5-year outcomes from a randomized trial. J Clin Endocrinol Metab. 2020; 105: 866-876 Crossref PubMed Scopus (48) Google Scholar ]. This suggests the need for ongoing treatment to augment the effectiveness of bariatric surgery to prevent weight recurrence and to sustain other related health benefits. Exercise for counteracting weight recurrence after bariatric surgery: a systematic review and meta-analysis of randomized controlled trialsSurgery for Obesity and Related DiseasesPreviewExercise is recommended to prevent post-surgical weight recurrence. Yet, whether exercise interventions are efficacious in this regard has not been systematically evaluated. Moreover, clinicians lack evidence-based information to advise patients on appropriate exercise frequency, intensity, time, and type (FITT) for preventing weight recurrence. Thus, we conducted a meta-analysis of randomized controlled trials (RCTs) involving exercise interventions specifying FITT and weight measurement ≥12 months post-surgery. Full-Text PDF