Abstract
BackgroundThere is increasing evidence of weight regain in patients after bariatric surgery (BS), generally occurring from 12 to 24 months postoperatively. Postoperative exercise has been suggested to ad long-term weight maintenance and to improve physical function in BS patients. However, there are a limited number of intervention studies investigating the possible benefits of exercise in this population. The aim of the current report is to provide a comprehensive CERT (Consensus on Exercise Reporting Template)-based description of the rationale and details of the exercise programme implemented in the EFIBAR Study (Ejercicio FÍsico tras cirugía BARiátrica), a randomised controlled trial investigating the effects of a 16-week supervised concurrent (aerobic and strength) exercise intervention program on weight loss (primary outcome), body composition, cardiometabolic risk, physical fitness, physical activity and quality of life (secondary outcomes) in patients with severe/morbid obesity following bariatric surgery.MethodsA total of 80 BS patients [60–80% expected women, aged 18 to 60 years, body mass index (BMI) ≥ 40 kg/m2 or ≥ 35 kg/m2 with comorbid conditions)] will be enrolled in the EFIBAR Randomized Control Trial (RCT). Participants allocated in the exercise group (n = 40) will undertake a 16-week supervised concurrent (strength and aerobic) exercise programme (three sessions/week, 60 min/session), starting 7 to 14 days after surgery. The rationale of the exercise programme will be described following the CERT criteria detailing the 16 key items. The study has been reviewed and approved by the Ethics Committee of the Torrecárdenas University Hospital (Almería, Spain) (ref. N° 76/2016).DiscussionThe present study details the exercise programme of the EFIBAR RCT, which may serve: 1) exercise professionals who would like to implement an evidence-based exercise programme for BS patients, and 2) as an example of the application of the CERT criteria.Trial registrationThe trial was prospectively registered at Clinicaltrials.gov NCT03497546 on April 13, 2018.
Highlights
There is increasing evidence of weight regain in patients after bariatric surgery (BS), generally occurring from 12 to 24 months postoperatively
The aim of the current report is to provide a comprehensive Consensus on Exercise Reporting Template (CERT)-based description of the rationale and details of the exercise programme implemented in the EFIBAR (Ejercicio FÍsico tras cirugía BARiátrica) study, a 1-year randomised controlled trials (RCT) investigating the effects of a 16-week supervised concurrent exercise intervention program on weight loss, body composition, cardiometabolic risk, physical fitness, physical activity and quality of life in patients with severe/morbid obesity following bariatric surgery
The EFIBAR RCT aims to investigate the effect of a 16week supervised exercise programme on weight loss, body composition, cardiometabolic risk, physical fitness and quality of life in morbidly obese patients following BS
Summary
There is increasing evidence of weight regain in patients after bariatric surgery (BS), generally occurring from 12 to 24 months postoperatively. A previous review found a positive effect of exercise on anthropometric measurements, cardiovascular risk factors and physical fitness in BS patients [12], results were not consistent, with a wide range of exercise programmes and perioperative timing, hampering adequate practical guidance. Despite this heterogeneity, authors concluded that a beneficial exercise programme should last for a median of 12 weeks, have a mean intensity of 65% peak heart rate/VO2max, and be at least partially supervised [12]. A recent metha-analysis concluded that exercise training programs performed after BS were effective to optimize weight loss and fat mass loss and to improve physical fitness, no additional effect on lean body mass loss was found [13]
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