Effects of Exercise in Subjects with Morbid Obesity Awaiting Bariatric Surgery: A Systematic Review

Tokgoz G., ARMAN S. N.

BARIATRIC SURGICAL PRACTICE AND PATIENT CARE, 2022 (SCI-Expanded) identifier

  • Publication Type: Article / Review
  • Publication Date: 2022
  • Doi Number: 10.1089/bari.2022.0021
  • Journal Name: BARIATRIC SURGICAL PRACTICE AND PATIENT CARE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE
  • Keywords: bariatric surgery, obesity surgery, exercise, physiotherapy, morbid obesity, preoperative time, WEIGHT-LOSS SURGERY, QUALITY-OF-LIFE, PHYSICAL-EXERCISE, REHABILITATION, INTERVAL, PROGRAM, HEALTH
  • Istanbul University Affiliated: No

Abstract

Background: Morbid obesity treatment includes medical and surgical options. Surgical treatment is a more effective method in terms of weight loss and sustainability. This systematic review aimed to investigate the effectiveness of exercise training for subjects with morbid obesity awaiting bariatric surgery (SMOABS) in the preoperative period and whether presurgical exercise practices have an effect on postsurgery.Materials and Methods: In our study, "Cochrane Library," "Pedro," "PubMed," and "Google Scholar" databases were searched using keyword synonyms "Bariatrics" or "Bariatric surgery" and "Obesity" or "Morbid obesity," and "Physical Therapy" or "Physiotherapy" or "Exercise." The review protocol is available from PROSPERO ID CRD42020164078.Results: As a result of the research, 195 articles were found to meet the criteria. Thirteen of these articles included presurgical exercise for morbidly obese individuals. This study reports the results of 328 SMOABS. Most of the studies focused on aerobic exercise and functional capacity and physical fitness evaluated, and the effectiveness of the 12-week exercise program was investigated in most of the studies. In the protocols used in the studies, there were differences in terms of the number of sessions, the duration of the intervention, the outcome criteria, and the sample size, etc.Conclusion: As a result of this study, it was found that there is a limited number of studies investigating the effects of preoperative exercise training in SMOABS. Research shows that exercise training provides positive improvements in functional capacity and physical fitness for SMOABS. To increase the level of evidence, interventions, evaluation methods, and results should be standardized in future studies.