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Health-Related Fitness Improvements in Morbid Obese Patients After Laparoscopic Sleeve Gastrectomy: a Cohort Study

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Abstract

Objective

Laparoscopic sleeve gastrectomy (LSG) has demonstrated high long-term effectiveness and major advantages over other techniques. The objective of this study was to analyze changes in physical fitness parameters in morbidly obese patients during 6 months after LSG.

Methodology

We conducted a descriptive observational study with 6-month follow-up in 72 LSG patients, evaluating changes in body mass index (BMI), functional capacity (6-min walking test), hand grip strength (manual dynamometry), flexibility (fingertip-to-floor test), balance (Flamingo test), physical activity level (International Physical Activity Questionnaire, IPAQ), and perception of general physical fitness (International Fitness Scale [IFIS] questionnaire).

Results

The ANOVA revealed significant improvements in BMI, functional capacity, flexibility, balance, and physical activity level (P < 0.001) at 6 months, with an improvement in the perception of physical fitness in most cases. No significant changes were found in dominant hand (P = 0.676) or non-dominant hand (P = 0.222) dynamometry. General physical fitness was positively correlated with BMI and distance in the 6-min test, and was negatively correlated with fingertip-to-floor distance.

Conclusion

Morbidly obese patients showed major improvements at 6 months after LSG in functional capacity, balance, mobility, and physical activity, with no change in grip strength. These improvements were related to a better self-perception of general physical fitness.

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Acknowledgments

We are grateful to all patients who accepted to participate in this study.

Author information

Authors and Affiliations

  1. University Hospital Complex of Granada, Granada, Spain

    Tania Gallart-Aragón & Antonio Cózar-Ibáñez

  2. Department of Physical Therapy, Instituto Biosanitario Granada (IBS.Granada), Instituto Mixto Universitario Deporte y Salud (iMUDS), University of Granada, Avda. Ilustración 60, 18071, Granada, Spain

    Carolina Fernández-Lao, Irene Cantarero-Villanueva & Manuel Arroyo-Morales

  3. Department of Physical Therapy, Instituto Mixto Deporte y Salud (iMUDS), University of Granada, Granada, Spain

    Eduardo Castro-Martín

Authors
  1. Tania Gallart-Aragón
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  2. Carolina Fernández-Lao
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  3. Eduardo Castro-Martín
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  4. Irene Cantarero-Villanueva
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  5. Antonio Cózar-Ibáñez
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  6. Manuel Arroyo-Morales
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Corresponding author

Correspondence to Carolina Fernández-Lao.

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Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Gallart-Aragón, T., Fernández-Lao, C., Castro-Martín, E. et al. Health-Related Fitness Improvements in Morbid Obese Patients After Laparoscopic Sleeve Gastrectomy: a Cohort Study. OBES SURG 27, 1182–1188 (2017). https://doi.org/10.1007/s11695-016-2427-2

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  • DOI: https://doi.org/10.1007/s11695-016-2427-2

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