Long-Term effects of physical activity on weight loss, metabolic parameters and blood pressure in subjects undergoing bariatric surgery: A 5-year follow-up study

• Published in: The American journal of surgery Vol. 234; pp. 143 - 149
• Main Authors: Moriconi, Diego, Manca, Laura, Rebelos, Eleni, Guidotti, Emanuele, Bonvicini, Linda, Troilo, Antonio, Anselmino, Marco, Nannipieri, Monica
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.08.2024; Elsevier Limited
• Subjects: Bariatric surgery; Blood pressure; Body mass index; Body weight loss; Diabetes; Diabetes mellitus; Exercise; Gastrointestinal surgery; High density lipoprotein; Laboratory tests; Lipids; Long-term effects; Metabolism; Obesity; Parameters; Physical activity; Physical fitness; Questionnaires; Roux-en-Y gastric bypass; Statistical analysis; Surgery; Triglycerides; Type-2-diabetes; Weight control; Weight loss; Roux-en-Y gastric bypass; Physical activity; Type-2-diabetes; Bariatric surgery
• ISSN: 0002-9610; 1879-1883; 1879-1883
• DOI: 10.1016/j.amjsurg.2024.04.020

bariatric surgery stands as an effective intervention for weight loss and improved metabolic control in obesity, although over time there is a proportion of weight regain and type-2-diabetes (T2D) relapse. Aims: to explore the role of physical activity (PA) after surgery and its impact on metabolic parameters during a 5-year follow-up. 148 individuals who underwent bariatric surgery completed scheduled examinations over 5-years. Physical assessments and laboratory tests were conducted pre-surgery and annually thereafter. PA levels were evaluated using the International Physical Activity Questionnaire. participants were split into the PA group, who engaged in regular physical activity, and No-PA group, who remained sedentary throughout. In T2D individuals before surgery, PA group showed significant reductions in blood pressure and a lower T2D recurrence (6.7 ​% vs 36 ​%) compared to No-PA group. In normoglycemic individuals, the PA group led to sustained BMI reduction and improved blood pressure control (p ​< ​0.001) compared to No-PA group, for the entire duration of follow-up. regular PA demonstrated cardio-metabolic benefits post-bariatric surgery. Integrating PA into post-bariatric care could enhance long-term outcomes. •Physical activity aids in maintaining lower systemic blood pressure over 5 years post-bariatric surgery.•Physical activity post-bariatric surgery has a greater effect on weight loss and maintenance in normoglycemic individuals than sedentary behavior.•Physical activity reduce the risk of type-2-diabetes relapse in long-term follow up after bariatric surgery.