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Marilyn Gilyana * 
1, Alexios Batrakoulis2 , Dimitrios G. Goulis3 , Konstantina Symeonidou4 , Sameer Badri Al-Mhanna5 , Evangelia Kouidi6
1, Alexios Batrakoulis2 , Dimitrios G. Goulis3 , Konstantina Symeonidou4 , Sameer Badri Al-Mhanna5 , Evangelia Kouidi6
1- College of Sport Science, University of Kalba, Sharjah, United Arab Emirates. , marilyn.gilyana@ukb.ac.ae
2- Department of Physical Education and Sport Science, School of Physical Education, Sport Science and Dietetics, University of Thessaly, Trikala, Greece.
3- Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
4- Laboratory of Experimental Physiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
5- Department of Physiology, School of Medical Sciences, University Sains Malaysia, Kelantan, Malaysia.
6- Laboratory of Sports Medicine, Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece.
2- Department of Physical Education and Sport Science, School of Physical Education, Sport Science and Dietetics, University of Thessaly, Trikala, Greece.
3- Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
4- Laboratory of Experimental Physiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
5- Department of Physiology, School of Medical Sciences, University Sains Malaysia, Kelantan, Malaysia.
6- Laboratory of Sports Medicine, Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Abstract: (195 Views)
Background. Obesity is considered a major global public health issue. Interestingly, physical exercise has a vital role in preventing, managing, and treating obesity. However, bariatric surgery has been reported as an effective treatment option.
Objectives. The present trial aimed to investigate the effectiveness of a 6-month, real-world, multi-component exercise intervention with bariatric surgery to improve anthropometric and physical function parameters in individuals with obesity.
Methods. Seventy-one individuals (73% female, mean age: 39.7±20.3 years) with obesity (mean body mass index: 38.4±3.0 kg/m2) were recruited, and 69 completed the study. Participants were divided into i) exercise group (EX, n=25; randomly assigned), ii) bariatric surgery group (BS, n=23; group-randomized), and iii) non-exercise and non-surgical control group (C, n=23; randomly assigned). Anthropometric parameters, handgrip strength, functional aerobic capacity, and flexibility were assessed at baseline and after six months.
Results. The EX and BS groups experienced beneficial changes in anthropometrics, functional aerobic capacity, and flexibility compared with C (p<0.001). BS demonstrated greater improvements in anthropometrics and functional aerobic capacity than C (p<0.05), while EX showed higher increases in handgrip strength than BS (p<0.05). Also, moderate negative and positive associations were found between anthropometrics and physical function changes in EX and BS, respectively.
Conclusion. A multi-component exercise programming approach could enhance physical capabilities. At the same time, bariatric surgery improved anthropometric characteristics, suggesting that surgical interventions may improve body composition but not muscular fitness in individuals living with obesity.
Objectives. The present trial aimed to investigate the effectiveness of a 6-month, real-world, multi-component exercise intervention with bariatric surgery to improve anthropometric and physical function parameters in individuals with obesity.
Methods. Seventy-one individuals (73% female, mean age: 39.7±20.3 years) with obesity (mean body mass index: 38.4±3.0 kg/m2) were recruited, and 69 completed the study. Participants were divided into i) exercise group (EX, n=25; randomly assigned), ii) bariatric surgery group (BS, n=23; group-randomized), and iii) non-exercise and non-surgical control group (C, n=23; randomly assigned). Anthropometric parameters, handgrip strength, functional aerobic capacity, and flexibility were assessed at baseline and after six months.
Results. The EX and BS groups experienced beneficial changes in anthropometrics, functional aerobic capacity, and flexibility compared with C (p<0.001). BS demonstrated greater improvements in anthropometrics and functional aerobic capacity than C (p<0.05), while EX showed higher increases in handgrip strength than BS (p<0.05). Also, moderate negative and positive associations were found between anthropometrics and physical function changes in EX and BS, respectively.
Conclusion. A multi-component exercise programming approach could enhance physical capabilities. At the same time, bariatric surgery improved anthropometric characteristics, suggesting that surgical interventions may improve body composition but not muscular fitness in individuals living with obesity.
Keywords: Obesity, Physical Function, Anthropometric Characteristics, Weight Loss, Muscular Strength, Cardiorespiratory Fitness, Flexibility.
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APPLICABLE REMARKS
APPLICABLE REMARKS
- Bariatric surgery shows a greater influence on anthropometrics than the multi-component exercise program in adults living with obesity.
- A multi-component exercise program shows greater improvements in muscular fitness among individuals with obesity.
- Clinicians and practitioners should promote multi-component exercise programs to their patients with obesity to achieve not only weight loss goals but also physical performance ones.
Type of Study: Original Article |
Subject:
Sport Physiology and its related branches
Received: 2024/01/3 | Accepted: 2024/03/23
Received: 2024/01/3 | Accepted: 2024/03/23
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