Preoperative and post-operative intensive interventions improved symptoms of depression and anxiety , quality of life , diastolic blood pressure , and resting heart rate but not lipids or glycaemic measures .
This systematic review and meta- analysis of intervention studies aims to evaluate the effect of preoperative and /or post-operative support for adults who elect bariatric surgery delivered by a multidisciplinary team ( MDT )  on post-operative body composition , mental health , co-morbidities , quality of life , and side effects .
Effects of 6 months supervised physical training on muscle strength and aerobic capacity in patients undergoing Roux‐en‐Y gastric bypass surgery: a randomized controlled trial
Obesity and physical inactivity are major health problems .  Roux‐en‐Y gastric bypass ( RYGB ) surgery  results in significant weight loss and reduces obesity‐related morbidity and mortality . Physical activity lowers the risk of cardiovascular disease and premature death . The aims of this study were to eluci date the effects of RYGB followed by 6 months of supervised physical training on physical capacity . In a r and omized controlled trial , 60 participants eligible for RYGB were r and omized 6 months post‐surgery to either two weekly physical training sessions for 26 weeks ( INT ) or a control group ( CON ) . Aerobic capacity ( VO2max ) , muscle strength ( MS ) of the shoulder and hip and physical function were measured pre‐surgery and 6 , 12 and 24 months post‐surgery . RYGB per se decreased MS in all tested muscle groups , had no effects on VO2max but improved physical function . After the intervention , INT had a significant 0.33 L min−1 increase in VO2max compared to CON ( 95 % CI : 0.07–0.57 , P = 0.013 ) . Furthermore , MS in the hip adductor increased significantly with 13 N ( 95 % CI : 3.6–22.4 , P = 0.007 ) and a between‐group difference was found in the Stair Climb Test ( 0.46 repetitions [ 95 % CI : 0.02–0.91 , P = 0.042 ] ) . The effects were not maintained at follow‐up . Supervised physical training following RYGB improved VO2max , hip MS and physical function , but the positive effects were not maintained at follow‐up . While activities of daily life may become easier as a result of RYGB , the observed extensive post‐operative loss of MS requires more attention to increase the patient 's physical capacity prospect ively
Preoperative and post-operative intensive interventions improved symptoms of depression and anxiety , quality of life , diastolic blood pressure , and resting heart rate but not lipids or glycaemic measures .
This systematic review and meta- analysis of intervention studies aims to evaluate the effect of preoperative and /or post-operative support for adults who elect bariatric surgery delivered by a multidisciplinary team ( MDT )  on post-operative body composition , mental health , co-morbidities , quality of life , and side effects .