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 .
Intervention-related Increases in Preoperative Physical Activity are Maintained 6-months after Bariatric Surgery: Results from the Bari-Active Trial
Higher preoperative physical activity ( PA ) strongly predicts higher post-operative PA in bariatric surgery ( BS ) patients , providing rationale for preoperative PA interventions ( PAIs ) . However , whether PAI-related increases can be maintained post-operatively has not been examined . This study compared PA changes across pre- ( baseline , post-intervention ) and post-operative ( 6-month follow up ) periods in participants r and omized to 6 weeks of preoperative PAI or st and ard care control ( SC ) . Of 75 participants initially r and omized , 36 ( PAI n=22 ; SC n=14 ) underwent BS .  Changes in daily bout-related ( ⩾10-min bouts ) moderate-to-vigorous PA ( MVPA ) and steps were assessed via the SenseWear Armb and monitor . PAI received weekly counseling to increase walking exercise . Retention ( 86 % ) at post-operative follow up was similar between groups . Intent-to-treat analyses showed that PAI vs SC had greater increases across time ( baseline , post-intervention , follow up ) in bout-related MVPA minutes/day ( 4.3±5.1 , 26.3±21.3 , 28.7±26.3 vs 10.4±22.9 , 11.4±16.0 , 18.5±28.2 ; P=0.013 ) and steps/day ( 5163±2901 , 7950±3286 , 7870±3936 vs 5163±2901 , 5601±3368 , 5087±2603 ; P<0.001 ) . PAI differed from SC on bout-related MVPA at post-intervention ( P=0.016 ; d=0.91 ) , but not follow up ( P=0.15 ; d=0.41 ) , and steps at post-intervention ( P=0.031 ; d=0.78 ) and follow up ( P=0.024 ; d=0.84 ) . PAI participants maintained preoperative PA increases post-operatively . Findings support preoperative PAIs and research to test whether PA changes can be sustained and influence surgical outcomes beyond the initial post-operative period
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 .