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 .
Greater Adherence to Recommended Morning Physical Activity is Associated With Greater Total Intervention-Related Physical Activity Changes in Bariatric Surgery Patients.
BACKGROUND This study examines whether performance of bout-related physical activity ( PA ) during morning hours is related to greater overall bout-related PA increases within a preoperative PA intervention for bariatric surgery ( BS ) patients . METHODS Participants with severe obesity ( n = 33 ; mean age = 45.6 ± 9.6 years ; BMI = 45.7 ± 7.0 kg/m2 ) seeking BS were r and omized to and completed 6 weeks of preoperative PA counseling ( retention = 82.5 % ) . Participants were encouraged to walk daily at a moderate intensity in bouts ≥ 10 minutes during morning hours to overcome time-related obstacles and establish a PA habit . Timing and amount of bout-related moderate-to-vigorous PA ( MVPA )  was assessed via objective monitor at pre- and postintervention . RESULTS Greater proportion of bout-related MVPA performed during morning hours ( 4:00 AM-12:00 PM ) at postintervention was associated with larger total increases in bout-related MVPA minutes/day ( β = .40 , P = .03 ) . At postintervention , a greater proportion of participants whose longest MVPA bouts occurred during morning hours ( n = 11 ) achieved the public health guideline ( ie , ≥150 bout-related MVPA minutes/week ) versus those whose longest MVPA bouts occurred during nonmorning hours ( n = 19 ; 63.6 % vs. 26.3 % , P = .04 ) . CONCLUSIONS Intervention-related increases in PA  tended to be greatest when PA was performed in the morning . Morning exercise may be a viable strategy for promoting habitual PA in inactive BS patients
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 .