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 .
Dose-Response of Exercise Training following Roux-en-Y gastric bypass surgery: A randomized trial
Objective Roux-en-Y gastric bypass(RYGB ) can cause profound weight loss and improve overall cardiometabolic risk factors . Exercise ( EX ) training following RYGB can provide additional improvements in insulin sensitivity(SI ) and cardiorespiratory fitness . However , it remains unknown if a specific amount of EX post-RYGB is required to achieve additional benefits . Methods We performed a post-hoc analysis of participants who were r and omized into either a 6-month structured EX program or a health education control ( CON ) . EX(N=56 ) were divided into tertiles according to the amount of weekly exercise performed , compared to CON(N=42 ) : Low-EX=54±8 ; Middle-EX=129±4 ; High-EX=286±40 minutes per week . Results The High-EX lost a significantly greater amount of body weight , total fat mass and abdominal deep subcutaneous abdominal fat compared to CON(p<0.005 ) . SI improved to a greater extent in both the Middle-EX and High-EX compared to CON(p<0.04 ) . Physical fitness ( VO2max ) significantly improved in the High-EX(+9.3±4.2 % ) compared to CON(−6.0±2.4%)(p < 0.001 ) . Skeletal muscle mitochondrial state 4(p<0.002 ) and 3(p<0.04 ) respiration was significantly higher in the High-EX compared to CON . Conclusion A modest volume of structured exercise provides additional improvements in insulin sensitivity following RYGB , but higher volumes of exercise are required to induce additional weight loss , changes in body composition and improvements in cardiorespiratory fitness and skeletal muscle mitochondrial capacity
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 .