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 a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study
Background We have previously reported on the benefits of Pre-Surgical Exercise Training ( PreSET ) on physical fitness and social interactions in subjects awaiting bariatric surgery ( BS ) . However , data are needed to know whether these benefits are maintained post-BS . Objectives The purpose of this paper was to evaluate the effect of PreSET on physical activity ( PA ) level , physical fitness , PA barriers , and quality of life ( QoL ) 1 year ( 1-Y ) after BS . Methods Of the 30 participants r and omized into two groups ( PreSET and usual care ) , 25 were included in the final analysis . One year after BS , time spent in different PA intensities and number of steps were assessed with an accelerometer . Before BS and until 1-Y after BS , physical fitness was assessed with  symptom-limited cardiac exercise test , 6-min walk test ( 6MWT ) , and sit-to-st and , half-squat , and arm curl tests . QoL , PA barriers , and PA level were evaluated with question naires . Results The number of steps ( 7460 vs 4287 ) and time spent in light ( 3.2 vs 2.2 h/day ) and moderate ( 0.6 vs 0.3 h/day ) PA were higher in the PreSET group 1-Y after BS . The changes in 6MWT heart cost ( 1.3 vs 0.6 m/beats/min ) , half-squat test ( 38.8 vs 10.3 s ) , and BMI ( − 16.8 vs − 13.5 kg/m2 ) were significantly greater in the PreSET group compared to those in the usual care group . No other significant difference between groups was observed . Conclusion The addition of the PreSET to individual lifestyle counseling seems effective to improve PA level and submaximal physical fitness 1-Y after BS . Studies with larger cohorts are now required to confirm these results .The trial was registered at clinical trials.gov ( NCT01452230 )
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 .