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January 17, 2021Obesity Surgery58 citationsOpen Access

Bariatric Surgery in Adults with Obesity: the Impact on Performance, Metabolism, and Health Indices

GJGeorges JabbourASAhmad Salman

Key Result

Bariatric surgery induced significant reductions in body weight, fat mass, and fat-free mass, and improved many physical fitness and health indicators in individuals with obesity.

Study Design

Type

Systematic Review (n=7,105)

Structured PICO

Does bariatric surgery improve physical performance, metabolic, and health indices in adults with obesity?

P
Population
7,105 adults with severe obesity undergoing bariatric surgery across 48 studies, evaluated for changes in body composition, physical performance, and metabolic indices.
I
Intervention
Bariatric surgery (including Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy, vertical-banded gastroplasty, and biliopancreatic diversion) alone, without exercise prescription or lifestyle modification.
C
Comparator
Pre-surgery baseline (pre-operative to post-operative comparison).
O
Outcome
Effects of bariatric surgery on anthropometric characteristics, body composition, physical performance, cardiorespiratory fitness, energy expenditure, and metabolism parameters.surrogate

Bariatric surgery significantly improves body composition, physical performance, and metabolic indices in adults with obesity, though it also leads to a decrease in fat-free mass.

Limitations

  • Studies on bariatric surgery and performance have been small in number
  • Nonrandomized in design
  • Not controlled regarding gender distribution and/or post-surgery follow-up
  • Small number of studies on performance
  • Nonrandomized design of most included studies
  • Not controlled regarding gender distribution
  • Not controlled regarding post-surgery follow-up

Abstract

This systematic review summarizes current evidence on the impact of bariatric surgery (BS) on physical performance, metabolic, and health indices in adults with obesity. This systematic review suggests that BS induced significant reductions in body weight, fat mass, and fat-free mass in individuals with obesity. Additionally, BS may improve many physical fitness and health indicators. Observed improvements manifest during a distinct period of time. To date, studies on BS and performance have been small in number, nonrandomized in design, and not controlled regarding gender distribution and/or post-surgery follow-up. Future studies should further investigate concerns associated with understanding of BS outcomes to improve these outcomes with potential benefits for quality of life, disability, mortality, morbidity, and overall BS success.

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Cite This Study

Jabbour et al. (2021) conducted a systematic review in Severe obesity (n=7,105). Bariatric surgery vs. Pre-surgery baseline was evaluated on Body composition changes and weight loss. Bariatric surgery induced significant reductions in body weight, fat mass, and fat-free mass, and improved many physical fitness and health indicators in individuals with obesity.

synapsesocial.com/papers/6a213fbcc4e60624665ad672https://doi.org/10.1007/s11695-020-05182-z
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Lower metabolic rates of post-obese versus lean women: thermogenesis, basal metabolic rate and genetics.1988 · 29 citations
  2. 2Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.2009 · 45,130 citations
  3. 3Predictors of Weight Maintenance1999 · 196 citations
  4. 4Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement2009 · 83,669 citations
  5. 5Loss of Insulin Resistance after Roux-en-Y Gastric Bypass Surgery: a Time Course Study2005 · 295 citations