TY - JOUR
T1 - Mixed comparison of different exercise interventions on physical functioning in adult patients with morbid obesity following bariatric surgery
T2 - a systematic review and network meta-analysis
AU - Hu, Chen
AU - Sun, Dong
AU - Fang, Yufei
AU - Cen, Xuanzhen
AU - Xu, Yining
AU - Baker, Julien S.
AU - Gu, Yaodong
N1 - Funding Information:
The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study was sponsored by Zhejiang Province Science Fund for Distinguished Young Scholars (Grant number: LR22A020002), Zhejiang Rehabilitation Medical Association Scientific Research Special Fund (ZKKY2023001), Research Academy of Medicine Combining Sports, Ningbo (No.2023001), the Project of Ningbo Leading Medical &Health Discipline (No.2022-F15, No.2022-F22), Ningbo Natural Science Foundation (Grant number: 2022J065, 2022J120) and K. C. Wong Magna Fund in Ningbo University.
Publisher Copyright:
© 2024 Hu, Sun, Fang, Cen, Xu, Baker and Gu.
PY - 2024/10/18
Y1 - 2024/10/18
N2 - Introduction: People who are overweight following bariatric surgery (BS) often need physical exercise to help with body function. However, it is not known which exercise interventions are more effective in improving physical function.Methods: PubMed, Web of Science, Embase, and Cochrane Library databases were systematically searched for randomized controlled trials evaluating the effects of different exercise interventions on physical function in patients with excessive obesity following bariatric surgery. Outcome measures included effect sizes for physical function (PF), expressed as the number of stand-sit passes or the maximum distance walked within a time limit, body mass index (BMI), and blood pressure (BP). A systematic review was conducted to screen and synthesize the included studies, followed by a network meta-analysis for quantitative data analysis.Results: A total of 15 studies involving 1011 patients were included. For PF, telehealth core exercise had the highest probability (0.46) of being the most effective intervention. For BMI, nutritional behavior and guided exercise, intervention had the highest probability (0.27) of being the most effective. Regarding BP, exercise prescription had the highest probability (0.47) for improving systolic blood pressure, while aerobic and strength and flexibility training had the highest probability (0.6) for improving diastolic blood pressure.Discussion: Telehealth core exercise may be the most effective intervention for enhancing PF in overweight patients after bariatric surgery. Changes in BMI and BP with different postoperative exercise interventions may depend more on the surgery itself than the exercise modality. More specifically designed RCTs are needed for reliable conclusions. Systematic review registration: https://www.crd.york.ac.uk/prospero, identifier CRD42024507209.
AB - Introduction: People who are overweight following bariatric surgery (BS) often need physical exercise to help with body function. However, it is not known which exercise interventions are more effective in improving physical function.Methods: PubMed, Web of Science, Embase, and Cochrane Library databases were systematically searched for randomized controlled trials evaluating the effects of different exercise interventions on physical function in patients with excessive obesity following bariatric surgery. Outcome measures included effect sizes for physical function (PF), expressed as the number of stand-sit passes or the maximum distance walked within a time limit, body mass index (BMI), and blood pressure (BP). A systematic review was conducted to screen and synthesize the included studies, followed by a network meta-analysis for quantitative data analysis.Results: A total of 15 studies involving 1011 patients were included. For PF, telehealth core exercise had the highest probability (0.46) of being the most effective intervention. For BMI, nutritional behavior and guided exercise, intervention had the highest probability (0.27) of being the most effective. Regarding BP, exercise prescription had the highest probability (0.47) for improving systolic blood pressure, while aerobic and strength and flexibility training had the highest probability (0.6) for improving diastolic blood pressure.Discussion: Telehealth core exercise may be the most effective intervention for enhancing PF in overweight patients after bariatric surgery. Changes in BMI and BP with different postoperative exercise interventions may depend more on the surgery itself than the exercise modality. More specifically designed RCTs are needed for reliable conclusions. Systematic review registration: https://www.crd.york.ac.uk/prospero, identifier CRD42024507209.
KW - bariatric surgery
KW - exercise interventions
KW - morbid obesity
KW - network meta-analysis
KW - physical functioning
UR - http://www.scopus.com/inward/record.url?scp=85208937861&partnerID=8YFLogxK
U2 - 10.3389/fendo.2024.1465718
DO - 10.3389/fendo.2024.1465718
M3 - Journal article
AN - SCOPUS:85208937861
SN - 1664-2392
VL - 15
JO - Frontiers in Endocrinology
JF - Frontiers in Endocrinology
M1 - 1465718
ER -
