Impact of exercise training after bariatric surgery on cardiometabolic risk factors: a systematic review and meta-analysis of controlled trials
Autor
Carretero-Ruiz, Alejandro
Martínez-Rosales, Elena
Cavero-Redondo, Iván
Álvarez-Bueno, Celia
Martinez Vizcaino, Vicente J.
Gómez Navarro, Carlos
Reyes Parrilla, Raúl
Ferrer-Márquez, Manuel
Soriano-Maldonado, Alberto
García-Artero, Enrique
Resumen
The purpose of this systematic review was to provide updated evidence synthesis of the effectiveness of exercise training in patients with obesity undergoing bariatric surgery to improve cardio-metabolic risk. We systematically searched the MEDLINE, EMBASE, Scopus, Cochrane, and Web of Science databases. The studies selected were those in which an exercise-based intervention was performed after bariatric surgery, a control group was present, and at least one of the following outcomes was investigated: VO2max or VO2peak, resting heart rate (RHR), blood pressure, lipid profile, glucose, and insulin. The study quality was assessed using the PEDro scale and the data were meta-analyzed with a random effects model, comparing control groups to intervention groups using standardized measurements. Twenty articles were included in the systematic review and fourteen (70%) in the meta-analysis. Significant differences were observed between the control and intervention groups (always in favor of exercise) for absolute VO2max / VO2peak (ES = 0.317; 95% CI = 0.065, 0.569; p = 0.014), VO2max / peak relative to body weight (ES = 0.673; 95% CI = 0.287, 1.060; p = 0.001), HDL cholesterol (ES = 0.22; 95% CI = 0.009, 0.430; p = 0.041) and RHR (ES = -0.438; 95% CI = -0.753, -0.022; p = 0.007). No effects were observed for either systolic or diastolic blood pressure. Exercise training for patients undergoing bariatric surgery appears to be effective in improving absolute and relative VO2max / VO2peak, HDL cholesterol and reducing the RHR. More intervention studies using (better) exercise interventions are needed before discarding their effects on other cardiometabolic risk factors. This systematic review and meta-analysis has been registered in Prospero (CRD42020153398).
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Review
Effects of Exercise Training on Weight Loss in Patients Who Have Undergone Bariatric Surgery: a Systematic Review and Meta-Analysis of Controlled Trials (2020)
Carretero-Ruiz A.; Olvera-Porcel M.C.; Cavero-Redondo I.; Álvarez-Bueno C.; Martínez-Vizcaíno V.; Ferrer-Márquez M.; Soriano-Maldonado A.; Arter E.G. (Springer New York LLC, 2019) -
Erratum
Correction to: Effects of Exercise Training on Weight Loss in Patients Who Have Undergone Bariatric Surgery: a Systematic Review and Meta-Analysis of Controlled Trials (Obesity Surgery, (2019), 29, 10, (3371-3384), 10.1007/s11695-019-04096-9) (2020)
Carretero-Ruiz A.; del Carmen Olvera-Porcel M.; Cavero-Redondo I.; Álvarez-Bueno C.; Martínez-Vizcaíno V.; Ferrer-Márquez M.; Soriano-Maldonado A.; Artero E.G. (Springer New York LLC, 2019) -
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Ferrer-Márquez M.; Pomares-Callejón M.Á.; Fernández-Agis I.; Belda-Lozano R.; Vidaña-Márquez E.; Soriano-Maldonado A. (Elsevier Doyma, 2017)