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Published on: April 19, 2019
Effectiveness of a Functional Rehabilitation Program After Bariatric Surgery: a Pilot Study
Claire Morana1, Marie Collignon2, David Nocca3
1Centre de Rééducation Spécialisé, 15 avenue du Professeur Grasset, 34090, Montpellier, France. clairemorana@hotmail.fr.
Functional rehabilitation after bariatric surgery significantly improves body composition, physical function, and quality of life in patients with severe obesity. This 20-session program enhances fat loss while preserving fat-free mass, crucial for long-term health outcomes.
Area of Science:
- Bariatric surgery outcomes
- Obesity management
- Rehabilitation medicine
Background:
- Overweight individuals face high risks of osteoarticular diseases and comorbidities.
- Bariatric surgery leads to fat mass reduction but also muscle mass loss, impacting physical capacity.
- Functional rehabilitation is essential for addressing these post-bariatric surgery imbalances.
Purpose of the Study:
- To evaluate the effectiveness of a structured functional rehabilitation program.
- To assess improvements in body composition, physical function, and quality of life post-bariatric surgery.
Main Methods:
- Twenty-three severe obesity patients (BMI 37.9±5.7 kg/m², 41.1±12.9 years) underwent 20 functional rehabilitation sessions (2/week) 2 months post-sleeve gastrectomy.
- The program included endurance training, muscle strengthening, and proprioception exercises.
- Assessments involved bioelectrical impedance, questionnaires, and physical function tests (cycloergometer, sit-to-stand).
Main Results:
- Significant improvements observed in % excess weight loss (27.6% to 51.1%) and % fat-free mass (52.7% to 57.6%).
- Marked reductions in waist (107.4 to 94.5 cm) and hip circumferences (120.5 to 108.7 cm) (p<0.001).
- Physical function tests showed significant gains: cycloergometer power increased (77.7 to 93.6 W), and sit-to-stand repetitions improved (20 to 24.8 in 30s). Quality of Life, Obesity and Dietetics (QOLOD) scale increased by 12.6%.
Conclusions:
- A 20-session functional rehabilitation protocol significantly enhances body composition, physical function, and quality of life in patients post-bariatric surgery.
- Standardized testing and sessions enable objective progress assessment.
- This rehabilitation approach is effective in mitigating muscle mass loss and improving overall patient outcomes.
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