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The effects of core stabilization exercise program in obese people awaiting bariatric surgery: A randomized
Nilay Arman1, Gulfidan Tokgoz2, Hakan Seyit3
1Istanbul University-Cerrahpasa, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey.
Adding a core stabilization exercise program (CSEP) to physical activity counseling significantly improved functional capacity, fitness, and quality of life in obese patients awaiting bariatric surgery.
Area of Science:
- Obesity research
- Exercise physiology
- Bariatric surgery preparation
Background:
- Obesity significantly impacts functional capacity, physical fitness, physical activity levels, fatigue, and quality of life.
- Individuals awaiting bariatric surgery often experience these challenges, necessitating effective interventions.
- Current interventions primarily focus on surgical aspects, with less emphasis on pre-operative exercise programs.
Purpose of the Study:
- To evaluate the effects of a core stabilization exercise program (CSEP) combined with physical activity counseling.
- To assess the impact on functional capacity, physical fitness, physical activity, fatigue, and quality of life (QoL).
- To compare these effects in obese individuals scheduled for bariatric surgery.
Main Methods:
- A randomized controlled trial involving 21 obese patients awaiting bariatric surgery.
- Patients were assigned to either an 8-week CSEP plus counseling group (n=10) or a counseling-only control group (n=11).
- Functional capacity, physical fitness, physical activity, fatigue, and QoL were measured at baseline and after 8 weeks.
Main Results:
- The exercise group demonstrated significant improvements in functional capacity, physical fitness, physical activity, fatigue, and QoL compared to the control group.
- These improvements were observed after the 8-week intervention period (effect size = 0.40-0.87, p < 0.05).
- No significant changes in body composition were noted between the groups.
Conclusions:
- An 8-week CSEP, when added to physical activity counseling, significantly enhances functional capacity, physical fitness, physical activity, and QoL.
- This combined approach is more effective than counseling alone for obese patients preparing for bariatric surgery.
- Core stabilization exercises represent a valuable component of pre-bariatric surgery preparation.
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