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How Does Bariatric Surgery Affect Fall Risk Factors?

Florêncio Diniz-Sousa1, Lucas Veras2, Giorjines Boppre2

  • 1Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal. joseflorenciosousa@gmail.com.

Obesity Surgery
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Bariatric surgery improves quality of life and physical activity but may increase fall risk due to overestimated fitness. Further research is needed on fall prevention strategies post-surgery.

Keywords:
Fall risk factorsMuscle strengthPerceived physical functionPhysical activityPostural controlWeight loss surgery

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Area of Science:

  • Obesity and Bariatric Surgery
  • Gerontology and Fall Prevention
  • Human Physiology and Biomechanics

Background:

  • Obesity is a significant health concern linked to increased fall risk.
  • Bariatric surgery (BS) leads to substantial weight loss and improved comorbidities.
  • The impact of BS on fall risk factors requires comprehensive assessment.

Purpose of the Study:

  • To evaluate the effect of bariatric surgery on factors contributing to fall risk.
  • To compare changes in physical function, activity, and quality of life between surgical and non-surgical obese individuals.

Main Methods:

  • A prospective study comparing 15 bariatric surgery patients (IG) with 10 controls (CG).
  • Assessments included anthropometry, muscle strength, balance, physical activity, and quality of life (SF-36) at baseline and 6 months.
  • Isokinetic dynamometry, force platform, accelerometry, and questionnaires were utilized.

Main Results:

  • Bariatric surgery significantly reduced weight, BMI, and circumferences.
  • Limited improvements in balance were noted; muscle strength showed a decrease in absolute but increase in relative measures.
  • Sedentary behavior decreased, daily steps increased, and quality of life, particularly physical function, substantially improved.

Conclusions:

  • Bariatric surgery enhances quality of life and physical activity levels.
  • Patients may overestimate their post-surgery physical capabilities, potentially increasing fall risk.
  • Further investigation into fall prevention strategies for post-bariatric surgery patients is warranted.