Patient experience of improvements in physical activity and movement after gastric bypass

Physical activity is an important part of accomplishing and maintaining weight loss. As far as the improvement in associated disease is concerned, the effects of Metabolic Bariatric Surgery (MBS) are well known, but the effects on physical activity and ability to perform everyday activities are less obvious. This study explores how weight loss after Roux-en-Y gastric bypass (RYGB) improves physical activity and movement, and how this impacts everyday life.

Semi-structured interviews were held with patients 1-3 years after RYGB. Audio recordings were transcribed verbatim, and the texts were condensed in steps and abstracted with an inductive approach using Qualitative Content Analysis.

15 individuals, 12 women and 3 men, median age 36 years (26-73), and median body mass index (BMI) 28 (range 22-45), were interviewed until information power was reached. The overall theme "New Life and Freedom" was the result of the analysis process. This was derived from two sub-themes: 1. Discovery of Having Higher Physical Capacity, including the categories Higher Capacity for Physical Activity, No More Limitations, Daily Tasks Are Less Strenuous, and Bodily Change is an Achievement; and 2. Physical Activity is More Rewarding, including the categories Increased Motivation and Initiative, Increased Social Participation, Better Wellbeing, and More Energy.

After MBS, patients describe they have gained a new life and freedom thanks to greater ease of participating in physical activities. Patients should be encouraged to continue increased physical activity during follow-up.