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Aerobic Exercise and % of Excess Weight Loss
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This study is specific for lapband patients but I have to believe this cuts across all WLS techniques?
AE=Aerobic Exercise
EWL=Excess Weight Loss
PubMed Commons home
Obes Surg. 2013 May;23(5):608-12. doi: 10.1007/s11695-012-0826-6.
Aerobic exercise is associated with improved weight loss after
laparoscopic adjustable gastric banding.
Shada AL , Hallowell PT, Schirmer BD, Smith PW.
Abstract
BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) is a common surgical
treatment for obesity. Evidence for and against the association of aerobic exercise (AE) and
weight loss after LAGB exists. We hypothesize that aerobic exercise is associated with improved
weight loss and resolution of comorbidities after LAGB.
METHODS: A review of a prospectively collected database identified patients who underwent
LAGB over a 3-year period at a single institution. Body mass index (BMI), comorbidities,
frequency, and duration of exercise were collected preoperatively and at 6, 12, 24, and 36 months
postoperatively. Excess weight loss (EWL) was calculated. Groups were analyzed using Fisher's
exact test and ANOVA.
RESULTS: Of the 145 LAGB patients, 120 had adequate data for analysis. AE had no
association with weight loss at 6 months. At 12, 24, and 36 months following LAGB, patients who
reported 150 min or more per week of exercise had an EWL of 35.5, 47.3, and 54.1 %,
respectively, while those reporting 0-59 min per week of AE had an EWL of 25.3, 32.1, and 33.0
% (p = 0.03, 0.03, and 0.02, respectively). BMI and age was not statistically different among
groups. Diabetes and obstructive sleep apnea were significantly improved in patients exercising
at least 60 min per week as compared to those exercising 0-59 min.
CONCLUSIONS: AE is significantly associated with weight loss and comorbidity resolution after
LAGB. We propose that patients who perform more AE will have higher levels of EWL.
PMID: 23196991 [PubMed - indexed for MEDLINE]