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Impact of nutritional-behavioral and supervised exercise intervention following bariatric surgery: The BARI-LIFESTYLE randomized controlled trial.
Jassil, Friedrich C; Carnemolla, Alisia; Kingett, Helen; Doyle, Jacqueline; Kirk, Amy; Lewis, Neville; Montagut, Gemma; Marvasti, Parastou; Boniface, David; Brown, Adrian; Chaiyasoot, Kusuma; Zakeri, Roxanna; Mok, Jessica; Devalia, Kalpana; Parmar, Chetan; Batterham, Rachel L.
Afiliación
  • Jassil FC; Centre for Obesity Research, University College London, London, UK.
  • Carnemolla A; Bariatric Centre for Weight Management and Metabolic Surgery, University College London Hospitals NHS Trust, London, UK.
  • Kingett H; National Institute for Health Research, UCLH Biomedical Research Centre, London, UK.
  • Doyle J; Centre for Obesity Research, University College London, London, UK.
  • Kirk A; Bariatric Centre for Weight Management and Metabolic Surgery, University College London Hospitals NHS Trust, London, UK.
  • Lewis N; National Institute for Health Research, UCLH Biomedical Research Centre, London, UK.
  • Montagut G; Centre for Obesity Research, University College London, London, UK.
  • Marvasti P; Bariatric Centre for Weight Management and Metabolic Surgery, University College London Hospitals NHS Trust, London, UK.
  • Boniface D; Centre for Obesity Research, University College London, London, UK.
  • Brown A; Bariatric Centre for Weight Management and Metabolic Surgery, University College London Hospitals NHS Trust, London, UK.
  • Chaiyasoot K; Centre for Obesity Research, University College London, London, UK.
  • Zakeri R; Bariatric Centre for Weight Management and Metabolic Surgery, University College London Hospitals NHS Trust, London, UK.
  • Mok J; The Hatter Cardiovascular Institute, Institute of Cardiovascular Science, University College London, London, UK.
  • Devalia K; Centre for Obesity Research, University College London, London, UK.
  • Parmar C; Bariatric Centre for Weight Management and Metabolic Surgery, University College London Hospitals NHS Trust, London, UK.
  • Batterham RL; National Institute for Health Research, UCLH Biomedical Research Centre, London, UK.
Obesity (Silver Spring) ; 31(8): 2031-2042, 2023 08.
Article en En | MEDLINE | ID: mdl-37415246
OBJECTIVE: The study's aim was to investigate the impact of a 12-month adjunctive lifestyle intervention on weight loss and health outcomes after bariatric surgery. METHODS: A total of 153 participants (78.4% females; mean [SD], age 44.2 [10.6] years; BMI 42.4 [5.7] kg/m2 ) were randomized to intervention (n = 79) and control (n = 74). The BARI-LIFESTYLE program combined 17 nutritional-behavioral tele-counseling sessions plus once-weekly supervised exercise for 12 weeks. The primary outcome was percentage weight loss at 6 months post surgery. Secondary outcomes included body composition, physical activity levels, physical function and strength, health-related quality of life, depressive symptomatology, and comorbidities. RESULTS: Longitudinal analysis of the entire cohort showed significant reductions in body weight, fat mass, fat-free mass, and bone mineral density at the total hip, femoral neck, and lumbar spine (all p < 0.001). The 6-minute walk test, sit-to-stand test, health-related quality of life, and depressive symptomatology improved significantly (all p < 0.001). The time spent in moderate-to-vigorous physical activity and sedentary behavior remained the same as before surgery (both p > 0.05). There was no significant difference in the primary outcome between the intervention versus control (20.4% vs. 21.2%; mean difference = -0.8%; 95% CI: -2.8 to 1.1; p > 0.05) and no between-group differences in secondary outcomes. CONCLUSIONS: An adjunctive lifestyle program implemented immediately after surgery had no favorable impact upon weight loss and health outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Cirugía Bariátrica Tipo de estudio: Clinical_trials Aspecto: Patient_preference Límite: Adult / Female / Humans / Male Idioma: En Revista: Obesity (Silver Spring) Asunto de la revista: CIENCIAS DA NUTRICAO / FISIOLOGIA / METABOLISMO Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Cirugía Bariátrica Tipo de estudio: Clinical_trials Aspecto: Patient_preference Límite: Adult / Female / Humans / Male Idioma: En Revista: Obesity (Silver Spring) Asunto de la revista: CIENCIAS DA NUTRICAO / FISIOLOGIA / METABOLISMO Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos