Objective assessment of changes in physical activity and sedentary behavior: Pre‐ through 3 years post‐bariatric surgery. (June 2015)

• Record Type: Journal Article
• Authors: King, Wendy C.; Chen, Jia‐Yuh; Bond, Dale S.; Belle, Steven H.; Courcoulas, Anita P.; Patterson, Emma J.; Mitchell, James E.; Inabnet, William B.; Dakin, George F.; Flum, David R.; Cook, Brian; Wolfe, Bruce M.
• Is Part Of: Obesity. Volume 23:Number 6(2015:Jun.)
• Page Start: 1143
• Page End: 1150
• Publication Date: 2015-06
• Subjects: Obesity -- Periodicals; 616.398005
• DOI: 10.1002/oby.21106
• Languages: English
• ISSNs: 1930-7381

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="oby21106-sec-0001" sec-type="section"> <title>Objective</title> <p>To evaluate change in sedentary behavior (SB) and physical activity (PA) over 3 years following bariatric surgery.</p> </sec> <sec id="oby21106-sec-0002" sec-type="section"> <title>Methods</title> <p>A subset of participants in an observational study (<italic>n</italic> = 473 of 2, 458; 79% female, median body mass index 45 kg m<sup>−2</sup>) wore an activity monitor presurgery and at 1‐3 annual postsurgery assessments.</p> </sec> <sec id="oby21106-sec-0003" sec-type="section"> <title>Results</title> <p>Over the first year, on average, sedentary time decreased from 573 (95% CI: 563‐582) to 545 (95% CI: 534‐555) min days<sup>−1</sup> and moderate‐ to vigorous‐intensity PA (MVPA) increased from 77 (95% CI: 71‐84) to 106 (95% CI: 98‐116) min week<sup>−1</sup>, or 7 (95% CI: 5‐10) to 24 (95% CI: 18‐29) min week<sup>−1</sup> in MVPA bouts ≥10 min. There were no changes in these parameters from years 1 to 3 (<italic>P</italic> for all > 0.05). The percentage of participants achieving ≥150 min week<sup>−1</sup> of bout‐related MVPA was not different at year 3 [6.5% (95% CI: 3.1‐12.7)] vs. presurgery [3.4% (95% CI: 1.8‐5.0); <italic>P</italic> = 0.45]. Most participants followed SB and PA trajectories that paralleled mean change and were consistent with their presurgery position in relation to the group.</p> </sec> <sec id="oby21106-sec-0004" sec-type="section"> <title>Conclusions</title> <p>On average, bariatric surgical patients make small reductions in SB and increases in PA during the first postsurgery year, which are maintained through 3 years. Still, postsurgery PA levels fall short of PA guidelines for general health or weight control.</p> </sec> </abstract>