Physiotherapeutic approach in the postoperative period of bariatric surgery: systematic review
DOI:
https://doi.org/10.33233/fb.v23i4.4600Keywords:
obesity, weight loss, bariatric surgery, exerciseAbstract
Objective: This study aims to verify the main benefits and physiological effects of an exercise program, as a physical therapy intervention, during the postoperative period of a bariatric surgery. Methods: This is a systematic literature review and a bibliographic survey was conducted in the Bireme and Pubmed databases and in the Scielo and Lilacs databases. Articles in English and Portuguese published from 2011 to 2018 have been used. Inclusion criteria studies were considered by involving experimental procedures performed on adults with morbid obesity, who followed a physical exercise program as bariatric surgery postoperative intervention for a control group. Also independently, the methodological quality of the studies selected was evaluated using the JADAD Quality Scale. Results: The training consisting of combined aerobic and resistance exercises showed a more effective response and when performed in a personalized way were able to provide greater adherence and more significant results. Conclusion: A program composed by aerobic and resisted exercises, when performed in a personalized way in the postoperative period of a bariatric surgery, is able to promote a significant weight loss, decrease of the fat percentage, muscle and strength gains, insulin sensitivity improvement, increase of the physical and aerobic capacity, improvement of the heart rate variability and, mainly, the patient's psychological well-being.
References
Kissler HJ, Settmacher U. Bariatric surgery to treat obesity. Semin Nephrol 2013;33(1):75-89. doi: 10.1016/j.semnephrol.2012.12.004
Francischi RPP, Pereira LO, Freitas CS, Klopfer M, Santos RC, Vieira P, et al. Obesidade: atualização sobre sua etiologia, morbidade e tratamento. Rev Nutr 2000;13(1):17-28. doi: 10.1590/S1415-52732000000100003
Diretrizes Brasileiras de Obesidade 2016/ ABESO – Associação Brasileira para o estudo da obesidade e síndrome metabólica. [Internet]. 4a ed. São Paulo: ABESO; 2016. [cited 2022 June 10]. Available from: https://abeso.org.br/wp-content/uploads/2019/12/Diretrizes-Download-Diretrizes-Brasileiras-de-Obesidade-2016.pdf
Fonseca-Júnior SJ, Sá CGAB, Rodrigues PAF, Oliveira AJ, Fernandes-Filho J. Exercício físico e obesidade mórbida: uma revisão sistemática. Arq Bras Cir Dig 2013;26(1):67-73. doi: 10.1590/S0102-67202013000600015
Motter AA, Gomes RHS, Vanhoni PS, Silva LAF, Ivanski MBS. Fisioterapia no pré-operatório de cirurgia bariátrica: uma revisão integrativa. ASSOBRAFIR 2107;8(2):65-80. doi: 10.47066/2177-9333/ac.28546
Resende ABM, Pinheiro BP, Paiva JVC, Diogo MC, Navarro F. A importância do exercício físico no pós-operatório da cirurgia bariátrica. Revista Brasileira de Obesidade, Nutrição e Emagrecimento 2009 [Internet];3(16):316-27. Available from: http://www.rbone.com.br/index.php/rbone/article/view/162/159
Madril JB, Scherf MF, Ribas PW, Harlos J, Rohenkohl SD, Vargas MHM. Atuação fisioterapêutica no pré e pós-operatório de cirurgia bariátrica: uma revisão da literatura. Revista de Saúde Integrada [Internet]. 2015 [cited 2022 June 10];8:15-6. Available from: https://core.ac.uk/reader/229765320
Nassif DSB, Nassif PAN, Lucas RWC, Ribas-Filho JM, Czeczko NG, Kalil-Filho FA, et al. Efeito da fisioterapia contra-resistida com relação à massa corporal magra em pacientes no pós-operatório de cirurgia bariátrica. Arq Bras Cir Dig 2011;24(3):219-25. doi: 10.1590/S0102-67202011000300008
Bento T. Revisões sistemáticas em desporto e saúde: Orientações para o planejamento, elaboração, redação e avaliação. Motricidade 2014;10(2):107-23. doi: 10.6063/motricidade.10(2).3699
Castello V, Simões RP, Bassi D, Catai AM, Arena R, Borghi-Silva A. Impact of aerobic exercise training on heart rate variability and functional capacity in obese women after gastric bypass surgery. Obes Surg. 2011;21(11):1739-49. doi: 10.1007/s11695-010-0319-4
Oliveira JJJ, Freitas ACT, Almeida AA. Efeito da fisioterapia ambulatorial pós-operatória sobre a capacidade funcional e a força muscular respiratória em pacientes submetidos à cirurgia bariátrica. Arq Bras Cir Dig 2016;29(1):43-7. doi: 10.1590/0102-6720201600s10012
Creel DB, Schuh LM, Reed CA, Gomez AR, Hurst LA, Stote J, et al. A randomized trial comparing two interventions to increase physical activity among patients undergoing bariatric surgery. Obes Surg 2016;24(8):1660-8. doi: 10.1002/oby.21548
Hassannejad A, Khalaj A, Mansournia MA, Tabesh MR, Alizadeh Z. The effect of aerobic or aerobic-streng the exercise on body composition and funcional capacity in patients with BMI ≥ 35 after bariatric surgery: a randomized control trial. Obes Surg 2017;27:2792-801. doi: 10.1007/s11695-017-2717-3
Coleman KJ, Caparosa SL, Nichols JF, Fujioka K, Koebnick C, McCloskey KN, et al. Understanding the capacity for exercise in post-bariatric patients. Obes Surg 2017;27(1):51-8. doi: 10.1007/s11695-016-2240-y
Carnero EA, Dubis GS, Hames KC, Jakicic JM, Houmard JA Coen PM. Randomized Trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB. Obes Surg 2017;25(7):1206-16. doi: 10.1002/oby.21864
Mundbjerg LH, Stolberg CR, Bladbjerg EM, Funch-Jensen P, Juhl CB, Gram B. Effects of 6 months supervised physical training on muscle strength and aerobic capacity in patients undergoing roux-em-y gastric bypass surgery: a randomized controlled Trial. Clin Obes 2018;8(4):227-35. doi: 10.1111/cob.12256
Herring LY, Stevinson C, Carter P, Biddle SJH, Bowrey D, Sutton C, et al. The effects of supervised exercise training 12–24 months after bariatric surgery on physical function and body composition: a randomised controlled trial. Int J Obes 2017;41(6):909-16. doi: 10.1038/ijo.2017.60
Stolberg CA, Mundbjerg LH, Bladbjerg EM, Funch-Jensen P, Gram B, Juhl CB. Physical training following gastric bypass: effects on physical activity and quality of life — a randomized controlled Trial. Qual Life Res 2018;27(12):3113-22. doi: 10.1007/s11136-018-1938-9
Cavalieri L, Moraes S, Franzói M. Técnicas cirúrgicas no combate a obesidade mórbida. Arq Cienc Sal UNIPAR 2004;8(1):49-54. doi: 10.25110/arqsaude.v8i1.2004.242
Zeve JLM, Novais PO, Oliveira Júnior N. Técnicas em cirurgia bariátrica: uma revisão da literatura. Rev Ciênc Saúde 2012;5(2):132-40. doi: 10.15448/1983-652X.2012.2.10966
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