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Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB.


ABSTRACT:

Objective

This study investigated the associations of both physical activity time (PA) and energy expenditure (EE) with weight and fat mass (FM) loss in patients following Roux-en-Y gastric bypass (RYGB) surgery.

Methods

Ninety-six nondiabetic patients were included in this analysis. Post-RYGB patients were randomized in one of two treatments: A 6-month exercise training program (RYBG+EX) or lifestyle educational classes (RYGB). Body composition was assessed by dual-energy X-ray absorptiometry and computed tomography. Components of PA and EE were quantified by a multisensory device. Dose-response relationships of both PA and EE with weight loss and body composition were explored according to quartiles of change in steps per day.

Results

Patients in the highest quartiles of steps per day change lost more FM (3rd?=?-19.5 kg and 4th?=?-22.7 kg, P?2 , P?2 and 4th?=?-4.5 cm2 , P?2 ?=?73.8% and R2 ?=?70.6%, respectively).

Conclusions

Nondiabetic patients who perform higher, yet still modest, amounts of PA following RYGB have greater energy deficits and lose more weight and FM, while maintaining higher skeletal muscle mass.

SUBMITTER: Carnero EA 

PROVIDER: S-EPMC5513190 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Publications

Randomized trial reveals that physical activity and energy expenditure are associated with weight and body composition after RYGB.

Carnero Elvis Alvarez EA   Dubis Gabriel S GS   Hames Kazanna C KC   Jakicic John M JM   Houmard Joseph A JA   Coen Paul M PM   Goodpaster Bret H BH  

Obesity (Silver Spring, Md.) 20170530 7


<h4>Objective</h4>This study investigated the associations of both physical activity time (PA) and energy expenditure (EE) with weight and fat mass (FM) loss in patients following Roux-en-Y gastric bypass (RYGB) surgery.<h4>Methods</h4>Ninety-six nondiabetic patients were included in this analysis. Post-RYGB patients were randomized in one of two treatments: A 6-month exercise training program (RYBG+EX) or lifestyle educational classes (RYGB). Body composition was assessed by dual-energy X-ray a  ...[more]

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