Changes in Cardiorespiratory Fitness After Gastric Bypass: Relations with Accelerometry-Assessed Physical Activity

doi:10.1007/s11695-019-03932-2

. 2019 Sep;29(9):2936-2941.

doi: 10.1007/s11695-019-03932-2.

Changes in Cardiorespiratory Fitness After Gastric Bypass: Relations with Accelerometry-Assessed Physical Activity

Alice Bellicha^{1

2}, Cécile Ciangura^{2

3}, Célina Roda^{3

4}, Adriana Torcivia⁵, Pierre Portero¹, Jean-Michel Oppert^{6

7}

Affiliations

¹ Laboratory Bioengineering, Tissues and Neuroplasticity - EA7377, University Paris-Est Créteil, 8 rue du Général Sarrail, 94000, Créteil, France.
² Institute of Cardiometabolism and Nutrition, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
³ Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Department of Nutrition, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
⁴ INSERM, UMR 1153 - CRESS, HERA (Health Environmental Risk Assessment) Team, Paris Faculty of Pharmacy, Paris Descartes University, 4 Avenue de l'Observatoire, 75006, Paris, France.
⁵ Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Department of Digestive and Hepato-Pancreato-Biliary Surgery, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
⁶ Institute of Cardiometabolism and Nutrition, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France. jean-michel.oppert@aphp.fr.
⁷ Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Department of Nutrition, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France. jean-michel.oppert@aphp.fr.

PMID: 31073952
DOI: 10.1007/s11695-019-03932-2

Changes in Cardiorespiratory Fitness After Gastric Bypass: Relations with Accelerometry-Assessed Physical Activity

Alice Bellicha et al. Obes Surg. 2019 Sep.

. 2019 Sep;29(9):2936-2941.

doi: 10.1007/s11695-019-03932-2.

Authors

Alice Bellicha^{1

2}, Cécile Ciangura^{2

3}, Célina Roda^{3

4}, Adriana Torcivia⁵, Pierre Portero¹, Jean-Michel Oppert^{6

7}

Affiliations

¹ Laboratory Bioengineering, Tissues and Neuroplasticity - EA7377, University Paris-Est Créteil, 8 rue du Général Sarrail, 94000, Créteil, France.
² Institute of Cardiometabolism and Nutrition, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
³ Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Department of Nutrition, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
⁴ INSERM, UMR 1153 - CRESS, HERA (Health Environmental Risk Assessment) Team, Paris Faculty of Pharmacy, Paris Descartes University, 4 Avenue de l'Observatoire, 75006, Paris, France.
⁵ Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Department of Digestive and Hepato-Pancreato-Biliary Surgery, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
⁶ Institute of Cardiometabolism and Nutrition, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France. jean-michel.oppert@aphp.fr.
⁷ Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Department of Nutrition, Faculty of Medicine, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France. jean-michel.oppert@aphp.fr.

PMID: 31073952
DOI: 10.1007/s11695-019-03932-2

Abstract

Background: Exercise training optimizes cardiorespiratory fitness (CRF) after bariatric surgery, but the effect of spontaneous physical activity is not well known. This study aimed to objectively quantify changes in CRF and habitual physical activity 6 months after bariatric surgery and to examine whether change in CRF was related to change in physical activity.

Methods: Secondary analyses were performed on data from women who underwent Roux-en-Y gastric bypass (RYGB) between 2010 and 2014. Measurements were performed before and 6 months after RYGB and included V̇O₂peak (graded maximal exercise test on a cycle ergometer), habitual physical activity (Actigraph GT3x accelerometer worn during 7 days), and body composition (DXA absorptiometry). Changes after RYGB were analyzed using Wilcoxon signed-rank test. Relations between change in CRF and change in physical activity were analyzed with Spearman correlations adjusted on age and preoperative BMI.

Results: Forty-five women (median [P₂₅-P₇₅] age, 43.0 [38.0-51.0] year; BMI, 42.6 [40.0-45.5] kg/m²) were included. Mean (SD) weight loss 6 months after RYGB was - 27.5 (7.9) kg (P < 0.001). Absolute V̇O₂peak decreased by 0.35 (0.50) L/min (P < 0.001) and relative V̇O₂peak tended to increase by 1.7 (5.3) mL/kg/min (P = 0.06), both with large inter-individual variability. Based on objective accelerometry data, daily steps and moderate-to-vigorous physical activity increased by 1275 (3164) steps/day and 7.6 (19.3) min/day, respectively (both P < 0.05). Change in absolute V̇O₂peak was positively related to change in moderate-to-vigorous physical activity (r = 0.35; P = 0.03).

Conclusions: The decrease in absolute CRF observed 6 months after RYGB might be prevented by increasing habitual physical activity.

Trial registration: clinicaltrials.gov identifier: NCT01113996.

Keywords: Accelerometry; Gastric bypass; Obesity; Physical activity patterns; Physical fitness; V̇O2max.

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References

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[1] Med Sci Sports Exerc. 2001 Jun;33(6 Suppl):S446-51; discussion S452-3 - PubMed

[2] Med Sci Sports Exerc. 2001 Jun;33(6 Suppl):S446-51; discussion S452-3 - PubMed

[3] Obes Surg. 2001 Oct;11(5):552-8 - PubMed

[4] Obes Surg. 2001 Oct;11(5):552-8 - PubMed

[5] Obesity (Silver Spring). 2006 Feb;14(2):273-9 - PubMed

[6] Obesity (Silver Spring). 2006 Feb;14(2):273-9 - PubMed

[7] Chest. 2006 Aug;130(2):517-25 - PubMed

[8] Chest. 2006 Aug;130(2):517-25 - PubMed

[9] Med Sci Sports Exerc. 2008 Jan;40(1):181-8 - PubMed

[10] Med Sci Sports Exerc. 2008 Jan;40(1):181-8 - PubMed

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Changes in Cardiorespiratory Fitness After Gastric Bypass: Relations with Accelerometry-Assessed Physical Activity

Affiliations

Changes in Cardiorespiratory Fitness After Gastric Bypass: Relations with Accelerometry-Assessed Physical Activity

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