The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

doi:10.1007/s11695-021-05873-1

Review

. 2022 Mar;32(3):912-923.

doi: 10.1007/s11695-021-05873-1. Epub 2022 Jan 15.

The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

Florêncio Diniz-Sousa^{1

2}, Giorjines Boppre^{3

4}, Lucas Veras^{3

4}, Alba Hernández-Martínez⁵, José Oliveira^{3

4}, Hélder Fonseca^{3

4}

Affiliations

¹ Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal. joseflorenciosousa@gmail.com.
² Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal. joseflorenciosousa@gmail.com.
³ Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal.
⁴ Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.
⁵ Department of Education, Faculty of Education Sciences, SPORT Research Group (CTS-1024), CERNEP Research Centre, University of Almería, Almería, Spain.

PMID: 35031954
DOI: 10.1007/s11695-021-05873-1

Review

The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

Florêncio Diniz-Sousa et al. Obes Surg. 2022 Mar.

. 2022 Mar;32(3):912-923.

doi: 10.1007/s11695-021-05873-1. Epub 2022 Jan 15.

Authors

Florêncio Diniz-Sousa^{1

2}, Giorjines Boppre^{3

4}, Lucas Veras^{3

4}, Alba Hernández-Martínez⁵, José Oliveira^{3

4}, Hélder Fonseca^{3

4}

Affiliations

¹ Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal. joseflorenciosousa@gmail.com.
² Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal. joseflorenciosousa@gmail.com.
³ Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal.
⁴ Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.
⁵ Department of Education, Faculty of Education Sciences, SPORT Research Group (CTS-1024), CERNEP Research Centre, University of Almería, Almería, Spain.

PMID: 35031954
DOI: 10.1007/s11695-021-05873-1

Erratum in

Correction to: The Effect of Exercise for the Prevention of Bone Mass Loss After Bariatric Surgery: a Systematic Review and Meta‑analysis.
Diniz-Sousa F, Boppre G, Veras L, Hernández-Martínez A, Oliveira J, Fonseca H. Diniz-Sousa F, et al. Obes Surg. 2022 Apr;32(4):1409. doi: 10.1007/s11695-022-05934-z. Obes Surg. 2022. PMID: 35079952 No abstract available.

Abstract

We aimed to assess if exercise applied after bariatric surgery (BS) improves bone mineral density (BMD) compared to usual care. Systematic search was conducted up to January 2021. Effect measures were determined using standardized mean difference (SMD) with 95% confidence interval (CI). Certainty evidence was assessed according to GRADE. Four clinical trials encompassing 340 patients were included. Exercise induced a positive BMD effect at total hip (SMD = 0.37 [95% CI 0.02, 0.71]; very low certainty evidence), femoral neck (SMD = 0.63 [95% CI 0.19, 1.06]; low certainty evidence), lumbar spine (SMD = 0.41 [95% CI 0.19, 0.62]; low certainty evidence), and 1/3 radius (SMD = 0.58 [95% CI 0.19, 0.97]; low certainty evidence). Exercise undertaken after BS seems to induce a positive effect on BMD.

Keywords: Bone mass; Exercise; Meta-analysis; Weight loss surgery.

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Bone Response to Weight Loss Following Bariatric Surgery.
Mele C, Caputo M, Ferrero A, Daffara T, Cavigiolo B, Spadaccini D, Nardone A, Prodam F, Aimaretti G, Marzullo P. Mele C, et al. Front Endocrinol (Lausanne). 2022 Jul 7;13:921353. doi: 10.3389/fendo.2022.921353. eCollection 2022. Front Endocrinol (Lausanne). 2022. PMID: 35873004 Free PMC article. Review.
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Hernández-Martínez A, Veras L, Boppre G, Soriano-Maldonado A, Oliveira J, Diniz-Sousa F, Fonseca H. Hernández-Martínez A, et al. Obes Rev. 2022 Aug;23(8):e13479. doi: 10.1111/obr.13479. Epub 2022 Jun 3. Obes Rev. 2022. PMID: 35665991 Free PMC article. Review.

References

1. Puzziferri N, Roshek TB 3rd, Mayo HG, Gallagher R, Belle SH, Livingston EH. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312(9):934–42. https://doi.org/10.1001/jama.2014.10706 . - DOI - PubMed - PMC
1. Gagnon C, Schafer AL. Bone health after bariatric surgery. JBMR Plus. 2018;2(3):121–33. https://doi.org/10.1002/jbm4.10048 . - DOI - PubMed - PMC
1. Schafer AL, Kazakia GJ, Vittinghoff E, Stewart L, Rogers SJ, Kim TY, et al. Effects of gastric bypass surgery on bone mass and microarchitecture occur early and particularly impact postmenopausal women. J Bone Miner Res. 2018;33(6):975–86. https://doi.org/10.1002/jbmr.3371 . - DOI - PubMed
1. Zhang Q, Dong J, Zhou D, Liu F. Comparative risk of fracture for bariatric procedures in patients with obesity: a systematic review and Bayesian network meta-analysis. Int J Surg. 2020;75:13–23. https://doi.org/10.1016/j.ijsu.2020.01.018 . - DOI - PubMed
1. Hansen S, Jørgensen NR, Hermann AP, Støving RK. Continuous decline in bone mineral density and deterioration of bone microarchitecture 7 years after Roux-en-Y gastric bypass surgery. Eur J Endocrinol. 2020;182(3):303–11. https://doi.org/10.1530/eje-19-0741 . - DOI - PubMed - PMC

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[1] Puzziferri N, Roshek TB 3rd, Mayo HG, Gallagher R, Belle SH, Livingston EH. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312(9):934–42. https://doi.org/10.1001/jama.2014.10706 . - DOI - PubMed - PMC

[2] Puzziferri N, Roshek TB 3rd, Mayo HG, Gallagher R, Belle SH, Livingston EH. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312(9):934–42. https://doi.org/10.1001/jama.2014.10706 . - DOI - PubMed - PMC

[3] Gagnon C, Schafer AL. Bone health after bariatric surgery. JBMR Plus. 2018;2(3):121–33. https://doi.org/10.1002/jbm4.10048 . - DOI - PubMed - PMC

[4] Gagnon C, Schafer AL. Bone health after bariatric surgery. JBMR Plus. 2018;2(3):121–33. https://doi.org/10.1002/jbm4.10048 . - DOI - PubMed - PMC

[5] Schafer AL, Kazakia GJ, Vittinghoff E, Stewart L, Rogers SJ, Kim TY, et al. Effects of gastric bypass surgery on bone mass and microarchitecture occur early and particularly impact postmenopausal women. J Bone Miner Res. 2018;33(6):975–86. https://doi.org/10.1002/jbmr.3371 . - DOI - PubMed

[6] Schafer AL, Kazakia GJ, Vittinghoff E, Stewart L, Rogers SJ, Kim TY, et al. Effects of gastric bypass surgery on bone mass and microarchitecture occur early and particularly impact postmenopausal women. J Bone Miner Res. 2018;33(6):975–86. https://doi.org/10.1002/jbmr.3371 . - DOI - PubMed

[7] Zhang Q, Dong J, Zhou D, Liu F. Comparative risk of fracture for bariatric procedures in patients with obesity: a systematic review and Bayesian network meta-analysis. Int J Surg. 2020;75:13–23. https://doi.org/10.1016/j.ijsu.2020.01.018 . - DOI - PubMed

[8] Zhang Q, Dong J, Zhou D, Liu F. Comparative risk of fracture for bariatric procedures in patients with obesity: a systematic review and Bayesian network meta-analysis. Int J Surg. 2020;75:13–23. https://doi.org/10.1016/j.ijsu.2020.01.018 . - DOI - PubMed

[9] Hansen S, Jørgensen NR, Hermann AP, Støving RK. Continuous decline in bone mineral density and deterioration of bone microarchitecture 7 years after Roux-en-Y gastric bypass surgery. Eur J Endocrinol. 2020;182(3):303–11. https://doi.org/10.1530/eje-19-0741 . - DOI - PubMed - PMC

[10] Hansen S, Jørgensen NR, Hermann AP, Støving RK. Continuous decline in bone mineral density and deterioration of bone microarchitecture 7 years after Roux-en-Y gastric bypass surgery. Eur J Endocrinol. 2020;182(3):303–11. https://doi.org/10.1530/eje-19-0741 . - DOI - PubMed - PMC

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The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

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The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

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