Physical Activity in Gastric Bypass Patients: Associations with Weight Loss and Psychosocial Functioning at 12-Month Follow-Up

被引:32
作者
Rosenberger, Patricia H. [1 ,2 ]
Henderson, Kathryn Elizabeth [3 ]
White, Marney A. [2 ]
Masheb, Robin M. [2 ]
Grilo, Carlos M. [2 ,4 ]
机构
[1] VA Connecticut Healthcare Syst, West Haven, CT 06516 USA
[2] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA
[3] Yale Univ, Rudd Ctr Food Policy & Obes, New Haven, CT USA
[4] Yale Univ, Dept Psychol, New Haven, CT 06520 USA
基金
美国国家卫生研究院;
关键词
Gastric bypass; Physical activity; Exercise; Obesity; Weight loss; Psychosocial functioning; QUALITY; SURGERY; SF-36;
D O I
10.1007/s11695-010-0283-z
中图分类号
R61 [外科手术学];
学科分类号
摘要
This study examined self-reported frequency and intensity of physical activity in gastric bypass patients, and the relationship between physical activity and weight loss and psychosocial outcomes during 12-month postoperative follow-up. Participants were 131 obese patients who underwent gastric bypass surgery and completed psychometrically established measures assessing physical activity, depression, and physical and mental health preoperatively and at a 12-month follow-up assessment. Preoperatively, 62.6% of patients reported at least one episode of a minimum of 15 minutes of physical activity per week. This figure increased to 92.4% at 12-month postoperative follow-up. Both the frequency and intensity levels of physical activity episodes increased significantly from preoperative to 12-month postoperative assessments. Hierarchical regression analyses, controlling for demographic variables and preoperative body mass index (BMI), revealed that the intensity of physical activity was significantly associated with postoperative weight loss at 12-month follow-up. Both the frequency and intensity of physical activity were significantly associated with depression, and physical and mental well-being at the 12-month postoperative follow-up. Gastric bypass patients increase both the frequency and intensity of their physical activity during the first 12 months postoperatively. Higher postoperative intensity levels of physical activity are associated with better weight loss outcomes while both increased frequency and intensity levels of physical activity are associated with better psychosocial outcomes.
引用
收藏
页码:1564 / 1569
页数:6
相关论文
共 24 条
[1]  
Beck AT., 1993, BDI, Beck depression inventory : manual
[2]   Becoming Physically Active After Bariatric Surgery is Associated With Improved Weight Loss and Health-related Quality of Life [J].
Bond, Dale S. ;
Phelan, Suzanne ;
Wolfe, Luke G. ;
Evans, Ronald K. ;
Meador, Jill G. ;
Kellum, John M. ;
Maher, James W. ;
Wing, Rena R. .
OBESITY, 2009, 17 (01) :78-83
[3]  
Bond DS, 2010, OBESITY IN PRESS
[4]   Psychosocial factors and 2-year outcome following bariatric surgery for weight loss [J].
Clark, MM ;
Balsiger, BM ;
Sletten, CD ;
Dahlman, KL ;
Ames, G ;
Williams, DE ;
Abu-Lebdeh, HS ;
Sarr, MG .
OBESITY SURGERY, 2003, 13 (05) :739-745
[5]   Physical activity enhances long-term quality of life in older adults: Efficacy, esteem, and affective influences [J].
Elavsky, S ;
McAuley, E ;
Motl, RW ;
Konopack, JF ;
Marquez, DX ;
Hu, L ;
Jerome, GJ ;
Diener, E .
ANNALS OF BEHAVIORAL MEDICINE, 2005, 30 (02) :138-145
[6]   Physical activity and mental health outcomes during menopause: A randomized controlled trial [J].
Elavsky, Steriani ;
McAuley, Edward .
ANNALS OF BEHAVIORAL MEDICINE, 2007, 33 (02) :132-142
[7]   Noncompliance with behavioral recommendations following bariatric surgery [J].
Elkins, G ;
Whitfield, P ;
Marcus, J ;
Symmonds, R ;
Cook, T .
OBESITY SURGERY, 2005, 15 (04) :546-551
[8]   Participation in 150 min/wk of moderate or higher intensity physical activity yields greater weight loss after gastric bypass surgery [J].
Evans, Ronald K. ;
Bond, Dale S. ;
Wolfe, Luke G. ;
Meador, Jill G. ;
Herrick, Jeffrey E. ;
Kellum, John M. ;
Maher, James W. .
SURGERY FOR OBESITY AND RELATED DISEASES, 2007, 3 (05) :526-530
[9]  
Fechner-Bates S, 1992, J CONSULT CLIN PSYCH, V64, P550
[10]   The influence of physical activity on mental well-being [J].
Fox, Kenneth R. .
PUBLIC HEALTH NUTRITION, 1999, 2 (3A) :411-418