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

被引:0
作者
Florêncio Diniz-Sousa
Giorjines Boppre
Lucas Veras
Alba Hernández-Martínez
José Oliveira
Hélder Fonseca
机构
[1] University of Porto,Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport
[2] Laboratory for Integrative and Translational Research in Population Health (ITR),Department of Education, Faculty of Education Sciences, SPORT Research Group (CTS
[3] University of Almería,1024), CERNEP Research Centre
来源
Obesity Surgery | 2022年 / 32卷
关键词
Meta-analysis; Weight loss surgery; Bone mass; Exercise;
D O I
暂无
中图分类号
学科分类号
摘要
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.
引用
收藏
页码:912 / 923
页数:11
相关论文
共 269 条
  • [1] Puzziferri N(2014)Long-term follow-up after bariatric surgery: a systematic review JAMA 312 934-942
  • [2] Roshek TB(2018)Bone health after bariatric surgery JBMR Plus 2 121-133
  • [3] Mayo HG(2018)Effects of gastric bypass surgery on bone mass and microarchitecture occur early and particularly impact postmenopausal women J Bone Miner Res 33 975-986
  • [4] Gallagher R(2020)Comparative risk of fracture for bariatric procedures in patients with obesity: a systematic review and Bayesian network meta-analysis Int J Surg 75 13-23
  • [5] Belle SH(2020)Continuous decline in bone mineral density and deterioration of bone microarchitecture 7 years after Roux-en-Y gastric bypass surgery Eur J Endocrinol 182 303-311
  • [6] Livingston EH(2018)Longitudinal 5-year evaluation of bone density and microarchitecture after Roux-en-Y gastric bypass surgery J Clin Endocrinol Metab 103 4104-4112
  • [7] Gagnon C(2020)Bone mineral density, parathyroid hormone, and vitamin D after gastric bypass surgery: a 10-year longitudinal follow-up Obes Surg 30 4995-5000
  • [8] Schafer AL(2020)Fracture risk after three bariatric surgery procedures in Swedish obese subjects: up to 26 years follow-up of a controlled intervention study J Intern Med 287 546-557
  • [9] Schafer AL(2010)Osteoporosis: impact on health and economics Nat Rev Rheumatol 6 99-105
  • [10] Kazakia GJ(2017)Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014 Obes Surg 27 2279-2289