代谢手术病人运动干预研究现状
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摘要
综述代谢手术病人体力活动水平、运动干预研究现状以及运动效果。指出代谢手术病人的体力活动水平处于较低水平,代谢手术病人参加运动的意愿较低且依从性差,运动干预的研究存在样本量少、随访时间短、缺乏运动情况监督等问题。尚需更多的临床随机对照试验以进一步优化代谢手术病人的运动干预。
It reviewed the research status quo of exercise intervention in patients undergoing bariatric surgery from the level of physical activity and exercise intervention and the effect of exercise.It pointed out that the level of physical activity in patients undergoing bariatric surgery was at a lower level.Patients had a poor willingness to participate in exercise,and with poor compliance.The research on exercise intervention had problems such as less sample,short follow-up time,and lack of exercise supervision.More clinical randomized controlled trials(RCTs) were needed to further optimize exercise intervention for patients undergoing bariatric surgery.
It reviewed the research status quo of exercise intervention in patients undergoing bariatric surgery from the level of physical activity and exercise intervention and the effect of exercise.It pointed out that the level of physical activity in patients undergoing bariatric surgery was at a lower level.Patients had a poor willingness to participate in exercise,and with poor compliance.The research on exercise intervention had problems such as less sample,short follow-up time,and lack of exercise supervision.More clinical randomized controlled trials(RCTs) were needed to further optimize exercise intervention for patients undergoing bariatric surgery.
引文
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[22]FUNDERBURK J A,CALLIS S.Aquatic intervention effect on quality of life prior to obesity surgery:apilot study[J].Annu T-her Recreat,2010(18):66-78.
[23]STEGEN S,DERAVE W,CALDERS P,et al.Physical fitness in morbidly obese patients:effect of gastric bypass surgery and exercise training[J].Obesity Surgery,2011,21(1):61-70.
[24]TOUSSI R,FUJIOKA K C,OLEMAN K J.Pre-and postsurgery behavioral compliance,patient health,and postbariatric surgical weight loss[J].Obesity,2009,17(5):996-1002.
[25]WELCH G,WESOLOWSKI C,PIEPUL B,et al.Physical activity predicts weight loss following gastric bypass surgery:findings from a support group survey[J].Obesity Surgery,2008,18(5):517-524.
[26]YANOS B R,SAULES K K,SCHUH L M,et al.Predictors of lowest weight and long-term weight regain among roux-en-Ygastric bypass patients[J].Obesity Surgery,2015,25(8):1364-1370.
[27]PEACOCK J C,SLOAN S S,CRIPPS B.A qualitative analysis of bariatric patients′post-surgical barriers to exercise[J].Obesity Surgery,2014,24(2):292-298.
[28]LIER H O,BIRINGER E,STUBHAUG B,et al.The impact of pre-operative counseling on post-operative treatment adherence in bariatric surgery patients:a randomized controlled trial[J].Patient Education and Counseling,2012,87:336-342.
[29]BITER L U,GADIOT R P,GROTENHUIS B A,et al.The sleeve bypass trial:a multicentre randomized controlled trial comparing the long term outcome of laparoscopic sleeve gastrectomy and gastric bypass for morbid obesity in terms of excess BMI loss percentage and quality of life[J].Bmc Obesity,2015,2(1):30.
[2]PICOT J,JONES J,COLQUITT J L,et al.The clinical effectiveness and cost-effectiveness of bariatric(weight loss)surgery for obesity:a systematic review and economic evaluation[J].Health Technology Assessment,2009,13(41):1-190;215-357.
[3]COLQUITT J L,PICOT J,LOVEMAN E,et al.Surgery for obesity[J].Cochrane Database of Systematic Reviews,2009,2(2):D3641.
[4]BUCHWALD H.The evolution of metabolic/bariatric surgery[J].Obesity Surgery,2014,24(8):1126-1135.
[5]WITTGROVE A C,CLARK G W.Laparoscopic gastric bypass,roux en-y-500patients:technique and results,with 3-60 month follow-up[J].Obesity Surgery,2000,10(3):233-239.
[6]SUGERMAN H J,KELLUM J M,ENGLE K M,et al.Gastric bypass for treating severe obesity[J].American Journal of Clinical Nutrition,1992,55(2Suppl):560S-566S.
[7]YALE C E.Conversion surgery for morbid obesity:complications and long-term weight control[J].Archives of Surgery,1989,124(8):941-946.
[8]KING W C,HSU J Y,BELLE S H,et al.Pre-to postoperative changes in physical activity:report from the longitudinal assessment of bariatric surgery-2(LABS-2)[J].Surgery for Obesity&Related Diseases,2012,8(5):522-532.
[9]BOND D S,PHELAN S,LEAHEY T M,et al.Weight-loss maintenance in successful weight losers:surgical vs non-surgical methods[J].International Journal of Obesity,2009,33(1):173.
[10]CHAPMAN N,HILL K,TAYLOR S,et al.Patterns of physical activity and sedentary behavior after bariatric surgery:an observational study[J].Surgery for Obesity&Related Diseases,2014,10(3):524-530.
[11]JOSBENO D A,KALARCHIAN M,SPARTO P J,et al.Physical activity and physical function in individuals post-bariatric surgery[J].Obesity Surgery,2011,21(8):1243-1249.
[12]MECHANICK J I,YOUDIM A,JONES D B,et al.Clinical practice guidelines for the perioperative nutritional,metabolic,and nonsurgical support of the bariatric surgery patient-2013update:cosponsored by American Association of Clinical Endocrinologists,the obesity society,and American Society for Melabolicy&Bariatric Surgery[J].Surgery for Obesity&Related Diseases,2013,9(2):159-191.
[13]张鹏,郑成竹,ALFONSO TORQUATI,等.美国减重代谢外科现状及与我国异同[J].中国实用外科杂志,2014,34(11):1094-1096.
[14]KUWADA T,RICHARDSON S,MAHER E I,et al.Insurancemandated medical programs before bariatric surgery:do good things come to those who wait?[J].Surgery for Obesity&Related Diseases,2011,7(4):526-530.
[15]CHUANG C Z,MARTIN L F,LEGARDEUR B Y,et al.Physical activity,biliary lipids,and gallstones in obese subjects[J].The American Journal of Gastroenterology,2001,96(6):1860-1865.
[16]LARSEN J K,GEENEN R,VAN R B,et al.Binge eating and exercise behavior after surgery for severe obesity:a structural equation model[J].The International Journal of Eating Disorders,2006,39(5):369-375.
[17]HICKEY M S,GAVIGAN K E,MCCAMMON M R.Effects of 7days of exercise training on insulin action in morbidly obese men[J].Clin Exerc Physiol,1999(1):24-28.
[18]BAILLOT A,MAMPUYA W M,COMEAU E,et al.Feasibility and impacts of supervised exercise training in subjects with obesity awaiting bariatric surgery:apilot study[J].Obesity Surgery,2013,23(7):882-891.
[19]CASTELLO-SIMES V,POLAQUINI S R,BELTRAME T,et al.Effects of aerobic exercise training on variability and heart rate kinetic during submaximal exercise after gastric bypass surgery-a randomized controlled trial[J].Disability&Rehabilitation,2013,35(4):334-342.
[20]BERGGREN J R,BOYLE K E,CHAPMAN W H,et al.Skeletal muscle lipid oxidation and obesity:influence of weight loss and exercise[J].American Journal of Physiology Endocrinology&Metabolism,2008,294(4):E726-E732.
[21]SHAH M,SNELL P G,RAO S,et al.High-volume exercise program in obese bariatric surgery patients:a randomized,controlled trial[J].Obesity,2011,19(9):1826-1834.
[22]FUNDERBURK J A,CALLIS S.Aquatic intervention effect on quality of life prior to obesity surgery:apilot study[J].Annu T-her Recreat,2010(18):66-78.
[23]STEGEN S,DERAVE W,CALDERS P,et al.Physical fitness in morbidly obese patients:effect of gastric bypass surgery and exercise training[J].Obesity Surgery,2011,21(1):61-70.
[24]TOUSSI R,FUJIOKA K C,OLEMAN K J.Pre-and postsurgery behavioral compliance,patient health,and postbariatric surgical weight loss[J].Obesity,2009,17(5):996-1002.
[25]WELCH G,WESOLOWSKI C,PIEPUL B,et al.Physical activity predicts weight loss following gastric bypass surgery:findings from a support group survey[J].Obesity Surgery,2008,18(5):517-524.
[26]YANOS B R,SAULES K K,SCHUH L M,et al.Predictors of lowest weight and long-term weight regain among roux-en-Ygastric bypass patients[J].Obesity Surgery,2015,25(8):1364-1370.
[27]PEACOCK J C,SLOAN S S,CRIPPS B.A qualitative analysis of bariatric patients′post-surgical barriers to exercise[J].Obesity Surgery,2014,24(2):292-298.
[28]LIER H O,BIRINGER E,STUBHAUG B,et al.The impact of pre-operative counseling on post-operative treatment adherence in bariatric surgery patients:a randomized controlled trial[J].Patient Education and Counseling,2012,87:336-342.
[29]BITER L U,GADIOT R P,GROTENHUIS B A,et al.The sleeve bypass trial:a multicentre randomized controlled trial comparing the long term outcome of laparoscopic sleeve gastrectomy and gastric bypass for morbid obesity in terms of excess BMI loss percentage and quality of life[J].Bmc Obesity,2015,2(1):30.