Obesity surgery · 2026
Enhancing Sarcopenia-Related Outcomes After Bariatric Surgery: A Systematic Review and Meta-Analysis of Exercise Interventions.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Abbasi Mohammadmahdi, Elyasinia Fezzeh, Jahromi Ali, Farsi Farima, Jebeli Fard Roham, Jahromi Niloofar, Pirisedigh Anahita, Soroush Ahmadreza, Hasani-Ranjbar Shirin
Аннотация
BACKGROUND: Sarcopenia is a common complication following metabolic and bariatric surgery (MBS) and may adversely affect postoperative outcomes. This review aimed to investigate the effects of structured exercise interventions (SEI) on sarcopenia-related outcomes in patients undergoing bariatric surgery.
METHODS: Randomized and non-randomized trials were included if they used a control group that did not engage in structured exercise, reported at least one relevant outcome, and used SEI either before or after MBS in adults aged over 18 with a BMI ≥ 35 kg/m². Scopus, PubMed, Cochrane Library, Web of Science, and Google Scholar were searched on April 3, 2025. The ROB and ROBINS-I tools were used to evaluate the risk of bias. Quantitative data synthesis was conducted using the random-effects model. The review protocol was registered in the PROSPERO database (ID: CRD420251020805).
RESULTS: A total of 4,618 records were screened, of which thirty-three studies (n = 1,545 participants; mean age = 41.3 years; mean BMI = 42.1 kg/m²; 82.2% female) were included. SEI significantly reduced body weight (WMD=-1.96 [-3.37,-0.54] kg) and BMI (WMD=-0.67 [-1.04,-0.29] kg/m2) following bariatric surgery, particularly through aerobic training. SEI was also effective in preserving fat-free mass, with the largest effect size observed for combined exercise interventions (WMD = 1.87 [0.91,2.83] kg). Muscle strength improved significantly following SEI, especially in response to resistance training (SMD = 0.74 [0.03,1.45]). Functional and aerobic capacity improved as reflected in the 6-minute walk test, sit-to-stand test, and VO₂ peak. Overall physical activity improved (SMD = 0.54 [0.02,1.06]), but step count and resting metabolic rate did not change significantly.
CONCLUSIONS: Supervised combined exercise programs should be considered in the early postoperative period and sustained for a minimum of six months. Aerobic training should be considered for continuation and may be appropriately transitioned to unsupervised formats without compromising effectiveness.
METHODS: Randomized and non-randomized trials were included if they used a control group that did not engage in structured exercise, reported at least one relevant outcome, and used SEI either before or after MBS in adults aged over 18 with a BMI ≥ 35 kg/m². Scopus, PubMed, Cochrane Library, Web of Science, and Google Scholar were searched on April 3, 2025. The ROB and ROBINS-I tools were used to evaluate the risk of bias. Quantitative data synthesis was conducted using the random-effects model. The review protocol was registered in the PROSPERO database (ID: CRD420251020805).
RESULTS: A total of 4,618 records were screened, of which thirty-three studies (n = 1,545 participants; mean age = 41.3 years; mean BMI = 42.1 kg/m²; 82.2% female) were included. SEI significantly reduced body weight (WMD=-1.96 [-3.37,-0.54] kg) and BMI (WMD=-0.67 [-1.04,-0.29] kg/m2) following bariatric surgery, particularly through aerobic training. SEI was also effective in preserving fat-free mass, with the largest effect size observed for combined exercise interventions (WMD = 1.87 [0.91,2.83] kg). Muscle strength improved significantly following SEI, especially in response to resistance training (SMD = 0.74 [0.03,1.45]). Functional and aerobic capacity improved as reflected in the 6-minute walk test, sit-to-stand test, and VO₂ peak. Overall physical activity improved (SMD = 0.54 [0.02,1.06]), but step count and resting metabolic rate did not change significantly.
CONCLUSIONS: Supervised combined exercise programs should be considered in the early postoperative period and sustained for a minimum of six months. Aerobic training should be considered for continuation and may be appropriately transitioned to unsupervised formats without compromising effectiveness.