BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) is a common surgical treatment for obesity. Evidence for and against the association of aerobic exercise (AE) and weight loss after LAGB exists. We hypothesize that aerobic exercise is associated with improved weight loss and resolution of comorbidities after LAGB. METHODS:A review of a prospectively collected database identified patients who underwent LAGB over a 3-year period at a single institution. Body mass index (BMI), comorbidities, frequency, and duration of exercise were collected preoperatively and at 6, 12, 24, and 36 months postoperatively. Excess weight loss (EWL) was calculated. Groups were analyzed using Fisher's exact test and ANOVA. RESULTS:Of the 145 LAGB patients, 120 had adequate data for analysis. AE had no association with weight loss at 6 months. At 12, 24, and 36 months following LAGB, patients who reported 150 min or more per week of exercise had an EWL of 35.5, 47.3, and 54.1 %, respectively, while those reporting 0-59 min per week of AE had an EWL of 25.3, 32.1, and 33.0 % (p = 0.03, 0.03, and 0.02, respectively). BMI and age was not statistically different among groups. Diabetes and obstructive sleep apnea were significantly improved in patients exercising at least 60 min per week as compared to those exercising 0-59 min. CONCLUSIONS:AE is significantly associated with weight loss and comorbidity resolution after LAGB. We propose that patients who perform more AE will have higher levels of EWL.

译文

背景:腹腔镜可调胃绑带术(LAGB)是肥胖的一种常见手术治疗方法。有证据支持和反对有氧运动(AE)与LAGB术后体重减轻之间的关系。我们假设有氧运动与LAGB术后体重减轻和合并症的缓解相关。
方法:对前瞻性收集的数据库进行的审查确定了在单一机构接受了3年以上LAGB治疗的患者。术前以及术后6、12、24和36个月收集体重指数(BMI),合并症,运动频率和运动时间。计算了多余的体重减轻(EWL)。使用费舍尔精确检验和方差分析对各组进行分析。
结果:在145名LAGB患者中,有120名具有足够的数据用于分析。 AE在6个月时与体重减轻无关。 LAGB后12、24和36个月,报告每周运动150分钟或以上的患者的EWL分别为35.5%,47.3和54.1%,而报告每周运动0-59分钟的患者的EWL分别为分别为25.3%,32.1%和33.0%(p分别为0.03、0.03和0.02)。各组之间的BMI和年龄在统计学上没有差异。与每周运动0-59分钟的患者相比,每周至少运动60分钟的患者的糖尿病和阻塞性睡眠呼吸暂停明显改善。
结论:AE与LAGB后的体重减轻和合并症的缓解密切相关。我们建议执行更多AE的患者应具有更高的EWL水平。

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