Towards Optimized Care After Bariatric Surgery by Physical Activity and Exercise Intervention: A Review
Open accessAbstract
Although there is growing evidence on the importance of physical activity and exercise intervention after bariatric surgery, it remains to be clarified as to why and how post-operative exercise intervention should be implemented. In this narrative and practically oriented review, it is explained why exercise interventions and physical activity are important after bariatric surgery, how to prescribe exercise and monitor physical activity and how and when physical fitness, muscle strength, fat (-free) mass and bone mineral density could be assessed during follow-up. It is suggested that the inclusion of physical activity and exercise training in the clinical follow-up trajectory could be of great benefit to bariatric surgery patients, since it leads to greater improvements in body composition, bone mineral density, muscle strength and physical fitness.
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Biweekly physical activity training sessions for 6 months after RYGB improve cardiometabolic risk factors and muscle strength, but patients may not maintain these benefits in follow-up without continued exercise.
“Biweekly physical activity training sessions for 6 months after Roux-en-Y gastric bypass (RYGB) have been shown to improve cardiometabolic risk factors and muscle strength. However, patients may not maintain these benefits in follow-up without continued exercise”
From Lifestyle Medicine for Obesity in the Era of Highly Effective Anti-Obesity Treatment (2025) · cites this paper as [259]
Section 3 recommends exercise after bariatric surgery to preserve or improve muscle strength and advises permanently increasing physical activity; Future perspectives says long-term adherence is crucial for lasting benefits. The review does not report that twice-weekly training for six months after RYGB improved cardiometabolic risk factors and muscle strength, or that those specific gains were lost during follow-up. (LLM, conf=0.82)
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“However, patients may not maintain these benefits in follow-up without continued exercise [115,259,260].”
- Authors
- Hansen, D., Decroix, L., Devos, Y., Nocca, D., Cornelissen, V., Dillemans, B., & Lannoo, M.
- Affiliations
- Jessa Hospital (BE)
- Vrije Universiteit Brussel (BE)
- Université de Montpellier (FR)
- AZ Sint-Jan (BE)
- KU Leuven (BE)
- Corresponding author
- Hansen, Dominique
- Venue
- Obesity Surgery
- Published
- 2020-01-08
- Volume
- 30
- Issue
- 3
- Pages
- 1118-1125
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W2999065032
- Cited by
- 46
- References
- 81
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 9 · 2022: 9 · 2021: 6 · 2020: 8 · 2019: 1
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- green
- lirias.kuleuven.be
- Licence
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Lirias (submittedVersion, other-oa)
- HAL (submittedVersion)
- Document Server@UHasselt (UHasselt) (submittedVersion, other-oa)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- bariatric surgery
- MeSH terms
- Body Composition, Exercise Therapy, Humans, Obesity, Morbid, Physical Fitness, Exercise, Bariatric Surgery, Muscle Strength
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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