Exercise after bariatric surgery_CMS_Dr. Ramen Goel
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This document discusses the importance of exercise after bariatric surgery. It provides the following key points: 1. Exercise after bariatric surgery helps with weight loss, maintaining metabolic rate, toning the body, preserving muscle mass, and avoiding weight regain. 2. Studies show that exercise after surgery aids in weight maintenance and improves metabolic effects by preserving fat free mass which impacts resting energy expenditure. 3. Resistance exercise is especially important for elderly bariatric patients to maintain muscle mass and physical function. Exercise has been shown to cause more fat loss and muscle gain after surgery.
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bariatric surgery
Bariatric surgery is effective for treating morbid obesity. Common procedures include gastric bypass and gastric banding, which achieve weight loss through restriction and malabsorption. Candidates must have a BMI over 40 or over 35 with comorbidities. Risks include leaks and DVTs. Weight loss improves related conditions like diabetes. Plastic surgery after significant weight loss addresses excess skin.
Office 365: Do’s and Don’ts, Lessons learned from the field
Office 365: Do’s and Don’ts, Lessons learned from the fieldMicrosoft TechNet - Belgium and Luxembourg
Office 365 provides cloud-based versions of Microsoft productivity applications like Word, Excel, PowerPoint, Outlook, and more. The document discusses important things to know when using Office 365, including understanding identity options like cloud identities, federated identities, and DirSync; realizing ADFS capabilities beyond just federated identities; and using tools to assess deployment readiness. Key recommendations include knowing what you are subscribing to, understanding identities and credentials, leveraging ADFS, and checking your environment's ability to connect to Office 365.Viewers also liked (15)
Obesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
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Practical guide to the identification and treatment of hormonal imbalance obe...
Office 365: Do’s and Don’ts, Lessons learned from the field
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Similar to Exercise after bariatric surgery_CMS_Dr. Ramen Goel
Myths about exercise & nutrition_MDRF_2014
Delivered (Feb 2014) as part of 12th MDRF–UAB International Seminar on Prevention and control of non-communicable diseases organized by Madras Diabetes Research Foundation (MDRF), Chennai, India in association with Florida International University(FIU), University Of Alabama at Birmingham (UAB), & University Of Minnesota, Supported by National Institutes of Health (NIH), USA
Welch Final Poster
This study examined how weight loss affects resting metabolic rate and its relationship to lean muscle mass and fitness levels in obese adults. Obese men and women were placed on a very low calorie diet and exercise program to lose 15% of their body weight over 3 months. Their resting metabolic rate, body composition via DXA scan, and fitness via VO2 max test were measured at baseline and after weight loss. The results found that resting metabolic rate, lean mass, and fitness all decreased with weight loss. While resting metabolic rate was positively correlated with lean mass at both timepoints, the changes in each were not correlated, suggesting other factors also influence changes in resting metabolic rate with weight loss.
What every Adult needs to know about Strength Training
The document discusses the benefits of strength training for weight loss and wellness compared to dieting or cardio alone. It notes that strength training helps avoid muscle and metabolic rate loss due to aging by increasing muscle mass and resting metabolism. The summary also highlights that strength training can effectively reduce body fat levels when combined with other exercise over a period of 10-12 weeks according to several cited studies.
Why is Bariatric Surgery so Effective?
Bariatric surgery leads to long-term weight loss and improved health outcomes through physiological rather than mechanical mechanisms. It alters gastrointestinal signals that change the body's defended fat mass set point and regulate appetite and metabolism. Specifically, surgery modifies the luminal environment and gut microbiota composition, increasing circulating bile acids and triggering hormonal and neuronal signals that decrease hunger and food reward while increasing energy expenditure. This physiological reprogramming opposes the effects of dieting and underlies the durable benefits of bariatric procedures.
Diet or exercise
This document discusses strategies for weight loss through diet, exercise, or a combination. It summarizes research finding that combining diet and exercise results in more effective and long-term weight loss than either approach alone. Specifically, starting a diet and exercise program simultaneously prevents losing muscle mass during weight loss and is more likely to result in sustained lifestyle changes over time compared to sequential approaches. The recommended approach is a reduced-calorie diet along with at least 60 minutes per day of moderate-to-vigorous physical activity most days of the week.
Case study for rugby athlete in rehabilitation
This case study examined an 8-week nutritional intervention for a rugby player undergoing rehabilitation for a shoulder injury. The intervention consisted of a 3,400 kcal per day diet with high protein and carbohydrates, as well as creatine and whey protein supplements. The athlete gained 5.2 kg total, of which 4.9 kg was lean muscle mass while maintaining his body fat percentage. Arm measurements increased significantly, indicating muscle hypertrophy. The intervention successfully helped the athlete rapidly gain muscle mass during rehabilitation without increasing body fat.
Role of muscle mTORC1 in obesity and metabolism
Seminar given on October 8, 2015 to the Department of Biological Sciences at the University of Memphis
Physical Activity in the Management of Abdominal Obesity
By Robert Ross, PhD, Professor, School of Kinesiology and Health Studies, Department of Medicine, Division of Endocrinology and Metabolism, Queen's University, Kingston, ON, Canada
Dr Dato Anitha Haniffa - Understanding Bariatric Surgery.pdf
Understanding Bariatric surgery is an in-depth presentation discussing this medical procedure performed to help individuals with severe obesity achieve weight loss and improve their overall health. It involves modifying the digestive system to restrict food intake or alter nutrient absorption. Common techniques include gastric bypass, gastric sleeve, and gastric banding. Bariatric surgery requires careful patient selection and ongoing postoperative care.
Queen's Study
This randomized controlled trial examined the effects of diet-induced weight loss, exercise-induced weight loss, exercise without weight loss, and a control group on obesity and related health factors in obese men over 3 months. It found that both diet-induced and exercise-induced weight loss groups lost approximately 7.5 kg (8%) of body weight, with greater total fat loss in the exercise group. Abdominal fat and insulin resistance decreased similarly in both weight loss groups. Exercise without weight loss reduced abdominal fat and prevented further weight gain, but did not change weight or insulin resistance.
Medifast Clinical studies document
This document provides an overview of clinical studies on Medifast's weight loss programs. Key findings include:
- A randomized controlled trial found greater weight loss and improvements in health markers with Medifast vs a food-based diet over 40 weeks.
- Another randomized trial found twice as much weight loss and less regain with Medifast vs a standard diet in people with type 2 diabetes.
- A program evaluation found significant weight loss maintained at 52 weeks using Medifast supplements and medication.
- A study found Medifast beverages increased resting energy expenditure and decreased appetite.
- An open label trial found significant reductions in weight, body fat, and BMI in completers of a Medifast program over
H0613644
- 20 pre-obese and obese subjects participated in a study that assigned them to either morning training (MG) or evening training (EG) while following a low calorie diet
- Both groups saw significant improvements in physical capacity, decreases in body weight, BMI, fat mass, percentage of fat, and waist circumference after 8 weeks of training
- However, the evening training group (EG) saw greater decreases in fat mass and percentage of fat compared to the morning group, as well as an increase in lean body mass, suggesting evening training was more effective for fat loss and preservation of muscle mass
Effect of time-of-day specific obese training on body composition and physica...
The best strategy for management of obese, outside pharmacological interventions, is physical exercise associated to diet. Recent research has discovered that the problem of obesity is largely due to a biological clock and that lipid oxidation is higher in the evening compared to the morning and at night compared to day. The purpose of this study is to investigate the effect of time-of-day specific obese training on body composition and physical capacity in obese following a low calorie diet. 20 sedentary pre-obese and obese with a mean BMI of 34.3 kg/m2 aged 20 to 47 years subjects participated in a concurrent strength and specific endurance training for obese. Subjects were divided into two training groups: a Morning training Group (MG: n = 10) and an Evening training Group (EG: n=10). The specific training associated to lower caloric diet has increased physical capacity (17,7% for EG and 15,6% for MG), decreased body weight (7,3% for EG and 6% for MG) fat percentage (19,5% for EG and 11,3% for MG) and waist circumference (10,2% for EG and 8,2% for MG) in both groups. Afternoon training was more effective than morning training on fat loss (24.9% for EG versus 15.9% for MG) and on lean mass variation (+2.9% for EG versus -0.5% for MG).
H0613644
IOSR Journal of Pharmacy and Biological Sciences(IOSR-JPBS) is an open access international journal that provides rapid publication (within a month) of articles in all areas of Pharmacy and Biological Science. The journal welcomes publications of high quality papers on theoretical developments and practical applications in Pharmacy and Biological Science. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Body contouring
The document discusses body contouring surgery for a 48-year-old man who lost 100 kg through diet and exercise and presents various risks and considerations for patients undergoing massive weight loss such as nutritional deficiencies that can impact wound healing, higher complication rates for those who lose weight through diet and exercise compared to bariatric surgery, and the importance of patient counseling on the risks, benefits, and limitations of body contouring procedures.
Impact of Yogic Exercise on Body Fat Percentage on Middle Aged Obese People
Purpose: The Purpose of the study was to find out the effect of yogic exercises on body fat percentage of middle aged obese people.
Selection of Subjects: For the present study 20 male obese people from locality of Bilaspur were selected randomly as the subjects for the study. The age of the subjects ranged between 40-50 years.
Selection of Variables: The variables selected for the present study were yogic training (independent variable), body fat percentage (dependent variable).
Methodology: For the study pretest – post-test randomized group design, which consists of control group (10 subjects) and experimental group (10 subjects) were used. The data were collected through the pretest, before training and post-test, after six weeks of yogic exercises training.
Statistical Technique: For comparing pre and post-test means of experimental and control groups, descriptive analysis and Analysis of Co-Variance (ANCOVA) were used and the level of significance was set at 0.05 level of confidence.
Result: The result of the study showed that there was insignificant difference between pre and post-test (experimental group) of body fat percentage.
Fi mpresentation
Exercise provides health benefits but is not effective for weight loss alone. Strength training and high intensity interval training are recommended exercise modalities that can improve health outcomes. Strength training three times per week for 40 minutes plus 20 minutes of high intensity interval training is a good starting prescription. Exercise should be used as an adjunct to nutritional counseling, which should focus on a simple, supportive approach to improve dietary compliance.
Body contouring
A 48-year-old man who lost 200 kg through diet and exercise underwent a lower body lift. During the 4-hour, 2-surgeon procedure, he required repositioning 3 times and 6 drains. Post-operatively he developed hemorrhages requiring exploration. He was discharged after 8 days requiring weekly drainage of seromas. The document discusses nutritional deficiencies common after bariatric surgery that can impact wound healing for body contouring procedures. It notes diet and exercise patients have higher complication rates than those who had bariatric surgery. Careful patient evaluation and counseling is important due to the risks and limitations of massive weight loss body contouring.
Effect of Eight Weeks Conditioning On Body Mass Index of College Students
This study examined the effects of an eight-week conditioning program on the body mass index (BMI) of 50 male college students aged 17 to 23 years old. The students participated in conditioning exercises six days per week for one hour each session. BMI was measured before and after the eight weeks through pre- and post-tests. The results showed that the mean BMI decreased significantly from 25.66 to 24.30, indicating that participation in regular conditioning exercises can be effective for lowering BMI in college students.
Endocrinology of the bariatric surgical patient
Endocrine issues swirl around the Bariatric patient: Diabetes, thyroid conditions, and more. What do clinicians need to be aware of when caring for these patients pre or post surgery? What are the unique endocrinologic issues which explain the mechanism of success with bariatric surgery? Learn here.
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Effect of time-of-day specific obese training on body composition and physica...
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Impact of Yogic Exercise on Body Fat Percentage on Middle Aged Obese People
Impact of Yogic Exercise on Body Fat Percentage on Middle Aged Obese People
Effect of Eight Weeks Conditioning On Body Mass Index of College Students
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COLOUR CODING IN THE PERIOPERATIVE ENVIRONMENT HAS COME TO STAY ,SOME SENCE OF HUMOUR WILL BE APPRECIATED AT THE RIGHT TIME BY THE PATIENT AND OTHER SURGICAL TEAM MEMBERS.
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Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
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Sidestream devices can monitor both intubated and non-intubated patients, while mainstream devices are most often limited to intubated patients.
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Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
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This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
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Exercise after bariatric surgery_CMS_Dr. Ramen Goel
- 1. Exercise after Bariatric Surgery Dr. Ramen Goel Director Centre for Metabolic Surgery Wockhardt Hospitals, India www.obesity-care.com www.obesitysurgery.in
- 2. Post op Exercises – Why? 22-03-2016 2 • Weight loss • Maintaining metabolic rate • Toning & better body shape • Preserving muscle mass • Avoid weight regain
- 3. Exercise after Weight Loss Surgery – Evidence? • Weight maintenance • Improved metabolic effect Paul M Coen, Bret H Goodpaster: A Role for Exercise after Bariatric Surgery: Diabetes, Obesity and Metabolism, 18, 1, Jan 2106 22-03-2016 3
- 4. Weight Maintenance • Fat Free Mass (FFM) is responsible for Resting Energy Expentiture and core body temp2 • Loss of FFM(bones, muscle & organs) account for 31.3% of excess weight loss after RyGBP1 • FFM loss may predispose to weight regain after surgery3 1. Chaston TB, Dixon JB, O’Brien PE. Changes in fat free mass during significant weight loss: a systemic review. Int J Obes 2007, 31, 743-750 2. Muller MJ et al. Metabolically active components of fat free mass and resting energy expenditure in humans: recent lessons from imaging technologies. Obes Rev 2002; 3 : 113-122 3. Faira SL et al. Energy expenditure and weight regain in patients submitted to roux-n-y gastric bypass. Obes Surg 2009: 19; 856-859 22-03-2016 4
- 5. Elderly WLS patients • FFM loss – negative impact on physical function, sarcopenia & QOL1 • Resistance exercise is an excellent tool to maintain muscle mass in senior patients2 1.Miller SL,Wolfe RR. The danger of weight loss in elderly J Nutr Health Aging 2008 : 12 2. Churchward Venne TA et al.There are no non responders to resistance type exercise training in older men & women, J Am Med Dir Asssoc 2015;16 22-03-2016 5
- 6. Fat Free Mass(FFM) Maintenance • After surgery -Exercise ( 30 minutes/day for 3 days/week) cause 28% more fat mass loss & 8 % gain in LBM2 1. Jamssen I, Ross R. Effect of energy restricted diet with/out exercise on abdominal fat, visceral fat, muscular fat & metabolic risk factors in obese women. Diab Care. 2002 2. Metcalf B et al. Weight loss composition : Effects of exercise following WLS as measured by BIA. Obesity Surgery. 2005 22-03-2016 6
- 7. Metabolic Effect • Skeletal muscle – primary peripheral tissue for 80% glucose disposal after a meal1 • Improves peripheral insulin sensitivity – improves glucose tolerance2 1. Wing RR, Hill JO. Successful weight maintenance. Ann Rev Nutr 2001; 21:323-341 2. Shah M et al. High volume exercise program in obese bariatric surgery patients: a randomised controlled trial. Obesity 2011; 19, 1826-1834 22-03-2016 7
- 8. Are Bariatric Patients Physically Active? 22-03-2016 8 Do they exercise? Do they exercise enough?
- 9. Are Bariatric Patients Physically Active? • 33% of bariatric versus 62% of non bariatric patients spent > 2000 calories through physical activities1 • Surgical patients spent lower energy through medium & high intensity exercises2 1. Jakicic JM et al. Am Coll Spo Med Posi Stand. Appropriate intervention strategies for weight loss & prevention of weight regain for adults. Med Sci Sports Exercise 2001: 33 2. Bond DS et al. Weight loss maintenance in succesful weight losers: surgical versus non surgical methods. Int J Obes 2009: 33 22-03-2016 9
- 10. Conclusion • Majority of bariatric patients spend < 150 min/week in physical exercises & some have even lower physical activity • Bariatric Patients need to exercise for better outcomes of surgery esp to derive metabolic benefits 22-03-2016 10