Bariatric Surgery, Obesity, Perioperative Care
Conditions
Brief summary
Preoperative exercise has been shown to improve physiological and functional capacity in patients undergoing abdominal surgery to prepare them for the stress of surgery. Patients undergoing bariatric surgery are advised to partake in regular preoperative exercise. In the setting of bariatric surgery, as well as preparing patients for the stress of surgery, it is also thought to increase the likelihood that they will exercise postoperatively. However, compliance to this advice is extremely low. Text-message interventions have been shown to improve compliance to other lifestyle interventions. The investigators will compare the rate of compliance to preoperative exercise prior to bariatric surgery in patients who receive a daily text message to those who do not. The investigators will also compare weight loss.
Interventions
BEHAVIORALDaily text message reminders
Daily text message reminders to motivate patients to exercise in conjunction with an exercise information sheet.
Sponsors
Health Research Council, New Zealand
University of Auckland, New Zealand
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients having laparoscopic sleeve gastrectomy at Manukau Surgery Centre * Operation used primarily for the treatment of morbid obesity
Exclusion criteria
* Operation not performed at Manukau Surgery Centre * Patient does not have a mobile phone which can receive text messages
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients partaking in the minimum recommended amount of weekly physical activity | 6 weeks post recruitment | \>450 METmins per week of physical activity as measured by the internationally and locally validated IPAQ questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Physical Activity | 6 weeks postoperatively | Quantity of physical acitivty will be measured as METmins per week as measured by the IPAQ questionnaire |
| Functional capacity | Baseline and 6 weeks post recuitment (preoperatively) | Measured using the 6 minute walk test |
| Length of Hospital Stay | As assessed at day of discharge | Total number of days spent in hospital following their operation |
| Short term weight loss | Out to 6 months postoperatively | Postoperative weight loss as measured by percentage of excess weight loss |
| Perioperative complications | Out to 30 days postoperatively | Prospectively recorded postoperative complications graded according the Clavien-Dindo classification system |
Countries
New Zealand
Outcome results
None listed