Obesity, Physical Activity
Conditions
Keywords
Obesity, Physical Activity
Brief summary
There are limited knowledge about the impact of increased pre-operative physical training on postoperative physical activity levels as well as on recovery and complication rates after bariatric surgery. The primary aim of this study is to investigate whether an intervention including individual coaching to improve level of physical activity before and after gastric bypass surgery leads to a changed of level physical activity post-operatively at eight weeks, one and two years. Secondary aims of the study are to investigate whether increased physical activity has effects on complication rates, re-admissions and re-operations, post-operative weight-loss, gastrointestinal pain, recovery measured as hospital stay, sick-leave and QoL, resumption of normal physical activity. METHODS 300 patients will be recruited and randomized to an intervention group or control group. The patients in the intervention group will receive individual coaching by a physical therapist to: * increase physical activity 30 minutes/day (At least 150 min/week) * decrease time spent sitting/lying The patients in the control group will receive standard care. Before surgery, 6 weeks, and one year after surgery patient will fill in a questionnaire including level of physical activity, sick leave, quality of life and gastrointestinal pain. In addition blood test will be taken and complication rates recorded.
Interventions
Preoperatively Individual coaching by a physical therapist to: * increase physical activity 30 minutes/day (At least 150 min/week) * decrease time spent sitting/lying Telephone follow up one week after the intervention starts At the hospital -Frequent mobilization After discharge A telephone follow up one week postoperatively with coaching by a physical therapist to: * increase physical activity 30 minutes/day (At least 150 min/week) until 8 weeks postoperatively * decrease time spent sitting/lying The intervention includes a prescribed FaR (Fysisk aktivitet på recept) with frequency, duration and intensity of the activity corresponding 12-15 on the BORG-RPE scale.
OTHERStandard care
Sponsors
Borås Lasarett
Centrallasarettet i Växjö
Karlshamns lasarett
Torsby sjukhus
Mora sjukhus
Göteborg University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Assessor will not be aware of which group the patients are included in.
Intervention model description
Parallel Assignment A single blind, randomized, controlled, intervention study. Evaluation of the addition of increased physical activity for patients undergoing obesity surgery compared to standard care.
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Inclusion Criterion: \- Patients at including hospitals scheduled for gastric bypass surgery
Exclusion criteria
* Inability to understand given information. * Inability to perform the intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRES (IPAQ) | From inclusion 1 year postoperatively | Physical activity level measured in METS (Metabolic Equivalent) |
| Saltin-Grimby Physical Activity Scale (SGPAS) | From inclusion to 1 year postoperatively | Physical activity level, 1-4 (4 highest activity level). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sick-leave | From surgery to at latest 1 year postoperatively | Sick-leave is prescribed one week at a time, patients are required to call the doctor, to ask for prolonged sick-leave a week at a time. |
| Blood test- glucose metabolism | From surgery to 2 years postoperatively | Glucose metabolism- |
| Blood test- Blood lipids | From surgery to 2 years postoperatively | Metabolic change lipids |
| Blood tests, Blood sugar | From surgery to 2 years postoperatively | HbA1c |
| Blood tests, fasting blood suger | From surgery to 2 years postoperatively | Fasting P-glucose |
| Complication rates | From inclusion to 30 days postoperatively | Anastomotic leakages, bleedings that require intervention, thrombosis, re-admissions and re-operations derived from the patient medical records |
| Weight | From surgery to 2 years postoperatively | Actual weight measured during clinical visits |
| General Quality of Life, QoL By EQ5D | From inclusion 1 year postoperatively | EQ5D, 5 questions with 3 different answers each (1 best value) leaving a 5 digit code which is transfered to a score from 0.3403-0.9694 |
| Gastrointestinal pain by Gastrointestinal Symptom Rating Scale (GSRS) | From inclusion 1 year postoperatively | Gastrointestinal Symptom Rating Scale, 16 questions rated on scales with 7 levels (a-low symptoms to g- worst symtoms) |
| Self reported co-morbidity | From inclusion 1 year postoperatively | Number of patients with diabetes and with dyslipidemia medications |
| Self reported medication because of co-morbidity | From inclusion 1 year postoperatively | Number of patients with medication because of diabetes, high blood pressure and dyslipidemia. |
| Blood tests | From surgery to 2 years postoperatively | Blood lipids |
| Length of stay | From surgery to discharge. On average two days | Days at hospital |
Countries
Sweden
Outcome results
None listed