morbid obesity
Conditions
Interventions
The intervention that is given to the intervention group is: 8 weeks of
prehabilitation, exercise two times a week in a group setting supervised by a
physiotherapist.
Sponsors
Flevoziekenhuis
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: Adult patients (>18 years) were eligible for inclusion if their body-mass index (BMI) was 40 kg/m2 or higher, or 35 kg/m2 or higher with the presence of at least one comorbidity (type 2 diabetes, high blood pressure, heart and / or vascular diseases, obstructive sleep apnea (OSA), dyslipidemia, or arthritis. For inclusion we will follow our National Guidelines on metabolic surgery.
Exclusion criteria
Exclusion criteria: previous bariatric surgery patients with/who: 1. mobility problems (patients who are not able to exercise) 2. cognitive disabilities 3. illiteracy (patients who are not able to read) 4. do not understand the Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The initial primary outcome will be preoperative physical condition by using the 6-minute walking test (6MWT). The 6MWT is measured at the beginning of the prehabilitation program (baseline) and after the prehabilitation program (group 1). For the control group the 6MWT is measured at baseline and after 2 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes will include the Comprehensive Complication Index (CCI) for post-operative outcome (Clavien-Dindo class III-V complications), length of hospital stay (LOS), preoperative weight loss, Excess Weight Loss (excess weight = actual weight * ideal weight ) and percentage excess BMI loss at 1 year postoperative, satisfaction of the prehabilitation program by an questionnaire and we will measure physical activity at baseline and 1 year postoperative with the NNGB questionaire. Furthermore we will measure health related Quality of Life with the RAND-36 questionnaire at baseline and 1 year postoperative. | — |
Countries
Netherlands
Contacts
Public ContactS Adel
Flevoziekenhuis
Outcome results
None listed