Promoting Physical Activity Among Bariatric Surgery Patients



Status:Active, not recruiting
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:18 - Any
Updated:4/29/2018
Start Date:November 2009
End Date:July 2020

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The purpose of the study is to address 3 main sets of questions in the bariatric surgery
population. 1) Does bariatric surgery, without any other intervention, lead to increased
physical activity and improved physical fitness? 2) Does wearing a pedometer lead to
increased physical activity in obese individuals prior to and/or after bariatric surgery?
Does the increased activity result in improvements in physical fitness? 3) Does physical
activity counseling increase physical activity prior to and or/after bariatric surgery? Does
the increased activity result in improvements in physical fitness? The overall goal of the
study is to determine the impact of bariatric surgery on physical activity and assess the
utility of additional interventions to help postoperative patients adopt a more active
lifestyle. Participants are randomized to usual care, pedometer use, or pedometer use plus
exercise counseling before and for the first 6 months after bariatric surgery. In an
extension of the primary study, from 1 to 5 years after surgery, all patients receive
exercise counseling. Physiological measures will be assessed to determine whether bariatric
surgery and/or improved physical activity levels result in improved physical fitness.

Bariatric surgery leads to improvement or resolution of a variety of health conditions. It is
also well established that physical activity, with or without weight loss, improves many
health-related problems and can have a positive impact on mood. Therefore, physical activity
may amplify the health and psychological benefits often experienced from bariatric surgery.
Prior to surgery many patients are relatively inactive due to physical and social barriers
associated with their weight. In addition, many patients find it difficult to adopt an active
lifestyle after surgery, despite an increased capacity to exercise. However, weight loss is
associated with physical activity after bariatric surgery. Nonetheless, little is known about
the most effective means to promote activity among this group of individuals. This study will
examine changes in physical activity and fitness after bariatric surgery and examine whether
the addition of pedometer use and exercise counseling may lead to greater improvements.

Inclusion Criteria:

- Morbidly obese patients planning to undergo bariatric surgery at the St. Vincent
Bariatric Center of Excellence

- Men and women 18 years and older

- The participant must be motivated to enroll in a study assessing physical activity
before and after bariatric surgery, able to understand and comply with the study, and
must agree to return for scheduled visits

- All participants must sign a written, informed consent

Exclusion Criteria:

- History of myocardial infarction within the past three months, unstable angina
pectoris, sustained or episodic cardiac arrhythmias that could be aggravated by
physical activity, symptomatic peripheral vascular disease, or any other medical
condition that the medically responsible investigator deems inappropriate.

- Abnormal electrocardiogram (ECG), assessed at the pretreatment screening visit that
the medically responsible investigator deems inappropriate for participation in a
physical activity program.

- Unable to progress toward 30 minutes of continuous walking during the 6 months of
study participation.
We found this trial at
1
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Carmel, IN
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