Physical activity in women attending a dissonance-based intervention after Roux-en-Y Gastric Bypass: A 2-year follow-up of a randomized controlled trial

• Published in: PloS one 2021-11, Vol.16 (11), p.e0255556-e0255556
• Main Authors: Possmark, Sofie, Sellberg, Fanny, Ghaderi, Ata, Tynelius, Per, Willmer, Mikaela, Rasmussen, Finn, Persson, Margareta, Berglind, Daniel
• Format: Article
• Language: English
• Subjects: Accelerometers; Adult; Behavior; Biology and Life Sciences; Body mass; Body Mass Index; Body size; Clinical trials; Complications and side effects; Consent; Engineering and Technology; Epidemiology; Exercise; Female; Follow-Up Studies; Gastric Bypass; Gastrointestinal surgery; Health aspects; Health care; Humans; Intervention; Medicin och hälsovetenskap; Medicine and Health Sciences; Middle Aged; Patient outcomes; Patients; Physical activity; Physical fitness; Public health; Quality of Life; Social Sciences; Statistical analysis; Surgery; Sweden; Systematic review; Women
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0255556

The majority of Roux-en-Y gastric bypass (RYGB) patients are not sufficiently physically active post-surgery, yet little support from the Swedish healthcare system is offered. We investigated if a dissonance-based group intervention, aiming to increase health-related quality of life after surgery, had any effect on patients' physical activity two years post-RYGB. Women undergoing RYGB surgery were recruited from five Swedish hospitals and randomized to intervention or control group (standard post-surgery care). The dissonance-based intervention was conducted three months post-RYGB and consisted of four group sessions, each with a specific topic, of which one addressed physical activity. ActiGraph GT3X+ accelerometers were used to measure physical activity at pre-RYGB, one- and two-years post-surgery. At pre-RYGB, 259 women were recruited and randomized (intervention n = 156 and control n = 103). Participants had a mean age of 44.7 years (SD 10.3) and pre-RYGB body mass index of 40.8 (SD 4.5) kg/m2. At two-years follow-up, 99 participants (63.5%) in intervention group and 68 (66.0%) in control group had valid accelerometer-measurements. Pre- to post-surgery increases were seen in all physical activity outcomes, but no statistically significant differences between the groups were observed at the two-years follow-up, and intervention effects were poor (d = 0.02-0.35). To our knowledge, this is the first dissonance-based intervention targeting women undergoing RYGB surgery. At two-years follow-up, we did not observe any differences in physical activity levels between the intervention group and control group. Trial registration number: ISRCTN16417174.