The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

We aimed to assess if exercise applied after bariatric surgery (BS) improves bone mineral density (BMD) compared to usual care. Systematic search was conducted up to January 2021. Effect measures were determined using standardized mean difference (SMD) with 95% confidence interval (CI). Certainty ev...

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Bibliographic Details
Published in:Obesity surgery 2022-03, Vol.32 (3), p.912-923
Main Authors: Diniz-Sousa, Florêncio, Boppre, Giorjines, Veras, Lucas, Hernández-Martínez, Alba, Oliveira, José, Fonseca, Hélder
Format: Article
Language:English
Subjects:
Bones
Exercise
Gastrointestinal surgery
Medicine
Medicine & Public Health
Meta-analysis
Prevention
Review
Surgery
Systematic review
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Summary:We aimed to assess if exercise applied after bariatric surgery (BS) improves bone mineral density (BMD) compared to usual care. Systematic search was conducted up to January 2021. Effect measures were determined using standardized mean difference (SMD) with 95% confidence interval (CI). Certainty evidence was assessed according to GRADE. Four clinical trials encompassing 340 patients were included. Exercise induced a positive BMD effect at total hip (SMD = 0.37 [95% CI 0.02, 0.71]; very low certainty evidence), femoral neck (SMD = 0.63 [95% CI 0.19, 1.06]; low certainty evidence), lumbar spine (SMD = 0.41 [95% CI 0.19, 0.62]; low certainty evidence), and 1/3 radius (SMD = 0.58 [95% CI 0.19, 0.97]; low certainty evidence). Exercise undertaken after BS seems to induce a positive effect on BMD.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-021-05873-1