Prehabilitation for Bariatric Surgery: A Randomized, Controlled Trial Protocol and Pilot Study

Bariatric surgery is the most efficacious treatment for obesity, though it is not free from complications. Preoperative conditioning has proved beneficial in various clinical contexts, but the evidence is scarce on the role of prehabilitation in bariatric surgery. We describe the protocol and pilot...

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Bibliographic Details
Published in:Nutrients 2021-08, Vol.13 (9), p.2903
Main Authors: García-Delgado, Yaiza, López-Madrazo-Hernández, María José, Alvarado-Martel, Dácil, Miranda-Calderín, Guillermo, Ugarte-Lopetegui, Arantza, González-Medina, Raúl Alberto, Hernández-Lázaro, Alba, Zamora, Garlene, Pérez-Martín, Nuria, Sánchez-Hernández, Rosa María, Ibarra-González, Adriana, Bengoa-Dolón, Mónica, Mendoza-Vega, Carmen Teresa, Appelvik-González, Svein Mikael, Caballero-Díaz, Yurena, Hernández-Hernández, Juan Ramón, Wägner, Ana María
Format: Article
Language:English
Subjects:
Body weight loss
Complications
Conditioning
Consent
COVID-19
Diabetes
Education
Exercise
Gastrointestinal surgery
Hospitals
Intervention
Mortality
Muscles
Obesity
Patients
Physical activity
Physical fitness
Quality of life
Recovery (Medical)
Spirometry
Surgery
Surgical outcomes
Weight control
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Summary:Bariatric surgery is the most efficacious treatment for obesity, though it is not free from complications. Preoperative conditioning has proved beneficial in various clinical contexts, but the evidence is scarce on the role of prehabilitation in bariatric surgery. We describe the protocol and pilot study of a randomized (ratio 1:1), parallel, controlled trial assessing the effect of a physical conditioning and respiratory muscle training programme, added to a standard 8-week group intervention based on therapeutical education and cognitive-behavioural therapy, in patients awaiting bariatric surgery. The primary outcome is preoperative weight-loss. Secondary outcomes include associated comorbidity, eating behaviour, physical activity, quality of life, and short-term postoperative complications. A pilot sample of 15 participants has been randomized to the intervention or control groups and their baseline features and results are described. Only 5 patients completed the group programme and returned for assessment. Measures to improve adherence will be implemented and once the COVID-19 pandemic allows, the clinical trial will start. This is the first randomized, clinical trial assessing the effect of physical and respiratory prehabilitation, added to standard group education and cognitive-behavioural intervention in obese patients on the waiting list for bariatric surgery. Clinical Trial Registration: NCT0404636.
ISSN:2072-6643
2072-6643
DOI:10.3390/nu13092903