为期 6 个月的体育锻炼行为干预对代谢性减肥手术后患者的影响:随机对照试验

IF 3.5 3区 医学 Q1 SURGERY Surgery for Obesity and Related Diseases Pub Date : 2024-08-13 DOI:10.1016/j.soard.2024.08.017
Haya Subhi R.N., M.P.H. , Orly Manor Ph.D. , Ram Elazary M.D. , Dunia Kaluti R.D. , Tair Ben-Porat R.D., M.P.H., Ph.D.
{"title":"为期 6 个月的体育锻炼行为干预对代谢性减肥手术后患者的影响:随机对照试验","authors":"Haya Subhi R.N., M.P.H. ,&nbsp;Orly Manor Ph.D. ,&nbsp;Ram Elazary M.D. ,&nbsp;Dunia Kaluti R.D. ,&nbsp;Tair Ben-Porat R.D., M.P.H., Ph.D.","doi":"10.1016/j.soard.2024.08.017","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Promoting habitual physical activity (PA) among bariatric patients is crucial for long-term surgery success, yet it poses a significant challenge for healthcare practitioners.</div></div><div><h3>Objectives</h3><div>This randomized controlled trial (RCT) aimed to examine the effectiveness of a theory-based behavioral intervention on PA level in post-metabolic bariatric surgery (MBS) patients.</div></div><div><h3>Setting</h3><div>University Hospital, Israel</div></div><div><h3>Methods</h3><div>Forty-four patients undergoing MBS were randomized to the intervention (n = 22) or control group (n = 22). The intervention group received a 6-month PA counseling program based on self-determination theory (SDT) and the 5 A’s framework, while the control group received usual care. PA level and self-efficacy for exercise (SEE) were assessed pre- (baseline, preintervention) and postoperatively (14 and 28 weeks follow-ups). Anthropometrics, physical function, cardiovascular, and biochemical outcomes were measured at all time points.</div></div><div><h3>Results</h3><div>The intervention group showed greater increases in PA levels across time compared to the control group. A significant increase in step counts from baseline to 14 weeks was observed (<em>P</em> = .003). Significant differences favoring the intervention group were observed in self-reported PA changes from baseline to 14- and 28-week follow-ups (<em>P</em> = .020 and <em>P</em> = .024, respectively). Additionally, Physical function, as assessed by the 6-minute walk test (6MWT) and the 5 sit-to-stand (5STS) test, significantly improved in the intervention group throughout the follow-up period (<em>P</em> &lt; .05 for all), However, no between-group differences were observed in SEE, anthropometrics, cardiovascular, or biochemical parameters.</div></div><div><h3>Conclusions</h3><div>A 6-month behavioral intervention post-MBS significantly enhanced patients' PA levels and physical function. Given its theory-based approach and structured protocol, this intervention could be disseminated to support MBS clinicians and centers. Further research with longer follow-up period is warranted to confirm these findings and assess the long-term effects.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.5000,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of a 6-month physical activity behavioral intervention in patients following metabolic bariatric surgery: a randomized controlled trial\",\"authors\":\"Haya Subhi R.N., M.P.H. ,&nbsp;Orly Manor Ph.D. ,&nbsp;Ram Elazary M.D. ,&nbsp;Dunia Kaluti R.D. ,&nbsp;Tair Ben-Porat R.D., M.P.H., Ph.D.\",\"doi\":\"10.1016/j.soard.2024.08.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Promoting habitual physical activity (PA) among bariatric patients is crucial for long-term surgery success, yet it poses a significant challenge for healthcare practitioners.</div></div><div><h3>Objectives</h3><div>This randomized controlled trial (RCT) aimed to examine the effectiveness of a theory-based behavioral intervention on PA level in post-metabolic bariatric surgery (MBS) patients.</div></div><div><h3>Setting</h3><div>University Hospital, Israel</div></div><div><h3>Methods</h3><div>Forty-four patients undergoing MBS were randomized to the intervention (n = 22) or control group (n = 22). The intervention group received a 6-month PA counseling program based on self-determination theory (SDT) and the 5 A’s framework, while the control group received usual care. PA level and self-efficacy for exercise (SEE) were assessed pre- (baseline, preintervention) and postoperatively (14 and 28 weeks follow-ups). Anthropometrics, physical function, cardiovascular, and biochemical outcomes were measured at all time points.</div></div><div><h3>Results</h3><div>The intervention group showed greater increases in PA levels across time compared to the control group. A significant increase in step counts from baseline to 14 weeks was observed (<em>P</em> = .003). Significant differences favoring the intervention group were observed in self-reported PA changes from baseline to 14- and 28-week follow-ups (<em>P</em> = .020 and <em>P</em> = .024, respectively). Additionally, Physical function, as assessed by the 6-minute walk test (6MWT) and the 5 sit-to-stand (5STS) test, significantly improved in the intervention group throughout the follow-up period (<em>P</em> &lt; .05 for all), However, no between-group differences were observed in SEE, anthropometrics, cardiovascular, or biochemical parameters.</div></div><div><h3>Conclusions</h3><div>A 6-month behavioral intervention post-MBS significantly enhanced patients' PA levels and physical function. Given its theory-based approach and structured protocol, this intervention could be disseminated to support MBS clinicians and centers. Further research with longer follow-up period is warranted to confirm these findings and assess the long-term effects.</div></div>\",\"PeriodicalId\":49462,\"journal\":{\"name\":\"Surgery for Obesity and Related Diseases\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2024-08-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgery for Obesity and Related Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1550728924007366\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery for Obesity and Related Diseases","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1550728924007366","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

促进肥胖症患者养成体育锻炼(PA)的习惯对于手术的长期成功至关重要,但这对医疗从业人员来说却是一项巨大的挑战。这项随机对照试验(RCT)旨在研究基于理论的行为干预对代谢性减肥手术(MBS)术后患者体育锻炼水平的影响。以色列大学医院 44 名接受代谢性减肥手术的患者被随机分配到干预组(22 人)或对照组(22 人)。干预组接受为期 6 个月的以自我决定理论(SDT)和 5 A 框架为基础的 PA 辅导计划,而对照组则接受常规护理。对干预前(基线,干预前)和干预后(14 周和 28 周随访)的运动量和运动自我效能(SEE)进行评估。在所有时间点都对人体测量学、身体功能、心血管和生化结果进行了测量。与对照组相比,干预组在不同时间段的运动量增加幅度更大。从基线到 14 周,观察到步数明显增加 ( = .003)。从基线到 14 周和 28 周的随访期间,干预组在自我报告的运动量变化方面有明显差异(分别为 = .020 和 = .024)。此外,通过 6 分钟步行测试 (6MWT) 和 5 次坐立测试 (5STS) 评估,干预组在整个随访期间的身体机能明显改善(均小于 0.05),但在 SEE、人体测量、心血管或生化指标方面未观察到组间差异。MBS后为期6个月的行为干预显著提高了患者的PA水平和身体功能。鉴于其基于理论的方法和结构化的方案,该干预措施可用于支持MBS临床医生和中心。为了证实这些研究结果并评估其长期效果,有必要进行更长时间的随访研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Effects of a 6-month physical activity behavioral intervention in patients following metabolic bariatric surgery: a randomized controlled trial

Background

Promoting habitual physical activity (PA) among bariatric patients is crucial for long-term surgery success, yet it poses a significant challenge for healthcare practitioners.

Objectives

This randomized controlled trial (RCT) aimed to examine the effectiveness of a theory-based behavioral intervention on PA level in post-metabolic bariatric surgery (MBS) patients.

Setting

University Hospital, Israel

Methods

Forty-four patients undergoing MBS were randomized to the intervention (n = 22) or control group (n = 22). The intervention group received a 6-month PA counseling program based on self-determination theory (SDT) and the 5 A’s framework, while the control group received usual care. PA level and self-efficacy for exercise (SEE) were assessed pre- (baseline, preintervention) and postoperatively (14 and 28 weeks follow-ups). Anthropometrics, physical function, cardiovascular, and biochemical outcomes were measured at all time points.

Results

The intervention group showed greater increases in PA levels across time compared to the control group. A significant increase in step counts from baseline to 14 weeks was observed (P = .003). Significant differences favoring the intervention group were observed in self-reported PA changes from baseline to 14- and 28-week follow-ups (P = .020 and P = .024, respectively). Additionally, Physical function, as assessed by the 6-minute walk test (6MWT) and the 5 sit-to-stand (5STS) test, significantly improved in the intervention group throughout the follow-up period (P < .05 for all), However, no between-group differences were observed in SEE, anthropometrics, cardiovascular, or biochemical parameters.

Conclusions

A 6-month behavioral intervention post-MBS significantly enhanced patients' PA levels and physical function. Given its theory-based approach and structured protocol, this intervention could be disseminated to support MBS clinicians and centers. Further research with longer follow-up period is warranted to confirm these findings and assess the long-term effects.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
6.70
自引率
12.90%
发文量
570
审稿时长
56 days
期刊介绍: Surgery for Obesity and Related Diseases (SOARD), The Official Journal of the American Society for Metabolic and Bariatric Surgery (ASMBS) and the Brazilian Society for Bariatric Surgery, is an international journal devoted to the publication of peer-reviewed manuscripts of the highest quality with objective data regarding techniques for the treatment of severe obesity. Articles document the effects of surgically induced weight loss on obesity physiological, psychiatric and social co-morbidities.
期刊最新文献
Editorial Board Table of Contents SOARD Category 1 CME Credit Featured Articles, Volume 20, November 2024 Cartoon Editorial Board
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1