title: Physical activity after surgery for severe obesity: the role of exercise cognitions.
abstract: BACKGROUND
  Physical activity after bariatric surgery is associated with sustained weight loss and improved quality of life. Some bariatric patients engage insufficiently in physical activity. This may be due to exercise cognitions, i.e., specific beliefs about benefits of and barriers to physical exercise. The aim of this study was to examine whether and to what extent both physical activity and exercise cognitions changed at 1 and 2 years post-surgery and whether exercise cognitions predict physical activity.
  
  
  METHODS
  Forty-two bariatric patients (38 women, 4 men; mean age 38 ± 8 years, mean body mass index prior to surgery 47 ± 6 kg/m(2)) filled out self-report instruments to examine physical activity and exercise cognitions pre- and post-surgery.
  
  
  RESULTS
  A large increase in physical activity and favorable changes in exercise cognitions were observed after surgery, viz. a decrease of fear of injury and embarrassment and an increase of the perception of exercise benefits and confidence in exercising. Perceiving less exercise benefits and having less confidence in exercising before surgery predicted less physical activity 2 years after surgery. High fear of injury 1 year after surgery predicted less physical activity 2 years after surgery.
  
  
  CONCLUSIONS
  After bariatric surgery, favorable changes in physical activity and beliefs about the benefits and barriers of exercising are observed. Our results suggest that targeting exercise cognitions before and after surgery might be relevant to improve physical activity.
authors.affiliation: Department of Allied Health Professions, Fontys University of Applied Sciences, P.O. Box 347, 5600 AH, Eindhoven, The Netherlands. e.wouters@fontys.nl
authors.forename: Eveline J
authors.initials: EJ
authors.lastname: Wouters
authors.forename: Junilla K
authors.initials: JK
authors.lastname: Larsen
authors.forename: Hanna
authors.initials: H
authors.lastname: Zijlstra
authors.forename: Bert
authors.initials: B
authors.lastname: van Ramshorst
authors.forename: Rinie
authors.initials: R
authors.lastname: Geenen
mesh_terms: D000328:Adult; D003071:Cognition; D015444:Exercise / Q000523:psychology*; D005260:Female; D015391:Gastroplasty; D006801:Humans; D008297:Male; D009043:Motor Activity; D009767:Obesity, Morbid / Q000601:surgery*; D011446:Prospective Studies; D011795:Surveys and Questionnaires