title: Impact of excess skin from massive weight loss on the practice of physical activity in women.
abstract: BACKGROUND
  Over 70% of people who undergo bariatric surgery (BS) develop excess skin (ES). The physical and psychosocial consequences of ES may become a barrier to the practice of physical activity (PA), which is highly recommended to optimize the results of BS. The purpose of this study was to evaluate the impact of ES on the practice of PA in women who have undergone BS.
  
  
  METHODS
  Questionnaires administered to 26 women having undergone BS 2 ± 0.2 years before (BMI = 29.1 ± 0.8 kg/m2) evaluated the impacts of ES, the practice of PA, physical self-perception, and physical exercise beliefs. We also used the 6-min walking test and muscular endurance tests to evaluate physical fitness and photographs with anatomical markers to quantify ES.
  
  
  RESULTS
  Of the women, 76.9% declared mobility limitations due to ES during the practice of PA and 45.2% stated avoiding PA because of ES which caused flapping and unwelcome stares from others. The women who stated that they avoided PA because of ES had significantly lower physical self-perception and physical fitness and reported experiencing more embarrassment during PA despite no significant difference in the magnitude of ES (p = 0.06), BMI, daily life inconveniences, and energy expenditure compared to those women who did not avoid PA.
  
  
  CONCLUSIONS
  Although ES after BS is a barrier to the practice of PA for some women, it does not in itself prevent the regular practice of PA. The main reason women with ES avoid PA seems to have less to do with the magnitude of ES itself and more with psychosocial inconveniences.
authors.affiliation: Étienne-LeBel Clinical Research Center of the Centre Hospitalier Universitaire de Sherbrooke, 3001, 12e avenue Nord, Sherbrooke, QC, Canada, J1H 5N4.
authors.forename: A
authors.initials: A
authors.lastname: Baillot
authors.forename: M
authors.initials: M
authors.lastname: Asselin
authors.forename: E
authors.initials: E
authors.lastname: Comeau
authors.forename: A
authors.initials: A
authors.lastname: Méziat-Burdin
authors.forename: M-F
authors.initials: MF
authors.lastname: Langlois
mesh_terms: D061645:Abdominoplasty; D000223:Adaptation, Psychological; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000523:psychology; D015992:Body Mass Index; D037001:Directive Counseling; D004734:Energy Metabolism; D015444:Exercise / Q000523:psychology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009043:Motor Activity; D009767:Obesity, Morbid / Q000150:complications / Q000523:psychology / Q000601:surgery*; D010819:Physician's Role; D010865:Pilot Projects; D011788:Quality of Life; D011792:Quebec / Q000453:epidemiology; D012649:Self Concept; D012720:Severity of Illness Index; D012752:Shame; D057545:Social Stigma; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015431:Weight Loss