title: Understanding the Capacity for Exercise in Post-Bariatric Patients.
abstract: The aim of this study is to conduct a pilot randomized trial testing an exercise program specifically adapted for post-bariatric patients.
  
  
  
  A total of 51 post-bariatric patients, 6-24 months post-surgery, were randomly assigned to usual care control (n = 25) or the exercise intervention (n = 26). The intervention included twice weekly 60-min group exercise classes with functional strength, flexibility, and aerobic activities; at least 3 days per week of self-directed exercise; daily pedometer; recording of steps and activities; and weekly telephone counseling. There was also a 6-month maintenance period.
  
  
  
  Patients were 49 ± 12 years old, 84 % female, 59 % non-Hispanic white, with a BMI of 32.9 ± 5.7 kg/m2and percent excess BMI loss since surgery of 56 ± 35 %. Patients were 14 ± 5 months post-surgery. A total of 44 patients (86 %) completed both phases of the program and all assessments. The following measures improved significantly for intervention participants with no significant change in control participants: yards walked in 6 min, seconds for 8-foot up-and-go, number of arm curls, and distance in inches for chair sit-and-reach. Intervention changes remained after 6 months of maintenance.
  
  
  
  When compared to patients in usual care, a specially adapted exercise program for post-bariatric patients resulted in significant improvements in objectively monitored health outcomes. This program was delivered in a clinical setting and could be implemented in a variety of settings to improve health outcomes for post-bariatric patients.
authors.affiliation: Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91104, USA. Karen.J.Coleman@kp.org.
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Coleman
authors.affiliation: Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91104, USA.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Caparosa
authors.affiliation: School of Exercise and Nutrition Science, San Diego State University, San Diego, CA, USA.|Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Jeanne F
authors.initials: JF
authors.lastname: Nichols
authors.affiliation: Nutrition and Metabolic Research Center, Scripps Clinic, La Jolla, CA, USA.
authors.forename: Ken
authors.initials: K
authors.lastname: Fujioka
authors.affiliation: Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91104, USA.
authors.forename: Corinna
authors.initials: C
authors.lastname: Koebnick
authors.affiliation: Positive Choice Center, Kaiser Permanente Southern California, San Diego, CA, USA.
authors.forename: Kari N
authors.initials: KN
authors.lastname: McCloskey
authors.affiliation: Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91104, USA.
authors.forename: Anny H
authors.initials: AH
authors.lastname: Xiang
authors.affiliation: Division of Research, Kaiser Permanente, Oakland, CA, USA.
authors.forename: Eunis W
authors.initials: EW
authors.lastname: Ngor
authors.affiliation: School of Exercise and Nutrition Science, San Diego State University, San Diego, CA, USA.
authors.forename: Susan S
authors.initials: SS
authors.lastname: Levy
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000534:rehabilitation; D005081:Exercise Therapy; D017079:Exercise Tolerance / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D010865:Pilot Projects; D012307:Risk Factors; D057566:Self Report; D011795:Surveys and Questionnaires
keywords: Behavior change; Healthcare systems; Physical activity; Severe obesity; Weight loss surgery