title: Health-Related Fitness Improvements in Morbid Obese Patients After Laparoscopic Sleeve Gastrectomy: a Cohort Study.
abstract: Laparoscopic sleeve gastrectomy (LSG) has demonstrated high long-term effectiveness and major advantages over other techniques. The objective of this study was to analyze changes in physical fitness parameters in morbidly obese patients during 6 months after LSG.
  
  
  
  We conducted a descriptive observational study with 6-month follow-up in 72 LSG patients, evaluating changes in body mass index (BMI), functional capacity (6-min walking test), hand grip strength (manual dynamometry), flexibility (fingertip-to-floor test), balance (Flamingo test), physical activity level (International Physical Activity Questionnaire, IPAQ), and perception of general physical fitness (International Fitness Scale [IFIS] questionnaire).
  
  
  
  The ANOVA revealed significant improvements in BMI, functional capacity, flexibility, balance, and physical activity level (P < 0.001) at 6 months, with an improvement in the perception of physical fitness in most cases. No significant changes were found in dominant hand (P = 0.676) or non-dominant hand (P = 0.222) dynamometry. General physical fitness was positively correlated with BMI and distance in the 6-min test, and was negatively correlated with fingertip-to-floor distance.
  
  
  
  Morbidly obese patients showed major improvements at 6 months after LSG in functional capacity, balance, mobility, and physical activity, with no change in grip strength. These improvements were related to a better self-perception of general physical fitness.
authors: University Hospital Complex of Granada, Granada, Spain.
authors: Tania
authors: T
authors: Gallart-Aragón
authors: Department of Physical Therapy, Instituto Biosanitario Granada (IBS.Granada), Instituto Mixto Universitario Deporte y Salud (iMUDS), University of Granada, Avda. Ilustración 60, 18071, Granada, Spain. carolinafl@ugr.es.
authors: Carolina
authors: C
authors: Fernández-Lao
authors: Department of Physical Therapy, Instituto Mixto Deporte y Salud (iMUDS), University of Granada, Granada, Spain.
authors: Eduardo
authors: E
authors: Castro-Martín
authors: Department of Physical Therapy, Instituto Biosanitario Granada (IBS.Granada), Instituto Mixto Universitario Deporte y Salud (iMUDS), University of Granada, Avda. Ilustración 60, 18071, Granada, Spain.
authors: Irene
authors: I
authors: Cantarero-Villanueva
authors: University Hospital Complex of Granada, Granada, Spain.
authors: Antonio
authors: A
authors: Cózar-Ibáñez
authors: Department of Physical Therapy, Instituto Biosanitario Granada (IBS.Granada), Instituto Mixto Universitario Deporte y Salud (iMUDS), University of Granada, Avda. Ilustración 60, 18071, Granada, Spain.
authors: Manuel
authors: M
authors: Arroyo-Morales
mesh_terms: D000328:Adult; D015992:Body Mass Index; D015331:Cohort Studies; D015444:Exercise; D005260:Female; D005743:Gastrectomy / Q000379:methods; D018737:Hand Strength; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009767:Obesity, Morbid / Q000601:surgery*; D010809:Physical Fitness; D012649:Self Concept; D011795:Surveys and Questionnaires
keywords: Laparoscopic sleeve gastrectomy; Morbid obesity; Physical fitness