Obesity

Impact of nutritional‐behavioral and supervised exercise intervention following bariatric surgery: The BARI‐LIFESTYLE randomized controlled trial

Obesity (Silver Spring)Published Randomised controlled trial

Primary result · Percentage weight lossResult — go to the resultMean difference −0.8 % 95% CI −2.8 to 1.1

Authors' conclusion

An adjunctive lifestyle program implemented immediately after surgery had no favorable impact upon weight loss and health outcomes.

Study context

Population
Patients after bariatric surgery; 78.4% females, mean (SD) age 44.2 (10.6) years, BMI 42.4 (5.7) kg/m²
Participants
153 patients
Comparison
12-month adjunctive lifestyle intervention vs control after bariatric surgery
  • Interventionn = 79
  • Controln = 74reference
Primary endpoint
Percentage weight loss
Follow-up
6 months post surgery

Primary result

As reported in the abstract

Mean difference

−0.8 %

95% CI −2.8 to 1.1

P > 0.05

By group

Interventionvs Control
mean difference −0.8 % (95% CI −2.8 to 1.1); P > 0.05

Secondary outcomes

Secondary outcomes (body composition, physical activity, physical function and strength, HRQoL, depressive symptoms, comorbidities)

No between-group differences in secondary outcomes

Changes in entire cohort (longitudinal)

Significant reductions in body weight, fat mass, fat-free mass and BMD at total hip, femoral neck and lumbar spine
all p < 0.001
6-minute walk test, sit-to-stand test, HRQoL and depressive symptoms improved significantly
all p < 0.001
Time in moderate-to-vigorous physical activity and sedentary behavior unchanged from before surgery
both p > 0.05

Original publication

Impact of nutritional‐behavioral and supervised exercise intervention following bariatric surgery: The BARI‐LIFESTYLE randomized controlled trial. Obesity (Silver Spring). Published 6 July 2023. doi:10.1002/oby.23814

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