Obesity

Long‐Term Benefit of Gastric Bypass Surgery on Fitness

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

An initially dramatic fitness benefit achieved with weight loss in MBS patients gradually declined but remained higher than non-surgery counterparts beyond a decade. An emphasis on physical activity may help sustain improved fitness after bariatric surgery.

Study context

Population
Metabolic and bariatric surgery (MBS) patients and comparable non-surgery participants from the Utah Obesity Study97 did maximal tests
Participants
170 patients
Exposure
MBS vs non-surgery
  • SURGn = 82
  • NSURGn = 88reference
Outcome
Fitness: treadmill time (submaximal and maximal treadmill tests, modified Bruce protocol)
Follow-up
Baseline and 11.5 years
Methodological detailssubset of the Utah Obesity Study
  • Subset of the Utah Obesity Study

Main finding

As reported in the abstract

Treadmill time, adjusted for sex, baseline treadmill time and weight · all follow-up visits over 11.5 years
  • Treadmill time elevated with SURG vs NSURG at all follow-up visits; fitness advantage gradually decreased over time
  • SURG vs NSURG: P < 0.01

Observational data: associations, not effects.

Further findings

OutcomeP value
BMI and weight · all follow-up visitsLower with SURGP < 0.0001

BMI and weight · all follow-up visits

SURG had lower BMI and weight than NSURG at all follow-up visits

Original publication

Long‐Term Benefit of Gastric Bypass Surgery on Fitness. Obesity (Silver Spring). Published 8 October 2025. doi:10.1002/oby.70048

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