Self-Reported and Objective Physical Activity in Postgastric Bypass Surgery, Obese and Lean Adults: Association With Body Composition and Cardiorespiratory Fitness

in Journal of Physical Activity and Health
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Background:

This study aimed to 1) describe physical activity (PA) in 15 post gastric bypass surgery (GB), 16 obese (Ob), and 14 lean (L) participants (mean ± se: age = 37.1 ± 1.6, 30.8 ± 1.9, 32.7 ± 2.3 yrs.; BMI = 29.7 ± 1.2, 38.2 ± 0.8, 22.9 ± 0.5 kg/m2, respectively); and 2) test associations between PA, body composition, and cardiorespiratory fitness (VO2max).

Methods:

Participants completed a PA questionnaire after wearing accelerometers from 5–7 days. Body composition was determined with DEXA and CT scans, and VO2max with open circuit spirometry. ANOVA was used to detect differences between groups, and linear regressions to evaluate associations between PA (self-reported, accelerometer), body composition, and VO2max.

Results:

Self-reported moderate to vigorous PA (MVPA) in GB, Ob, and L participants was 497.7 ± 215.9, 988.6 ± 230.8, and 770.7 ± 249.3 min/week, respectively (P = .51); accelerometer MVPA was 185.9 ± 41.7, 132.3 ± 51.1, and 322.2 ± 51.1 min/week, respectively (P = .03); and steps/day were 6647 ± 141, 6603 ± 377, and 9591 ± 377, respectively (P = .03). Ob showed a marginally higher difference between self-report and accelerometer MVPA (P = .06). Accelerometer-MVPA and steps/day were inversely associated with percent fat (r = –0.53, –0.46), and abdominal fat (r = –0.36, –0.40), and directly associated with VO2max (r = .36).

Conclusions:

PA was similar between GB and Ob participants, and both were less active than L. Higher MVPA was associated with higher VO2max and lower body fat.

Ramirez-Marrero is with the Dept of Physical Education, University of Puerto Rico, San Juan, Puerto Rico. Miles is with the Dept of Endocrinology, Mayo Clinic, Rochester, MN. Joyner and Curry are with the Dept of Anesthesiology, Mayo Clinic, Rochester, MN.