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Exercise after bariatric surgery
مقاله تخصصی

Exercise after bariatric surgery

3 weeks ago
308 بازدید
Dr. Mohammad Reza Abdul Hosseini

Dr. Mohammad Reza Abdul Hosseini

تهران

Endoscopic Surgery Fellowship (Laparoscopy)

Lady on treadmill running and exercising after bariatric surgery

Many of the people who bariatric surgery, they assume that the post-operative weight loss is simply less of a result. Absorption of calories or loss of appetite and consumption of less food. But in fact, exercise plays a very important role in stabilizing thinness, preventing complications slimming operation, improves general health and even improves mood. Let's examine why exercise is necessary after bariatric surgery. When should we start exercising? And what exercises are suitable for people after bariatric surgery?

The role of exercise after bariatric surgery

Why do doctors recommend exercise after bariatric surgery? Even if your action is by best bariatric surgeon has also been done, it is necessary to do sports by observing the necessary tips to maintain weight and slimness.

1- Stabilizing weight loss and preventing the return of obesity

After bariatric surgery (either sleeve operation, or gastric bypass surgery or any other surgery), the body naturally enters a phase of slimming and rapid weight loss. This weight loss is mainly due to a sharp reduction in food and calorie intake, but the body gets used to these new conditions and after a while, the weight loss rate slows down. This is where exercise comes in.

  • causes an increase in basal metabolic rate (BMR); It means that the body burns more calories even while resting.

  • Prevention of muscle wasting: If you don't exercise, the body will lose muscle in addition to fat, which will reduce metabolism.

  • People who regularly include exercise in their daily schedule, according to research, between 25 to 35% more than others have a stable weight loss and the possibility Back The weight after weight loss surgery is less in them.

For example, if a person reaches a stable weight 3 months after bariatric surgery and weight loss does not continue, incorporating daily aerobic exercise (eg brisk walking or stationary bike for 30 minutes) can reactivate weight loss.

2- Preventing skin loosening and muscle wasting

One of the concerns of people, Loose skin after weight loss surgery and a loose appearance of the body. When a lot of weight is lost in a short period of time, the skin does not have enough time to contract; Especially if there is no muscle under it to hold the structure of the skin from the inside.

  • Strength and resistance exercises help build new muscle.

  • Muscles are the tissues that support the skin and give the body a firmer appearance.

  • Even simple exercises such as squats or swedish swimming with body weight at home will eventually help maintain body shape.

+A person who has lost 40 kg of weight, if he does strength training such as working with light dumbbells or resistance bands 3 times a week, the probability of sagging skin will decrease by 40%.

Preventing skin sagging with exercise after bariatric surgery

3- Prevention of post-operative depression

In the first months after bariatric surgery, many patients face mood swings, feelings of confusion, lack of motivation and even mild or severe depression. This condition may be caused by rapid weight loss, hormonal changes, dietary restrictions, or even the fear of regaining the weight. What is the role of sports in this field?

  • secretion of endorphin, dopamine and serotonin with more physical activity will be These hormones are directly related to mood, relaxation and motivation.

  • Regular exercise makes a person feel have more control over his body and life.

  • Creating a sense of accomplishment (for example, walking 2 kilometers) in a person increases self-confidence.

How long should we start exercising after bariatric surgery?

First week: light movement and walking at home

At this stage, the goal is to prevent blood clots and increase blood circulation. Light walking at home, even for 5 to 10 minutes at a time, is recommended. Simple stretching movements can also be effective.

Second to fourth week: gradual increase in physical activity

In this period of time, a person can walk for 15 to 20 minutes daily and do breathing exercises. If there are no surgical complications, the doctor may allow more exercises to begin.

Second month onwards: start training

From the sixth week onwards, a person is usually ready to start strength training and gentle aerobics such as swimming, stationary bike, pilates or yoga. But it is still necessary to consult a doctor or physiotherapist.

What sports are suitable after bariatric surgery?

In choosing the type of exercise, three criteria should be considered: safety, effectiveness, and the possibility of maintaining and stabilizing weight.

type of sport safety level impact level Possibility of long-term preservation
walk very high Medium very high
Swimming top Top top
Yoga top Medium Medium
Resistance training Medium very high Medium
stationary bike top top top
Intensive aerobic exercise bottom very high bottom

Sample exercise program for the first months after bariatric surgery

Suppose Sarah, 35 years old, underwent gastric sleeve surgery and is now at the end of the second week. His suggested schedule for the third to sixth week could be as follows:

3rd to 4th week:

  • Daily 2 walks of 15 minutes at an average speed

  • Exercise deep breathing 3 times a day

  • Simple stretching movements (5 minutes)

5th to 6th week:

  • Walk 30 minutes a day

  • 3 light yoga sessions per week

  • Training with resistance bands (each session 15 minutes)

Patient exercising after bariatric surgery with the help of a doctor

4 exercise suggestions after bariatric surgery

In the following, we introduce some simple but practical movements that most patients can do after the doctor's approval:

1. Treadmill Incline Walk

If it is possible to use a treadmill, setting the incline to 3-5% and walking at a moderate speed for 15-20 minutes is an ideal choice.

2. Squat with body weight

To strengthen leg muscles and stabilize weight, this movement can be done without equipment. Just use the correct form.

3. Knee plank

To strengthen the central and abdominal muscles, the plank on the knees is more suitable than the full plank at the beginning and in the early months.

4. Diaphragmatic breathing exercise

While lying down or sitting, inhaling deeply through the nose and slowly exhaling through the mouth improves breathing capacity and relaxes the body.

Man squatting as an exercise after bariatric surgery

3 tips for starting exercise after bariatric surgery

1- Coordination with the doctor

No exercise program should be started without the approval of a surgeon or nutritionist. Hidden complications such as hernia, dehydration or anemia can make exercise dangerous.

2-Choosing suitable and anti-sweat clothing

Soft and breathable fabrics prevent wound irritation or sensitive areas. Sports shoes with good ankle support are also recommended.

3- Observance of nutrition before and after training

In post-surgery diets, sometimes there is not enough energy for exercise. Consuming light snacks such as bananas or protein smoothies can be helpful.

Common mistakes in exercise after bariatric surgery

  • Early start of strength training

  • Ignoring pain as a warning

  • Excessive exercise to lose weight faster

  • Exercise without enough water

  • Comparing yourself to others or blindly following internet programs

Answers to frequently asked questions about exercise after bariatric surgery

1. When can I go to the gym?

In most cases, from the sixth week onwards, you can go to the gym with your doctor's approval. First, you should start with light exercises.

2. Does a lot of exercise after weight loss surgery cause a drop in blood sugar?

Yes, especially in people on a restricted diet. It is better to have a light snack before exercise.

3. What should I do if I feel weak or dizzy?

Stop the exercise immediately, sit down and drink water or a light snack. If it happens again, consult a doctor.

4. Does exercise cause stitches to loosen?

This risk may exist if vigorous exercise or abdominal movements are performed prematurely. Observance of timing is very important.

5. When can you start abdominal exercises?

Usually after 2 months, but only if the suture site is well repaired. Knee planks or breathing exercises are a good start.

Summary

Exercise is not the only tool to burn calories; Rather, it is necessary to rebuild the body, maintain mental health, increase self-confidence and prevent weight gain. Whether you're fresh out of surgery or months in, the time to start exercising is now! Of course, with caution and guidance.

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