| Prospective assessment of nutrition and exercise parameters before body contouring surgery: optimizing attainability in the massive weight loss population. | |
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MedLine Citation:
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PMID: 20335876 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A lower body mass index at the time of body contouring surgery can optimize surgical options and, ultimately, aesthetic results. With increased emphasis on preoperative evaluation of the massive weight loss patient, the interrelationships between nutrition and exercise on body mass indices have not been well defined. METHODS: One hundred thirty-three consecutive massive weight loss patients presented for body contouring. Two-week food logs, weekly exercise regimens, and body mass indices were measured. Outcome variables were assessed by univariate and multivariate analysis. RESULTS: One hundred fifteen women and 18 men presented, with a mean age of 46.5 +/- 11.0 years, a maximum body mass index of 52.8 +/- 10.6 kg/m2, current body mass index of 32.4 +/- 8.6, change in body mass index of 20.4 +/- 6.5, daily protein intake of 56.9 +/- 18.5 g, and mean exercise of 3.7 days/week. The mean change in body mass index for the bariatric surgery group was 20.9 +/- 6.4 versus 15.9 +/- 6.8 for the self-weight loss group (p = 0.01). Age correlated directly with current body mass index (p = 0.0031) and inversely with exercise (p = 0.0003). Change in body mass index was related to younger age (p = 0.0455), maximum body mass index (p < 0.0001), and bariatric surgery (p = 0.0016), but not protein intake. Exercise five or more times per week was associated with a larger change in body mass index and lower current body mass index (p < 0.0036) than exercising two or fewer times per week (p = 0.0292). CONCLUSIONS: Frequent exercise optimizes body mass index at the time of presentation for body contouring surgery. Further evaluation of the elements of diet will be required to determine its role. Thus, comprehensive post-bariatric surgery or lifestyle programs that promote exercise may increase surgical options and optimize results in body contouring surgery. |
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Authors:
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Peter F Koltz; Rui Chen; Susan Messing; Jeffrey A Gusenoff |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Plastic and reconstructive surgery Volume: 125 ISSN: 1529-4242 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-25 Completed Date: 2010-04-23 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1242-7 Citation Subset: AIM; IM |
Affiliation:
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Division of Plastic Surgery, Life after Weight Loss Program, and the Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY 14642, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bariatric Surgery* Body Mass Index Combined Modality Therapy Comorbidity Databases, Factual Diet Records Diet, Reducing* Dietary Proteins / administration & dosage Exercise* Female Humans Life Style Male Middle Aged Multivariate Analysis Obesity, Morbid / diet therapy*, epidemiology, surgery* Preoperative Care / methods Retrospective Studies Surgery, Plastic* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Dietary Proteins |
| Comments/Corrections | |
Comment In:
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Plast Reconstr Surg. 2010 Apr;125(4):1248-9
[PMID:
20335877
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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