After Weight Loss Surgery: Exercise and Nutrition

Weight Loss Surgery and the benefits of Exercising

The Journal of the American College of Cardiology (2014;64:472-481), report says:

A prospective study showed that running for even 5 to 10 minutes a day, once or twice a week, or at slow speed was associated with substantial mortality. Runners overall had 30% and 45% lower adjusted risks of all-cause and cardiovascular disease mortality, respectively, over that period and had a life expectancy of 3 more years longer compared with non-runners. Running for less than 60 minutes a week, averaging out to about 8 minutes a day was associated with less causes of cardiovascular deaths.

This study may motivate healthy but sedentary iniduals to begin and continue running for substantial and attainable mortality benefits.

Clinical Implications

The effect of “just doing something at slightly higher intensity” was profound, commented Barry Franklin, PhD, director of preventive cardiology and cardiac rehabilitation in the Beaumont Health System in Royal Oak, Mich.

The message that some is better than none is important given that 40% to 80% of the global population remains sedentary despite known health benefits of physical activity, Chi Pang Wen, MD, DrPH, of Taiwan’s Institute of Population Health Sciences in Zhunan, and colleagues agreed in an accompanying editorial.

Running is clearly better than walking for the same amount of time in terms of mortality, although walking is probably safer and easier to sustain for those starting from zero, they noted. “One of the things patients frequently say to me is that they are too busy to get any exercise. Well, that’s true if you’re going to do something that takes a lot of time, like walking,” he told MedPage Today. “The most important thing … is just do it.” Although devising a customized exercise prescription for each patient may sound complicated, 15 minutes of brisk walking or 5 minutes of running is all it takes for most clinic patients. “A simple message, delivered with sincerity, needs to be repeated every time we encounter our patients. As doctors, we should ‘walk the talk,’ spending at least 15 min/day in dedicated exercise, while also advocating building a culture of physical activity around us. We do not need to be athletes to exercise — it should be part of our daily routines.”

Not running is almost as important as hypertension, accounting for 16% of all-cause and 25% of cardiovascular disease mortality.


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OCC’s epidemiologist is closely monitoring the COVID-19 status and is actively issuing updates as they are available. The Centers for Disease Control and the World Health Organization are the most trusted sources online.  While the CDC has announced new mask protocols for vaccinated individuals, there will be no changes for our office protocols for patients, guests, and staff members as the announcement does not apply to hospitals or medical facilities. Masks are still a requirement for all patients, guests and staff at our facility.

As we reinitiate weight loss surgery, we are constantly adapting and installing new and updated safety measures.

Weight loss surgery is medically necessary.

Bariatric Surgery and the clash of two pandemics.   

Major metabolic and bariatric surgery Societies and colleges globally are now calling for the safe resumption of bariatric and metabolic surgery before the COVID-19 pandemic is declared over. 

The sooner bariatric surgery can be safely performed, the quicker obesity, type 2 diabetes, and other diseases can be reduced or resolved as they are not only chronic they are also progressive.  Obesity is also linked to more than 40 diseases including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.

A recent statement from the ASMBS says “Before COVID-19 began, it was clear that patients with obesity were ‘safer through surgery.’ In the era of COVID-19, ‘safer through surgery’ for patients with obesity may prove to be even more important than before.” Obesity and Metabolic syndrome have been identified as an independent risk factor for adverse outcomes including death among COVID-19 patients.

See here for full COVID-19 update. 

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