Summary of the best evidence for exercise scheme after bariatric and metabolic surgery in obese patients
10.3760/cma.j.cn115682-20201124-06378
- VernacularTitle:肥胖症患者减重代谢手术后运动方案的最佳证据总结
- Author:
Zhiwen LI
1
;
Kun LAN
;
Xiaowei ZHANG
;
Xuerui LYU
;
Xuejiao LEI
;
Yuru XU
;
Cuiping NI
;
Yingli PAN
Author Information
1. 中国医科大学附属第四医院护理部，沈阳 110032
- Keywords:
Obesity;
Bariatric and metabolic surgery;
Exercise;
Evidence-based nursing;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2021;27(19):2548-2555
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and summarize the best evidence for exercise scheme after bariatric and metabolic surgery in obese patients at home and abroad.Methods:We used "obesity" " bariatric and metabolic surgery" "sleeve gastrectomy" "gastric bypass surgery" "banding surgery" "exercise" "physical activity" "exercise therapy" "guideline" "expert consensus" "systematic review" "Meta-analysis" and "evidence summary" as keywords, and searched databases such as UpToDate, Cochrane Library, PubMed, China National Knowledge Infrastructure (CNKI) , Wanfang Data, and the guide network and professional association platforms by computer. Literature retrieved included guidelines, expert consensus, best clinical practice, clinical decision-making, systematic reviews, and the search time limit was from the database establishment to July 18, 2020. Two researchers evaluated the quality of literature and extracted evidence, and the evidence was revised and perfected through expert consultation.Results:A total of 4 systematic reviews and Meta-analysis articles, 2 clinical decision-making articles, 4 guidelines, and 1 expert consensus were included. The evidence was collected from 7 aspects, namely the importance of exercise, pre-exercise evaluation, exercise style, exercise intensity and duration, exercise safety, exercise follow-up, exercise effect evaluation, and finally 33 best evidences were summed up.Conclusions:Evidence of exercise scheme after bariatric and metabolic surgery in obese patients is comprehensive. Medical institutions and clinical medical and nursing staff can combine the institutional environment to transform and apply the evidence.
