Effects Of Resistance Combined With Aerobic Training On Physical Function And Glucolipid Metabolism In Obese Women After Bariatric Surgery

Objective:Bariatric surgery is one of the more popular ways to reduce weight,and it can lead to significant weight loss and improvement of complications in obese patients.In this study,we observed the changes of physical function and glycolipid metabolism in obese patients after bariatric surgery through 4 weeks of exercise intervention and conventional postoperative management control,and explored the effects and differences of control and exercise on obese patients after surgery.To provide a reference basis for developing a scientific exercise program for obese patients after bariatric surgery.Methods:Seventeen obese female subjects who met the inclusion criteria were divided into two groups,namely,exercise group(n=8)and control group(n=9).The exercise group received on-line exercise intervention for four weeks,three times a week(training every other day),with 60 minutes each time.The control group did not participate in sports.Physical indicators were collected before and after the intervention.SPSS22.0 statistical software was used to process the experimental data before and after,and the experimental data were expressed by mean standard deviation(x±SD).Paired sample T test was used for comparison before and after the group,and independent sample T test was used for comparison between the groups when the data belonged to normal distribution.Non-normal distribution,using nonparametric Mann-Whitney U test.The significance level is set as P<0.05,and the very significance level is set as P<0.01.Result:Compared with the pre-test,weight,BMI,neck circumference(NC),waist circumference(WC)and hip circumference(HC)in the exercise and control groups were highly significantly reduced(P<0.01),and waist-to-hip ratio(WHR)in the exercise group was statistically significantly reduced(P<0.05),while WHR in the control group was not statistically different(P>0.05).ratio(WHR)decreased significantly in the exercise group(P<0.05),while WHR was not statistically different in the control group(P>0.05),and there was no statistical difference in the reduction of body weight,BMI,NC and WC between the two groups(P>0.05);the reduction effect of HC was better in the control group than in the exercise group(P<0.05);the improvement of WHR was better in the exercise group than in the control group(P<0.01).The decrease of trunk fat(TF)in the exercise group was better than that in the control group(P<0.05).The decrease in basal metabolic rate(BMR)was better in the exercise group than in the control group(P<0.05).Compared with the pre-test,there was no significant change in the quiet heart rate(HRrest)in the post-test of the control group(P>0.05),and a highly significant decrease in the exercise group(P<0.01),and there was no statistical difference in the systolic blood pressure(SDP)and diastolic blood pressure(DBP)between the two groups(P>0.05).Systolic blood pressure(SDP)and diastolic blood pressure(DBP)were not statistically different between the two groups(P>0.05).Six-minute walking test(6MWT),Sit-To-Stand test(STS),and Arm Curl Test(ACT)were significantly higher in both groups(P<0.01).There was no statistically significant difference between the exercise and control groups in terms of improvement in the six indices(P>0.05).Compared with the pre-test,the glucose metabolism indexes of both groups were improved.Fasting blood glucose(FBG)decreased significantly in the control group(P<0.01),while FBG did not change significantly in the exercise group(P>0.05),and the control group had a better effect in reducing FBG(P<0.01).Glycated hemoglobin(HbA1c)decreased very significantly in the control group(P<0.01),and there was no significant change in HbA1c in the exercise group(P>0.05),and there was no statistical difference between the two groups in reducing HbAlc(P>0.05).Fasting insulin(FINS),C peptide(CP)and insulin resistance index(Homeostatic model assessment for insulin resistance,HOMA-IR)were highly significantly decreased in both control and exercise groups(P<0.01)and insulin sensitivity index(ISI)increased significantly,and there was no statistically significant difference between the two groups in improving the above indexes(P>0.05).Total cholesterol(TC)and low-density lipoprotein cholesterol(LDL-C)were highly significantly decreased in both groups compared to the pre-test(P<0.01).There was no significant change in triglyceride(TG)in the control group(P>0.05)and a significant decrease in TG in the exercise group(P<0.05),and there was no statistical difference between the two groups in reducing TG(P>0.05).High-density lipoprotein cholesterol(HDL-C)decreased significantly in the control group(P<0.01),and there was an increasing trend in the exercise group(P>0.05),and the exercise group was better than the control group in improving HDL-C(P<0.01).Conclusion:(1)Both groups had an improvement effect on body composition,with the control group having a greater effect on WC reduction in subjects,and exercise having a more significant effect on reducing WHR and TF and delaying skeletal muscle loss and BMR reduction.(2)Both groups showed improvement in glucolipid metabolism,the control group had a greater effect on FBG reduction,but exercise could regulate the relative stability of FBG levels.Exercise was significantly effective in raising HDL-C.