مقایسه‌تاثیر ورزش درمانی تحت نظر با ورزش درمانی در منزل بر شاخصهای آنتروپومتریک و ظرفیت هوازی در بیماران تحت جراحی لاپروسکوپیک گاستریک بای پس

Background: Limited studies have evaluated the physical activity, especially the type of exercise, after bariatric surgery. In this study, we aimed to assess the effect of exercise therapy on weight indices and cardiovascular factors in patients who have undergone laparoscopic gastric bypass. Methods: This study is a randomized clinical trial in which 80 obese patients, referring to Obesity Clinic of Hazrat-e-Rasoul Hospital from July 2011 to July 2013, were randomly assigned into two groups (in-home base and supervised exercise therapy) one month after gastric bypass surgery. Cardiovascular factors, weight, waist and hip circumference evaluated at baseline and six months after surgery. Results: Intergroup analysis of weight and waist circumference before and after intervention showed significant decrease in both groups (p<0.001). Intergroup analysis of aerobic capacity showed also significant difference between the two groups, including significant improvement in weight indices, oxygen consumption, heart rate after 6-MWT after supervised exercise programs, compared with home-based exercise (p<0.001). Also, the changes in weight loss, waist circumference and BMI were more significant in supervised exercise programs than the other group (p<0.001). Conclusion: The two supervised and home-based exercise can be successfully used in improvement of the studied parameters. Yet, the supervised exercise is more effective in increasing physical activity and exercise, due to complications after surgery for obese patients, especially in the first few months after surgery. &nbsp; &nbsp;