Influence of Adherence to Social Distancing Due to the COVID-19 Pandemic on Physical Activity Level in Post-bariatric Pa
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Influence of Adherence to Social Distancing Due to the COVID-19 Pandemic on Physical Activity Level in Post-bariatric Patients Diego A. N. Rezende 1 & Ana J. Pinto 1 & Karla F. Goessler 1 & Carolina F. Nicoletti 1,2 & Sofia M. Sieczkowska 1 & Kamila Meireles 1 & Gabriel P. Esteves 1 & Rafael Genario 1 & Gersiel N. Oliveira Júnior 1 & Marco A. Santo 3 & Roberto de Cleva 3 & Hamilton Roschel 1 & Bruno Gualano 1,4 Received: 17 August 2020 / Revised: 5 October 2020 / Accepted: 6 October 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract We assessed physical activity using accelerometers and a questionnaire in 33 post-bariatric patients who reported to be adherent (n = 15) or not (n = 18) to social distancing due to the COVID-19 pandemic. Patients adherent to social distancing spent more time in sedentary behavior (1.1 h/day, 0.1, 2.2; p = 0.045) and less time in moderate-to-vigorous physical activity (− 12.2 min/ day, − 23.8, − 0.6; p = 0.040) vs. non-adherent ones. Bland-Altman analysis comparing objective and subjective physical activity estimates showed a bias for time spent in sedentary behavior and moderate-to-vigorous activity of 2.8 h/day and 8.5 min/day. In conclusion, post-bariatric patients who were adherent to social distancing measures were more inactive and sedentary than nonadherent ones. Strategies to increase physical activity in post-bariatric patients exposed to social distancing are necessary during the COVID-19 pandemic. Keywords Moderate-to-vigorous physical activity . Sedentary behavior . Severe obesity
Introduction Bariatric surgery is an effective treatment for severe obesity, resulting in substantial weight loss, remission of type 2 diabetes, and improved overall cardiometabolic profile [1]. Weight loss often peaks 1 year following bariatric surgery, and then it is commonly followed by a partial and gradual weight regain
Diego A. N. Rezende and Ana J. Pinto equally contributed to the manuscript. * Bruno Gualano [email protected] 1
Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Arnaldo, 455, Pacaembu, São Paulo, SP 01246-903, Brazil
2
Departamento de Ciências da Saúde/Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
3
Department of Digestive Surgery, School of Medicine, University of Sao Paulo, São Paulo, Brazil
4
Food Research Center, University of Sao Paulo, São Paulo, SP, Brazil
after 2 years [1]. However, when physical activity is increased during the post-surgery period, patients may exhibit a superior initial weight loss and long-term weight maintenance, which is paralleled by sustained improvements in cardiometabolic health [1]. Despite the acknowledged benefits of increasing physical activity in the post-surgery period, most patients remain physically inactive and sedentary [2]. As of March 24, 2020, Sao Paulo government adopted a set of social di
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