Real Life Changes in Physical Activity Due to Intragastric Balloon Therapy and Their Relationship to Improving Cognitive
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Real Life Changes in Physical Activity Due to Intragastric Balloon Therapy and Their Relationship to Improving Cognitive Functions: Preliminary Findings Agata P. Gaździńska 1 & Aleksandra Mojkowska 2,3 & Michał Janewicz 4 & Marek Binder 5 & Piotr Zieliński 6 & Stefan P. Gazdzinski 7
# The Author(s) 2020
Abstract Background We evaluated if the intragastric balloon (IGB) treatment leads to the increase in physical activity (PA) and whether they are related to cognitive improvements. Methods Fourteen morbidly obese patients (151 ± 24 kg, BMI = 51.8 ± 6.5, 107 ± 26% excess weight, 43.3 ± 10.6 years) underwent 6-day-long, uninterrupted evaluations of PA 1 month before IGB insertion and 1 month after its removal. Results Active energy expenditure and physical activity duration increased by more than 80% (p < 0.001) whereas the number of steps per day by 20% (p = 0.016). There was a pattern of relationships between cognitive improvements and increases in PA (p < 0.05). In particular, working memory improvements correlated with the increase in time spent on light physical activities (r = 0.673, p = 0.004). Conclusion The relationships suggest that an increase in physical activity mediates cognitive improvements in bariatric patients. Keywords Physical activity . Intragastric balloon . Endoscopic bariatric therapy . Weight reduction . Cognitive functions . Obesity
Introduction Endoscopic insertion of the intragastric balloon (IGB) is a minimally invasive procedure leading to premature satiation, prolonged satiety, and influences the hormone levels regulating energy balance [1–7] The weight reductions induced by IGB are retained by a relatively low number of patients over * Aleksandra Mojkowska [email protected] Agata P. Gaździńska [email protected]
longer periods after its removal [1, 8–10]. As physical activity (PA) plays an important role in promoting long-term weight maintenance [11], we have evaluated changes in PA accompanying IGB treatment. Weight loss is associated with improvement in cognitive functions among overweight, obese [12], and morbidly obese patients [13–15]. Previously, we have reported improvements 1
Department of Nutrition and Obesity, Military Institute of Aviation Medicine, 54/56 Krasinskiego str, 01-755 Warsaw, Poland
2
Department of Surgery, Military Institute of Aviation Medicine, 54/ 56 Krasinskiego str, 01-755 Warsaw, Poland
3
Department of General, Gastroenterological and Oncological Surgery Collegium Medicum, Nicolaus Copernicus University, St. Joseph’s St. 53-59, 87-100 Torun, Poland
4
SWPS University of Social Sciences and Humanities, Chodakowska 19/31, 03-815 Warsaw, Poland
5
Department of Psychophysiology, Jagiellonian University, Kraków, Poland
6
Department of Psychology, Military Institute of Aviation Medicine, 54/56 Krasinskiego str, 01-755 Warsaw, Poland
7
Department of Neurosciences, Military Institute of Aviation Medicine, 54/56 Krasinskiego str, 01-755 Warsaw, Poland
Michał Janewicz [email protected] Marek Binder [email protected]
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