The Effect of Roux-en-y Gastric Bypass Surgery on Fitness Parameters in Women with Morbid Obesity

Background: Obesity is widely considered as an important risk factor for impaired physical function and disability. Even mild to moderate weight loss has been shown to improve physical function. This study aimed to evaluate the effect of Roux-en-y gastric bypass (RYGB) surgery on some fitness parameters in women with morbid obesity. Methods: Seventytwowomenwithmorbidobesitybodywereincludedinthisstudy. TheywerefollowedforsixmonthsafterRYGB surgery. Somefitnessparametersincludingbodycomposition(usingbioelectricalimpedance),muscularstrength(legpressinlower limb and hand power grip in upper limb) and six minute walk test(6MWT) were evaluated before surgery and that at intervals of 1, 3 and 6 months after surgery. One way repeated measure ANOVA was applied to determine the data changes during the follow up period. Results: BMI and body weight of all samples declined constantly during 6 months follow up after surgery. Also, by the end of the study, the body fat percent decreased from 48.2 (3) to 36.4 (4) (P < 0.05). The distance which patients paced in 6MWT increased 22% during6monthsfollowup(P< 0.0001). Althoughhandgripandlegpressof theparticipantsdecreasedfollowingthegastricbypass surgery, the power grip/weight ratio and leg press /weight ratio improved significantly through the study (P < 0.0001). Conclusions: RYGB surgery may positively affect fitness parameters in morbid obese women. The endurance capacity, body composition and even muscle strength seem to be enhanced after gastric bypass surgery.