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Effects of Resistance Training With or Without Protein Supplementation on Body Composition and Resting Energy Expenditure in Patients 2-7 Years PostRoux-en-Y Gastric Bypass: a Controlled Clinical Trial.

Obesity surgery
April 1, 2021
Fernando Lamarca et al. (8 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the effects of resistance training (RT) and protein supplementation, alone and combined, on body composition and resting energy expenditure (REE) in the late postoperative period of Roux-en-Y gastric bypass (RYGB).

Results Summary

Combined RT and protein supplementation increased fat-free mass (FFM) and skeletal muscle mass (SMM) without altering REE. These strategies improved muscle-related parameters and potentially enhanced physical function.

Population

Patients 2-7 years post-RYGB, partially matched on BMI, age, sex, and years after surgery.

Effective Dosage

Whey protein supplementation (specific dosage not mentioned).

Duration

Not specified in the abstract.

Interactions

None mentioned.

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Resistance training (RT) combined with whey protein supplementation
increase
fat-free mass (FFM)
patients in the late postoperative period of Roux-en-Y gastric bypass (RYGB)
-
can increase
#1
Resistance training (RT) combined with whey protein supplementation
increase
skeletal muscle mass (SMM)
patients in the late postoperative period of Roux-en-Y gastric bypass (RYGB)
-
can increase
#2
Resistance training (RT) combined with whey protein supplementation
no change
resting energy expenditure (REE)
patients in the late postoperative period of Roux-en-Y gastric bypass (RYGB)
-
without changing
#3
Resistance training (RT) combined with whey protein supplementation
increase
muscle-related parameters
patients in the late postoperative period of Roux-en-Y gastric bypass (RYGB)
-
effective in improving
#4
Resistance training (RT) combined with whey protein supplementation
increase
the patients' physical function
patients in the late postoperative period of Roux-en-Y gastric bypass (RYGB)
-
potentially in improving
#5
Abstract

BACKGROUND: Resistance training (RT) and adequate protein intake are recommended as strategies to preserve fat-free mass (FFM) and resting metabolic demand after bariatric surgery. However, the effect of both interventions combined in the late postoperative period is unclear. This study investigated the effects of RT, isolated and combined with protein supplementation, on body composition and resting energy expenditure (REE) in the late postoperative period of Roux-en-Y gastric bypass (RYGB). METHODS: This controlled trial involved patients who were 2-7 years postRYGB. Participants were partially matched on body mass index (BMI), age, sex, and years after surgery, and divided into four groups, placebo maltodextrin (control [CON]; n = 17), whey protein supplementation (PRO; n = 18), RT combined with placebo (RTP; n = 13), and RT combined with whey protein supplementation (RTP + PRO; n = 15)-considering the participants who completed the protocol. REE was measured by indirect calorimetry and body composition by multifrequency electrical bioimpedance. RESULTS: Participant characteristics (40.3 ± 8.3 years old; average BMI 29.7 ± 5.3 kg/m CONCLUSION: Combined RT and adequate protein intake via supplementation can increase FFM and SMM in the late postoperative period without changing REE. These associated strategies were effective in improving muscle-related parameters and potentially in improving the patients' physical function.

Medical Subject Headings (MeSH)
AdultBody CompositionDietary SupplementsEnergy MetabolismFemaleGastric BypassHumansMaleMiddle AgedObesity, MorbidResistance TrainingWeight Loss
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations14
Citations/Year3.5
Relative Citation Ratio1.84
NIH Percentile72%
Research Impact Scores
APT Score0.75
Weight Score2.43
Normalized Score0.69
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