Hogeschool van Amsterdam

Urban Vitality

Physical Activity After Surgery for Severe Obesity: The Role of Exercise Cognitions

Article

<b>Background</b><br/>Physical activity after bariatric surgery is associated with sustained weight loss and improved quality of life. Some bariatric patients engage insufficiently in physical activity. This may be due to exercise cognitions, i.e., specific beliefs about benefits of and barriers to physical exercise. The aim of this study was to examine whether and to what extent both physical activity and exercise cognitions changed at 1 and 2 years post-surgery and whether exercise cognitions predict physical activity.<br/><br/><b>Methods</b><br/>Forty-two bariatric patients (38 women, 4 men; mean age 38 ± 8 years, mean body mass index prior to surgery 47 ± 6 kg/m2) filled out self-report instruments to examine physical activity and exercise cognitions pre- and post-surgery.<br/><br/><b>Results</b><br/>A large increase in physical activity and favorable changes in exercise cognitions were observed after surgery, viz. a decrease of fear of injury and embarrassment and an increase of the perception of exercise benefits and confidence in exercising. Perceiving less exercise benefits and having less confidence in exercising before surgery predicted less physical activity 2 years after surgery. High fear of injury 1 year after surgery predicted less physical activity 2 years after surgery.<br/><br/><b>Conclusions</b><br/>After bariatric surgery, favorable changes in physical activity and beliefs about the benefits and barriers of exercising are observed. Our results suggest that targeting exercise cognitions before and after surgery might be relevant to improve physical activity.

Reference J. Wouters, E., K. Larsen, J., Zijlstra, H., van Ramshorst, B., & Geenen, R. (2011). Physical Activity After Surgery for Severe Obesity: The Role of Exercise Cognitions. Obesity Surgery: The Journal of Metabolic Surgery and Allied Care, 21, 1894-1899. https://doi.org/10.1007/s11695-010-0276-y
Published by  Urban Vitality 1 January 2011

Publication date

Jan 2011

Author(s)

Eveline J. Wouters
Junilla K. Larsen
Bert van Ramshorst
Rinie Geenen

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