Physical Activity for Bariatric Patients

By Bryan Lowe BS, CSCS, CPT

Physical activity is extremely important to the success of bariatric surgery. Surgeons David Dyer, MD, Hugh Houston, MD, and Douglas Olsen, MD of the Centennial Center for the Treatment of Obesity in Nashville, Tennessee, believe that ?surgery is one small portion of the overall equation to successful weight control.? Establishing a physically active lifestyle prior to surgery will benefit the patient in the recovery phase. Implementing good nutrition habits and smoking cessation are also very important. Following bariatric surgery at Centennial, patients participate in a comprehensive Aftercare Program. The Aftercare Program includes nutrition, exercise, and psychological counseling services. According to Dr. Olsen, this program helps develop ?the proper habits that allow a patient to utilize the tools that we have now given them to fight that battle of obesity and now win that battle.?

25 Reasons to Exercise
1. Achieve and maintain goal weight
2. Build muscle tissue
3. Increase strength and endurance
4. Increase metabolism, burn fat
5. Improve mobility
6. Improve skin elasticity
7. Enhance mood
8. Improve self-esteem
9. Lower blood pressure
10. Lower blood sugar
11. Reduce stiffness in joints
12. Improve heart and lung function
13. Promote healing
  14. Help with smoking cessation
15. Strengthen bones and reduce bone loss
16. Increase energy level
17. Improve lipids (increase HDL/lower LDL)
18. Improve posture
19. Improve mental alertness and memory
20. Promote sleep
21. Decrease stress, depression, and anxiety
22. Improve flexibility
23. Increase capacity for physical work
24. Increase life expectancy
25. Exercise Physiologist said so

4 Steps to a Lifestyle of Physical Activity

Step 1: Set Personal Goals

Set goals based on the "reason to exercise" listed above. Example: "My goal is to achieve and maintain my goal weight."

Step 2: Determine How to achieve Goals

Choose activities that fit your lifestyle from each of the following categories:

  • Cardiovascular - Examples: walking, biking, treadmill, water exercise
  • Strength Training - Examples: weight machines, free weights, resistance bands
  • Flexibility - Example: stretching before and after exercise

Schedule timing of physical activity (The FIT Principle):

  • F - Frequency: number of exercise sessions per week
  • I - Intensity: calculate Target Heart Rate (THR)
    220 - age - Resting Heart Rate (RHR) x .60 + Resting Heart Rate = lower limit of THR
    220 - age - Resting Heart Rate (RHR) x .60 + Resting Heart Rate = upper limit of THR
    Resting Heart Rate is the number of beats per minute at rest
    (Medications that lower heart rate invalidate this formula.)
  • T - Time: duration of exercise

Choose location for exercise: Examples: home, mall, park, work, fitness center, church or school

Step 3: Implement Plan

  • Make a commitment and start today
  • Get started slowly and pace yourself
  • Stay consistent
  • Fit physical activity into your daily routine

Step 4: Regularly Evaluate Plan

  • Discuss with exercise physiologist
  • Monitor progress
  • Recognize achievement

Sample Work-out Routines

Routine 1

  • Monday - Cardiovascular activity for 30-40 minutes and upper body weights
  • Tuesday - Cardiovascular activity for 30-40 minutes and lower body weights
  • Wednesday - Cardiovascular activity for 30-40 minutes
  • Thursday - Cardiovascular activity for 30-40 minutes and upper body weights
  • Friday - Cardiovascular activity for 30-40 minutes and lower body weights

Routine 2

  • Monday, Wednesday, Friday - Cardiovascular activity 20-40 minutes and upper and lower body weights
  • Saturday and Sunday - Walk 15-30 minutes twice a day


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