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Changes in fitness parameters after bariatric surgery
Černohlávek, Lukáš ; Matoulek, Martin (advisor) ; Kolár, Leoš (referee)
Introduction: Obesity is characterized as an excessive accumulation of fat that can impair health. Nowadays, obesity is considered to be a very serious problem that is becoming increasingly important as the number of obese people increases. One of the options for treating severe obesity is surgical treatment or performing bariatric surgery. These allow significant weight loss with a long-lasting effect, so they are a very good solution for highly obese people. Aim: The aim of this interventional study is to compare changes in fitness and body composition before and after bariatric surgery in patients in the bariatric patient register of the 3rd Internal Clinic of the General Faculty Hospital in Prague who underwent bariatric surgery in 2022. The aim is also to introduce in detail readers with obesity issues, especially with bariatric obesity treatment. Methodology: The monitored group consisted of 11 respondents from the register of bariatric patients of the 3rd internal clinic of the General University Hospital in Prague. For these 11 respondents, changes in fitness based on walking tests and changes in body composition using InBody measurements were evaluated before bariatric surgery and 3 months after surgery. Subsequently, from these 11 respondents, 5 respondents were selected, in whom it was...
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Eating habits and their relation with weight development after bariatric surgery
Poshor, Vít ; Konečná, Judita (advisor) ; Starnovská, Tamara (referee)
Introduction: Despite modern obesity treatments such as pharmacotherapy and bariatric surgery, lifestyle intervention remains one of the key therapies. In particular, modification of dietary habits, increasing physical activity, and improvement of psychological state, which often complicates weight loss and maintenance of achieved weight loss. The treatment of obesity should be dealt with in particular by doctors and health professionals who are knowledgeable about the issue and who use the correct diagnostic and therapeutic approach. However, the main role is played by the patient, who must be motivated and cooperate with the multidisciplinary team. The nutritional therapist sets individual dietary recommendations, taking into account the patient's state of health and current diet and eating habits. The psychologist helps to understand the patient's thoughts by analysing the psychosocial context, lifestyle analysis and habits, thus being able to change the patient's behaviour. Thus, regular nutritional and psychological intervention can lead to a higher success rate of the reduction regime. Aims: The main aim of this study is to determine the association of factors of eating habits with weight change at 1 and 2 years after bariatric surgery. The second aim is to confirm the effect of nutritional...
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Physiotherapy for bariatric surgery patients
Kolmašová, Petra ; Cibulková, Natálie (advisor) ; Nováková, Petra (referee)
Title of thesis: Physiotherapy for bariatric surgery patients Abstract: This bachelor thesis is focused on physiotherapy for patients after bariatric surgery. The main aim of the study is to create a handbook for bariatric patients, which they will be able to exercise at home. Partial aim is to find out how the quality of life and pain perception of bariatric patients changes due to group exercise, individual physiotherapy and bariatric surgery itself. The SF-MPQ, DIBDA, map pain and IWQOL-Lite questionnaire were used to determine the results. The theoretical part describes the diagnosis and examination of obesity, health complications asociated with obesity and its treatment, both conservative and surgical. It also summarizes the indications and contraindications of bariatric-metabolic surgery and types of procedures. Furthermore, it focuses on physical activity in bariatric patients and the role of physiotherapist in bariatrics. The practical part contains case reports of two patients, who underwent bariatric surgery and then attended group exercise and individual physiotherapy for four weeks. The initial examination, including questionnaires, was performed about a week before the surgery. The same type of questionnaires was used in the final examination after four-week therapy, which started 3-4 weeks...
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Impact of bariatric surgery on Diabetes mellitus
Skalická, Iva ; Matoulek, Martin (advisor) ; Hvižď, Robert (referee)
This bachelor project is focused on the issues of obesity, diabetes mellitus and its influence after the performed bariatric surgery, it is divided into two parts, theoretical and practical. Theoretical part deals with obesity and its treatment, consider the obesity complications, especially the accompanying metabolical complication so called diabetes mellitus of the second type. Moreover it introduces various types of bariatric surgery with positive influence on health status of second type diabetes patients. It also describes new trends in this field and takes into account activities before and after bariatric surgery such as preparation for the operation or post operational care. Practical part is dealing with the influence of bariatric surgery on body mass and metabolical parameters of the patients. For purpose of this study the research was conducted, representative sample of 162 patients was chosen, 68 people suffered from diabetes, the rest did not. Patients of both groups have reduced their weights significantly after the bariatric surgery of all kinds. The surgery with the biggest second type diabetes mellitus compensation is gastric bypass. The results confirmed the positive impact of bariatric surgery for the obesity treatment namely the weight reduction and metabolical parameters,...
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Choice of bariatric procedures and their effect on the weight change of obese people
Vorudová, Jana ; Matoulek, Martin (advisor) ; Hvižď, Robert (referee)
Introduction: Bariatric surgery is one of the methods of treatment of higher degrees of obesity. It helps patients to reduce the weight if conservative methods of treatment are not effective, or if it is still necessary to deepen its effect. Bariatric procedures are divided according to the the way how they are carried out - restriction, malabsorption and combined performance. Objective: The aim of this work was to determine who gave the incentive to the patients to undergo the bariatric treatment, where they received further information and how many times they managed in the time before the operation to lose weight. Further information was obtained on subjective patient satisfaction with the results of surgery and furter the weight loss data were assessed and compared the changes of BMI after bariatric surgery. Methods: An anonymous questionnaire was sent out to collect the necessary data from 39 patients after various bariatric surgery. These data were subsequently processed and analyzed. These data were subsequently evaluated and processed using graphs and tables for better clarity Results: It was found that the doctor was the one who gave the incentive to undergo bariatric performance in 79 % of patients. It was also confirmed that 80 % of patients reduced their weight of at least 5 kg before...
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Bariatric Surgery and Obese Patients' Motivation
Laštovičková, Jitka ; Tollarová, Blanka (advisor) ; Šmídová, Olga (referee)
This diploma thesis deals with obese patients' motivation to undergo or refuse a bariatric surgery in obesity treatment. The aim of the thesis was to create an overview of patient's motivation to undergo or refuse a bariatric surgery, to show an obese patient's situation (a candidate for a bariatric surgery) from a closer perspective and offer recommendations for the work with obese patients. The qualitative research method in a form of a semistructured interview with the obese patients, who are being treated in obesity ambulances, and with the psychologists, who work with obese patients, was used to analyse the theme of the research. The eight interviews were conducted and analysed with open coding. Obese patients are motivated to undergo a bariatric surgery by improvement of their health, increased attractiveness and by expectation of their obesity's final solution. Obese patients don't want to undergo a bariatric surgery because they're convinced, that they could manage to lose weight and keep it without undergoing a bariatric surgery. Also because they are worried about the bariatric surgery, its complications, its restrictions, required anesthesia and about the failure after undergoing bariatric surgery. Obese patients' motivation to undergo or refuse a bariatric surgery is also influenced by...
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The effect of different bariatric operations on the weight loss in the treatment of obesity
Janoušková, Eva ; Matoulek, Martin (advisor) ; Svačina, Štěpán (referee)
Introduction: Bariatric procedures belong to modern methods of therapy of obesity, especially in patients with higher degree of obesity. Currently, different procedures are performed, among those gastric banding, sleeve gastrectomy and gastric bypass. Our research investigated the effect of various bariatric procedures on the weight loss and some other metabolic values in the treatment of obesity. Methods: The data collection for quantitative research was carried out at the 3rd medical department of 1st faculty of medicine of Charles University and General Faculty Hospital in Prague, partially retrospectively and mainly prospectively. We monitored the change of weight and compensation of type 2 diabetes mellitus in the first year after operation in group of 54 patients of which 32 patients had a two-year monitoring as well. For monitoring changes of weight throughout a particular period of time after operation, the conversion on % EWL a % EBMIL was used. The data was evaluated by basic statistical methods. Results 1: In our reference group (n=54) average value of EWL was found 37,58 % in the first year after the surgery. The value of EWL for sleeve gastrectomy was 47,52 %. The value of EWL for gastric bypass was 39,82 %. The value of EWL for gastric banding was 23,28 %. Results 2: In the subset of...
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The Effect of Exercise Intervention on Physical Fitness and Quality of Life in Patients after Bariatric Surgery
Pacholíková, Pavlína ; Daďová, Klára (advisor) ; Vilikus, Zdeněk (referee)
Title: The Effect of Exercise Intervention on Physical Fitness and Quality of Life in Patients after Bariatric Surgery Objectives: The aim of this thesis is to evaluate the effect of a three-month physical intervention on the physical fitness and quality of life in patients after bariatric surgery. Compare the measured values from six-minute walk test (6MWT) and the questionnaire survey of quality of life between the group undergoing exercise program and the group of non-exercise patients. Methods: The diploma thesis was constructed as a quasi-experiment. A six-minute walk test, a visual analogue pain scale, a Borg scale and a standardized IWQOL-Lite questionnaire were used to asses physical fitness and quality of life. The study involved 28 patients (8 undergoing an exercise program, 20 non-excercisers). The groups were measured before the planned bariatric surgery and about 3-4 months after the surgery. For the analysis of final values, the Microsoft Excel and its add-in Realstatistics was used. Results: In patients undergoing the exercise program, the VAS on average decreased of 2,04 cm, 6MWT improved on average of 42,75 m, and quality of life of 34 points. In non-exercise patients there was an average decrease in VAS of 0,08 cm, an increase in 6MWT of 41,45 m and an increase in quality of life...
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The influence of 3-month exercise program on postural stability in individuals after bariatric surgery
Mašková, Kateřina ; Daďová, Klára (advisor) ; Vilikus, Zdeněk (referee)
Title: The effect of movement program on static postural stability in individuals after bariatric surgery Aims: The aim of this diploma thesis was to find out whether a three-month regular exercise program including strenght and aerobic training has an impact on static postural stability in obese individuals who underwent bariatric surgery. Methodology: The special part was written on the basis of data obtained from posturographic measurement of obese patients who underwent bariatric surgery. The static postural stability was measured using pressure plate a MobileMat from Tekscan. Participants were measured before surgery and approximately 4 months after surgery. A total of 30 subjects aged 31-65 years with BMI values between 35-55 kg/m2 (obesity class II and III) who underwent initial and exit examination including stabilometry, were included in this diploma thesis. They were divided into 2 groups, first group participating in a three-month exercise program (n = 10; age 51 ± 7.3 years; BMI 41.7 ± 6.4 kg/m2 ) and a group undergoing bariatric surgery only (n = 20; age 48 ± 9, 4 years; BMI 43.6 ± 6.5 kg/m2 ). The exercise program included exercise three times a week: once a week one-hour strength training and one-hour aerobic group training, and at least once a week home intervention. Results: In...
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Influence of physical intervention on the musculoskeletal system in patients before and after planned bariatric surgery
Cibulková, Natálie ; Matoulek, Martin (advisor) ; Angerová, Yvona (referee) ; Větrovský, Tomáš (referee)
Title: Influence of physical intervention on the musculoskeletal system in patients before and after planned bariatric surgery. Objectives: The main objective of this study was to evaluate the effect of three months physical intervention on the development of static postural stability, musculoskeletal pain, health-related quality of life and physical fitness of obese individuals before and after bariatric surgery. Methods: This is a monocentric prospective non-randomized study. The study included 25 patients of both sexes aged 40 to 57 years (BMI 36-49 kg/m2 ). The patients were divided into an intervention and a control group. The intervention group (INT, n = 7; age 48.9 ± 5.6 years; BMI 40.6 ± 5.5 kg/m2 ) underwent a 3-month resistance aerobic exercise program with a frequency of exercises 3 times a week. The control group (KON, n = 18; age 46.8 ± 12.7 years, BMI 44.2 ± 6.4 kg/m2 ) was not subjected to the exercise program. The level of static postural stability, perceived musculoskeletal pain, health-related quality of life and the level of physical fitness in the periods before and 3, 6 and 12 months after bariatric surgery were assessed. Results: The study showed that resistance aerobic physical intervention improves musculoskeletal pain and health-related quality of life in obese patients...
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