Adapted Physical Activity Program After Sleeve Gastrectomy

Effects of an Adapted Physical Activity Program on Health and Physical Condition After Sleeve Gastrectomy

This study compares the ratio of lean mass losses over total body mass losses between patients undergoing sleeve gastrectomy followed by physical activity training versus patients undergoing sleeve gastrectomy only

This study will assess prospectively and objectively the potential benefits of a personalized and specific rehabilitation program designed for patients who undergone sleeve gastrectomy. This strategy will help to reduce fat mass and to limit lean mass loss, in order to prevent in the short term the overweight recurrence. Also,the improvement of physical and metabolic status is expected.

Inclusion Criteria:

• BMI >40 kg/m² or BMI>35kg/m² with comorbidities qualifying for bariatric surgery
• Stable obesity or obesity evolving for more than 5 years
• Patient cleared by the surgeon for sleeve gastrectomy one month before recruitment
• Absence of contraindication for a sub-maximal stress test
• Performance of a polysomnography before surgery
• Signed informed consent
• Patient benefiting from Health Care Coverage

Exclusion Criteria:

• Absence of preliminary and regular medical check-ups mandatory before sleeve gastrectomy
• Anticipated difficulty for patient follow-up
• Mental diseases (psychosis, depression, suicidal behavior or history)
• Eating disorders
• Lack of informed consent or cooperation
• Unsufficient patient commitment
• Patient under judiciary protection
• Patient not able to comply with any or all the research procedures over time including physical activity
• Patient excluded from the french database of volunteers for clinical trials