Progressive resistance training for patients with class III obesity

摘要

Patients with severe, class IIIobesity are the fastest growingsegment of the obese populationin the United States.1 Bariatric surgeryis the only known weight-loss interventionwith demonstrated long-term efficacyfor the treatment of severe obesity(BMI > 40 kg/m2). While outcomes areimpressive in general, surgery alonedoes not guarantee successful treatment.Sustained excess weight losscan depend on several variables. Physical activity is oneimportant component to optimizing the efficacy of surgery.2Weight-loss surgery (WLS) candidates are, however, muchmore sedentary than normal-weight individuals.3 New typesof exercise interventions are necessary to improve WLS outcomes.The preoperative period is an opportune time to testand teach new exercise strategies.