Optimising the Bariatric Patients' Outcome through Cardiac Rehabilitation Approach.
Nor Hanim Mohamad HanapiBrenda Saria YuliawiratmanLee Lee LaiHazwani HalilJ G KooAnwar SuhaimiPublished in: Obesity surgery (2019)
Bariatric surgery offers a therapeutic alternative with favourable weight management, cardiovascular, metabolic and functional outcomes. Bariatric individuals often have functional impairments pre-operatively that can be addressed to improve post-operative results and eventual functional independence. Multidisciplinary team offers the best approach to address peri-operative needs and sustainable weight loss thereafter. We exemplified the application of cardiac rehabilitation therapeutic model in managing two bariatric clients with specific bariatric-related challenges. Our approach focuses on adaptive physical activity, sustainable lifestyle changes to promote post-operative weight loss through education and problem solving as well as secondary prevention of cardiovascular disease. Putting emphasis on addressing physical and psychosocial barriers towards physical activity alongside nutritional aspects potentially confers sustained if not better outcomes on weight reduction and functional improvement.
Keyphrases
- weight loss
- bariatric surgery
- physical activity
- roux en y gastric bypass
- gastric bypass
- cardiovascular disease
- obese patients
- end stage renal disease
- glycemic control
- body mass index
- mental health
- quality improvement
- weight gain
- newly diagnosed
- healthcare
- ejection fraction
- chronic kidney disease
- palliative care
- type diabetes
- peritoneal dialysis
- prognostic factors
- metabolic syndrome
- coronary artery disease
- adipose tissue
- hepatitis c virus
- cardiovascular risk factors
- insulin resistance
- skeletal muscle
- patient reported outcomes