Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile

Autor(es)

Ricci, Paula Angelica ^[1] ; Andre, Larissa Delgado ^[1] ; Jurgensen, Soraia Pilon ^[1] ; de Oliveira, Claudio Ricardo ^[2] ; Ortega, Fernando Pinheiro ^[3] ; Di Thommazo-Luporini, Luciana ^[1] ; Borghi-Silva, Audrey ^[1]

Afiliação do(s) autor(es)

^[1] Fed Univ Sao Carlos UFSCar, Cardiopulm Physiotherapy Lab, Km 235, BR-13565905 Sao Carlos - Brazil

^[2] Univ Fed Sao Carlos, Dept Med, Sao Carlos, SP - Brazil

^[3] Ortega Clin, Sao Carlos, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: SCIENTIFIC REPORTS; v. 11, n. 1 NOV 24 2021.
• Citações Web of Science: 0

Resumo

Individuals with obesity can have metabolic disorders and may develop impairments that affect the ability to exercise. The maximal incremental cardiopulmonary exercise test is widely used to assess functional capacity. However, submaximal tests such as the two-minute step test (2MST) and the six-minute walk test (6MWT) also allow this assessment. We propose to analyze whether body composition, metabolic and lipid profile influence the maximal and submaximal performance, and investigate these variables in response to different functional tests. Forty-four individuals with obesity, aged 18-50 years, underwent analysis of body composition, metabolic and lipid profile, incremental treadmill test (ITMT), 6MWT, and 2MST. One-way ANOVA, Pearson or Spearman correlation, and Stepwise multiple linear regression analysis were performed. ITMT induced a greater metabolic, ventilatory, cardiovascular, and perceived exertion demand when compared to the 6MWT and 2MST (p < 0.05). In addition, 2MST elicited a higher chronotropic (HR) and metabolic (V?O-2) demand when compared to the 6MWT (p < 0.05). Significant correlations were found between tests and body composition, metabolic and lipid profile. Fat mass and low-density lipoprotein can explain 30% of the V?O-2 variance in the ITMT; and fat mass, glucose, and performance in the 2MST can explain 42% of the variance of the distance walked in the ITMT. Obesity and its metabolic impairments are capable of influencing responses to exercise. ITMT generated greater demand due to the high stress imposed, however, 2MST demanded greater metabolic and chronotropic demand when compared to the 6MWT. (AU)

• Processo FAPESP: 18/13332-5 - Efeitos da estimulação elétrica neuromuscular de corpo inteiro no controle autonômico cardíaco e na capacidade funcional de indivíduos obesos após cirurgia bariátrica
• Beneficiário: Paula Angélica Ricci
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 15/04101-1 - Efeitos clínicos, funcionais e sistêmicos da estimulação elétrica neuromuscular corpórea no pós-operatório de cirurgia bariátrica.
• Beneficiário: Audrey Borghi Silva
• Modalidade de apoio: Auxílio à Pesquisa - Regular