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Internal Grant Competition DGC





The Changes in the Body Composition and State of Soft Tissues of Bariatric Patients with Regular Targeted Physical Activity.
Project IdSGS03/PdF/2022
Main solverMgr. Veronika Horká, DiS.
Period1/2022 - 12/2022
ProviderSpecifický VŠ výzkum
Statesolved
AnotationBariatric surgery is currently the most effective treatment for morbid obesity and its associated metabolic complications [1]. The success of this treatment of obesity depends on cooperation, psychological support, patient dispensary, adherence to the recommended new regimen measures, thus focusing on lifestyle [2; 3]. In recent years, bariatric surgeons and obesitologists have begun to focus more on other positive effects of bariatric methods such as physical intervention than on weight reduction alone [4]. One of the new risks of bariatric surgery has recently been the risk of sarcopenia or sarcopenic type of obesity [5]. Sarcopenia is manifested by a decrease in the amount and strength of skeletal muscle. This reduction is part of the normal process of aging physiology, but is exacerbated by several factors (low physical activity, malnutrition or inflammatory conditions). These factors result in fragility and an increased risk of mortality. Sarcopenic obesity is a combination of sarcopenia and obesity [6]. A change in body composition, namely an increase in adipose tissue ratio and a decrease in adipose tissue. A condition that is considered to be the cause of fragility and occurs mainly in the elderly [7]. However, this change in body composition results in unchanged or similar body weight. It has a negative character, including slowing metabolism, reducing the number and volume of mitochondria and increasing oxidative stress. This complex disorder results in a 2-3 times higher risk of functional impairment than sarcopenia or obesity alone [6]. Possibilities of physical intervention with a focus on resistance training have been mentioned several times and applied in connection with sarcopenia in the elderly [8; 9]. To our knowledge, studies on sarcopenic obesity and the involvement of physical intervention in its treatment have so far only been studied in the elderly [10] and not in patients after bariatric metabolism.