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Comment on: Exercise for Counteracting Weight Recurrence After Bariatric Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • John M. Jakicic
    Correspondence
    Correspondence: John M. Jakicic, PhD University of Kansas Medical Center Department of Internal Medicine Division of Physical Activity and Weight Management 2106 Olathe Blvd., MS 1073 Kansas City, KS 66160 Telephone: 913-588-9078
    Affiliations
    Department of Internal Medicine, Division of Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, KS, USA
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Published:January 18, 2023DOI:https://doi.org/10.1016/j.soard.2023.01.010
      Bariatric surgery is effective for the treatment of obesity and related co-morbidities such as diabetes.
      • Kirwan J.P.
      • Courcoulas A.P.
      • Cummings D.E.
      • Goldine A.B.
      • Kashyap S.R.
      • Simonson D.C.
      • Arterbum D.E.
      • Gourash W.F.
      • Vernon A.H.
      • Jakicic J.M.
      • Patti M.E.
      • Wolski K.
      • Schauer P.R.
      Diabetes remission in the Alliance of Randomized Trials of Medicine Versus Metabolic Surgery in Type 2 Diabetes (ARMMS-T2D).
      Despite the overall effectiveness of this medical treatment for obesity, weight recurrence may still occur in response to bariatric surgery and remission from diabetes may not be sustained.
      • Courcoulas A.P.
      • Gallagher J.W.
      • Neiberg R.H.
      • Eagleton E.B.
      • DeLany J.P.
      • Lang W.
      • Punchai S.
      • Jakicic J.M.
      Bariatric surgery vs lifestyle intervention for diabetes treatment: 5-year outcomes from a randomized trial.
      This suggests the need for ongoing treatment to augment the effectiveness of bariatric surgery to prevent weight recurrence and to sustain other related health benefits.
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      References

        • Kirwan J.P.
        • Courcoulas A.P.
        • Cummings D.E.
        • Goldine A.B.
        • Kashyap S.R.
        • Simonson D.C.
        • Arterbum D.E.
        • Gourash W.F.
        • Vernon A.H.
        • Jakicic J.M.
        • Patti M.E.
        • Wolski K.
        • Schauer P.R.
        Diabetes remission in the Alliance of Randomized Trials of Medicine Versus Metabolic Surgery in Type 2 Diabetes (ARMMS-T2D).
        Diabetes Care. 2022; 45: 1574-1583
        • Courcoulas A.P.
        • Gallagher J.W.
        • Neiberg R.H.
        • Eagleton E.B.
        • DeLany J.P.
        • Lang W.
        • Punchai S.
        • Jakicic J.M.
        Bariatric surgery vs lifestyle intervention for diabetes treatment: 5-year outcomes from a randomized trial.
        J Clin Endocrinol Metab. 2020; 105: 866-876
      1. U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans, 2nd edition. Washington, DC: U.S. Department of Health and Human Services; 2018.

        • Donnelly J.E.
        • Blair S.N.
        • Jakicic J.M.
        • Manore M.M.
        • Rankin J.W.
        • Smith B.K.
        • American College of Sports Medicine
        American College of Sports Medicine Position Stand: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults.
        Med Sci Sports Exerc. 2009; 41: 459-471

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