Evaluation of physical activity and nutritional attitude in bariatric surgery

The purpose of this research was to examine the association between healthy eating attitudes and physical activity levels in individuals after bariatric surgery using biochemical and anthropometric data. The research included 95 12-36 months post-op patients between the ages of 18 and 65. "Healthy Eating Attitude Scale" and "Physical Activity Questionnaire for Primary Care" were applied to the subjects. According to the values calculated from the physical activity scale, 56.8% of the patients had inactive, 33.7% normal and 9.5% active physical activity. Physical inactivity continiues even though bariatric surgery saves people from obesity. When attitudes toward healthy nutrition are considered, 58.9 % report having a high level of nutrition, 28.4 % report having a high level of ideal nutrition, and 12.6 % report having a moderate level of healthy nutrition. Before and after surgery, BMI, weight, AST, ALT, triglyceride, HOMA IR, fat mass, lean body mass, muscle mass, and fat percentage values were substantially reduced (p<0.05). It is thought that physical inactivity causes not only decrease in fat mass but also decrease in muscle mass. While there was no significant change in total cholesterol levels (p>.05), HDL and LDL cholesterol levels were substantially higher than they were before surgery (p<0.05). It necessary to reanalyze LDL cholesterol both in early term and late term after surgery. Positive nutrition levels were considerably lower in inactive individuals than in active individuals (p<0.05). According to nutritional attitude levels, there is no statistically significant variation in BMI. There is no statistically significant difference in postoperative fat, BMI, muscle mass reduction between active and sedentary groups (p>0.05). In conclusion, data obtament from the study shows that there must be enhancement in physical activity, exercise prescriptions and trarning rovided on this issue.