Evidence map›Paper›PMID 37645986›Full record

ArticlemedRxiv : the preprint server for health sciences2023

Role of the exercise professional in metabolic and bariatric surgery.

Matthew A Stults-Kolehmainen, Dale S Bond, Laura A Richardson, Louisa Y Herring, Bethany Mulone, Carol Ewing Garber, John Morton, Saber Ghiassi, Andrew J Duffy, Ethan Balk and 11 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Matthew A Stults-KolehmainenCenter for Weight Management, Division of Digestive Health, Yale New Haven Hospital, New Haven, CT, United States.
Dale S BondDepartments of Surgery and Research, Hartford Hospital/HealthCare, Hartford, CT, United States.
Laura A RichardsonSchool of Kinesiology, University of Michigan, Ann Arbor, MI, United States.
Louisa Y HerringUniversity Hospitals of Leicester NHS Trust, Infirmary Square, Leicester, England, United Kingdom.
Bethany MuloneCenter for Weight Management, Division of Digestive Health, Yale New Haven Hospital, New Haven, CT, United States.
Carol Ewing GarberDepartment of Biobehavioral Sciences, Teachers College - Columbia University, New York, NY, United States.
John MortonDivision of Bariatric and Minimally Invasive Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, United States.
Saber GhiassiDivision of Bariatric and Minimally Invasive Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, United States.
Andrew J DuffyDivision of Bariatric and Minimally Invasive Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, United States.
Ethan BalkCenter for Weight Management, Division of Digestive Health, Yale New Haven Hospital, New Haven, CT, United States.
Charles J AboltEarth and Environmental Sciences Division, Los Alamos National Laboratory, Los Alamos, NM, United States.
Matt C HowardDepartment of Marketing & Quantitative Methods, University of South Alabama, Mobile, AL, United States.
Garrett I AshCenter for Medical Informatics, Yale School of Medicine, New Haven, CT, United States.
Susannah WilliamsonCenter for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research (WRAIR), Silver Spring, MD, United States.
Emilian Rejane MarconDepartment of Bariatric Surgery, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Melissa De Los SantosDepartment of Biobehavioral Sciences, Teachers College - Columbia University, New York, NY, United States.
Samantha BondCollege of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, United States.
Janet HuehlsUMass Memorial Weight Center, UMASS Memorial Medical Center, Worchester, MA, United States.
Osama AlowaishDepartment of Biobehavioral Sciences, Teachers College - Columbia University, New York, NY, United States.
Nina Brojan HeymanDepartment of Biobehavioral Sciences, Teachers College - Columbia University, New York, NY, United States.
Bruno GualanoApplied Physiology & Nutrition Research Group, School of Medicine, University of São Paulo, São Paulo, Brazil.

Funding

Informatics-Based Digital Application to Promote Safe Exercise in Middle-Aged Adults with Type 1 DiabetesK01DK129441 · NIDDK · YALE UNIVERSITY · PI Garrett Igo Ash · 2022 to 2026
$950k
NIDDK NIH HHS K01 DK129441
6 · The paper itself

Abstract

Background: Physical activity (PA) is important for the long-term health and weight management of patients who undergo metabolic and bariatric surgery (MBS). However, the roles of exercise professionals in MBS settings have not been systematically determined. Objectives: To investigate: (1) who are the professionals implementing PA programming in MBS clinical settings; and (2) what patient-centric tasks do they perform? Setting: Clinical and academic exercise settings worldwide. Methods: This multimethod study included a scoping review of PA programs in MBS described in the research literature. Data about job tasks were extracted and provided to 10 experts to sort into categories. Cluster analysis was utilized to find the hierarchical structure of tasks. A Delphi process was used to agree on a final model. Results: The majority of PA professionals were exercise physiologists in the USA and physiotherapists or other types of exercise professionals elsewhere. Forty-three tasks were identified, the most reported being: supervision of exercise, fitness testing, and exercise prescription. Seven higher-order categories were determined: (1) Exercise-related health assessment, (2) Body composition and physical fitness assessment, (3) Lifestyle physical activity and sedentary behavior assessment, (4) Education, instruction, and prescription, (5) Exercise monitoring, (6) Behavioral counseling and psychosocial support, and (7) Dietary support. The following statements were rated an average of 9.0, classifying them as "imperative": 1) "Pre- and post-operative PA/exercise guidelines for MBS patients are needed", 2) "MBS programs need to include PA/exercise as part of multidisciplinary care". Conclusions: The expert group reached a consensus on 7 major classifications of job tasks for the exercise professional. It is important for governing medical associations across the world to formally recognize experienced exercise professionals as playing pivotal roles in continuing, multidisciplinary care for MBS patients. These findings also provide evidence-based information in the effort to solidify these positions within the greater context of healthcare.

Indexed as

exercise prescriptionimplementationMetabolic and bariatric surgerymixed methodsphysical activityqualitative

Identifiers

PMID37645986
PMCPMC10462198

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.