Evidence map›Paper›PMID 40859236›Full record

Trial reportBMC surgery2025

The impact of prehabilitation strategies on psychological state, glucose metabolism, and postoperative outcomes in patients undergoing laparoscopic sleeve gastrectomy.

Yan Zhang, Bingquan Gao, Xiaocheng Zhang, Linru Zhao, Xu Han, Miaomiao Zhang, Guihua Zhang

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yan Zhang *Department of Critical Care Medicine II, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Bingquan Gao *Department of Burn and Wound Repair, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Xiaocheng ZhangDepartment of Brain Function, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Linru ZhaoGastrointestinal Disease Diagnosis and Treatment Center, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Yuhua District, Shijiazhuang, Hebei, 050031, China.
Xu HanGastrointestinal Disease Diagnosis and Treatment Center, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Yuhua District, Shijiazhuang, Hebei, 050031, China.
Miaomiao ZhangRadiation Therapy Center, Department of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. 3106346630@qq.com.
Guihua ZhangGastrointestinal Disease Diagnosis and Treatment Center, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Yuhua District, Shijiazhuang, Hebei, 050031, China. 847850515@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to explore the effects of prehabilitation strategies on the psychological state and glucose metabolism markers in patients undergoing laparoscopic sleeve gastrectomy (LSG).

methodsA total of 120 eligible patients undergoing elective LSG between January 2024 and December 2024 were enrolled in the study. They were randomly assigned to either the control group or the observation group, with 60 patients in each group. The control group received routine care interventions, while the observation group received prehabilitation strategies. The outcomes were compared between the two groups, including body mass index (BMI), body fat percentage (PBF), visceral fat area (VFA), waist-to-hip ratio (WHR), basal metabolic rate (BMR), glucose metabolism markers, psychological state, and incidence of postoperative complications, measured both one day before and six months after the intervention.

resultsOne day before the intervention, there were no significant differences between the two groups in BMI, PBF, VFA, WHR, and BMR (P > 0.05). However, six months after the intervention, the observation group showed significantly lower BMI, PBF, VFA, WHR, and BMR compared to the control group (P < 0.05). Furthermore, at six months post-surgery, the observation group had significantly lower HbA1c levels compared to the control group (P < 0.05), while the difference in fasting blood glucose (FBG) was not statistically significant (P > 0.05). Regarding psychological state, the observation group showed significantly lower scores on the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) six months after the intervention (P < 0.05). Additionally, the incidence of postoperative minor complications was significantly lower in the observation group compared to the control group (P < 0.05).

conclusionPrehabilitation strategies can effectively improve the psychological state, reduce glycated hemoglobin levels, promote weight loss, and reduce the incidence of minor postoperative minor complications in patients undergoing laparoscopic sleeve gastrectomy. These strategies appear to be safe and effective, and could be considered for wider clinical adoption. CLINICAL REGISTRATION NUMBER: Not applicable.

Indexed as

Blood GlucoseGastrectomyLaparoscopyObesity, MorbidPostoperative ComplicationsPreoperative ExerciseAdultBody Mass IndexFemaleHumansMaleMiddle AgedTreatment OutcomeBlood GlucoseGlucose metabolism markersLaparoscopic sleeve gastrectomyPrehabilitation strategiesPsychological state

Identifiers

PMID40859236
PMCPMC12379387

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Registered trials

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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.