Exercise After Bariatric Surgery
The Adelaide Bariatric Centre recognises the importance of exercise to maintain long term changes to your weight. Exercise also has significant benefits apart from weight loss especially for your heart health. Adelaide Bariatric Centre offers an introductory exercise programme through our exercise physiologist Lora Guiducci. This fitness programme is specific to post bariatric surgery patients and is tailored to your personal preferences and capabilities.
Some important facts regarding exercise include:
- To improve then maintain your cardiovascular fitness it is essential to train between 20 to 60min, 3 to 5 times per week at an intensity which is 60-80% of your maximum heart rate.
- Beginning a fitness schedule starts with 20 mins, 3+ times per week at 60 to 70% of maximum heart rate.
- Improving level of fitness can be achieved through increased duration, increased frequency, increased intensity or combination of all. Exercise programs should be individualised to suit patient preferences, past exercise history and associated musculoskeletal problems. Exercise programs can be home-based, gym-based, pool-based or a combination of these activities.
- Exercise intensity can be monitored by using Target Heart Rate (THR) assessment (calculated as a percentage of max HR) (220-age).
- 60% of max heart rate is considered to be a beginner’s level of fitness, 70% of max heart rate is an intermediate level and 90% max heart rate is an advanced level of fitness.
- Heart rate is calculated by counting your pulse at radial or carotid artery over 15 sec then multiply by 4 to achieve value over one minute.
- Pulse is to be taken during and on completion of aerobic exercise.
- Pulse to be re calculated 10mins post completion of exercise to ensure adequate recovery. minimum recovery is decreased by 20 beats. Another form of measuring/monitoring exercise intensity is Rating of Perceived Exertion (RPE) which is especially useful for clients that are on medication that alter HR.
- Improvement in fitness can be identified in several way including lower THR at same level of exercise, higher intensity of exercise at the THR, improvement in heart rate recovery, decreased weight, decreased skin fold measurement, changes to medications, increased activity tolerance/energy levels, increased muscle tone, increased flexibility, decreased joint pain.