Optimizing Fitness: Post Bariatric Surgery With Modified Qigong Breathing Exercise

Bariatric surgery has been reported to be the most effective treatment option for losing and maintaining body weight and improving comorbidities and mortality associated with morbid obesity. Nevertheless, even though physical activity is recommended to optimize bariatric surgery results. Very little is known, about whether engaging in an exercise program after surgery can provide additional improvement in health outcomes. While to date there are relatively few researches studied the effect of exercise in patients who have undergone bariatric surgery. This study was conducted to explore the influence of Modified Qigong Breathing Exercise on pulmonary function, endurance and fitness on post bariatric surgery patients.

Qigong as ancient Chinese traditional medicine have been documented to be effective in treating obesity. Literature showing that the desire to eat and the feeling of hunger, along with prospective food consumption in patients with obesity.

Study Overview

• Status: Completed
• Conditions: Bariatric Surgery
• Intervention / Treatment: Other: Control; Other: Modified Qigong Breathing Exercise

Detailed Description

Bariatric surgery has been reported to be the most effective treatment option for losing and maintaining body weight and improving comorbidities and mortality associated with morbid obesity. Nevertheless, even though physical activity is recommended to optimize bariatric surgery results. Very little is known, about whether engaging in an exercise program after surgery can provide additional improvement in health outcomes. While to date there are relatively few researches studied the effect of exercise in patients who have undergone bariatric surgery. This study was conducted to explore the influence of Modified Qigong Breathing Exercise on pulmonary function,endurance and fitness on post bariatric surgery patients.

Bariatric surgery has been reported to be the most effective treatment option for losing and maintaining body weight and improving comorbidities and mortality associated with morbid obesity. Nevertheless, even though physical activity is recommended to optimize bariatric surgery results. Very little is known, about whether engaging in an exercise program after surgery can provide additional improvement in health outcomes. While to date there are relatively few researches studied the effect of exercise in patients who have undergone bariatric surgery.

Qigong as ancient Chinese traditional medicine have been documented to be effective in treating obesity. Literature showing that the desire to eat and the feeling of hunger, along with prospective food consumption in patients with obesity .

• Study Type: Interventional
• Enrollment (Actual): 100
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • faculty of ohysical therapy Cairo University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Both male and fem
• age ranged from 18-25 years old
• at least 6 months after BS

Exclusion Criteria:

• Patients with nerve root compression
• spine disorders
• spinal fracture
• previous spinal surgery
• pregnancy
• lower limb injury
• Any contraindication to the exercise therapy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Sham Comparator: Control; No exercise will be given to the participants in the control group	Other: Control; No exercise will be given to the participants in the control group
Experimental: Modified Qigong Breathing Exercise; The exercise is recommended to be performed standing, or modified standing with trunk leaning forward and bilateral upper extremities support on countertop. Initial position: Stand up with feet shoulder-width apart, hands down along your body, or put palms on the abdomen. Take a deep breath, squaring shoulders, and pull in belly at the same time. Hold breath for 3 to 4 seconds, while keeping abdomen retracted with maximally contracting abdominal muscles. Exhale, so the shoulders go back to the starting position, while chest and abdominal muscles relax. Repeat this exercise 10 times. Note. If the stomach is difficult to draw in a standing position, it is possible to perform the exercise with both hands resting on support.	Other: Modified Qigong Breathing Exercise; The exercise is recommended to be performed standing, or modified standing with trunk leaning forward and bilateral upper extremities support on countertop. Initial position: Stand up with feet shoulder-width apart, hands down along the body, or put palms on the abdomen. Take a deep breath, squaring shoulders, and pull in belly at the same time. Hold breath for 3 to 4 seconds, while keeping abdomen retracted with maximally contracting abdominal muscles. Exhale, so the shoulders go back to the starting position, while chest and abdominal muscles relax. Repeat this exercise 10 times. Note. If the stomach is difficult to draw in a standing position, it is possible to perform the exercise with both hands resting on support. Duration: 30 minutes, 3 days/ week for 8 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pulmonary function by (SP - electronic hand held spirometer)	Forced vital capacity (FVC) [Time Frame: 8 weeks]	at base line and 8 weeks
Core endurance by McGill tests	trunk anterior flexor test	At base line and 8 weeks
Pulmonary function by (SP - electronic hand held spirometer)	forced expiratory volume in 1 second (FEV1) [Time Frame: 8 weeks]	at base line and 8 weeks
Pulmonary function by (SP - electronic hand held spirometer)	Peak expiratory flow (PEF) [Time Frame: 8 weeks]	at base line and 8 weeks
Core endurance by McGill tests	trunk posterior extensor test	at base line and 8 weeks
Core endurance by McGill tests	the right lateral plank	at base line and 8 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Resting metabolic rate	Change in resting metabolic rate measured by indirect calorimetry at 0 and 8 weeks.	at base line and 8 weeks
Percent fat mass	Change in fat mass percentage measured by DXA at 0 and 8 weeks	at base line and 8 weeks
Weight measurement	Weight measurement in kilogram	ate base line and 8 weeks
Height measurement	Height measurement in centimeter	at base line and 8 weeks

Collaborators and Investigators

• Sponsor: MTI University
• Collaborators: Al-Zaytoonah University of Jordan

Publications and helpful links

Helpful Links

• Related Info

Study record dates

Study Major Dates

• Study Start (Actual): January 5, 2025
• Primary Completion (Actual): March 10, 2025
• Study Completion (Actual): March 10, 2025

Study Registration Dates

• First Submitted: December 31, 2024
• First Submitted That Met QC Criteria: January 7, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: March 9, 2025
• Last Verified: March 1, 2025

More Information

Terms related to this study

• Keywords: Fitness; Bariatric Surgery; Qigong Breathing Exercise
• Additional Relevant MeSH Terms: Pathologic Processes; Respiratory Tract Diseases; Respiration Disorders; Respiratory Aspiration
• Other Study ID Numbers: P.T.REC/012/005533

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: not be shared

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No