Becoming Physically Active After Bariatric Surgery is Associated With Improved Weight Loss and Health-Related Quality of Life

The purpose of this study was to determine whether pre- to postoperative increases in physical activity (PA) are associated with weight loss and health-related quality of life (HRQoL) following bariatric surgery. Participants were 199 Roux-en-Y gastric bypass (RYGB) surgery patients. The International Physical Activity Questionnaire (IPAQ) was used to categorize participants into three groups according to their preoperative and /1-year postoperative PA level: (i) Inactive/Active (\u3c200-min/week/≥200-min/week), (ii) Active/Active (≥200-min/week/greater ≥200-min/week) and (iii) Inactive/Inactive (\u3c200-min/week/\u3c200-min/week). The Medical Outcomes Study Short Form-36 (SF-36) was used to assess HRQoL. Analyses of covariance were conducted to examine the effects of PA group on weight and HRQoL changes. Inactive/Active participants, compared with Inactive/Inactive individuals, had greater reductions in weight (52.5 ± 15.4 vs. 46.4 ± 12.8 kg) and BMI (18.9 ± 4.6 vs. 16.9 ± 4.2 kg/m2). Weight loss outcomes in the Inactive/Active and Active/Active groups were similar to each other. Inactive/Active and Active/Active participants reported greater improvements than Inactive/Inactive participants on the mental component summary (MCS) score and the general health, vitality and mental health domains (P \u3c 0.01). Although the direction of causation is not clear, these findings suggest that RYGB patients who become active postoperatively achieve weight losses and HRQoL improvements that are greater than those experienced by patients who remain inactive and comparable to those attained by patients who stay active. Future randomized controlled trials should examine whether assisting patients who are inactive preoperatively to increase their PA postoperatively contributes to optimization of weight loss and HRQoL outcomes

Aplicação de modelo de simulação-otimização na gestão de perda de água em sistemas de abastecimento Leakage management with computational model in water supply system

Este artigo apresenta a aplicação de modelo matemático-computacional de simulação e otimização para localização de fugas. O modelo proposto é fundamentado no acoplamento de um simulador hidráulico baseado no Time Marching Approach - TMA com o algoritmo otimizador de Nelder-Mead e foi aplicado em uma rede de distribuição de água da cidade de Jundiaí-SP. Nos testes realizados ficou claro o funcionamento adequado do modelo apresentado, pois a fuga simulada foi localizada, sendo observado, entretanto, a necessidade de um aprimoramento na localização dos pontos de monitoramento durante a execução da simulação.<br>This work presents a computational model as a new tool for leak localization. The considered model was developed through the coupling of hydraulic simulator based in Time Marching Approach - TMA method with the Nelder-Mead optimization algorithm. The model was applied to a real water distribution network, in the city of Jundiaí, Brazil. In the carried through tests it was clearly the adequate functioning of the presented model, therefore the simulated escape was located, being observed, however, the necessity of an improvement in the localization of the monitor points, during the execution of the simulation

Approche clinique du “poids de la perte” chez la personne obèse.

Offering major weight and comorbidity reductions, bariatric surgery has become a treatment of choice in the medical management of severe and morbid obesities. The benefits of this intervention can be only temporary if it does not address the psychological determinants of these conditions. We address the question of the "significance of loss" among bariatric surgery patients. Our results suggest that both the onset and the maintenance of some obesities can be understood in the context of one's capacity to elaborate the psychic conflicts associated with previous losses and mourning. © Springer Paris 2009.SCOPUS: ar.jinfo:eu-repo/semantics/publishe