Changing Bodies, Changing Habits: Women’s Experiences of Interval Training Following Gastric Bypass Surgery.

Changing Bodies, Changing Habits: Women’s Experiences of Interval Training Following Gastric Bypass Surgery.

Health Care Women Int. 2013 May 3;
Groven K, Råheim M, Engelsrud G

Patients undergoing weight-loss surgery are increasingly encouraged to change their lifestyles. Dietary interventions combined with physical exercise interventions are regarded as the most effective way to ensure that they do not regain the weight they have lost. Little research however, has been done on how patients who have had the surgery actually experience the process of changing their exercise habits. To help fill this gap, we investigated the experiences of women participating in a group-based rehabilitation program designed to radically transform these habits. Based on participant observation, and our interviews with 11 women in the program, we were able to identify a variety of potential benefits and negative consequences in group training, organized according to the interval principle. We also found that the experiences of these women were closely related to their views on how significantly the surgery had changed their lifestyle. Based on the experiences related by these women, we believe that the “effectiveness” of standardized group-based interventions for patients undergoing weight-loss surgery should be reconsidered. Some of the women in our study viewed the group-based standardized training intervention positively; others resisted it. Our research leads us to conclude that this type of program could be more successful if the forms of activity and their intensity were customized to meet the needs and desires of each participant. HubMed – rehab

Pancreaticoduodenectomy in Elderly Adults: Is It Justified in Terms of Mortality, Long-Term Morbidity, and Quality of Life?

J Am Geriatr Soc. 2013 Jul 18;
Gerstenhaber F, Grossman J, Lubezky N, Itzkowitz E, Nachmany I, Sever R, Ben-Haim M, Nakache R, Klausner JM, Lahat G

To evaluate long-term morbidity, mortality, and quality of life (QoL) after pancreaticoduodenectomy (PD) in elderly adults.Retrospective cohort study.Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.One hundred and sixty-eight individuals aged 70 and older who underwent PD between 1995 and 2010.A prospective pancreatic surgery database was analyzed for postoperative morbidity; mortality; intensive care unit (ICU), hospital, and rehabilitation facility stay; and readmissions after surgery. QoL was assessed using a validated questionnaire completed 3, 6, and 12 months after surgery.Seventy-two percent of the participants had an American Society of Anesthesiologists score of 3 or greater. There was no intraoperative death. Thirty- and 60-day postoperative mortality rates were 5.9% and 6.5%, respectively. Median ICU stay was 2 days, and median hospital stay was 22 days. Sixty-four participants (37.5%) were discharged to a rehabilitation facility. The first-year readmission rate was 31%. One- and 2-year overall survival rates were 58% and 36%, respectively. Global QoL scores 3 and 12 months after surgery were 68% and 73%, respectively. Scores were lower yet comparable with those of matched individuals undergoing laparoscopic cholecystectomy.Most elderly adults with pancreatic cancer survive longer than 1 year after PD; 36% survive longer than 2 years. These individuals are likely to have acceptable long-term morbidity and overall good QoL, corresponding with their age. HubMed – rehab

Large normal alleles and SCA2 prevalence: lessons from a nationwide study and analysis of the literature.

Clin Genet. 2013 Jul 19;
Laffita-Mesa J, Almaguer-Mederos L, Kourí V, Bauer P, Mojena Y, Mariño T, Pérez L

HubMed – rehab

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