October 23, 2025

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Exercise May Protect Bone Health After Weight Loss Surgery

Bariatric surgery induces bone loss and leads to increased fracture risk.Bone resorption increases after both SG and, more strongly, after RYGB. Malabsorption and adipose tissue-related hormones likely contribute to bone loss.
Although weight loss surgery is a highly effective treatment for obesity, it can be detrimental to bone health.
Exercise has been suggested as a therapeutic approach to attenuate bone loss induced by bariatric surgery (BS), but its effectiveness remains unclear.A new study published in the Journal of Bone and Mineral Research suggests that exercise may help address this shortcoming of bariatric surgery and exercise program is an effective strategy to ameliorate bone health in post‐BS patients.
Researchers conducted a study to determine if an exercise‐training program could induce benefits on bone mass after Bariatric surgery.
Exercise plays a critical role in helping bariatric patients to achieve long term success in their goals to lose weight, live a healthy lifestyle and maintain their desired weight once achieved. But exercise plays a crucial role in maintaining bone health after surgery.
The study randomized 84 patients undergoing weight loss surgery to an exercise group or a control group for 11 months. The exercise group performed high impact, balance, and resistance exercises three times per week.
Twelve months after surgery, participants in the exercise group had higher bone mineral density measurements at the lumbar spine and the forearm compared with those in the control group. Also, participants who attended at least half of the exercise sessions had higher bone mineral density at the femoral neck than those in the control group.
"These findings showed that a structured exercise program may be a valid treatment option to minimize weight loss surgery-induced bone loss, which may be particularly important since many patients undergo surgery in early adulthood or even at pediatric ages," said lead author Florêncio Diniz-Sousa, MSc, of the University of Porto, in Portugal. "As stated in recently released World Health Organization physical activity guidelines, regular exercise should be a priority for everyone, including patients who have undergone weight loss surgery."
For further reference log on to:
http://dx.doi.org/10.1002/jbmr.4213

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