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Klinik Obezite

KO-E-088 Exercising after surgery

Exercise after surgery

After surgery

For 6 months after surgery, you will follow a comprehensive physical activity program under the supervision of a coach. At discharge, you will receive more detailed information. İmportant issues are emphasized below.

1 day to 3 weeks after surgery

Right after surgery, your body will be in recovery mode. We recommend light mobilization exercises for the first week. The aim at this stage is to keep your joints mobile and your muscles active in order to maintain your muscle mass. Daily walking and breathing exercises are also recommended. Focus on listening to your body and step by step increase your activity level. Do not forget to follow the recommendations of your health team.

3 weeks to 6 months after surgery

In this period, you will include certain basic aerobic and strength training activities in your exercises. Continue to focus on your breath and listen to your body. Increase your activities gradually over time. The aim is to reach and maintain a basic physical fitness level.

At the end of this stage, your routine exercise will be so to say your best friend. You will wish to spend some time on your exercises every day and you will miss them if one day you cannot do them for any reason.

Rest of your life

This is the time for strengthening; let your exercise routine take root.

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Klinik Obezite

KO-E-085 My physical activity for the long run

 

How to maintain physical fitness?

How to set goals for long-term fitness?

 

Introduction to long-term follow-up

Approximately 6 months after your surgery, you should be continuing a more powerful and strong exercise program with higher self-confidence. You should be able to push your endurance level to achieve more in each exercise.

The main challenge you may face at this stage is to return to your old habits. Studies have shown that many bariatric surgery patients start to sit up to 9 hours after 6 months and only walk about 60% of the daily number of steps recommended by the World Health Organization (WHO). Now that you have lost some weight and you are aware that you can do certain activities, eating some food you used to eat before surgery, eating the same way when you are out with your friends and your family may look attractive.

 

It is important to remember what you have learned during your journey and stick to the diet and exercise program prescribed by your health team. Even though you have had great success so far, there is still a long way for you to go before you convert your new behaviors into life-long habits.

Maintaining your fitness level

If you have stuck to the program so far, it means that you have already created a strong exercise regimen based on endurance and overall strength. Congratulations! As your follow-up programs continue, it is important that you find ways to change your exercise routine and focus on the activities you enjoy the most. This will keep you motivated in the long term. You can also use health monitors, pedometers, or exercise applications to record your progress and enjoy your exercise workouts.

Do not forget to develop your endurance with aerobic activities to maintain your body weight. Strength workouts are still important. Therefore, free weights, gymnastics, or yoga exercises, which can help you to improve your strength, can be added to your exercises. Cardio-fitness, group exercises or interval exercises like CrossFit can be perfect for this phase (if you do not have cardiovascular problems). Please do not forget that it is best to start these activities under the supervision of a professional trainer.

The most important thing at this stage of your follow-up is that you enjoy your exercises. Participate in dancing courses, push your children on the swing, or try different things. If you prefer social activities join a walking or rowing club. Make a sport that your whole family can join. If you were not able to find your favorite activities yet, let us look at a few examples together.

Introduction to physical activity

As your bariatric assessments are completed and your multidisciplinary health team has approved physical activities, let us look at the physical activity program recommended for you.

Benefits of exercise

Regular physical activity is beneficial for your whole body. During physical activities you utilize the energy coming from foods you have eaten. Movement causes metabolic changes in your body. Your heart works harder and improves your circulatory and respiratory performance and the fitness level of your muscles for the long term. Daily exercising develops your joints and contributes to healthy bone density.

In addition, exercise induces endorphin release, which decreases depression and anxiety and makes you happier and more relaxed. Exercise can also provide wonderful socialization opportunities and support better sleep.

Exercise is fun!

Believe it or not but exercise can be fun too. Once a solid daily exercise routine is established, most people find out that they are addicted to the endorphin release after a satisfying workout and the feeling of “good and energetic”. Once exercise becomes a habit, you will recognize that all your daily activities become easier, your “tight” clothes start to fit you, and you gain gradually more motivation to be more fit and healthy.

When should you start to exercise?

The earlier you start exercising after surgery, the easier you improve. Evidence shows that regular physical activity is an important indicator of the long-term maintenance of weight loss before and after surgery.

Adaptation to a new and active lifestyle

The aim of surgery is to enable you to adopt a healthy lifestyle for the rest of your life. This means that you add more activity to your daily routine. For this, you do not need to go to the gym every day, although it can be done. You can walk more, play with your grandchildren and do more dynamic activities like walking in the woods instead of sitting and watching TV.

It may be difficult at the beginning but once you add more activities into your life, you will become more confident in your ability to adopt a more active lifestyle. Do not forget that an active lifestyle should be combined with a healthy and balanced diet to achieve your weight loss goal.

 

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Klinik Obezite

KO-E-094 Tips for staying motivated

Tips to maintain motivation

  1. Learn to focus on what you feel during exercise instead of on the activity itself. Observe what is going on around you; notice the sky, humans, sounds etc. This will help you to become aware of your progress.

a. How do you feel when you are active and participating?

b. How do you feel after exercising?

c. Was the exercise easier yesterday? Did you feel more or less tired?

  1. Motivate yourself in a positive way. Remind yourself how good it feels to be outdoors or active. Appreciate yourself when you overcome a moment of low motivation and complete your exercise. Realize how good it is to achieve your goal, particularly when you thought about giving up at some point for that day.
  1. Do not forget that physical activity improves your mood. This not only alleviates stress but also helps to fight against sadness and depression. If your motivation is down because you are bored, remind yourself how you will instantly feel better after exercising.

Every time you achieve your goal for that day, reward yourself with an activity you really enjoy such as watching a new episode of your favorite TV show. After a while, your exercise will be the reward itself. For instance, after you have spent a long day in front of your computer monitor, you will want to reward yourself with a walk in the park.

 

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Klinik Obezite

KO-E-084 Breathing before surgery

Breathing exercises before and after surgery

Correct and regular breathing is very important. Everyone’s way of breathing is unique, and we rarely think about how we breathe. Optimal breathing delivers more oxygen to your blood and helps your body to function more efficiently and contributes to better physical health by lessening fatigue and muscle spasms.

Deep breathing (10 repeats)

  1. Sit straight and close your eyes.
  2. Put one of your hands on your abdomen and the other hand on your chest.
  3. Take a deep breath through your nose for 3 seconds.
  4. Hold your breath for 3 seconds
  5. Exhale through your mouth for 6 seconds like blowing on soup.
  6. Focus on the movements of your abdomen and chest during inhaling and exhaling.
  7. Repeat this breathing exercise a few times by following these steps.
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SMS - Baria

SMS – Baria-E-098 My daily activity programme – phase 1

Daily activities and exercising before weight loss surgery is, of course, important for your health. But it is also a first step towards preparing your mindset for what is to come after surgery.

Being physically active helps keep your heart and lungs healthy, it ensures healthy bone density and joint mobility, and it alleviates stress, anxiety, and depression. Fortunately, it doesn’t take much to make a noticeable difference. Start by changing position frequently and generally moving more.

Here’s a daily activity regimen you might follow over the next few weeks.

 

Daily activities

Make sure to perform normal daily activities such as washing up, cooking for yourself, grocery shopping, and so forth.

There are plenty of ways to incorporate physical activity into your everyday life. If you can, take the stairs instead of the elevator and park your car a little further away from the store and walk the rest of the way. Do things that keep you moving and change positions at least once every hour.

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SMS - Baria

SMS – Baria-E-099 My daily activity program – phase 2

Welcome to your daily activity program!

Here’s a daily activity regimen for you to follow over the next few weeks.

Make sure you continue to stay active and perform your daily activities. Reduce your sitting time and change positions at least once every hour.

 

Mobilisation and strength

Mobilisation and strength exercises are crucial for maintaining your ability to move. Increasing strength also means your muscles require more energy (burn more calories), which supports your weight loss goal. You will find a description of each exercise here. 

  • Shoulder rolls: 5 repetitions  

  • Calf raises: 5 repetitions 

  • Ankle rolls: 5 repetitions

  • Chair march: 5 repetitions 

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SMS - Baria

SMS – Baria-E-109 Physical activity programme post surgery – phase 3

Over the next two weeks, we will add new strength exercises. Walking will continue to be part of your programme, with the amount increasing gradually. 

 

1. Walking 

Walk for 15 minutes every day. Walk on flat and easy terrain. The exertion should be light to medium. 

 

2. Mobilisation and strength 

Practise the following exercise twice a week: 

  • Blade stretch: 2 x 10 repetitions  

  • Sit & stand: 2 x 10 repetitions 

  • Tricep curls: 2 x 10 repetitions

  • Bicep curls: 2 x 10 repetitions 

 

Physical activity programme, post-op – Phase 3: Weeks 4 & 5 tabular view 

 

Walking – 5 times a week 
20 minutes 
Flat, easy terrain 
Medium exertion 

 

Mobilisation and strength – 3 times per week 
Blade stretch 2 x 10 repetitions
Sit & stand 2 x 10 repetitions
Tricep curls 2 x 10 repetitions
Bicep curls 2 x 10 repetitions
Chest press 2 x 10 repetitions
Shoulder rolls 2 x 10 repetitions
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SMS - Baria

SMS – Baria-E-108 Physical activity programme post surgery – Phase 2

It is now the second week after discharge. We will continue to focus on light mobilisation exercises for the next two weeks, increasing the number of mobilisation exercises.  

In two weeks, you will progress to phase 3. 

 

1. Walking

Walk for 15 minutes every day. Walk on flat and easy terrain. The exertion should be light to medium. 

 

2. Mobilisation 

Practise the following exercises every day: 

  • Calf raises: 2 x 5 repetitions 

  • Side stretches: 2 x 5 repetitions 

  • Shoulder rolls: 2 x 5 repetitions 

 

3. Breathing 

Do all breathing exercises every day:

  • Deep breathing – 30 repetitions  
  • Lateral breathing – 30 repetitions
  • Abdominal breathing – 30 repetitions 

 

Physical activity programme, post-op – Phase 2: Weeks 2 & 3 tabular view 

 

Walking – 7 times a week    Breathing – 7 times a week 
Flat, easy terrain Deep breathing
Light to medium exertion Lateral breathing
Abdominal breathing

 

Mobilisation – 7 times a week  
Calf raises  2 x 5 repetitions 
Side stretches  2 x 5 repetitions 
Shoulder rolls  2 x 5 repetitions 
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SMS - Baria

SMS – Baria-E-107 Physical activity programme post surgery –Phase 1

You have done it! Your life after bariatric surgery begins now.

Immediately following surgery your body is in recovery mode. Our focus, therefore, is on light mobilisation exercises for the first week.  

 

Mobilisation exercises lubricate your joints and improve their function. They can also relax your muscles and the surrounding tissue. Regular mobilisation exercises can increase your awareness of your joints and alleviate pain and oedema –the fluid build-up that causes swelling. Mobilisation exercises concentrate on your biggest, most visible joints – ankles, knees, hips, elbows and shoulders. 

 

Always start mobilisation exercises with small, gentle movements. If you feel any stiffness or pain, try moving in the opposite direction. If a movement is too painful, avoid it until the pain subsides and you are ready to try mobilising that area again. 

 

The goal in this phase is to keep your joints lubricated to retain mobility and your muscles active to retain muscle mass.  

 

Daily walking and breathing exercises are also recommended. Take care to listen to your body and gradually progress your activity level.  

After one week, you will progress to phase 2. 

 

 

1. Walking 

Walk for 15 minutes every day. Walk on flat and easy terrain. The exertion should be light to medium.  

 

2. Breathing 

Do all breathing exercises every day:

Deep breathing – 30 repetitions  

 

Lateral breathing – 30 repetitions 

 

Abdominal breathing – 30 repetitions 

 

Walking – 7 times a week  Breathing – 7 times a week 
15 minutes  Deep breathing 
Flat, easy terrain  Lateral breathing 
Light to medium exertion  Abdominal breathing 

 

 

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SMS - Baria

SMS – Baria-E-100 My daily activity program – phase 3

Welcome to your daily activity program!

Here’s a daily activity regimen for you to follow over the next few weeks.

Make sure you continue to stay active and perform your daily activities. Reduce your sitting time and change positions at least once every hour.

 

Mobilisation and strength

Mobilisation and strength exercises are crucial for maintaining your ability to move. Increasing strength also means your muscles require more energy (burn more calories), which supports your weight loss goal. You will find a description of each exercise here. 

  • Shoulder rolls: 5 repetitions  

  • Calf raises: 5 repetitions 

  • Ankle rolls: 5 repetitions

  • Chair march: 5 repetitions 

  • Chair padeling: 5 repetitions