Examinando por Autor "Luengas, Rafael"

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    Early Exercise Boosts Visceral Fat Loss Post‑Bariatric Surgery in the First Month
    (Springer Nature, 2025) Cancino, Jorge; Lillo-Urzua, Paloma; Olivares-Galvez, Mariela; Palacio-Aguero, Ana; Duque, Juan Camilo; Luengas, Rafael; Pino-Zuñiga, Johanna
    This letter to the editor addresses critiques of a clinical study evaluating the efficacy of an early, counseling-based physical exercise intervention in post-bariatric patients. The authors highlight the paucity of research regarding proactive modification of body composition within the initial postoperative month, focusing particularly on visceral adipose tissue mass. The implemented protocol consisted of a home-based, unsupervised resistance training regimen employing elastic bands, initiated between postoperative days 5 and 7, following individualized in-hospital familiarization and audiovisual instruction. The intervention demonstrated high feasibility, safety, and clinical applicability, especially for populations with limited access to direct supervision during the early postoperative period. No adverse events were reported. The significant reduction in visceral adiposity observed is underscored as a clinically relevant proxy for improved metabolic risk profile. The use of subjective scales of perceived exertion (such as the Borg Scale) is justified when objective monitoring devices are unavailable. The authors recommend that future research prioritize the identification of determinants influencing patient adherence to exercise prescription within post-bariatric rehabilitation frameworks, aiming to optimize therapeutic outcomes.