Exercise After Bariatric Surgery
Fitness
Exercise After Bariatric Surgery: Best Practices and Tips

Bariatric surgery is a life-changing procedure that helps many people lose weight and improve their overall health. But surgery is just one piece of the puzzle. After the procedure, maintaining a healthy lifestyle—including regular physical activity—is essential for long-term success. If you’re unsure about exercise after bariatric surgery, you’re not alone. Many patients have questions about when to start, what types of exercises are best, and how to stay safe while being active.

In this blog, we’ll explore the best practices and tips for incorporating exercise into your routine after bariatric surgery. By following these guidelines, you can maximize your weight loss, improve your health, and feel stronger every day.

Why is Exercise Important After Bariatric Surgery?

Exercise is a critical part of your weight loss journey after bariatric surgery. Not only does it help you burn calories and shed pounds, but it also offers several other important benefits:

  • Helps prevent muscle loss: After surgery, rapid weight loss can sometimes lead to muscle loss along with fat loss. Regular exercise helps preserve and build muscle, which keeps your metabolism strong.
  • Improves cardiovascular health: Exercise strengthens your heart and lungs, reducing your risk of heart disease and other chronic conditions.
  • Enhances mood and mental health: Physical activity releases endorphins, which can improve your mood, reduce stress, and help combat feelings of depression or anxiety.
  • Supports long-term weight maintenance: Research shows that patients who exercise after bariatric surgery are more likely to maintain their weight loss over time.

Understanding the importance of exercise after bariatric surgery will help you stay motivated and committed to incorporating physical activity into your daily routine.

When to Start Exercising After Bariatric Surgery

Many patients wonder when it’s safe to start exercising after their surgery, and while every patient is different, there are general guidelines to follow. In the first one to two weeks after surgery, your body needs time to heal, so it’s best to focus on gentle activities like short, slow walks to improve circulation and speed up recovery. During this time, avoid strenuous exercise, heavy lifting, and any activities that could strain your incision sites.

Between weeks three and six, you can gradually increase the intensity and duration of your physical activity by continuing to walk longer distances or at a faster pace. Light stretching exercises may be added to improve flexibility, and you may start incorporating low-impact activities like swimming or cycling, but it’s important to consult your doctor before trying new exercises.

Around six weeks post-surgery, most patients are cleared to start more structured exercise routines, which may include strength training and moderate-intensity aerobic exercises. Low-impact activities like walking, swimming, stationary biking, or using an elliptical machine are great options, and group classes like yoga or Pilates can help improve strength and flexibility without putting too much strain on the body.

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Best Practices for Exercise After Bariatric Surgery

When starting exercise after bariatric surgery, it’s important to follow certain guidelines to ensure you’re working out safely and effectively. Here are some best practices to keep in mind:

1. Start Slow and Progress Gradually

It’s normal to feel eager to start exercising, but it’s important to be patient. Start with gentle activities like walking or swimming and gradually increase the intensity as your body gets stronger. Pushing yourself too hard too soon can lead to injury or setbacks in your recovery.

2. Focus on Both Cardio and Strength Training

A balanced exercise routine includes both cardiovascular exercise and strength training. Cardiovascular activities like walking, biking, or swimming help burn calories and improve heart health, while strength training helps build muscle and maintain your metabolism. Aim for at least 150 minutes of moderate-intensity cardio per week and two to three days of strength training.

3. Listen to Your Body

Your body will give you signals when it needs rest. If you feel pain, discomfort, or extreme fatigue, take a break and consult your doctor if necessary. It’s essential to find the right balance between challenging yourself and giving your body time to recover.

4. Set Realistic Goals

Setting realistic fitness goals is key to staying motivated. Start by setting small, achievable goals, such as walking for 20 minutes every day or lifting light weights twice a week. As you reach these milestones, gradually increase the difficulty and duration of your workouts. Celebrate your progress, no matter how small.

5. Stay Consistent

Consistency is the key to success when it comes to exercise after bariatric surgery. Make exercise a part of your daily routine by scheduling time for physical activity, just like you would for any other important task. Even on days when you don’t feel like working out, try to do some light activity to maintain your routine.

Types of Exercises That Are Safe After Bariatric Surgery

When choosing exercises after bariatric surgery, it’s essential to pick activities that are gentle on your joints and safe for your body. Here are some examples of low-impact exercises that are ideal for bariatric patients:

  • Walking: One of the easiest and most accessible exercises, walking helps improve cardiovascular health and burns calories.
  • Swimming: Swimming is a full-body workout that’s easy on the joints, making it perfect for bariatric patients.
  • Cycling: Stationary or outdoor cycling is a great way to get your heart rate up without putting too much strain on your knees or back.
  • Strength training: Using resistance bands, light weights, or your body weight, strength training helps build muscle and boost metabolism.
  • Yoga or Pilates: These low-impact activities improve flexibility, balance, and strength while helping reduce stress.

Conclusion

Exercise after bariatric surgery is a crucial component of your weight loss journey and overall health. By starting slow, focusing on both cardio and strength training, and listening to your body, you can build a safe and effective exercise routine. Remember, consistency is key—make exercise a regular part of your life to support long-term weight loss and improved health. Always consult your doctor before starting a new exercise regimen to ensure you’re on the right path for your recovery.

Eric Velazquez, MD
Dr. Eric Velazquez has more than a decade of experience as a minimally invasive and bariatric surgeon. He joined Longstreet Clinic’s Center for Weight Management after working as a surgeon at Temple Health in Philadelphia, PA, where he also served as Chief of the Division of Minimally Invasive and Bariatric Surgery and Medical Director for Bariatric Surgery at Temple University Hospital.
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