Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study
This case study examined changes in body composition, resting metabolic rate (RMR), aerobic capacity, and daily physical activity in a patient who had ulcerative colitis and underwent ileal pouch-anal anastomosis (IPAA) surgery. Body composition, RMR, and peak oxygen consumption (VO<sub>2</...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-10-01
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| Series: | Journal of Functional Morphology and Kinesiology |
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| Online Access: | https://www.mdpi.com/2411-5142/5/4/77 |
| _version_ | 1797549611193204736 |
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| author | Jacob Erickson Patrick Harty Paul Molling Richie Stecker Chad Kerksick Andrew Jagim |
| author_facet | Jacob Erickson Patrick Harty Paul Molling Richie Stecker Chad Kerksick Andrew Jagim |
| author_sort | Jacob Erickson |
| collection | DOAJ |
| description | This case study examined changes in body composition, resting metabolic rate (RMR), aerobic capacity, and daily physical activity in a patient who had ulcerative colitis and underwent ileal pouch-anal anastomosis (IPAA) surgery. Body composition, RMR, and peak oxygen consumption (VO<sub>2</sub>peak) were assessed prior to surgery and four, eight, and 16 weeks after IPAA surgery. Daily physical activity data were extracted from a wrist-worn activity tracker preoperatively and 16 months postoperatively. At baseline, total body mass was 95.3 kg; body fat, 11.6%; lean body mass, 81.1 kg; RMR, 2416 kcal/d; and VO<sub>2</sub>peak, 42.7 mL/kg/min. All values decreased from baseline at four weeks postoperatively, body mass was 85.2 kg (−10.5%); body fat, 10.9% (−6.0%); lean body mass, 73.1 kg (−9.9%); RMR 2210 kcal/d (−8.5%) and VO<sub>2</sub>peak, 25.5 mL/kg/min (−40.3%). At 16 weeks postoperatively, most parameters were near their baseline levels (within 1–7%), exceptions were VO<sub>2</sub>peak, which was 20.4% below baseline, and RMR, which increased to nearly 20% above baseline. After the patient had IPAA surgery, his total and lean body masses, RMR, and aerobic capacity were markedly decreased. Daily physical activity decreased postoperatively and likely contributed to the decreased aerobic capacity, which may take longer to recover compared to body composition and RMR parameters. |
| first_indexed | 2024-03-10T15:18:02Z |
| format | Article |
| id | doaj.art-9d247602969d40f78a7617dc2d9b823d |
| institution | Directory Open Access Journal |
| issn | 2411-5142 |
| language | English |
| last_indexed | 2024-03-10T15:18:02Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Functional Morphology and Kinesiology |
| spelling | doaj.art-9d247602969d40f78a7617dc2d9b823d2023-11-20T18:47:18ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422020-10-015477010.3390/jfmk5040077Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case StudyJacob Erickson0Patrick Harty1Paul Molling2Richie Stecker3Chad Kerksick4Andrew Jagim5Sports Medicine, Mayo Clinic Health System, Onalaska, WI 54636, USAEnergy Balance and Body Composition Laboratory, Texas Tech University, Lubbock, TX 79430, USASports Medicine, Mayo Clinic Health System, Onalaska, WI 54636, USAExercise & Performance Nutrition Lab, Lindenwood University, St. Charles, MO 63301, USAExercise & Performance Nutrition Lab, Lindenwood University, St. Charles, MO 63301, USASports Medicine, Mayo Clinic Health System, Onalaska, WI 54636, USAThis case study examined changes in body composition, resting metabolic rate (RMR), aerobic capacity, and daily physical activity in a patient who had ulcerative colitis and underwent ileal pouch-anal anastomosis (IPAA) surgery. Body composition, RMR, and peak oxygen consumption (VO<sub>2</sub>peak) were assessed prior to surgery and four, eight, and 16 weeks after IPAA surgery. Daily physical activity data were extracted from a wrist-worn activity tracker preoperatively and 16 months postoperatively. At baseline, total body mass was 95.3 kg; body fat, 11.6%; lean body mass, 81.1 kg; RMR, 2416 kcal/d; and VO<sub>2</sub>peak, 42.7 mL/kg/min. All values decreased from baseline at four weeks postoperatively, body mass was 85.2 kg (−10.5%); body fat, 10.9% (−6.0%); lean body mass, 73.1 kg (−9.9%); RMR 2210 kcal/d (−8.5%) and VO<sub>2</sub>peak, 25.5 mL/kg/min (−40.3%). At 16 weeks postoperatively, most parameters were near their baseline levels (within 1–7%), exceptions were VO<sub>2</sub>peak, which was 20.4% below baseline, and RMR, which increased to nearly 20% above baseline. After the patient had IPAA surgery, his total and lean body masses, RMR, and aerobic capacity were markedly decreased. Daily physical activity decreased postoperatively and likely contributed to the decreased aerobic capacity, which may take longer to recover compared to body composition and RMR parameters.https://www.mdpi.com/2411-5142/5/4/77body compositioninflammatory bowel diseaseJ-pouchphysical activity levels |
| spellingShingle | Jacob Erickson Patrick Harty Paul Molling Richie Stecker Chad Kerksick Andrew Jagim Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study Journal of Functional Morphology and Kinesiology body composition inflammatory bowel disease J-pouch physical activity levels |
| title | Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study |
| title_full | Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study |
| title_fullStr | Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study |
| title_full_unstemmed | Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study |
| title_short | Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study |
| title_sort | physical and metabolic changes after ileal pouch anal anastomosis a case study |
| topic | body composition inflammatory bowel disease J-pouch physical activity levels |
| url | https://www.mdpi.com/2411-5142/5/4/77 |
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