Prehabilitation before sleeve gastrectomy showed mixed results across glucose measures
A randomized trial reported lower glycated hemoglobin and better psychological scores with prehabilitation, while fasting blood glucose did not differ significantly between groups.
Based on the published abstract. The full paper may contain additional methods, results and limitations.
The 30-second takeaway
The prehabilitation group had more favorable results for glycated hemoglobin, anxiety and depression scores, body measurements and minor postoperative complications. Fasting glucose, however, did not show a statistically significant difference. The abstract does not describe the prehabilitation program or quantify most changes, so its clinical value and reproducibility remain difficult to judge.
Program components, effect sizes and complication counts are absent from the abstract. Its descriptions of assessment timing alternate between time since intervention and time since surgery, limiting a precise reconstruction of the study schedule.
What researchers found
Glycated hemoglobin
At 6 months after surgery, prehabilitation versus routine care; the size of the difference was not reported.
Glucose outcomes differed
Glycated hemoglobin favored prehabilitation, but fasting blood glucose did not differ significantly. These findings should remain separate: a favorable result for one laboratory marker does not demonstrate improvement in every aspect of glucose metabolism.
Other reported changes
The intervention group also had lower anxiety and depression scores and fewer minor postoperative complications. Without numerical differences or event counts, the abstract cannot show how large those advantages were or how much they mattered to patients.
The original publication
The impact of prehabilitation strategies on psychological state, glucose metabolism, and postoperative outcomes in patients undergoing laparoscopic sleeve gastrectomy.
Zhang Y, Gao B, Zhang X et al.
BMC Surg · 2025
- PubMed ID
- 40859236
- Record checked
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