Evidence map›Paper›PMID 42057763›Full record

Trial reportJournal of cachexia, sarcopenia and muscle2026

Exercise Modalities to Preserve Muscle Mass and Bone Health After Metabolic Bariatric Surgery.

Ariela Goldenshluger, Lior Friedman, Tamir Turjeman, Roi Yavetz, Asnat Raziel, David Goitein, Irit Markus, Hassan Kais, Ron Sternfeld, Estherina Trachtenberg and 10 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cachexia, sarcopenia and muscle, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04777305 (The POWER BARIATRIC Trial), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04777305 naunknown statusnot on this map

The POWER BARIATRIC Trial: Physical Outcomes With Exercise Regimens on BARIATRIC Patients

TypeinterventionalSponsorTel Aviv UniversityRan2021 to 2024Enrolled60ConditionsObesity, Muscle Loss, AdiposityArmsPhysical activity training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Ariela GoldenshlugerDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-3574-5067
Lior FriedmanDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
Tamir TurjemanDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
Roi YavetzDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
Asnat RazielAssuta Medical Center, Tel Aviv, Israel.
David GoiteinAssuta Medical Center, Tel Aviv, Israel.
Irit MarkusDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
Hassan KaisAssuta Medical Center, Tel Aviv, Israel.
Ron SternfeldDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
Estherina TrachtenbergSagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
Gal Dubnov-RazFaculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Ilanit MhalerHerzliya Medical Center, Herzliya, Israel.
Ilan YoungsterPediatric Infectious Diseases Unit and the Center for Microbiome Research, Shamir Medical Center, Be'er Ya'akov, Israel.
David PeledDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
Roee AmediDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
Andrei KeidarAssuta Medical Center, Tel Aviv, Israel.
Edward H LivingstonDepartment of Surgery, Faculty of Health Sciences, UCLA School of Medicine, Los Angeles, California, USA.
Nasser SakranAssuta Medical Center, Tel Aviv, Israel.
Dror DickerFaculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Yftach GepnerDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine and Health Science and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.

Funding

Israeli Scholarship Education FoundationIsraeli Science Foundation 848/22Recanati Science Foundation 601442001U.S.- Israel Binational Science Foundation 2019313
6 · The paper itself

Abstract

backgroundMetabolic bariatric surgery (MBS) effectively reduces fat mass (FM), but how to best preserve muscle and bone mass after MBS is unknown.

objectiveThis study aimed to evaluate the effect of aerobic, resistance and combined exercise regimens on body composition, bone mineral density (BMD) and physical function in adults following MBS.

methodsPatients were randomized into aerobic, resistance, combined and control groups after undergoing MBS. Exercise groups completed a 26-week supervised program (three sessions per week) with progressively increasing intensity. The primary outcome was the change in fat-free mass (FFM) measured by dual-energy X-ray absorptiometry (DXA). Secondary outcomes included FM, hip, femoral neck and lumbar spine BMD, serum collagen type I C-telopeptide (CTX) and physical function (e.g., 6-min walk test and handgrip strength). Between-group differences were assessed using Bayesian analysis of covariance (ANCOVA) adjusted for age, sex, surgery type and baseline body mass index, with credible differences inferred when the 95% credible interval of the standardized effect size excluded zero. Associations between outcomes were assessed using Pearson correlation.

resultsOf 443 eligible candidates, 58 participants (aged 18-65 years, 70% women, BMI 41.7 ± 4.4 kg/m

conclusionsFollowing MBS, combined aerobic and resistance training improved body composition by preserving FFM and reducing FM, while aerobic training most attenuated bone loss. Exercise was associated with modest improvements in physical function, supporting individualized exercise strategies to promote metabolic, musculoskeletal and functional health after MBS. Trial Registration ClinicalTrials.gov Identifier: NCT04777305.

Indexed as

Bariatric SurgeryBone and BonesExerciseExercise TherapyMuscle, SkeletalAdolescentAdultAgedBody CompositionBone DensityFemaleHumansMaleMiddle AgedYoung Adultbody compositionbone mineral densityexercisefat‐free massmetabolic bariatric surgeryphysical function

Identifiers

PMID42057763
PMCPMC13129681

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.