Next Article in Journal
Fatigability and Cardiorespiratory Impairments in Parkinson’s Disease: Potential Non-Motor Barriers to Activity Performance
Previous Article in Journal
Emphasizing Task-Specific Hypertrophy to Enhance Sequential Strength and Power Performance
Open AccessCase Report

Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study

1
Sports Medicine, Mayo Clinic Health System, Onalaska, WI 54636, USA
2
Energy Balance and Body Composition Laboratory, Texas Tech University, Lubbock, TX 79430, USA
3
Exercise & Performance Nutrition Lab, Lindenwood University, St. Charles, MO 63301, USA
*
Author to whom correspondence should be addressed.
J. Funct. Morphol. Kinesiol. 2020, 5(4), 77; https://doi.org/10.3390/jfmk5040077
Received: 3 September 2020 / Revised: 16 October 2020 / Accepted: 21 October 2020 / Published: 28 October 2020
(This article belongs to the Section Sport Medicine and Nutrition)
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 (VO2peak) 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 VO2peak, 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 VO2peak, 25.5 mL/kg/min (−40.3%). At 16 weeks postoperatively, most parameters were near their baseline levels (within 1–7%), exceptions were VO2peak, 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. View Full-Text
Keywords: body composition; inflammatory bowel disease; J-pouch; physical activity levels body composition; inflammatory bowel disease; J-pouch; physical activity levels
Show Figures

Figure 1

MDPI and ACS Style

Erickson, J.; Harty, P.; Molling, P.; Stecker, R.; Kerksick, C.; Jagim, A. Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study. J. Funct. Morphol. Kinesiol. 2020, 5, 77.

AMA Style

Erickson J, Harty P, Molling P, Stecker R, Kerksick C, Jagim A. Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study. Journal of Functional Morphology and Kinesiology. 2020; 5(4):77.

Chicago/Turabian Style

Erickson, Jacob; Harty, Patrick; Molling, Paul; Stecker, Richie; Kerksick, Chad; Jagim, Andrew. 2020. "Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study" J. Funct. Morphol. Kinesiol. 5, no. 4: 77.

Find Other Styles

Article Access Map by Country/Region

1
Back to TopTop