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Table 2 Training periodization (Item 13)

From: Supervised exercise following bariatric surgery in morbid obese adults: CERT-based exercise study protocol of the EFIBAR randomised controlled trial

Weeks

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Session

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

Phases

Familiarisation Phase

Phase 1

Phase 2

Phase 3

Warm-up

Aerobic activity

5 min of low intensity aerobic activity (50%-65% HRR) on Treadmill

Strength training

Type of exercises performed

Learning exercises of movement patterns

Learning exercises of movement patterns and

Weight-bearing and strength training with elastic bands

cCompensatory training:

- Core stability

- Stabiliser muscles (Level A-B)

cCompensatory training:

- Core stability

- Stabiliser muscles

(Level A-B)

cCompensatory training:

- Core stability

- Stabiliser muscles

(Level A-B-C)

Compensatory training:

- Core stability

- Stabiliser muscles (Level A)

Exercises localised in major muscle groups

Exercises localised in major muscle groups

Exercises localised in major muscle groups

Training stimulus aim

Initial adaptations to strength training

Metabolic stress

Metabolic stress/Mechanical tension and muscle damage

Mechanical tension and muscle damage

Sets

3

Exercises of movement patterns, weight-bearing and elastic bands (2 set/5-7 rep)

Exercise intensity: Thera-Band RPE scale

1

1

1

1

1

1

2

2

2

2

2

1

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

Repetition

8-10

12

12

12

12

12

12

12

12

12

12

12

12

12

12

12

12

12

12

10

10

10

10

10

10

8

8

8

8

8

8

6

6

6

6

6

6

Exercise Intensitya (RM)

Weight-bearing

24

24

24

24

24

24

24

24

24

24

24

24

24

24

24

24

24

24

20

20

20

20

20

20

16

16

16

14

14

14

12

12

12

10

10

10

(CE)b

 

12

12

12

12

12

12

12

12

12

12

12

12

12

12

12

12

12

12

10

10

10

10

10

10

8

8

8

6

6

6

6

6

6

4

4

4

Total Rep

 

12

12

12

12

12

12

24

24

24

24

24

12

36

36

36

36

36

36

30

30

30

30

30

30

24

24

24

24

24

24

18

18

18

18

18

18

Aerobic training

Type/number of exercises performed

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Treadmill

Aerobic training volume (min)

15

15

15

15

15

15

15

15

15

15

15

15

20

20

20

20

20

20

20

20

20

20

20

20

20

20

20

20

20

20

20

20

20

25

25

25

25

25

25

25

25

25

25

25

25

25

25

25

Intensity (%HRR)

≤65%HRR

65-70%HRR

70-75%HRR

75-85%HRR

Cool-down

Flexibility

5 min static and dynamic flexibility exercises

  1. aRM Repetition Maximum. The weight that can be lifted “X” times before repetition failure
  2. bCE Number of repetitions that could be performed and not performed with this weight
  3. cCompensatory training: isometric exercises (20-30 seconds) and isokinetic movements (5-7 reps)