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Exercise Program With Telerehabilitation for Severe Obesity Before Bariatric Surgery

Tests a structured exercise program in adults with severe obesity planning bariatric surgery.

Plain-language title generated from the registry record
Registry title: Exercise to Fight Obesity

Key facts

Where
Valencia, SpainSee the 2 sites

AI summary: who the study is looking for

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with severe obesity who are going to have bariatric surgery. It tests an exercise program with telerehabilitation against usual care.

Age
18 to 65 years
Sex
Men and women can join.
Disease stage
Severe obesity: BMI of 35 or more with other health problems, or BMI of 40 or more with or without other health problems.
Earlier treatment
Cannot have done a structured exercise program in the past 6 months.

Main reasons for not taking part

  • Structured exercise program in the past 6 months
  • Bone, muscle or body-wide diseases that prevent exercise
  • Uncontrolled high blood pressure
  • Uncontrolled diabetes, especially with severe complications
  • Uncontrolled or unstable heart or blood vessel disease

Read by machine on 11 November 2026.

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 65 years old?

Source: NCT06934681, who can take part

Where in Spain

  • Hospital La FeValencia, SpainTaking people
  • Facultad de Fisioterapia, universidad de ValenciaValencia, SpainNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Trial details

Who runs it
Instituto de Investigacion Sanitaria La Fe
Trial code
NCT06934681
Record updated
10 November 2026
Original description
This clinical trial aims to determinate whether a structured exercise program, supported by telerehabilitation, can help individuals with severe obesity who are going to undergo bariatric surgery.Read full original descriptionShow less

Impact of a Structured Physical Exercise Program on Body Composition in Morbid Obesity: A Randomized Controlled Trial

This clinical trial aims to determinate whether a structured exercise program, supported by telerehabilitation, can help individuals with severe obesity who are going to undergo bariatric surgery.

The main objective of this study is whether a structured exercise program, including both supervised and home-based workouts, leads to greater body fat loss and improved strength compared to usual care. Furthermore, it also aims to evaluate other potentially affected aspects, such as body composition and functionality, quality of life, cardiovascular fitness, and various genetic and metabolic factors.

This study is a randomized clinical trial with two groups:

* The intervention group will follow a structured exercise program both pre- and post- surgery. * The control group will receive standard care, including nutritional counseling and general health advice.

The study will include 72 adults with severe obesity (36 men and 36 women), all of whom will be randomly assigned to either the intervention or control group.

Participants in the exercise group will follow these steps:

1. Before Surgery (Prehabilitation): A 26-week program with aerobic and strength exercises, done in-person or remotely 2-4 times per week. 2. Pre-Surgery Maintenance: A flexible period before surgery where participants continue exercising on their own. 3. After Surgery (Rehabilitation): A 20-week program focused on recovery and strength. 4. Post-Surgery Maintenance: A long-term, self-guided phase to maintain progress.

Participants in the exercise group will also receive the same care as the control group, including nutrition counseling and medical checkups.

To evaluate participant progress, a series of measurements will be carried out, including:

* BMI and body composition * Physical function assessed through isometric strength tests and other measures such as the Sit-to-Stand test and the 6-Minute Walk Test * Quality of life and lifestyle assessed using validated questionnaires * Daily physical activity measured with pedometers * Metabolic and genetic analysis from blood samples

If proven effective, this program could help establish structured exercise with telerehabilitation as a standard component of obesity care. The results may support the integration of exercise programs into clinical practice, leading to improved long-term outcomes for individuals with severe obesity undergoing bariatric surgery. Additionally, insights into genetic and metabolic factors may contribute to the development of personalized treatment strategies.

Inclusion: Age: 18-65 years; BMI ≥35 with comorbidities, or ≥40, regardless of comorbidity presence.

Exclusion: Presence of musculoskeletal or systemic diseases that prevent participation in a physical exercise program; Uncontrolled hypertension; Uncontrolled diabetes, particularly in the presence of severe complications (neuropathy and/or diabetic foot, proliferative retinopathy); Uncontrolled or unstable cardiovascular disease (acute myocardial infarction within the past year, angina, heart failure, peripheral artery disease); Participation in a structured physical exercise program within the past 6 months.

ClinicalTrials.gov NCT06934681