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The EG received supervised MEP for 11 months, starting 1-month post-bariatric surgery (BS) in addition to standard medical care, while the CG received medical care recommendations only. Knee and trunk MS was assessed by isokinetic dynamometry pre-surgery, 1-, 6-, and 12-month post-surgery, while body composition was assessed by dual-energy X-ray absorptiometry<jats:bold>.<\/jats:bold><\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The MEP did not significantly impact absolute MS in the dominant knee and trunk regions at 6- and 12-month post-BS. However, relative MS showed significant improvements. At 6-month post-BS, knee flexion at 60\u00b0\/s relative to body weight (BW) increased significantly (<jats:italic>p<\/jats:italic> = 0.047), as did knee extension at 180\u00b0\/s relative to BW (<jats:italic>p<\/jats:italic> = 0.009), and knee extension at 60\u00b0\/s relative to total lean mass (<jats:italic>p<\/jats:italic>=0.040). At 12-month post-BS, knee flexion at 60\u00b0\/s relative to BW also significantly improved (<jats:italic>p<\/jats:italic>=0.038).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>While absolute MS was not significantly improved with MEP, this study found significant enhancements in relative MS, particularly in dominant knee flexion post-MEP participation. Further research should explore different exercise intensities and frequencies to optimize postoperative MS recovery post-BS.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Clinical Trial Registration<\/jats:title>\n                <jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link> (NCT02843048)<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical Abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1007\/s11695-024-07173-w","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T01:09:17Z","timestamp":1711501757000},"page":"1704-1716","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of a Multicomponent Exercise Training Program on Muscle Strength After Bariatric Surgery: A Randomized Controlled Trial"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2974-6343","authenticated-orcid":false,"given":"Giorjines","family":"Boppre","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9042-383X","authenticated-orcid":false,"given":"Flor\u00eancio","family":"Diniz-Sousa","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0562-5803","authenticated-orcid":false,"given":"Lucas","family":"Veras","sequence":"additional","affiliation":[]},{"given":"Andrea","family":"Bezerra","sequence":"additional","affiliation":[]},{"given":"Vitor","family":"Devezas","sequence":"additional","affiliation":[]},{"given":"John","family":"Preto","sequence":"additional","affiliation":[]},{"given":"Hugo","family":"Santos-Sousa","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1829-4196","authenticated-orcid":false,"given":"Jos\u00e9","family":"Oliveira","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9002-8976","authenticated-orcid":false,"given":"H\u00e9lder","family":"Fonseca","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2024,3,27]]},"reference":[{"issue":"5","key":"7173_CR1","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1038\/s41574-019-0176-8","volume":"15","author":"M Bl\u00fcher","year":"2019","unstructured":"Bl\u00fcher M. 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The local Hospital Ethics Committee approved the protocol (CES 192-14).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}]}}