{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:54:31Z","timestamp":1790776471833,"version":"4.1.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["EXPLORE"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.explore.2026.103538","type":"journal-article","created":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:29:52Z","timestamp":1790519392000},"page":"103538","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of modified qigong breathing exercise on physical and metabolic outcomes after bariatric surgery: a randomized controlled clinical trial"],"prefix":"10.1016","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5475-1676","authenticated-orcid":false,"given":"Ahmed M.","family":"Elfahl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heba M","family":"Elfeky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1447-8817","authenticated-orcid":false,"given":"Ali Mohamed","family":"Ali Ismail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"12","key":"10.1016\/j.explore.2026.103538_bib0001","doi-asserted-by":"crossref","first-page":"6091","DOI":"10.1097\/MS9.0000000000001472","article-title":"Recent advances in bariatric surgery: a narrative review of weight loss procedures","volume":"85","author":"Aderinto","year":"2023","journal-title":"Ann Med Surg"},{"key":"10.1016\/j.explore.2026.103538_bib0002","doi-asserted-by":"crossref","DOI":"10.29219\/fnr.v68.9582","article-title":"Effect of a family-based lifestyle intervention on weight reduction among Jordanian children with obesity aged 6-9 years","volume":"68","author":"Bani Salameh","year":"2024","journal-title":"Food Nutr Res"},{"issue":"12","key":"10.1016\/j.explore.2026.103538_bib0003","doi-asserted-by":"crossref","first-page":"5247","DOI":"10.1007\/s11695-025-08341-2","article-title":"Clinical obesity through the lens of context-aware large language models","volume":"35","author":"Kermansaravi","year":"2025","journal-title":"Obes Surg"},{"issue":"2","key":"10.1016\/j.explore.2026.103538_bib0004","doi-asserted-by":"crossref","first-page":"146","DOI":"10.3390\/healthcare13020146","article-title":"Prevalence of being obese, overweight, and underweight among jordanian children and adolescents based on international growth standards","volume":"13","author":"Al-Qerem","year":"2025","journal-title":"Healthcare"},{"issue":"8","key":"10.1016\/j.explore.2026.103538_bib0005","doi-asserted-by":"crossref","first-page":"1452","DOI":"10.3390\/medicina61081452","article-title":"Ghrelin and LEAP2: their interaction effect on appetite regulation and the alterations in their levels following bariatric surgery","volume":"61","author":"Alic","year":"2025","journal-title":"Medicina"},{"key":"10.1016\/j.explore.2026.103538_bib0006","doi-asserted-by":"crossref","DOI":"10.3389\/fphys.2025.1699846","article-title":"Differences in acute physiological response to a Qigong exercise among middle-aged adults with varying durations of Qigong practice","volume":"16","author":"Sun","year":"2026","journal-title":"Front Physiol"},{"issue":"4","key":"10.1016\/j.explore.2026.103538_bib0007","doi-asserted-by":"crossref","first-page":"2828","DOI":"10.3390\/ijerph20042828","article-title":"Exercise for mental and physical well-being in patients with depressive symptoms: a systematic review and meta-analysis","volume":"20","author":"Sani","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.explore.2026.103538_bib0009","doi-asserted-by":"crossref","DOI":"10.7717\/peerj.14469","article-title":"Characteristics and usefulness of trunk muscle endurance tests on the Roman chair in healthy adults","volume":"10","author":"Petri\u010d","year":"2022","journal-title":"PeerJ"},{"key":"10.1016\/j.explore.2026.103538_bib0010","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s40560-021-00524-0","article-title":"Energy expenditure and indirect calorimetry in critical illness and convalescence: current evidence and practical considerations","volume":"9","author":"Moonen","year":"2021","journal-title":"J Intensive Care"},{"issue":"8","key":"10.1016\/j.explore.2026.103538_bib0011","doi-asserted-by":"crossref","first-page":"1687","DOI":"10.21037\/qims.2020.03.02","article-title":"Body composition with dual energy X-ray absorptiometry: from basics to new tools","volume":"10","author":"Messina","year":"2020","journal-title":"Quant Imaging Med Surg"},{"issue":"3","key":"10.1016\/j.explore.2026.103538_bib0012","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1111\/j.1365-2265.2010.03916.x","article-title":"A practical guide for the stabilization of acylghrelin in human blood collections","volume":"74","author":"Blatnik","year":"2011","journal-title":"Clin Endocrinol"},{"issue":"2","key":"10.1016\/j.explore.2026.103538_bib0013","doi-asserted-by":"crossref","first-page":"236","DOI":"10.3390\/children12020236","article-title":"Continuous gastric pH monitoring in children facilitates better understanding of gastroesophageal reflux disease: a prospective observational study","volume":"12","author":"Sharma","year":"2025","journal-title":"Children,"},{"issue":"3","key":"10.1016\/j.explore.2026.103538_bib0014","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1177\/0013164420952118","article-title":"Design of paper-based visual analogue scale items","volume":"81","author":"Weigl","year":"2021","journal-title":"Educ Psychol Meas"},{"issue":"Suppl 4","key":"10.1016\/j.explore.2026.103538_bib0015","article-title":"Effect of exercise training before and after bariatric surgery: a systematic review and meta-analysis","volume":"22","author":"Bellicha","year":"2021","journal-title":"Obes Rev"},{"issue":"1","key":"10.1016\/j.explore.2026.103538_bib0016","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4103\/aca.ACA_157_18","article-title":"Descriptive statistics and normality tests for statistical data","volume":"22","author":"Mishra","year":"2019","journal-title":"Ann Card Anaesth"},{"issue":"3","key":"10.1016\/j.explore.2026.103538_bib0017","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1007\/s12199-008-0025-1","article-title":"Positive effects of a qigong and aerobic exercise program on physical health in elderly Japanese women: an exploratory study","volume":"13","author":"Sakata","year":"2008","journal-title":"Environ Health Prev Med"},{"issue":"6","key":"10.1016\/j.explore.2026.103538_bib0019","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1177\/0193945920959067","article-title":"Effects of qigong exercise on physical and psychological health among African Americans","volume":"43","author":"Chang","year":"2021","journal-title":"West J Nurs Res"},{"key":"10.1016\/j.explore.2026.103538_bib0020","doi-asserted-by":"crossref","DOI":"10.1155\/2018\/3235950","article-title":"Beneficial effects of qigong wuqinxi in the improvement of health condition, prevention, and treatment of chronic diseases: evidence from a systematic review","volume":"2018","author":"Guo","year":"2018","journal-title":"Evid Based Complement Alternat Med"},{"issue":"19","key":"10.1016\/j.explore.2026.103538_bib0021","doi-asserted-by":"crossref","first-page":"7342","DOI":"10.3390\/ijerph17197342","article-title":"Individual stress prevention through Qigong","volume":"17","author":"Van Dam","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"10.1016\/j.explore.2026.103538_bib0022","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1186\/s12906-022-03760-5","article-title":"Effects of qigong exercise on the physical and mental health of college students: a systematic review and Meta-analysis","volume":"22","author":"Lin","year":"2022","journal-title":"BMC Complement Med Ther"},{"issue":"4","key":"10.1016\/j.explore.2026.103538_bib0023","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1177\/2156587217707143","article-title":"Modified qigong breathing exercise for reducing the sense of hunger on an empty stomach","volume":"22","author":"Voroshilov","year":"2017","journal-title":"J Evid Based Complementary Altern Med"},{"issue":"1","key":"10.1016\/j.explore.2026.103538_bib0024","doi-asserted-by":"crossref","DOI":"10.2196\/34651","article-title":"Improving postoperative care through mindfulness-based and isometric exercise training interventions: systematic review","volume":"5","author":"Reynolds","year":"2022","journal-title":"JMIR Perioper Med"},{"issue":"3","key":"10.1016\/j.explore.2026.103538_bib0025","doi-asserted-by":"crossref","first-page":"157","DOI":"10.2337\/ds17-0013","article-title":"Role of physical activity for weight loss and weight maintenance","volume":"30","author":"Cox","year":"2017","journal-title":"Diabetes Spectr"},{"key":"10.1016\/j.explore.2026.103538_bib0026","article-title":"Efficacy of traditional Chinese exercise for obesity: a systematic review and meta-analysis","volume":"14","author":"Yang","year":"2023","journal-title":"Front Endocrinol"},{"key":"10.1016\/j.explore.2026.103538_bib0027","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2021.784320","article-title":"Qigong for muscle strength and static postural control in middle-aged and older postmenopausal women: a randomized controlled trial","volume":"8","author":"Carcel\u00e9n-Fraile","year":"2021","journal-title":"Front Med"},{"issue":"1","key":"10.1016\/j.explore.2026.103538_bib0028","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3390\/medsci11010021","article-title":"Qigong exercise balances oxygen supply and acid-base to modulate hypoxia: a perspective platform toward preemptive health & medicine","volume":"11","author":"Zhang","year":"2023","journal-title":"Med Sci"},{"key":"10.1016\/j.explore.2026.103538_bib0029","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.jbmt.2021.07.014","article-title":"Effects of core stability training program on trunk muscle endurance in deaf children: a preliminary study","volume":"28","author":"Zarei","year":"2021","journal-title":"J Bodyw Mov Ther"},{"issue":"1","key":"10.1016\/j.explore.2026.103538_bib0030","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.psc.2013.01.011","article-title":"Chi and Qigong for the treatment and prevention of mental disorders","volume":"36","author":"Abbott","year":"2013","journal-title":"Psychiatr Clin North Am"},{"key":"10.1016\/j.explore.2026.103538_bib0031","doi-asserted-by":"crossref","DOI":"10.1155\/2022\/7728973","article-title":"Scientific evidence of traditional chinese exercise (qigong) for chronic obstructive pulmonary disease: an overview of systematic reviews and meta-analyses","volume":"2022","author":"Shi","year":"2022","journal-title":"Biomed Res Int"},{"issue":"7","key":"10.1016\/j.explore.2026.103538_bib0032","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.nurpra.2009.05.012","article-title":"Mind-body solutions for obesity","volume":"5","author":"Koithan","year":"2009","journal-title":"J Nurse Pract"},{"issue":"10","key":"10.1016\/j.explore.2026.103538_bib0033","doi-asserted-by":"crossref","first-page":"454","DOI":"10.3390\/jpm15100454","article-title":"Evaluating the efficacy of neurofeedback in post-bariatric surgery patients: a pilot study","volume":"15","author":"Scaramuzzino","year":"2025","journal-title":"J Pers Med"},{"issue":"3","key":"10.1016\/j.explore.2026.103538_bib0034","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1007\/s12199-008-0025-1","article-title":"Positive effects of a qigong and aerobic exercise program on physical health in elderly Japanese women: an exploratory study","volume":"13","author":"Sakata","year":"2008","journal-title":"Environ Health Prev Med"},{"key":"10.1016\/j.explore.2026.103538_bib0035","doi-asserted-by":"crossref","DOI":"10.2196\/51599","article-title":"Effect of a 12-week high-calorie-expenditure multimodal exercise program on health indices in women with overweight: protocol for a randomized controlled trial","volume":"13","author":"Abdollahi Diba","year":"2024","journal-title":"JMIR Res Protoc"},{"issue":"12","key":"10.1016\/j.explore.2026.103538_bib0036","doi-asserted-by":"crossref","first-page":"1574","DOI":"10.1177\/0193945916654907","article-title":"Body composition outcomes of a qigong intervention among community-dwelling aging adults","volume":"38","author":"Chang","year":"2016","journal-title":"West J Nurs Res"},{"key":"10.1016\/j.explore.2026.103538_bib0037","doi-asserted-by":"crossref","DOI":"10.3389\/fphys.2023.1092480","article-title":"Effects of qigong exercise on cardiovascular risk factors in patients with metabolic syndrome: a systematic review and meta-analysis","volume":"14","author":"Tao","year":"2023","journal-title":"Front Physiol"},{"issue":"6","key":"10.1016\/j.explore.2026.103538_bib0038","doi-asserted-by":"crossref","DOI":"10.4278\/ajhp.081013-LIT-248","article-title":"A comprehensive review of health benefits of qigong and tai chi","volume":"24","author":"Jahnke","year":"2010","journal-title":"Am J Health Promot"},{"key":"10.1016\/j.explore.2026.103538_bib0039","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2024.1455679","article-title":"Effect of traditional Chinese exercises on the physical and mental health of stroke patients: a meta-analysis","volume":"15","author":"Shao","year":"2024","journal-title":"Front Neurol"}],"container-title":["EXPLORE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1550830726002260?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1550830726002260?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:54:48Z","timestamp":1790772888000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1550830726002260"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":37,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S1550830726002260"],"URL":"https:\/\/doi.org\/10.1016\/j.explore.2026.103538","relation":{},"ISSN":["1550-8307"],"issn-type":[{"value":"1550-8307","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effects of modified qigong breathing exercise on physical and metabolic outcomes after bariatric surgery: a randomized controlled clinical trial","name":"articletitle","label":"Article Title"},{"value":"EXPLORE","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.explore.2026.103538","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103538"}}