Efectividad del tratamiento integral sobre las condiciones preoperatorias de mujeres obesas candidatas a cirugía bariátrica
Efectividad del tratamiento integral sobre las condiciones preoperatorias de mujeres obesas candidatas a cirugía bariátrica
Authors
Delgado Floody, Pedro
Jerez Mayorga, Daniel
Caamaño Navarrete, Felipe
Concha Diaz, Manuel
Ovalle Elgueta, Hector
Osorio Poblete, Aldo
Jerez Mayorga, Daniel
Caamaño Navarrete, Felipe
Concha Diaz, Manuel
Ovalle Elgueta, Hector
Osorio Poblete, Aldo
Authors
Date
Datos de publicación:
10.3305/nh.2015.32.6.9761
Keywords
Obesidad - Obesidad mórbida - Ejercicio físico
Collections
Abstract
Introducción: en Chile una alta prevalencia de mujeres presenta obesidad mórbida; esta condicion genera serias complicaciones médicas y elevados costes para la salud pública. Objetivo: determinar los efectos de un programa de tratamiento integral compuesto de ejercicio físico, terapia psicologica y educacion nutricional sobre las condiciones preoperatorias de mujeres obesas candidatas a cirugía bariátrica. Material y métodos: diecinueve mujeres entre 30 y 55 años postulantes a cirugía bariátrica, con obesidad morbida (n = 6) u obesidad y comorbilidades (n=13), se sometieron a un programa de tratamiento integral de dieciseis semanas de duración (3 sesiones/semana). Antes y 72 horas después de la última sesión de intervención se evaluó (en ayuno ≥ 12 horas): peso corporal, índice de masa corporal (IMC), porcentaje de masa grasa (%MG), contorno de cintura (CC) y glicemia basal. Se estimó también la capacidad cardiorrespiratoria. Resultados: la edad promedio fue de 40,32 anos; despues de dieciseis semanas de tratamiento integral las variables de estudio mejoraron significativamente (p<0,05) y presentaron las siguientes disminuciones: el peso corporal un 6,49% (p=0,000), el IMC un 6,48% (p=0,000), el CC un 6,23% (p=0,000), el %MG un 9,09% (p=0,001), y la glicemia un 10,19% (p=0,002). La capacidad cardiorrespiratoria aumentó un 21,61% (p=0,010). Conclusiones: el tratamiento integral mejoró las condiciones preoperatorias de las pacientes y aumentó su capacidad cardiorrespiratoria, lo que permite concluir que el programa es beneficioso y óptimo para disminuir multidiscilos niveles de morbimortalidad en candidatas a cirugía bariátrica.
Introduction: in Chile, a high prevalence of women presents morbid obesity, this condition generates serious medical complications and high costs for public health. Objective: to determine the effects of a total treatment program consisting of physical exercise, psychological therapy and nutrition education on the preoperative conditions of obese women candidates for bariatric surgery. Material and methods: nineteen women between the ages of 30 and 55 applicants to bariatric surgery, with morbid obesity (n=6) or obesity and comorbidities (n=13), underwent a program of comprehensive treatment of sixteen weeks duration (3 session/week). Before and 72 hours after the last intervention session was evaluated on fasting (≥12 hours): body weight, body mass index (BMI), percentage of body fat (% BF), contour waist (CW) and basal blood glucose. Cardiorespiratory fitness was also estimated. Results: the average age was 40.32 years, post-sixteen weeks of comprehensive treatment study variables improved significantly (p<0.05) and presented the following decreases; the body weight 6.49% (p=0.000), BMI 6.48% (p=0.000), the CW 6.23% (p=0.000), the % BF 9.09% (p=0.001), glycemia 10.19% (p=0.002). The cardiorespiratory capacity increased 21.61% (p=0.010). Conclusions: the treatment improved the preoperative conditions of the patients and increased his cardio capacity, which allows to conclude that the program is beneficial and optimal to reduce the levels of morbidity and mortality in candidates for bariatric surgery.
Introduction: in Chile, a high prevalence of women presents morbid obesity, this condition generates serious medical complications and high costs for public health. Objective: to determine the effects of a total treatment program consisting of physical exercise, psychological therapy and nutrition education on the preoperative conditions of obese women candidates for bariatric surgery. Material and methods: nineteen women between the ages of 30 and 55 applicants to bariatric surgery, with morbid obesity (n=6) or obesity and comorbidities (n=13), underwent a program of comprehensive treatment of sixteen weeks duration (3 session/week). Before and 72 hours after the last intervention session was evaluated on fasting (≥12 hours): body weight, body mass index (BMI), percentage of body fat (% BF), contour waist (CW) and basal blood glucose. Cardiorespiratory fitness was also estimated. Results: the average age was 40.32 years, post-sixteen weeks of comprehensive treatment study variables improved significantly (p<0.05) and presented the following decreases; the body weight 6.49% (p=0.000), BMI 6.48% (p=0.000), the CW 6.23% (p=0.000), the % BF 9.09% (p=0.001), glycemia 10.19% (p=0.002). The cardiorespiratory capacity increased 21.61% (p=0.010). Conclusions: the treatment improved the preoperative conditions of the patients and increased his cardio capacity, which allows to conclude that the program is beneficial and optimal to reduce the levels of morbidity and mortality in candidates for bariatric surgery.