Evaluación de un programa integral de cuatro meses de duración sobre las condiciones preoperatorias de pacientes obesos candidatos a cirugía bariátrica
Evaluación de un programa integral de cuatro meses de duración sobre las condiciones preoperatorias de pacientes obesos candidatos a cirugía bariátrica
Authors
Delgado Floody, Pedro
Cofre Lizama, Alfonso
Alarcón Hormazábal, Manuel
Osorio Poblete, Aldo
Caamaño Navarrete, Felipe
Jerez Mayorga, Daniel
Cofre Lizama, Alfonso
Alarcón Hormazábal, Manuel
Osorio Poblete, Aldo
Caamaño Navarrete, Felipe
Jerez Mayorga, Daniel
Authors
Date
Datos de publicación:
10.3305/nh.2015.32.3.9350
Keywords
Depresión - Obesidad mórbida - Obesidad - Ejercicio físico - Ansiedad
Collections
Abstract
Introducción: en los obesos morbidos existen antecedentes preoperatorios que deben ser mejorados para disminuir el riesgo de morbimortalidad. Objetivo: evaluar los efectos de un tratamiento multidisciplinar sobre parámetros antropométricos, glucosa basal, condición física y niveles de depresión y ansiedad en pacientes obesos candidatos a cirugía bariatrica. Material y métodos: cuatro hombres y diez mujeres entre 21 y 55 anos candidatos a cirugía bariatrica, con obesidad morbida (n = 5) u obesidad y comorbilidades (diabetes mellitus tipo II, hipertensión arterial, dislipidemia, resistencia a la insulina) (n = 9), fueron sometidos a tratamiento multidisciplinar compuesto por: ejercicio físico intervalado, apoyo psicológico y educación nutricional, tres veces por semana durante cuatro meses. Antes y 72 horas después de la ultima sesion de intervencion se evaluaron (en ayuno ≥12 horas): masa corporal, porcentaje de masa grasa (%MG), índice de masa corporal (IMC), contorno de cintura (CC) y glicemia basal. Además se evaluaron la condicion fisica y los niveles de depresión y ansiedad. Resultados: se evidenciaron disminuciones significativas en las variables peso (p = 0,004), IMC (p = 0,000), %MG (p = 0,001), glicemia basal (p = 0,002) y CC (p = 0,000); la condición física aumento significativamente (p = 0,000); en los aspectos psicológicos, disminuyeron significativamente los niveles de depresión (p = 0,014); en cambio, los niveles de ansiedad, como estado, condición emocional transitoria y ansiedad tuvieron una propensión ansiosa relativamente estable, no existiendo modificaciones significativas (p>0,05). Conclusiones: cuatro meses de tratamiento multidisciplinar mejoran las condiciones preoperatorias de obesos candidatos a cirugía bariátrica y reducen el riesgo de morbimortalidad.
Conclusiones: cuatro meses de tratamiento multidisciplinar mejoran las condiciones preoperatorias de obesos candidatos a cirugía bariátrica y reducen el riesgo de
morbimortalidad.
Introduction: in the morbidly obese there is preoperative background that must be improved to reduce the risk of morbidity and mortality. Objective: to evaluate the effects of a multidisciplinary treatment on anthropometric parameters, fasting glucose, physical condition and levels of depression and anxiety of morbidly obese patients with co-morbidities and obese candidates for bariatric surgery. Methods: four men and ten women between 21 and 55 year old candidates for bariatric surgery, with morbidly (n=5) or obesity and comorbidities (diabetes mellitus type II, hypertension, dyslipidemia, insulin resistance) (n=9) they underwent multidisciplinary treatment such as; Interval exercise, counseling and nutrition education, three times a week for four months. Before and 72 hours after the last intervention session was evaluated (≥12 hours fasting): body mass, body fat percentage (% fat), body mass index (BMI), waist circumference (WC), and glycemia basal. Besides fitness and levels of depression and anxiety were evaluated. Results: significant decreases were evident in variable weight (p=0.004), BMI (p=0.000),% FM (p=0.001), baseline glycemia (p=0.02), WC (p=0.000), the condition physical significantly increased (p=0.000), in the psychological, levels of depression decreased significantly (p=0.014), whereas the levels of anxiety as a state; transitory emotional condition and trait anxiety; anxious propensity relatively stable, there were no significant changes (p>0.05). Conclusions: four months of treatment improve preoperative conditions of obese candidates for bariatric surgery and reduce the risk of morbidity and mortality
Introduction: in the morbidly obese there is preoperative background that must be improved to reduce the risk of morbidity and mortality. Objective: to evaluate the effects of a multidisciplinary treatment on anthropometric parameters, fasting glucose, physical condition and levels of depression and anxiety of morbidly obese patients with co-morbidities and obese candidates for bariatric surgery. Methods: four men and ten women between 21 and 55 year old candidates for bariatric surgery, with morbidly (n=5) or obesity and comorbidities (diabetes mellitus type II, hypertension, dyslipidemia, insulin resistance) (n=9) they underwent multidisciplinary treatment such as; Interval exercise, counseling and nutrition education, three times a week for four months. Before and 72 hours after the last intervention session was evaluated (≥12 hours fasting): body mass, body fat percentage (% fat), body mass index (BMI), waist circumference (WC), and glycemia basal. Besides fitness and levels of depression and anxiety were evaluated. Results: significant decreases were evident in variable weight (p=0.004), BMI (p=0.000),% FM (p=0.001), baseline glycemia (p=0.02), WC (p=0.000), the condition physical significantly increased (p=0.000), in the psychological, levels of depression decreased significantly (p=0.014), whereas the levels of anxiety as a state; transitory emotional condition and trait anxiety; anxious propensity relatively stable, there were no significant changes (p>0.05). Conclusions: four months of treatment improve preoperative conditions of obese candidates for bariatric surgery and reduce the risk of morbidity and mortality