Efectos de un programa de tratamiento multidisciplinar en obesos mórbidos y obesos con comorbilidades candidatos a cirugía bariátrica.
Efectos de un programa de tratamiento multidisciplinar en obesos mórbidos y obesos con comorbilidades candidatos a cirugía bariátrica.
Authors
Delgado Floody, Pedro
Caamaño Navarrete, Felipe
Jerez Mayorga, Daniel
Campos Jara, Christian
Ramirez Campillo, Rodrigo
Osorio Poblete, Aldo
Alarcon Hormazabal, Manuel
Thuillier Lepeley, Nicole
Saldivia Mansilla, Claudia
Caamaño Navarrete, Felipe
Jerez Mayorga, Daniel
Campos Jara, Christian
Ramirez Campillo, Rodrigo
Osorio Poblete, Aldo
Alarcon Hormazabal, Manuel
Thuillier Lepeley, Nicole
Saldivia Mansilla, Claudia
Authors
Date
Datos de publicación:
10.3305/nh.2015.31.5.8569
Keywords
Obesidad - Condición física - Obesidad mórbida - Ejercicio físico
Collections
Abstract
Introducción: la obesidad mórbida es una enfermedad que debe ser tratada de forma integral (i.e., multi/ interdisciplinar). Para esta condición la cirugía bariátrica es efectiva y segura en el tratamiento, sin embargo, a mayor peso preoperatorio podría aumentar la morbimortalidad.
Objetivo: el objetivo del estudio es determinar los efectos de un programa de tratamiento interdisciplinar sobre parámetros metabólicos, antropométricos y la condición física en candidatos a cirugía bariátrica. Material y métodos: un hombre y nueve mujeres con un promedio de 42,5 anos de edad con obesidad mórbida (n = 3) u obesidad y comorbilidades (diabetes mellitus tipo II, hipertensión arterial, dislipidemia, resistencia a la insulina) (n=7) candidatos a cirugía bariátrica, fueron sometidos a ejercicio físico, apoyo psicológico y educación nutricional, tres veces por semana durante tres meses. Antes y 72 horas después de la ultima sesión de intervención se evaluó (en ayuno ≥12 horas): masa corporal, porcentaje de masa grasa, imc, perímetro de cintura, condición física, glicemia, colesterol total, colesterol hdl, colesterol ldl y triglicéridos.
Resultados: posterior a la intervención la masa corporal (p=0,004), el imc (p=0,002), el porcentaje de masa grasa (p=0,047) y la condición física (p=0,000) presentaron cambios significativos. las demás variables dependientes no presentaron cambios significativos, aunque tendieron a disminuir.
Conclusiones: una intervención integral de frecuencia moderada y corta duración (i.e., tres sesiones/semana durante tres meses) permitiría reducir significativamente el peso y la grasa corporal, además de mejorar considerablemente la condición física en candidatos a cirugía bariátrica. una mayor duración y/o frecuencia de intervención podría ser necesaria para modificar significativamente variables plasmáticas.
Introduction: Morbid obesity is a disease that must be treated comprehensively (i.e. multi/interdisciplinary). Bariatric surgery is an effective and secure procedure for treating this health condition; however, the higher the weight is, the greater the risk of morbimortality might be. Objective: The aim of this study is to determine the effects of a multidisciplinary treatment program on metabolic and anthropometric parameters and the physical condition of bariatric surgery candidates. Materials and Methods: 1 man and 9 women of ~42.5 years old, with morbid obesity ( n = 3) or obesity and comorbilities (diabetes mellitus type II, hypertension, dyslipidemia and insulin resistance) (n = 7), all of them candidates for bariatric surgery, were submitted to physical exercise, psychological support and nutritional education, 3 times a week during 3 months. 72 hours before and after the last intervention session: body mass; fat mass index; BMI; waist circumference; physical condition; glycemia; HDL, LDL and total cholesterol; and triglycerides, were assessed (with a ≥12-hour fast). Results: After intervention, body mass (p=0.004), BMI (p=0.002), fat mass index (p=0.047) and physical condition (p=0.000) showed significant changes. Despite their tendency to decrease, remaining variables did not show significant changes. Conclusions: A comprehensive reasonable-frequent, short intervention (i.e. 3 sessions per week, during 3 months) may lead to significant weight and body fat loss, apart from enhancing considerably the physical condition of candidates for bariatric surgery. Longer time and/or higher frequency in interventions might be necessary in order to modify significantly plasmatic variables.
Introduction: Morbid obesity is a disease that must be treated comprehensively (i.e. multi/interdisciplinary). Bariatric surgery is an effective and secure procedure for treating this health condition; however, the higher the weight is, the greater the risk of morbimortality might be. Objective: The aim of this study is to determine the effects of a multidisciplinary treatment program on metabolic and anthropometric parameters and the physical condition of bariatric surgery candidates. Materials and Methods: 1 man and 9 women of ~42.5 years old, with morbid obesity ( n = 3) or obesity and comorbilities (diabetes mellitus type II, hypertension, dyslipidemia and insulin resistance) (n = 7), all of them candidates for bariatric surgery, were submitted to physical exercise, psychological support and nutritional education, 3 times a week during 3 months. 72 hours before and after the last intervention session: body mass; fat mass index; BMI; waist circumference; physical condition; glycemia; HDL, LDL and total cholesterol; and triglycerides, were assessed (with a ≥12-hour fast). Results: After intervention, body mass (p=0.004), BMI (p=0.002), fat mass index (p=0.047) and physical condition (p=0.000) showed significant changes. Despite their tendency to decrease, remaining variables did not show significant changes. Conclusions: A comprehensive reasonable-frequent, short intervention (i.e. 3 sessions per week, during 3 months) may lead to significant weight and body fat loss, apart from enhancing considerably the physical condition of candidates for bariatric surgery. Longer time and/or higher frequency in interventions might be necessary in order to modify significantly plasmatic variables.