EFFECTS OF A MULTIDISCIPLINARY PROGRAM ON MORBID OBESE PATIENTS AND PATIENTS WITH COMORBILITY WHO ARE LIKELY TO BE CANDIDATES FOR BARIATRIC SURGERY

被引:13
作者
Delgado Floody, Pedro [1 ,2 ]
Caamano Navarrete, Felipe [3 ]
Jerez Mayorga, Daniel [4 ]
Campos Jara, Christian [5 ]
Ramirez Campillo, Rodrigo [6 ,10 ]
Osorio Poblete, Aldo [1 ,2 ]
Alarcon Hormazabal, Manuel [1 ,7 ]
Thuillier Lepeley, Nicole [1 ,8 ]
Saldivia Mansilla, Claudia [1 ,9 ]
机构
[1] Univ Santo Tomas, Programa Tratamiento Integral Obesidad Morbida, Temuco, Chile
[2] Univ Santo Tomas, Carrera Pedag Educ Fis, Escuela Educ, Temuco, Chile
[3] Univ Catolica Temuco, Fac Educ, Carrera Pedag Educ Fis, Temuco, Chile
[4] Univ Granada, Grp Invest CTS Invest & Desarrollo Actividad Fis, Granada, Spain
[5] Pontificia Univ Catolica Chile, Fac Med, UDA Ciencias Salud, Carrera Kinesiol, Santiago, Chile
[6] Univ Los Lagos, Dept Phys Act Sci, Osorno, Chile
[7] Univ Santo Tomas, Escuela Nutr, Temuco, Chile
[8] Univ Santo Tomas, Escuela Kinesiol, Temuco, Chile
[9] Univ Santo Tomas, Escuela Psicol, Temuco, Chile
[10] Univ La Frontera, Dept Phys Educ Sport & Recreat, Temuco, Chile
关键词
Physical exercise; Morbid obesity; Physical condition; Obesity; WEIGHT-LOSS; PHYSICAL-ACTIVITY; INSULIN-RESISTANCE; METABOLIC SYNDROME; RISK-FACTORS; EXERCISE; PREVALENCE; NUTRITION; HEALTH; ADULTS;
D O I
10.3305/nh.2015.31.5.8569
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
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 similar to 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.
引用
收藏
页码:2011 / 2016
页数:6
相关论文
共 35 条
[1]   Eight weeks of combined high intensity intermittent exercise normalized altered metabolic parameters in women [J].
Alvarez, Cristian ;
Ramirez-Campilloz, Rodrigo ;
Henriquez-Olguin, Carlos ;
Castro-Sepulveda, Mauricio ;
Carrasco, Vanesa ;
Martinez, Cristian .
REVISTA MEDICA DE CHILE, 2014, 142 (04) :458-466
[2]   Effect of sprint interval training and resistance exercise on metabolic markers in overweight women [J].
Alvarez, Cristian ;
Ramirez, Rodrigo ;
Flores, Marcelo ;
Zuniga, Cecil ;
Celis-Morales, Carlos A. .
REVISTA MEDICA DE CHILE, 2012, 140 (10) :1289-1296
[3]  
Annesi JJ, 2014, INT J CLIN HLTH PSYC, V14, P1
[4]  
[Anonymous], 2010, Encuesta Nacional de Salud ENS Chile 2009-2010
[5]   Body mass index and the prevalence of hypertension and dyslipidemia [J].
Brown, CD ;
Higgins, M ;
Donato, KA ;
Rohde, FC ;
Garrison, R ;
Obarzanek, E ;
Ernst, ND ;
Horan, M .
OBESITY RESEARCH, 2000, 8 (09) :605-619
[6]   Role of intramyocelluar lipids in human health [J].
Coen, Paul M. ;
Goodpaster, Bret H. .
TRENDS IN ENDOCRINOLOGY AND METABOLISM, 2012, 23 (08) :391-398
[7]   ATS statement: Guidelines for the six-minute walk test [J].
Crapo, RO ;
Casaburi, R ;
Coates, AL ;
Enright, PL ;
MacIntyre, NR ;
McKay, RT ;
Johnson, D ;
Wanger, JS ;
Zeballos, RJ ;
Bittner, V ;
Mottram, C .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 166 (01) :111-117
[8]   Treatment of obesity:: need to focus on high risk abdominally obese patients [J].
Després, JP ;
Lemieux, I ;
Prud'homme, D .
BMJ-BRITISH MEDICAL JOURNAL, 2001, 322 (7288) :716-720
[9]  
Lanzarini SE, 2012, REV CHIL CIR, V64, P233
[10]   Bariatric surgery at the extremes of age [J].
Fatima, J. ;
Houghton, S. G. ;
Iqbal, C. W. ;
Thompson, G. B. ;
Que, F. L. ;
Kendrick, M. L. ;
Mai, J. L. ;
Collazo-Clavel, M. L. ;
Sarr, M. G. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2006, 10 (10) :1392-1396