@misc{10481/36560, year = {2015}, url = {http://hdl.handle.net/10481/36560}, abstract = {Introducción: La obesidad morbida es una enfermedad que debe ser tratada de forma integral (i.e., multi/ interdisciplinar). Para esta condicion la cirugia bariatrica es efectiva y segura en el tratamiento, sin embargo, a mayor peso preoperatorio podria aumentar la morbimortalidad. Objetivo: El objetivo del estudio es determinar los efectos de un programa de tratamiento interdisciplinar sobre parametros metabolicos, antropometricos y la condicion fisica en candidatos a cirugia bariatrica. Material y métodos: Un hombre y nueve mujeres con un promedio de 42,5 anos de edad con obesidad morbida (n = 3) u obesidad y comorbilidades (diabetes mellitus tipo II, hipertension arterial, dislipidemia, resistencia a la insulina) (n=7) candidatos a cirugia bariatrica, fueron sometidos a ejercicio fisico, apoyo psicologico y educacion nutricional, tres veces por semana durante tres meses. Antes y 72 horas despues de la ultima sesion de intervencion se evaluo (en ayuno ≥12 horas): masa corporal, porcentaje de masa grasa, IMC, perimetro de cintura, condicion fisica, glicemia, colesterol total, colesterol HDL, colesterol LDL y trigliceridos. Resultados: Posterior a la intervencion la masa corporal (p=0,004), el IMC (p=0,002), el porcentaje de masa grasa (p=0,047) y la condicion fisica (p=0,000) presentaron cambios significativos. Las demas variables dependientes no presentaron cambios significativos, aunque tendieron a disminuir. Conclusiones: Una intervencion integral de frecuencia moderada y corta duracion (i.e., tres sesiones/semana durante tres meses) permitiria reducir significativamente el peso y la grasa corporal, ademas de mejorar considerablemente la condicion fisica en candidatos a cirugia bariatrica. Una mayor duracion y/o frecuencia de intervencion podria ser necesaria para modificar significativamente variables plasmaticas.}, abstract = {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 me - tabolic 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 phy - sical exercise, psychological support and nutritional edu - cation, 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 condi - tion; glycemia; HDL, LDL and total cholesterol; and tri - glycerides, 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 condi - tion (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 condi - tion of candidates for bariatric surgery. Longer time and/ or higher frequency in interventions might be necessary in order to modify significantly plasmatic variables.}, publisher = {Aula Médica; Sociedad Española de Nutrición Parenteral y Enteral (SENPE)}, keywords = {Ejercicio físico}, keywords = {Obesidad mórbida}, keywords = {Condición física}, keywords = {Obesidad}, keywords = {Physical exercise}, keywords = {Mobid obesity}, keywords = {Physical condition}, keywords = {Obesity}, title = {Efectos de un programa de tratamiento multidisciplinar en obesos mórbidos y obesos con comorbilidades candidatos a cirugía bariátrica}, doi = {10.3305%2Fnh.2015.31.5.8569}, author = {Delgado Floody, Pedro and Caamaño Navarrete, Felipe and Jerez Mayorga, Daniel Alejandro and Campos Jara, Christian Alex and Ramírez Campillo, Rodrigo and Osorio Poblete, Aldo and Alarcón Hormazábal, Manuel and Thuillier Lepeley, Nicole and Saldivia Mansilla, Claudia}, }