Physical exercise and morbid obesity: a systematic review.
BACKGROUND
Physical exercise is an important component for the treatment of obesity. Little information is available about the best and safety form of physical exercise concerning the type and volume-intensity to be prescribed for individuals with morbid obesity.


OBJECTIVE
To investigate the effect of physical exercise programs in medical and surgical treatment for morbid obesity.


METHODS
Was used the systematic search model by databases of the Virtual Health Library in "Science in General Health" (Medline, Lilacs and Ibecs) and PubMed using the following headings: morbid obesity, severe obesity, grade 3 obesity, exercise and physical activity. Were selected papers that used physical exercise programs as an intervention in the treatment for morbid obese patients and those who were in accordance with the inclusion criteria.


RESULTS
Were selected 13 articles. Eight were conducted with individuals in clinical treatment, one in patients awaiting bariatric surgery and four in the postoperative period. It was observed that all selected studies used aerobic activities and six also included strength exercises on their programs.


CONCLUSIONS
Aerobic and strength exercises programs proved being important components in the treatment of morbid obesity. Special care when establishing the volume-intensity exercise is required for adherence to treatment, and a proposal for a valid individualized exercise programs.
Sidnei Jorge
SJ
Fonseca-Junior
Carlos Gabriel Avelar de Bustamante
CG
Sá
Phillipe Augusto Ferreira
PA
Rodrigues
Aldair J
AJ
Oliveira
José
J
Fernandes-Filho
D015444:Exercise; D005081:Exercise Therapy; D006801:Humans; D009767:Obesity, Morbid / Q000628:therapy*