[Effects of a multidisciplinary program on morbid obese patients and patients with comorbility who are likely to be candidates for bariatric surgery].
BACKGROUND
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.


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.
Programa de Tratamiento Integral de la Obesidad Mórbida, Universidad Santo Tomás, Temuco, Chile. Carrera de Pedagogía en Educación Física, Escuela de Educación, Universidad Santo Tomás, Temuco, Chile.. pedrodelgadofloody@gmail.com.
Pedro
P
Delgado Floody
Carrera de Pedagogía en Educación Física, Facultad de Educación, Universidad Católica de Temuco, Temuco, Chile.. pedrodelgadofloody@gmail.com.
Felipe
F
Caamaño Navarrete
Grupo de Investigación CTS 642. Investigación y Desarrollo en la Actividad Física y Deportiva, Universidad de Granada, Granada, España.. pedrodelgadofloody@gmail.com.
Daniel
D
Jerez Mayorga
Carrera de Kinesiología, UDA Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.. pedrodelgadofloody@gmail.com.
Christian
C
Campos Jara
Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno, Chile. Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco, Chile.. pedrodelgadofloody@gmail.com.
Rodrigo
R
Ramírez Campillo
Programa de Tratamiento Integral de la Obesidad Mórbida, Universidad Santo Tomás, Temuco, Chile. Carrera de Pedagogía en Educación Física, Escuela de Educación, Universidad Santo Tomás, Temuco, Chile.. pedrodelgadofloody@gmail.com.
Aldo
A
Osorio Poblete
Programa de Tratamiento Integral de la Obesidad Mórbida, Universidad Santo Tomás, Temuco, Chile. Escuela de Nutrición, Universidad Santo Tomás, Temuco, Chile.. pedrodelgadofloody@gmail.com.
Manuel
M
Alarcón Hormazábal
Programa de Tratamiento Integral de la Obesidad Mórbida, Universidad Santo Tomás, Temuco, Chile. Escuela de Kinesiología, Universidad Santo Tomás, Temuco, Chile.. pedrodelgadofloody@gmail.com.
Nicole
N
Thuillier Lepeley
Programa de Tratamiento Integral de la Obesidad Mórbida, Universidad Santo Tomás, Temuco, Chile. Escuela de Psicología, Universidad Santo Tomás, Temuco, Chile.. pedrodelgadofloody@gmail.com.
Claudia
C
Saldivia Mansilla
D000328:Adult; D000886:Anthropometry; D050110:Bariatric Surgery / Q000379:methods*; D015992:Body Mass Index; D015897:Comorbidity; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery / Q000628:therapy*; D010348:Patient Care Team; D010353:Patient Education as Topic