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What Is the Best Treatment before Bariatric Surgery? Exercise, Exercise and Group Therapy, or Conventional Waiting: a Randomized Controlled Trial.

التفاصيل البيبلوغرافية
العنوان: What Is the Best Treatment before Bariatric Surgery? Exercise, Exercise and Group Therapy, or Conventional Waiting: a Randomized Controlled Trial.
المؤلفون: Marcon ER; Bariatric Surgery Department, Hospital de Clinicas de Porto Alegre, Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Zip Code 90035-007, Brazil. erejanemarcon@ig.com.br.; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. erejanemarcon@ig.com.br., Baglioni S; Studio Rejane Marcon, Porto Alegre, Brazil., Bittencourt L; Studio Rejane Marcon, Porto Alegre, Brazil., Lopes CL; Studio Rejane Marcon, Porto Alegre, Brazil., Neumann CR; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.; Primary Care Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil., Trindade MR; Bariatric Surgery Department, Hospital de Clinicas de Porto Alegre, Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Zip Code 90035-007, Brazil.; Department of Surgery, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
المصدر: Obesity surgery [Obes Surg] 2017 Mar; Vol. 27 (3), pp. 763-773.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2006- : New York : Springer Science + Business Media
Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991-
مواضيع طبية MeSH: Bariatric Surgery*, Cognitive Behavioral Therapy/*methods , Exercise Therapy/*methods , Obesity, Morbid/*rehabilitation , Psychotherapy, Group/*methods, Adult ; Anthropometry/methods ; Blood Pressure/physiology ; Combined Modality Therapy ; Exercise Test/methods ; Exercise Tolerance/physiology ; Female ; Humans ; Life Style ; Male ; Middle Aged ; Obesity, Morbid/physiopathology ; Obesity, Morbid/surgery ; Patient Compliance ; Waiting Lists ; Weight Loss/physiology
مستخلص: Objective: This trial's objective was to investigate the effect of an exercise program with and without cognitive-behavioral therapy (CBT), compared by a control group, on weight, functional capacity, and cardiometabolic profile of morbidly obese individuals while waiting for bariatric surgery.
Materials and Methods: This randomized controlled trial investigated the effect of a 4-month low-intensity exercise program (two weekly sessions of 25 min each) on 66 morbidly obese individuals awaiting bariatric surgery. Participants were randomly divided into three groups: EXER, exercise program; EXER + CBT, exercise program plus support group sessions for lifestyle modification, with a CBT; and CONTROL, routine treatment. They were compared on weight, functional capacity, and cardiometabolic profile.
Results: The weight change (Kg) was -7.4 (-9.6 to 5,1); -4,2 (-6,8 to -1.6) and 2.9 (0.4 to 5.3) and the BMI change (kg/m 2 ) was -2.7 (-3.6 to -1.8); -1.4 (-2.4 to -0.4) and 1.1 (0.1 to 2.1) for groups EXER, EXER + CBT, and CONTROL, respectively. Changes were significant when compared to the control group (p < 0.001), but there were no differences between the two intervention arms (p = 0.2). Functional capacity and cardiometabolic parameters significantly improved in the intervention arms and worsened in the control group. The adherence to the exercise program in both groups was above 78 %.
Conclusion: A 4-month, twice-weekly supervised program of low-intensity physical activity that encourages individuals to adopt a more active lifestyle can positively interfere with weight loss and improvement in functional capacity and cardiometabolic parameters of morbidly obese individuals with and without the aid of support group sessions.
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فهرسة مساهمة: Keywords: Bariatric surgery; Cardiovascular risk; Cognitive behavioral therapy; Morbid obesity; Physical exercise
تواريخ الأحداث: Date Created: 20160914 Date Completed: 20171204 Latest Revision: 20181202
رمز التحديث: 20231215
DOI: 10.1007/s11695-016-2365-z
PMID: 27620342
قاعدة البيانات: MEDLINE
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