EVALUATION OF A COMPREHENSIVE PROGRAM OF FOUR MONTHS OF DURATION ON THE PREOPERATIVE CONDITIONS OF OBESE PATIENTS CANDIDATES FOR BARIATRIC SURGERY

Abstract

in the morbidly obese there is preoperative background that must be improved to reduce the risk of morbidity and mortality. to evaluate the effects of a multidisciplinary treatment on anthropometric parameters, fasting glucose, physical condition and levels of depression and anxiety of morbidly obese patients with co-morbidities and obese candidates for bariatric surgery. four men and ten women between 21 and 55 year old candidates for bariatric surgery, with morbidly (n = 5) or obesity and comorbidities (diabetes mellitus type II, hypertension, dyslipidemia, insulin resistance) (n = 9) they underwent multidisciplinary treatment such as; Interval exercise, counseling and nutrition education, three times a week for four months. Before and 72 hours after the last intervention session was evaluated (≥ 12 hours fasting): body mass, body fat percentage (% fat), body mass index (BMI), waist circumference (WC), and glycemia basal. Besides fitness and levels of depression and anxiety were evaluated. significant decreases were evident in variable weight (p = 0.004), BMI (p = 0.000),% FM (p = 0.001), baseline glycemia (p = 0.02), WC (p = 0.000), the condition physical significantly increased (p = 0.000), in the psychological, levels of depression decreased significantly (p = 0.014), whereas the levels of anxiety as a state; transitory emotional condition and trait anxiety; anxious propensity relatively stable, there were no significant changes (p > 0.05). four months of treatment improve preoperative conditions of obese candidates for bariatric surgery and reduce the risk of morbidity and mortality.