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Obesity Surgery

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01-03-2017 | Original Contributions

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

Authors: Emilian Rejane Marcon, S. Baglioni, L. Bittencourt, C. L. N. Lopes, C. R. Neumann, M. R. M. Trindade

Published in: Obesity Surgery | Issue 3/2017

Abstract

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/m²) 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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Title: What Is the Best Treatment before Bariatric Surgery? Exercise, Exercise and Group Therapy, or Conventional Waiting: a Randomized Controlled Trial
Authors: Emilian Rejane Marcon
S. Baglioni
L. Bittencourt
C. L. N. Lopes
C. R. Neumann
M. R. M. Trindade
Publication date: 01-03-2017
Publisher: Springer US
Published in: Obesity Surgery / Issue 3/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-016-2365-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Objective

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Materials and Methods

Results

Conclusion

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