Marcon Emilian Rejane, Baglioni S, Bittencourt L, Lopes C L N, Neumann C R, Trindade M R M
Bariatric Surgery Department, Hospital de Clinicas de Porto Alegre, Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Zip Code 90035-007, Brazil.
Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Obes Surg. 2017 Mar;27(3):763-773. doi: 10.1007/s11695-016-2365-z.
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.
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.
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) 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 %.
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.
本试验的目的是研究在等待减肥手术期间，有认知行为疗法（CBT）和无认知行为疗法的运动计划与对照组相比，对病态肥胖个体的体重、功能能力和心脏代谢状况的影响。
这项随机对照试验研究了为期4个月的低强度运动计划（每周两次，每次25分钟）对66名等待减肥手术的病态肥胖个体的影响。参与者被随机分为三组：EXER组，运动计划组；EXER + CBT组，运动计划加生活方式改变支持小组会议，伴有CBT；以及对照组，常规治疗组。对他们的体重、功能能力和心脏代谢状况进行了比较。
EXER组、EXER + CBT组和对照组的体重变化（千克）分别为-7.4（-9.6至5.1）；-4.2（-6.8至-1.6）和2.9（0.4至5.3），BMI变化（千克/米）分别为-2.7（-3.6至-1.8）；-1.4（-2.4至-0.4）和1.1（0.1至2.1）。与对照组相比，变化具有显著性（p < 0.001），但两个干预组之间没有差异（p = 0.2）。干预组的功能能力和心脏代谢参数显著改善，而对照组则恶化。两组对运动计划的依从性均高于78%。
一项为期4个月、每周两次的低强度体育活动监督计划，鼓励个体采用更积极的生活方式，无论是否有支持小组会议的帮助，都可以对病态肥胖个体的体重减轻、功能能力改善和心脏代谢参数产生积极影响。
