Abstract

Introduction: in the morbidly obese there is preoperative background that must be improved to reduce the risk of morbidity and mortality. Objective: 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. Methods: 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. Results: 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). Conclusions: four months of treatment improve preoperative conditions of obese candidates for bariatric surgery and reduce the risk of morbidity and mortality.