covid
Buscar en
Endocrinología y Nutrición (English Edition)
Toda la web
Inicio Endocrinología y Nutrición (English Edition) TRAMOMTANA (Multidisciplinary treatment of morbid obesity: Medication, behaviora...
Journal Information
Vol. 58. Issue 6.
Pages 299-307 (June 2011)
Share
Share
Download PDF
More article options
Vol. 58. Issue 6.
Pages 299-307 (June 2011)
Full text access
TRAMOMTANA (Multidisciplinary treatment of morbid obesity: Medication, behavioral therapy, nutritional support, and physical activity). From question to reality in an investigator-initiated clinical trial (II)
TRAMOMTANA (Tratamiento Multidisciplinar de la Obesidad Mórbida: Medicamentos, Terapia de comportamiento, Apoyo Nutricional y Actividad física). De la pregunta a la realidad de un ensayo clínico investigador iniciado (II)
Visits
1799
Juan Tura, Maria Alòsa, Lourdes Iglesiasa, Lourdes Luquea, Antoni Coloma, Antonio Escuderoa, David Martíneza, Alberto Pagánb, Elena Ugarrizaa, Marga Fronteraa, Gabriela Nicolaa,c, Antonio Palomerod, Santiago Toféc, Juan Ramón Urgelesc, María Antonia Barcelóe, Marta Coucef, Mónica De La Peñag, Miguel Fiolh,j, Baltasar Cortésa, Emma Terési..., Ángela Tumbarelloj, Cristina Álvarezb, Ramón Salinasb, Vicente Peregc, Xavier Gonzálezb, Bartolomé Burgueraa,c,
Corresponding author
bartolome.burguera@ssib.es

Corresponding author.
Ver más
a Unidad de Investigación-CAIBER, Hospital Universitario Son Espases, Mallorca, Spain
b Cirugía General, Hospital Universitario Son Espases, Mallorca, Spain
c S ervicio de Endocrinología y Nutrición, Hospital Universitario Son Espases, Mallorca, Spain
d Servicio de Farmacia, Hospital Universitario Son Espases, Mallorca, Spain
e Servicio de Análisis Clínicos, Hospital Universitario Son Espases, Mallorca, Spain
f Biobanco, Servicio de Patología, Hospital Universitario Son Espases, Mallorca, Spain
g Servicio de Respiratorio, Hospital Universitario Son Espases, Mallorca, Spain
h Unidad Coronarias, CIBER Fisiopatología, Obesidad y Nutrición (CB06/03), Instituto de Salud Carlos III, Hospital Universitario Son Espases, Mallorca, Spain
i Gestión económica, Hospital Universitario Son Espases, Mallorca, Spain
j Servicio Atención al Paciente, Hospital Universitario Son Espases, Mallorca, Spain
Ver más
This item has received
Article information
Abstract

The implementation of an intensive, multidisciplinary weight loss program in patients with morbid obesity is reported. This program is based on behavioral changes, lifestyle intervention, medication, and group therapy sessions. Our objective is to show that the results achieved with this two-year weight loss program will be at least similar to those achieved with bariatric surgery in patients with morbid obesity. We also intend to show that this multidisciplinary treatment induces an improvement in the comorbidity rate associated with lower costs for our national health system.

Keywords:
Weight loss program
Health education
Research methodology
Morbid obesity
Clinical trial
Interdisciplinarity
Resumen

Comunicamos la puesta en marcha de un programa intensivo y multidisciplinar de pérdida de peso en pacientes con obesidad mórbida (OM). Este ensayo clínico se basa en la educación para la salud, el apoyo en el proceso de cambio, los medicamentos y las sesiones de terapia de grupo. Nuestra intención es demostrar que los resultados obtenidos con este programa de pérdida de peso a 2 años son, cuando menos, comparables a los resultados que se obtienen con la cirugía bariátrica en estos pacientes con OM. Es nuestra intención igualmente demostrar que este tratamiento multidisciplinar induce una mejoría de las comorbilidades y está asociado a un menor gasto en el presupuesto de nuestro Sistema Nacional de Salud.

Palabras clave:
Programa de pérdida de peso
Educación para la salud
Metodología de investigación
Obesidad mórbida
Ensayo clínico
Interdisciplinariedad
Full text is only aviable in PDF
References
[1.]
B. Burguera, A. Agusti, P. Arner, A. Baltasar, F. Barbe, A. Barcelo, et al.
Critical assessment of the current guidelines for the management and treatment of morbidly obese patients International Symposium on Morbid Obesity. Morbid Obesity and its Comorbodities: an Interdisciplinary Approach.
J Endocrinol Invest, 30 (2007), pp. 844-852
[2.]
K.M. Flegal, M.D. Carroll, D.L. Ogden, C.L. Johnson.
Prevalence and trends in obesity among US adults, 1999–2000.
JAMA, 288 (2002), pp. 1723-1727
[3.]
J.A. Martinez, B. Moreno, M.A. Martinez-Gonzalez.
Prevalence of obesity in Spain.
Obes Rev, 3 (2004), pp. 171-172
[4.]
N.I.H. Conference:.
Gastrointestinal surgery for severe obesity, Consensus Development Conference Panel.
Ann Intern Med, 115 (1991), pp. 956-961
[5.]
T.A. Wadden, G.D. Foster.
Behavioral treatment of obesity.
Med Clin North Am, 84 (2000), pp. 441-461
[6.]
R.R. Wing, E. Blair, M. Marcus, L.H. Epstein, J. Harvey.
Year-long weight loss treatment for obese patients with type 2 diabetes: does including an intermittent very-low-calorie diet improve outcome?.
Am J Med, 97 (1994), pp. 354-362
[7.]
R.R. Wing, Look AHEAD Research Group.
Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial.
Arch Intern Med, 170 (2010), pp. 1566-1575
[8.]
D. Hofsø, N. Nordstrand, L.K. Johnson, T.I. Karlsen, H. Hager, T. Jenssen, et al.
Obesity-related cardiovascular risk factors after weight loss: a clinical trial comparing gastric bypass surgery and intensive lifestyle intervention.
Eur J Endocrinol, 163 (2010), pp. 735-745
[9.]
M.A. Van Baak, E. van Mil, A.V. Astrup, N. Finer, L.F. Van Gaal, J. Hilsted, STORM Study Group, et al.
Leisure-time activity is an important determinant of long-term weight maintenance after weight loss in the Sibutramine Trial on Obesity Reduction and Maintenance (STORM trial).
Am J Clin Nutr, 78 (2003), pp. 209-214
[10.]
D.E. Arterburn, P.K. Crane, D.L. Veenstra.
The efficacy and safety of sibutramine for weight loss: a systematic review.
Arch Intern Med, 164 (2004), pp. 994-1003
[11.]
J.S. Torgerson, J. Hauptman, M.N. Boldrin, L. Sjöström.
XENical in the prevention of diabetes in obese subjects (XENDOS) study: a randomized study of orlistat as an adjunct to lifestyle changes for the prevention of type 2 diabetes in obese patients.
Diabetes Care, 27 (2004), pp. 155-161
[12.]
E. Muls, J. Kolanowski, A. Scheen, L. Van Gaal, ObelHyx Study Group.
The effects of orlistat on weight and on serum lipids in obese patients with hypercholesterolemia: a randomized, double-blind, placebo-controlled, multicentre study.
Int J Obes Relat Metab Disord, 25 (2001), pp. 1713-1721
[13.]
A. Kaya, N. Aydin, P. Topsever, M. Filiz, A. Oztürk, A. Dağar, et al.
Efficacy of sibutramine, orlistat and combination therapy on short-term weight management in obese patients.
Biomed Pharmacother, 58 (2004), pp. 582-587
[14.]
T.A. Wadden, R.I. Berkowitz, D.B. Sarwer, R. Prus-Wisniewski, C. Steinberg.
Randomized trial of lifestyle modification in the pharmacologic treatment of obesity.
N Engl J Med, 353 (2005), pp. 2111-2120
[15.]
L. Sjostrom, K. Narbro, C.D. Sjostrom, K. Karason, B. Larsson, H. Wedel, the Swedish Obese Subjects Study, et al.
Effects of Bariatric Surgery on Mortality in Swedish Obese Subjects.
NEJM, 357 (2007), pp. 741-752
[16.]
W.J. Pories, et al.
Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus.
Ann Surg, 222 (1995), pp. 339-350
[17.]
P.R. Schauer, S. Ikramuddin, W. Gourash, R. Ramanathan, J. Luketich.
Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity.
Ann Surg, 232 (2000), pp. 515-529
[18.]
N. Scopinaro, G.M. Marinari, G.B. Camerini, F.S. Papadia, G.F. Adami.
Specific effects of biliopancreatic diversion on the major components of metabolic syndrome: a long-term follow-up study.
Diabetes Care, 28 (2005), pp. 2406-2411
[19.]
P.R. Schauer, B. Burguera, S. Ikramuddin, D. Cottam, W. Gourash, G. Hamad, et al.
Effect of laparoscopic Roux-en Y gastric bypass on type 2 diabetes mellitus.
Copyright © 2011. Sociedad Española de Endocrinología y Nutrición
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos