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Inicio Endocrinología y Nutrición (English Edition) TRAMOMTANA (Multidisciplinary treatment of morbid obesity: Medication, behaviora...
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Vol. 58. Issue 6.
Pages 299-307 (June 2011)
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Vol. 58. Issue 6.
Pages 299-307 (June 2011)
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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)
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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.
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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
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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
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Copyright © 2011. Sociedad Española de Endocrinología y Nutrición
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