Revista médica de Chile
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Chronic kidney disease is associated with an increase in cardiovascular risk and mortality, and a decrease in the health-related quality of life. It is known that the physical capacity of patients with chronic kidney disease is lower than their healthy counterparts. It also decreases progressively after the start of hemodialysis, even leading to the loss of functional independence. ⋯ In addition, several clinical studies and systematic reviews show an improvement in different clinical and laboratory variables and suggest a lower mortality, proving a reduction of health care economic costs. Exercise intervention in dialysis is safe. Although different guidelines promote exercise, it is necessary to work on its implementation on a large scale.
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Revista médica de Chile · Nov 2019
[Psychological factors influencing weight regain after bariatric surgery].
Background Approximately 15 to 40% of bariatric patients regain a significant percentage of their weight lost after surgery. Among psychological variables, control and self-efficacy loci are associated with behaviors related to weight loss. Also, family support can be a risk or protection factor for the maintenance of weight loss. ⋯ Locus of control (Z = -3.09, p < 0.01), family identity (Z = -3.71, p < 0.01) and self-efficacy (Z = -2.44, p = 0.01), differentiated patients who maintained weight loss from those who re-gained at least 15% of their lost weight. An inverse and significant relationship was observed between the percentage of weight regain and locus of control (r = -0.42, p < 0.01), family identity (r = -0.36, p < 0.01) and self-efficacy (r = -0.34, p <0.01). Conclusions The psychological variables "locus of weight control" and "family identity" are inversely and moderately associated with weight regain in patients subjected to bariatric surgery.
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Revista médica de Chile · Nov 2019
[Exercise and physical activity in adults who underwent bariatric surgery. Consensus document].
Physical exercise is useful in people who underwent bariatric surgery. However, the right dosage is still a topic for discussion. ⋯ Each topic was presented and subjected to discussion and voting by the participants and attendants who were exercise professionals from different obesity treatment centers. We report the conclusions reached for aerobic exercise, strength training, protein supplementation and physical activity for weight maintenance in bariatric patients.