{"id":114796,"date":"2018-03-11T10:42:56","date_gmt":"2018-03-11T10:42:56","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/planteamientos-interdisciplinares-y-evaluacion-del-comportamiento-alimentario-en-pacientes-con-obesidad-morbida-incluidos-dentro-de-un-programa-de-ciruga%c2%ada-bariatrica\/"},"modified":"2018-03-11T10:42:56","modified_gmt":"2018-03-11T10:42:56","slug":"planteamientos-interdisciplinares-y-evaluacion-del-comportamiento-alimentario-en-pacientes-con-obesidad-morbida-incluidos-dentro-de-un-programa-de-ciruga%c2%ada-bariatrica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-de-la-nutricion\/planteamientos-interdisciplinares-y-evaluacion-del-comportamiento-alimentario-en-pacientes-con-obesidad-morbida-incluidos-dentro-de-un-programa-de-ciruga%c2%ada-bariatrica\/","title":{"rendered":"Planteamientos interdisciplinares y evaluacion del comportamiento alimentario en pacientes con obesidad m\u00f3rbida incluidos dentro de un programa de cirugia bari\u00e1trica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M\u00aa Dolores Hellin Gil <\/strong><\/h2>\n<p>Planteamientos interdisciplinares y evaluaci\u00f3n del comportamiento alimentario en pacientes con obesidad m\u00f3rbida incluidos dentro de un programa de cirug\u00eda bari\u00e1trica  resumen  objetivos 1.\tConocer los h\u00e1bitos de vida e higi\u00e9nicos de un grupo de pacientes con obesidad m\u00f3rbida, que van a ser tratados con cirug\u00eda bari\u00e1trica. Evaluaci\u00f3n previa y posterior a la cirug\u00eda. 2.\tValorar a trav\u00e9s de la historia diet\u00e9tica el consumo de alimentos tanto en su cantidad como en el tipo de los mismos, en los pacientes anteriormente rese\u00f1ados. 3.\tVer la importancia de la educaci\u00f3n nutricional y el autocontrol en la respuesta al tratamiento de los pacientes que van a ser intervenidos de cirug\u00eda bari\u00e1trica. 4.\tAnalizar el registro de comorbilidades que los pacientes tienen antes y despu\u00e9s de la cirug\u00eda bari\u00e1trica.  metodolog\u00eda: estudio de tipo transversal constituido por una muestra de 34 personas con obesidad m\u00f3rbida incluidas dentro de un programa de cirug\u00eda bari\u00e1trica. La selecci\u00f3n se realiz\u00f3 entre los a\u00f1os 2009-2011 a trav\u00e9s de la consulta de obesidad del servicio de endocrino y nutrici\u00f3n del h.U.Virgen de la arrixaca. La evaluaci\u00f3n antes de la cirug\u00eda fue durante un periodo inferior a 6 meses y posteriormente entre 5-19 meses. los pacientes eran derivados de: los centros de atenci\u00f3n primaria, de los remitidos desde las diferentes especialidades hospitalarias y tras la selecci\u00f3n de algunos trabajadores del propio centro sanitario. a todos los pacientes se les realiz\u00f3 de manera una valoraci\u00f3n preoperatoria y postoperatoria desde una vertiente multidisciplinar, a trav\u00e9s de aspectos m\u00e9dicos, nutricionales (cuestionario de historia diet\u00e9tica) y psicol\u00f3gicos, teniendo en cuenta los criterios de inclusi\u00f3n y exclusi\u00f3n establecidos del consenso de la seedo. Conociendo con este cuestionario de historia diet\u00e9tica las fases de diagn\u00f3stico, de intervenci\u00f3n y de evaluaci\u00f3n propias de la educaci\u00f3n nutricional. se realiz\u00f3 una estad\u00edstica descriptiva: para las variables cualitativas medidas con el c\u00e1lculo de las frecuencias absolutas y relativas, mientras que para las variables cuantitativas se obtuvieron a trav\u00e9s de par\u00e1metros de media, desviaci\u00f3n t\u00edpica, m\u00e1ximo y m\u00ednimo. Por otro lado, para determinar la estad\u00edstica anal\u00edtica se compar\u00f3 medias de datos apareados con el test de t-apareada y la relaci\u00f3n entre variables con el c\u00e1lculo del coeficiente de correlaci\u00f3n del pearson.   resultados: se obtuvieron, tanto antes como despu\u00e9s de la intervenci\u00f3n, los  siguientes datos descriptivos que reflejan los cambios que se han producido tras ella: precirug\u00eda\tm\u00ednimo\tm\u00e1ximo\tmedia\tdesv.T\u00edpica edad (a\u00f1os)\t21\t60\t38,88\t10,177 peso (kg)\t90\t170\t121,44\t17,894 imc (kg\/m2)\t35,6\t54,6\t43,54\t4,697 \tfrecuencia\tporcentaje v\u00e1lido \tsi\tno\tsi\tno dm (%)\t9\t25\t73,5\t26,5 hta (%)\t15\t19\t44,1\t55,9 dlp (%)\t8\t26\t23,5\t76,5 postcirug\u00eda\tm\u00ednimo\tm\u00e1ximo\tmedia\tdesv.T\u00edpica peso (kg)\t56,4\t134,2\t88,65\t15,777 imc (kg\/m2)\t21,8\t42,9\t31,77\t4,618 \tfrecuencia\tporcentaje v\u00e1lido \tsi\tno\tsi\tno dm (%)\t4\t30\t11,8\t88,2 hta (%)\t3\t31\t14,7\t85,3 dlp (%)\t4\t30\t11,8\t88,2 mientras que con la estad\u00edstica anal\u00edtica aplicada, se obtuvieron los resultados respecto a las medidas y pautas diet\u00e9ticas e higi\u00e9nicas que estos pacientes realizaban tanto previa como posteriormente:   precirug\u00eda \/ postcirug\u00eda\tmedia\tdesviaci\u00f3n t\u00edpica\tp desayuno pre.\t4,88\t0,686\t0,475 desayuno post.\t4,97\t0,171\t almuerzo pre.\t2,18\t1,850\t0,0005 almuerzo post.\t4,15\t1,635\t comida pre.\t5,00a\t0,000\ta no se puede calcular la correlaci\u00f3n y t porque el error t\u00edpico de la diferencia es cero comida post.\t5,00a\t0,000\t merienda pre.\t2,56\t1,926\t0,0005 merienda post.\t4,35\t1,433\t cena pre.\t5,00\t0,000\t0,325 cena post.\t4,88\t0,686\t prod.L\u00e1cteos pre.\t4,59\t0,8 \t0,561 prod.L\u00e1cteos post.\t4,44 \t1,1\t verduras y hort.Pre\t3,97 \t1,4 \t0,029 verduras y hort.Post.\t4,50 \t1,0\t frutas pre.\t4,50 \t1,0\t0,133 frutas post.\t4,41\t1,1\t alim.Prot\u00e9icos : &quot;\tcarne pre. &quot;\tcarne post. &quot;\tpescado pre. &quot;\tpescado post. &quot;\thuevo pre. &quot;\thuevo post.\t 4,41 3,21 2,06 3,12 3,41 3,03\t 0,8 1,2 1,2 0,9 1,1 0,8\t 0,0005  0,0005  0,057 legumbres pre.\t3,00 \t1,0 \t0,216 legumbres post.\t2,71 \t0,8\t pan y cereales pre.\t4,76\t0,9\t0,001 pan y cereales post.\t3,44\t1,8\t grasas, salsas y deriv. Pre.\t4,59\t1,0\t 0,173 grasas, salsas y deriv.Post.\t4,85\t0,7\t dulces y derivados: &quot;\tboller\u00eda\/repost. Pre. &quot;\tboller\u00eda\/repost. Post. &quot;\tdulces confiter\u00eda pre. &quot;\tdulces confiter\u00eda post. &quot;\tchocolates y helados pre. &quot;\tchocolates y helados post.\t 2,76 1,65 2,79 2,03  2,74 1,65\t 1,3 1,1 1,4 1,2 1,4  1,1\t 0,0005  0,015   0,004 frutos secos pre.\t3,12\t1,3\t 0,004 frutos secos post.\t2,21\t1,1\t refresc. Azucarados pre.\t3,71\t1,4\t 0,0005 refresc. Azucarados post.\t1,94\t1,4\t alimentos preparados: &quot;\tcongelados pre. &quot;\tcongelados post. &quot;\tconservas pre. &quot;\tconservas post.\t 2,59 2,91 2,50 2,68\t 1,4 1,6 1,5 1,4\t 0,403 0,582 alcohol pre.\t3,34\t1,6\t 0,0005 alcohol post.\t1,74\t1,2\t h\u00e1bito picar entre horas pre.\t2,76\t1,6\t 0,001 h\u00e1bito picar entre horas post.\t1,76\t1,1\t   actividad f\u00edsica (%)\t todos los d\u00edas \t 3-5 veces\/sem.\t 1-2 veces\/sem.\t 3-5 veces\/mes\t nunca precirug\u00eda\t0\t0\t24,4\t29,3\t46,3 postcirug\u00eda\t24,4\t14,6\t24,4\t7,3\t29,3   interdisciplinary approaches and evaluation of eating behaviour in morbidly obese in patients included in a bariatric surgery program  abstract  objectives 1.\tTo know the lifestyle of a group of morbidly obese patients who would be treated with bariatric surgery. Evaluation before and after surgery. 2.\tTo assess in their group of patients through their diet history, their quantity and type of food consumption. 3.\tTo see the importance of nutritional education and self-control in the response to treatment of patients who would undergo bariatric surgery. 4.\tTo analyze patients comorbidity register before and after bariatric surgery.  methodology: this is an across-sectional study of a sample of 34 people with morbid obesity included in a bariatric surgery program. Patients were selected between the years 2009-2011 through the obesity clinic of the endocrinology and nutrition service of the virgen de la arrixaca university hospital. Patients were examined during a period inferior of six months prior to surgery and then between 5-19 months after the surgery. patients were referred to on service from: primary care centers, different hospital specialist service and hospital workers. all patients underwent presurgery assessment from a multidisciplinary approach, considering medical, nutritional (dietary history questionnaire) and psychological, taking into account the inclusion and exclusion criteria of the seedo consensus. Knowing this dietary history questionnaire phases of diagnosis, intervention and evaluation of nutrition education themselves. we conducted a descriptive statistics: analyses for qualitative variables calculate absolute and relative frequencies, whereas for quantitative variables we obtained the mean, the standard deviation, the maximum and the minimum. Furthermore, the statistical analysis of paired data was performed with the paired t-test and the correlation between variables was calculated with the pearson correlation coefficient. results: the following descriptive data were obtained both before and after the intervention and they reflect the changes that have occurred after surgery.  pre-surgery\tminium\tmaxium\taverage\ttypical devitation age (years)\t21\t60\t38,88\t10,177 weight (kg)\t90\t170\t121,44\t17,894 bmi (kg\/m2)\t35,6\t54,6\t43,54\t4,697 \tfrequency\tvalid percent \tsi\tno\tsi\tno dm (%)\t9\t25\t73,5\t26,5 ht (%)\t15\t19\t44,1\t55,9 dlp (%)\t8\t26\t23,5\t76,5 postsurgery\tminium\tmaxium\taverage\ttypical devitation weight (kg)\t56,4\t134,2\t88,65\t15,777 bmi (kg\/m2)\t21,8\t42,9\t31,77\t4,618 \tfrecuencia\tporcentaje v\u00e1lido \tsi\tno\tsi\tno dm (%)\t4\t30\t11,8\t88,2 ht (%)\t3\t31\t14,7\t85,3 dlp (%)\t4\t30\t11,8\t88,2  while the applied analytical statistics, results were obtained on measures and hygienic and dietary guidelines that these patients performed both before and after:   pre-surgey \/ postsurgery\taverage\ttypical deviation\tp breakfast pre.\t4,88\t0,686\t0,475 breakfast post.\t4,97\t0,171\t mid-morning snack pre.\t2,18\t1,850\t0,0005 mid-morning snack post.\t4,15\t1,635\t lunch  pre.\t5,00a\t0,000\ta can not calculate the correlation and t because the standard error of the difference is zero lunch post.\t5,00a\t0,000\t mid-afternoon snack pre.\t2,56\t1,926\t0,0005 mid-afternoon snack post.\t4,35\t1,433\t dinner pre.\t5,00\t0,000\t0,325 dinner post.\t4,88\t0,686\t dairy pre.\t4,59\t0,8 \t0,561 dairy post.\t4,44 \t1,1\t vegetables pre.\t3,97 \t1,4 \t0,029 vegetables post.\t4,50 \t1,0\t fruits pre.\t4,50 \t1,0\t0,133 fruits post.\t4,41\t1,1\t protein food : &quot;\tmeat pre. &quot;\tmeat post. &quot;\tfish pre. &quot;\tfish post. &quot;\tegg pre. &quot;\tegg post.\t 4,41 3,21 2,06 3,12 3,41 3,03\t 0,8 1,2 1,2 0,9 1,1 0,8\t 0,0005  0,0005  0,057 pulses pre.\t3,00 \t1,0 \t0,216 pulses post.\t2,71 \t0,8\t bread and cereals pre.\t4,76\t0,9\t0,001 bread and cereals post.\t3,44\t1,8\t fats, sauces and derivat pre.\t4,59\t1,0\t 0,173 fats, sauces and derivatpost.\t4,85\t0,7\t sweet and derivatives: &quot;\tpastries  pre. &quot;\tpastries post. &quot;\tsweets confectionery pre. &quot;\tsweets confectionery post. &quot;\tchocolates and ice-cream pre. &quot;\tchocolates and ice-cream post.\t 2,76 1,65 2,79 2,03  2,74  1,65\t 1,3 1,1 1,4 1,2  1,4  1,1\t 0,0005   0,015   0,004 nuts pre.\t3,12\t1,3\t 0,004 nuts post.\t2,21\t1,1\t sugary sodas pre.\t3,71\t1,4\t 0,0005 sugary sodas post.\t1,94\t1,4\t prepared foods: &quot;\tfrozen pre. &quot;\tfrozen post. &quot;\tpreserves pre. &quot;\tpreserves post.\t 2,59 2,91 2,50 2,68\t 1,4 1,6 1,5 1,4\t 0,403 0,582 alcohol pre.\t3,34\t1,6\t 0,0005 alcohol post.\t1,74\t1,2\t snacking habit pre.\t2,76\t1,6\t 0,001 snacking habit post.\t1,76\t1,1\t   physical activity (%)\t daily \t 3-5 times\/week\t 1-2 times\/week\t 3-5 times\/week\t never pre-surgery\t0\t0\t24,4\t29,3\t46,3 postsurgery\t24,4\t14,6\t24,4\t7,3\t29,3<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Planteamientos interdisciplinares y evaluacion del comportamiento alimentario en pacientes con obesidad m\u00f3rbida incluidos dentro de un programa de cirugia bari\u00e1trica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Planteamientos interdisciplinares y evaluacion del comportamiento alimentario en pacientes con obesidad m\u00f3rbida incluidos dentro de un programa de cirugia bari\u00e1trica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M\u00aa Dolores Hellin Gil <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/10\/2013<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Manuel Canteras Jordana<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaqu\u00edn G\u00f3mez g\u00f3mez <\/li>\n<li>Jos\u00e9 tom\u00e1s Real collado (vocal)<\/li>\n<li>Antonio Hernandez mijares (vocal)<\/li>\n<li>Antonio  Miguel Pico alfonso (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M\u00aa Dolores Hellin Gil Planteamientos interdisciplinares y evaluaci\u00f3n del comportamiento alimentario en pacientes con obesidad m\u00f3rbida incluidos [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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