Movement On, Obesity Off: Multiprofessional program for patients eligible for bariatric surgery
DOI:
https://doi.org/10.12820/rbafs.30e0422Keywords:
Obesidade mórbida, Cirurgia bariátrica, Equipe de assistência ao paciente, Atividade física, Terapia comportamentalAbstract
Introduction: Severe obesity is a complex condition that increases the risk of comorbidities and may pose challenges during the waiting period for bariatric surgery. The “Movimento On, Obesidade Off ” program is a remote, multiprofessional intervention for patients eligible for bariatric surgery, aiming to improve physical fitness, nutritional profile, and psychological status in the preoperative period. Objective: This study describes the program’s logic model, outlining its phases, challenges, and expected impact. Methods: The intervention combines physical exercise, nutritional counseling, and cognitive behavioral therapy, in addition to health education, seeking to promote 5% to 10% improvements in health parameters essential for surgical success, along with gains related to quality of life and health behaviors. Results and discussion: Key challenges include low adherence to in person post intervention assessments and the need to validate reliable remote measures. The absence of public policies for surgical prehabilitation also limits program expansion. As a future perspective, the goal is to consolidate the program within Brazil’s Unified Health System, broaden accessibility, and strengthen effectiveness. Final considerations: The program demonstrates feasibility as a remote, multiprofessional preoperative care strategy for bariatric surgery candidates. Priorities include increasing adherence to in person assessments, validating remote evaluations, and building partnerships for incorporation into Unified Health System prehabilitation protocols.
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Copyright (c) 2025 Fabiano Ferreira de Lima, Daniel Rogério Petreça, Ingred Rhayane Rago Gomes, Thaiana Marcelino Lima, Laila Barbosa de Santana, Rinaldo Silvino dos Santos, Rodrigo Montenegro Wanderley, Layane Sobral Araújo, Juliana Ellen Santana, Daniel Mendonça da Silva Júnior, Sérvio Fidney Brandão de Menezes Correia, Danielle Teti Magalhães, Pedro Cavalcanti de Albuquerque, Igor Henriques Fortunato, Aline de Freitas Brito
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