Physical Exercise in Obesity and Metabolic Bariatric Surgery: The First Latin American Consensus.
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Herrera-Santelices Andrea, Aquino Cristina, Aburto Borzone Leonardo, Alderete Santiago, Andrade-Mayorga Omar, Balocchi Iturra Francesca, Bruno María Laura, Cancino-López Jorge, Cano-Montoya Johnattan, Castañeda Lavín Karen, Cerda-Vásquez Francisco, da Costa Tarragó Patricia, da Silva Alves Danillo, Fernández Paniura Alexanderson, Franco Casillas Javier Santiago, Gonzalez Nicolas, Ivancovich Martín Elias, Leonardi María Fernanda, Mahecha-Matsudo Sandra, Marcon Emilian Rejane, Mautner Molina Camila, Nardo Junior Nelson, Núñez-Vergara Carolina, Olivares Gálvez Mariela, Penutto Cecilia Betsabe, Pino Zúniga Johanna, Podesta-Donoso Israel, Ramírez Oróstica Christian, Rojas Sanchez Eliana, Sáez Del Rio María Victoria, Valverde Ampai Washington, Vieira Gadducci Alexandre, Westphal-Nardo Greice, Troncoso-Ortiz Erika J
Аннотация
AIM: To develop clinical exercise recommendations for adults with obesity and for patients undergoing MBS, based on expert consensus informed by current evidence.
METHODS: A three-round modified Delphi process was conducted with Latin American experts in exercise science, obesity, and MBS. Recommendations covered assessment, exercise prescription, perioperative management, long-term follow-up, and virtual care. Experts were instructed to prioritize recent evidence published within the previous five years, and recommendations were formulated using the PICO framework as a pragmatic guide. Agreement was assessed on a 5-point Likert scale. Positive consensus required ≥ 70% agreement, ≤ 15% disagreement, standard deviation ≤ 1.0, and interquartile range ≤ 1.0. Response stability was evaluated using the coefficient of variation (≤ 20%).
RESULTS: Thirty-one experts participated. Of 121 proposed recommendations, 106 reached positive consensus: 45 for obesity management and 61 for MBS. These recommendations provide guidance on individualized assessment, exercise prescription, perioperative strategies, long-term physical activity maintenance, and virtual care. No recommendations reached negative consensus.
CONCLUSIONS: This consensus provides the first region-specific, clinically oriented exercise recommendations for obesity and MBS in Latin America. It supports multidisciplinary practice, promotes standardization of care, and provides a framework for future updates and implementation studies.