A randomized, controlled trial was conducted to evaluate the effect of adding either aerobic training (AT) or resistance training (RT) to a multidisciplinary teamed educational weight-management program on the health-related fitness of individuals with morbid obesity. AT and RT undertook three 60-minute moderate-intensity exercise sessions weekly for 12 weeks; the control group (CON) undertook usual care alone. Both exercise conditions caused improvements compared to CON in the shuttle-walk test and the triceps skin-fold, as well as with self-efficacy and interest and enjoyment. RT displayed additional improvements compared to CON in body mass index (BMI), waist circumference, competence, biceps skin-fold and medial calf skin-fold. No significant differences were observed between exercise modalities.

Cushing's syndrome (CS) is extremely rare in patients with morbid obesity. This case report describes a patient who was admitted to the ward of the clinical division of endocrinology and metabolism at the Medical University of Vienna in preparation for bariatric surgery. Preoperative work-up revealed CS due to an adrenal adenoma. The patient underwent unilateral adrenalectomy followed by bariatric surgery six months later. Since undiagnosed CS might result in severe perioperative complications in a population already at increased risk, this case report underlines the importance of careful endocrine evaluation in patients with morbid obesity.