No abstract

Overweight in childhood and adolescence is a global problem, requiring guidelines for this population. This work is aimed at the elaboration of an instructional booklet, called "Talking about obesity," to help parents of overweight children/adolescents on how to deal with the characteristics of the child and playfully guide the children themselves, promoting treatment adherence. Its content was based on research results on children and adolescent obesity in the areas of Psychology and Nutrition. The first version was submitted to three judges, health professionals (two psychologists and one nutritionist), who individually answered a questionnaire to evaluate the comprehension of the language, content, and image of each page, obtaining good agreement indexes. The suggestions were included in the second version, which was 17 pages long, illustrated with colorful diagrams. It was organized into three topics: Introduction-related to nutrition guidelines; Part II-for caregivers, with guidance on how to deal with the child's characteristics; and Part III-for children/adolescents, with guidelines on how to handle their characteristics. The material can support future studies and be applied in pediatric health services.

This study evaluated the relationships between anthropometric, dietary, motivational, and psychosocial variables among children and adolescents with overweight and non-alcoholic fatty liver disease (NAFLD). We evaluated 45 participants (6-17 years) in anthropometric terms, nutritional consumption, motivation for treatment, and family psychosocial risk by using statistical analyses (Student’s t-Test or Chi-Square). It was detected that 37.8% of the families had a high psychosocial risk, 82.2% were obese, 33.3% with NAFLD, high motivation (93.3%), but low adherence to treatment (2.4%). Participants with NAFLD presented higher psychosocial risk, significantly greater obesity severity, waist and neck circumference, and Body Mass Index. They reported lower adherence to treatment, high carbohydrate consumption, ultra-processed products, high energy density, and low fiber, with poor nutritional quality. Interventions should consider the motivation for treatment and psychosocial risks, especially in cases with NAFLD.