Clinical, dietary, and psychosocial effectiveness of interdisciplinary care in child and juvenile obesity

Abstract

Introduction:Obesity in the pediatric population is defined as body mass index above the 97th percentile of the body mass index/Center for Disease Control and Prevention and is considered an important problem in public health with severe short-and long-term consequences for individuals, their families, and society. The aim of this study is to evaluate the effectiveness of interdisciplinary care in modifying anthropometric clinical parameters, psychosocial profile and eating behavior in a group of children and adolescents with obesity. Materials and Methods:This is a clinical study involving 200 children and adolescents with obesity who are participants of the Preventive Medicine Service program, and the Center for Medical Specialties of Children and Adolescents both in Aracaju, Sergipe, Brazil. Results and Discussion: At the end of the interdisciplinary intervention, there was a decrease in the number of hours devoted to electronic games and television and an increase in physical activity, which was associated with a reduction in reports of dissatisfaction and symptoms of depression. In addition, the sadness and prejudice related to obesity suffered at school and in the family environment were also attenuated, despite the percentage increase in the anxiety indicator. Regarding the anthropometric measurement, there was a reduction in body mass index, waist circumference, in caloric consumption. It is concluded that interdisciplinary programs are an effective strategy to reduce the negative repercussions of obesity in the daily lives of obese children and adolescents, as there were improvements in anthropometric parameters, in addition to psychosocial and dietary aspects.

Proteí­na C reativa importante biomarcador de risco cardiometabólico na obesidade infanto-juvenil

“…Utilizando esses critérios neste estudo, constata-se que as crianças e adolescentes com obesidade apresentaram PCR-us elevada em todas as faixas etárias. Esse resultado possibilitou a adoção de medidas dietéticas e comportamentais para uma mudança de vida dos indivíduos obesos 30 . Para tanto, foi necessário o esforço de uma equipe multiprofissional composta de endocrinologista, educador físico, nutricionista e psicólogo que estimularam a perda de peso das crianças e mudanças de hábitos de toda a família 30 .…”

“…Esse resultado possibilitou a adoção de medidas dietéticas e comportamentais para uma mudança de vida dos indivíduos obesos 30 . Para tanto, foi necessário o esforço de uma equipe multiprofissional composta de endocrinologista, educador físico, nutricionista e psicólogo que estimularam a perda de peso das crianças e mudanças de hábitos de toda a família 30 . Essa proposta também foi adotada por Isasi et al 22 .…”

Ultrasensitive C-reactive protein as biomarker of cardiometabolic risk in a group of obese children and adolescents

“…This result allowed the adoption of dietary and behavioral measures to produce a life change for obese individuals. Therefore, it was necessary to apply the effort of a multi-professional team composed of an endocrinologist, a physical educator, a nutritionist, and a psychologist, all of whom stimulated the weight loss and change of habits in these children and their families 21 . This proposition was also adopted by Isasi et al 22 …”

Distanciamento social, risco cardiometabólico e alteração psicossocial em crianças obesas durante pandemia do COVID-19

“…A sua prevalência está aumentando por motivo das mudanças comportamentais ocorridas nas últimas décadas, em especial a alimentação inadequada e ao sedentarismo 2 . Pode-se dizer que a obesidade é vista como uma doença crônica multifatorial, que envolve questões genéticas, ambientais e psicológicas, e seu tratamento deve ter uma abordagem multidisciplinar 3,4 .…”