O modelo transteórico para auxiliar adolescentes obesos a modificar estilo de vida

Boff, Raquel de Melo; Segalla, Carolina Domingues; Feóli, Ana Maria Pandolfo; Gustavo, Andréia da Silva; Oliveira, Margareth da Silva

doi:10.9788/tp2018.2-19pt

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…The patients underwent individual one-hour CBT sessions with a psychologist twice weekly. Patients also participated in educational group activities, using active methodologies and experiences aimed at lifestyle changes, consisting of daily one-hour meetings [9][10].…”

Section: Therapeutic Interventions and Multi-professional Supportmentioning

confidence: 99%

Inpatient treatment for severe obesity: a retrospective cohort study in Brazil

Rios,

Oliveira,

Braga

et al. 2024

Preprint

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Introduction: Very low-calorie diets with hospitalization have demonstrated promise as a viable therapeutic option for severe obesity and its associated comorbidities. However, large studies providing a comprehensive longitudinal observation of patients undergoing this therapy are lacking. We evaluated the effectiveness of treating severe obesity in hospitalized patients, using very low-calorie diets and clinical support to develop lifestyle changes. Methods: A retrospective cohort study with a pre-post quasi-experimental design analyzed secondary data from 2016–2022 medical records of patients with severe obesity (grade II or III) treated in a Brazilian obesity specialist hospital. The patients underwent a very low-calorie diet (500–800 kCal/day) and immersive changes in lifestyle habits, monitored by a multidisciplinary team. At 3 months, 777 patients presented complete data and 402 presented complete data at 6 months. The study compared changes in bioimpedance and laboratory tests, between men and women and age groups (elderly vs. non-elderly). Results: Three months of hospitalization yielded significant reductions in weight, body mass index (BMI), body fat, skeletal muscle mass, glucose, inflammatory, and lipid parameters. These reductions were more pronounced after 6 months, nearly doubling those observed at 3 months. In women, BMI and fat mass reduced by 10.4% and 15.2% at 3 months and 20.4% and 31.3% at 6 months, respectively. In men, BMI and fat mass decreased by 12.9% and 25.3 at 3 months and 23.6% and 45.3% at 6 months, respectively. Elderly individuals (aged ≥ 60 years) had smaller reductions in BMI and fat mass than non-elderly individuals (aged < 60 years) but still presented significant improvements. Conclusion: This study suggests the viability of treating severe obesity by hospitalization with low-calorie diets and immersive lifestyle changes. This treatment modality significantly improves anthropometric measurements, glucose, lipids, and inflammatory markers, thereby reducing cardiovascular risk.

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Section: Therapeutic Interventions and Multi-professional Supportmentioning

confidence: 99%

Inpatient treatment for severe obesity: a retrospective cohort study in Brazil

Rios,

Oliveira,

Braga

et al. 2024

Preprint

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“…8 One of the important implications of this model is how the individual feels about a possible change in behavior and how to motivate him or her to change the lifestyle that remains in the long term. 9 Despite the number of articles on the proposed theme, it is noticeable that most studies address the problem of juvenile obesity directed at triggering factors from individual strategies. [10][11][12] In addition, there are few records in the scientific literature on the development of actions to prevent obesity that use theoretical models in conducting studies.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of educational program for prevention of juvenile obesity / Efetividade de programa educativo para prevenção de obesidade juvenil

Gomes

Silva

Costa

et al. 2021

RPCF

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Objetivo: avaliar efetividade do programa educativo voltado para prevenção da obesidade entre adolescentes escolares, ancorado no modelo transteórico de mudança de comportamento. Método: estudo quantitativo do tipo quase-experimental de grupo único realizado em escola pública de ensino médio, na cidade de Sobral-Ceará com 39 adolescentes por meio da implementação de programa educativo. Resultados: o programa educativo foi efetivo na redução de variáveis antropométricas: peso (58,85 para 58,31, p=0,005); circunferência abdominal (73,5 para 72,65 cm, p=0,000); circunferência do quadril (91,65 para 90,75 cm, p=0,000) e índice de massa corporal (22,89 para 22,67 kg/m2, p=0,012). No M-1, a maioria dos estudantes estavam no estágio de pré-contemplação (66,7%). Ao longo dos momentos de coleta, observou-se discreto aumento no percentual de contemplação. Conclusão: intervenções educativas para prevenção da obesidade juvenil são ferramentas válidas para serem utilizadas por profissionais da saúde em conjunto com a escola, favorecendo a promoção da saúde e empoderamento de adolescentes.

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