EFEITOS DE UMA INTERVENÇÃO INTERDISCIPLINAR FAMILIAR NO PROCESSAMENTO DE ALIMENTOS E NA FASE DE MUDANÇA DE COMPORTAMENTO ALIMENTAR EM ADOLESCENTES COM EXCESSO DE PESO OU OBESOS
INTERVENÇÃO INTERDISCIPLINAR FAMILIAR NO PROCESSAMENTO DE ALIMENTOS E A FASE DA MUDANÇA DE COMPORTAMENTO ALIMENTAR
DOI:
https://doi.org/10.12873/443magnaniPalavras-chave:
Modificações no estilo de vida, Obesidade na Adolescência, Saúde do Adolescente, InterdisciplinaridadeResumo
Introdução: Devido ao aumento da prevalência da obesidade nos últimos anos, o tratamento do excesso de peso tornou-se necessário e um problema de saúde pública global, especialmente na infância e adolescência. Objetivo: O presente estudo teve como objetivo analisar os efeitos de uma intervenção interdisciplinar no comportamento de processamento e consumo alimentar de adolescentes com sobrepeso e obesidade. Métodos: Trata-se de um estudo pré-experimental, analítico e intervencionista. Foram incluídos no estudo 64 adolescentes (65% mulheres e 35% homens), com idade média de 13,72 ± 2,46 anos, com sobrepeso ou obesidade. As intervenções interdisciplinares ocorreram durante 12 semanas, três vezes por semana, com a participação de uma equipe interdisciplinar composta por profissionais de educação física (três vezes por semana), nutricionistas (duas vezes por semana) e psicólogos (duas vezes por semana). Para analisar o nível de processamento dos alimentos foi aplicado um registro alimentar de 3 dias antes e após as 12 semanas de intervenção. Os alimentos foram calculados em gramas, calorias e % do valor energético total (TEI). Os dados foram expressos em média e desvio padrão. Posteriormente, a normalidade dos dados foi testada por meio do teste de Kolmogorov-Smirnov. Após essa confirmação, foi realizado teste t pareado para comparação dos momentos pré e pós-intervenção. Resultados: redução significativa de alimentos processados e ultraprocessados e aumento do consumo de alimentos in natura em gramas e calorias (p<0,05). Entretanto, não foram observadas diferenças significativas para o consumo de alimentos minimamente processados (p>0,05). Além disso, houve resultados significativos nos domínios tamanho e quantidade da porção (p<0,01) e consumo de frutas e hortaliças (p<0,05). Conclusão: 12 semanas de intervenções interdisciplinares proporcionaram impactos positivos no nível de processamento de alimentos e no comportamento de consumo de adolescentes com sobrepeso e obesidade, contribuindo para o combate à obesidade na adolescência.
Referências
Cardel MI, Jastreboff AM, Kelly AS. Treatment of Adolescent Obesity in 2020. JAMA [Internet]. 2019 Nov 5 [cited 2024 Apr 25]; 322(17):1707–8. Available at: https://pubmed.ncbi.nlm.nih.gov/31566652/
Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al. The Global Syndemic of Obesity, Malnutrition and Climate Change: Report of the Lancet Commission. Lancet (London, England) [Internet]. 2019 Feb 23 [cited 2024 Apr 25]; 393(10173):791–846. Availability date: https://pubmed.ncbi.nlm.nih.gov/30700377/
Vardell E. Global Health Observatory Data Repository. Med ref serv q [internet]. 2020 Jan 2 [cited 2024 Apr 25]; 39(1):67–74. Available at: https://www.researchgate.net/publication/339341479_Global_Health_Observatory_Data_Repository
Weihrauch-Blüher S, Kromeyer-Hauschild K, Graf C, Widhalm K, Korsten-Reck U, Jödicke B, et al. Current Guidelines for Obesity Prevention in Childhood and Adolescence. Obes Fatos [Internet]. 2018 Jul 1 [cited 2024 Apr 25]; 11(3):263–76. Available at: https://pubmed.ncbi.nlm.nih.gov/29969778/
Pereira TDS, Pereira RC, De Angelis-Pereira MC. Cien Saúde Colet [Internet]. 2017 [cited 2024 Apr 25]; 22(2):427–35. Available at: https://www.scielo.br/j/csc/a/rK7CxmYPBp9KyYNWRsmGKwt/abstract/?lang=pt
Nakabayashi J, Melo GR isa, Toral N. Nutritional interventions based on transtheoretical models in adolescents: a systematic review. BMC Public Health [Internet]. 2020 Dec 1 [cited 2024 Apr 25]; 20(1). Available at: https://pubmed.ncbi.nlm.nih.gov/33054748/
Salahshoornezhad S, Sohrabi Z, Mani A, Abdelbasset WK, Mehrabi M, Zare M, et al. Effect of a multidisciplinary program on anthropometric and biochemical parameters in obese and overweight elementary school girls: a randomized clinical trial. Nutr Metab Cardiovasc Dis [Internet]. 2022 Aug 1 [cited 2024 Apr 25]; 32(8):1982–9. Available at: https://pubmed.ncbi.nlm.nih.gov/35610083/
Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. Factors influencing children's eating behaviors. Nutrients [Internet]. 2018 Jun 1 [cited 2024 Apr 25]; 10(6). Available at: https://pubmed.ncbi.nlm.nih.gov/29857549/
Da Silva JI, De Souza Andrade AC, Bloch KV, Brunken GS. Association between sharing meals with parents or guardians and obesity in Brazilian adolescents. Cad Public Health. 2020; 36(8).
de Oliveira FM, De Souza Marques DC, Coelho AA, Marques MGDS, Araújo CGA, Branco BHM. Effects of a multidisciplinary approach on anthropometric and dietary profile variables of overweight or obese adolescents. J Hum Growth Dev [Internet]. 2021 [cited 2024 Apr 25]; 31(2):257–66. Availability date: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-12822021000200009&lng=pt&nrm=iso&tlng=en
Faught EL, Gleddie D, Storey KE, Davison CM, Veugelers PJ. Healthy Lifestyle Behaviors Are Positively and Independently Associated with Academic Achievement: An Analysis of Self-Reported Data from a Nationally Representative Sample of Canadian Early Teens. PLoS One [Internet]. 2017 Jul 1 [cited 2024 Apr 25]; 12(7). Available at: https://pubmed.ncbi.nlm.nih.gov/28753617/
Marques DCS, Ferreira WC, Santos IC, Ryal JJ, Marques MGS, Oliveira FM, et al. Impacts of a multiprofessional versus isolated family intervention on food processing in overweight adolescents: a randomized trial. Nutrients [Internet]. 2023 Feb 1 [cited 2024 Apr 25]; 15(4). Availability date: https://pubmed.ncbi.nlm.nih.gov/36839292/
Jerry R. Thomas, Jack K. Nelson. Research Methods in Physical Activity. 6th ed. São Paulo: Artmed; 2012.
Magnani Branco BH, Carvalho IZ, Garcia De Oliveira H, Fanhani AP, MacHado Dos Santos MC, Pestillo De Oliveira L, et al. Effects of 2 types of resistance training models on body composition, cardiometabolic risk, and physical fitness of obese adolescents. J Force Cond Res [Internet]. 2020 Sep 1 [cited 2024 Apr 25]; 34(9):2672–82. Available at: https://pubmed.ncbi.nlm.nih.gov/30557175/
Moura NC de, Paiva NMN de, Costa J da S, Pereira MR, Carvalho É, Brazil, et al. Virtual Health Library of the Ministry of Health. Food Guide for the Brazilian Population [Internet]. 2015 [cited 2024 Apr 25]; 33(4):1–11. Available at: www.saude.gov.br/bvs
Cattai GBP, Hintze LJ, Nardo N. Internal validation of the readiness stage questionnaire for change of eating and physical activity behavior. Rev Paulo Pediatr [Internet]. 2010 [cited 2024 Apr 25]; 28(2):194–9. Availability date: https://www.scielo.br/j/rpp/a/CJBxHm5c7pFd7YRd4Sfpmps/abstract/?lang=pt
da Silva DF, Bianchini JAA, Lopera CA, Capelato DA, Hintze LJ, Nardo CCS, et al. Impact of behavior change readiness on the effects of a multidisciplinary intervention in obese Brazilian children and adolescents. Appetite [Internet]. 2015 Apr 1 [cited 2024 Apr 25]; 87:229–35. Available at: https://pubmed.ncbi.nlm.nih.gov/25558026/
Marcus B.H., Simkin L.R. The transtheoretical model: applications to exercise behavior. Med Sci Sports Exerc [Internet]. 1994 [cited 2024 Apr 25]; 26(11):1400–4. Availability date: https://psycnet.apa.org/record/1994-98849-004
by Onis M. World Health Organization Growth Patterns. Acta Paediatr [Internet]. 2006 [cited 2024 Apr 25]; 5–6. Available at: http://www.who.int/childgrowth/standards/Technical_report.pdf?ua=1
Brazil. Ministry of Health. Department of Health Surveillance. National Health Promotion Policy Revision of Ordinance MS/GM No. 687, of March 30, 2006 [Internet]. 2014. Available at: http://editora.saude.gov.br
Carbert NS, Brussoni M, Geller J, Mâsse LC. Family environment and physical activity of overweight/obese adolescents. Int J Environ Res Public Heal 2019, Vol 16, Page 2558 [Internet]. 2019 Jul 17 [cited 2024 Apr 25]; 16(14):2558. Available at: https://www.mdpi.com/1660-4601/16/14/2558/htm
Victorino SVZ, Soares LG, Marcon SS, Higarashi IH. Living with childhood obesity: the experience of children enrolled in a multidisciplinary follow-up program. Rev Renê [Internet]. 2014 Dec 21 [cited 2024 Apr 25]; 15(6). Available at: http://periodicos.ufc.br/rene/article/view/3295
Enes CC, de Camargo CM, Justino MIC. Consumption of ultra-processed foods and obesity in adolescents. Rev Nutr. 2019;32.
Cardel MI, Atkinson MA, Taveras EM, Holm JC, Kelly AS. Treatment of obesity among adolescents: a review of current evidence and future directions. JAMA Pediatr [Internet]. 2020 Jun 1 [cited 2024 Apr 25]; 174(6):609–17. Availability date: https://pubmed.ncbi.nlm.nih.gov/32202626/
Branco BHM, Valladares D, de Oliveira FM, Carvalho IZ, Marques DC, Coelho AA, et al. Effects of Physical Exercise Order on Body Composition, Physical Fitness and Cardiometabolic Risk in Adolescents Participating in an Interdisciplinary Program Focused on the Treatment of Obesity. Fisiol Frontal [Internet]. 2019 [cited 2024 Apr 25]; 10 (AUG). Available at: https://pubmed.ncbi.nlm.nih.gov/31447700/
Tiainen AM, Männistö S, Blomstedt PA, Moltchanova E, Perälä MM, Kaartinen NE, et al. Length of leukocyte telomeres and their relationship to food and nutrient intake in an elderly population. Eur J Clin Nutr [Internet]. 2012 Dec [cited 2024 Apr 25]; 66(12):1290–4. Available at: https://pubmed.ncbi.nlm.nih.gov/23073262/
Beserra JB, Soares NI da S, Marreiros CS, de Carvalho CMRG, E Martins M do C de C, Freitas B de J e. S de A, et al. Do children and adolescents who consume ultra-processed foods have a worse lipid profile? A systematic review. Science and Public Health. 2020; 25(12):4979–89.
Jaworowska A, Blackham T, Davies IG, Stevenson L. Nutritional challenges and health implications of takeaway and fast food. Nutr Rev [Internet]. 2013 May [cited 2024 Apr 25]; 71(5):310–8. Availability date: https://www.researchgate.net/publication/236205248_Nutritional_challenges_and_health_implications_of_takeaway_and_fast_food
Zolotarjova J, ten Velde G, Vreugdenhil ACE. Effects of multidisciplinary interventions on weight loss and health outcomes in morbidly obese children and adolescents [Internet]. 19, Obesity Reviews. Rev. Obes; 2018 [cited 2024 Apr 25]. p. 931-46. Available at: https://pubmed.ncbi.nlm.nih.gov/29701298/
Dornelles AD, Anton MC, Pizzinato A. The role of society and the family in care for childhood overweight and obesity: perception of health workers at different levels of care. Health and Soc [Internet]. 2014 [cited 2024 Apr 25]; 23(4):1275–87. Availability date: https://www.scielo.br/j/sausoc/a/H9xy43YnMHLZnFxPjVysvvP/abstract/?lang=pt
Downloads
Publicado
Como Citar
Licença
Copyright (c) 2024 Nutrición Clínica y Dietética Hospitalaria
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)
