Food education for the obese
adherence and anthropometric results
Keywords:
Patient compliance, Food and nutrition education, Obesity, Weight lossAbstract
Objective
The goal of this study was to evaluate the adherence of overweight subjects to a food education program and their anthropometric history from March, 2005 to December, 2007.
Methods
Males and females aged 20 to 59 years from a public university community were included. The group received dietary advice, psychological support and performed special physical activities over a period of 10 weeks. Sociodemographic information, weight, height and waist circumference were collected to calculate body mass index at baseline and end of the program.
Results
One-hundred and sixteen 41-year old subjects enrolled in the program; most of them were married (70.7%), had a high school diploma (49.1%), and were females (73.3%). Half the subjects (50.0%) adhered to the program. The defaulters (65.5%) were overweight, with a mean body mass index of 33.4 kg/m2. The body mass index of the participants who completed the program decreased from 32.5 to 31.2kg/m2, with an average weight loss of 3.9% of their body weight; 37.9% lost >5.0% of their body weight. Waist circumference also decreased from 102.1 to 98.6cm.
Conclusion
Although adherence was low, the anthropometric history of those who remained in the program was satisfactory, suggesting that a combination of multi- and interdisciplinary actions can be effective for treating obesity.
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References
Pitanga FJG, Lessa I. Razão cintura-estatura como discriminador do risco coronariano de adultos. Rev Assoc Med Bras. 2006; 52(3):157-61. World Health Organization. Global strategy on diet, physical activity and health: obesity and overweight. Geneva. [cited 2010 Aug. 25]. Available from: <http://apps.who.int/dietphysicalactivity/ publications/facts/obesity/en/>.
Instituto Brasileiro de Geografia e Estatística. Pesquisa de orçamento familiar (POF), 2002/2003. Rio de Janeiro. [acesso 2010 ago 25]. Disponível em: < http://www.ibge.gov.br>.
Roth J, Qiang X, Marbán SL, Redelt H, Lowell BC.The obesity pandemic: where have we been and are we going? Obes Res. 2004; 12(2):88-100.
Wing RR, Hill JO. Successful weight loss maintenance. Annu Rev Nutr. 2001; 21(1):323-41. doi: 10.1146/annurev.nutr.21.1.323.
Garcia RWD. Um enfoque simbólico do comer e da comida nas doenças. Rev Nutr. 1992; 5(1):70-80.
Rotenberg S, Vargas S. Práticas alimentares e o cuidado da saúde: da alimentação da criança à alimentação da família. Rev Bras Saúde Mater Infant. 2004; 4(1):85-94. doi: 10.1590/51519-38 292004000100008.
Sturmer JS. Reeducação alimentar: qualidade de vida, emagrecimento e manutenção da saúde. 5ª ed. Petrópolis: Vozes; 2001.
Cuvello LC, Patin R. Restrição versus reeducação alimentar. In: Damaso A, coordenadora. Obesidade. Rio de Janeiro: Medsi; 2003. p.367-74.
Boog MCF. Educação nutricional: passado, presente e futuro. Rev Nutr. 1997; 10(1):5-19.
Gusmão JL, Mion Jr D. Adesão ao tratamento: conceitos. Rev Bras Hipert. 2006; 13(1):23-25.
Haynes RB. Determinants of compliance: the disease and the mechanics of treatment. In: Haynes RB, Taylor DW, Sackett DL.Compliance in healthcare. Baltimore (MD): Johns Hopkins University Press; 1979. p.49-62.
Rand CS. Measuring adherence with therapy for chronic diseases: implications for the treatment of heterozygous familial hypercholesterolemia. Am J Cardiol. 1993; 72:68-74.
Brasil. Ministério da Saúde. Vigilância Alimentar e Nutricional. SISVAN: orientações básicas para a coleta, processamento, análise de dados e informação em serviços de saúde. Brasília: Ministério da Saúde; 2004. p.118.
Statistical Package for the Social Sciences Incorporation. SPSS for Windows. Release 16.1. Chicago: SPSS Inc.: 2007.
Ross R, Janssen I, Dawson J, Kungl AM, Kuk JL, Wong SL, et al. Exercise-induced reduction in obesity and insulin resistance in women: a randomized controlled trial. Obes Res. 2004;12(5):789-98. doi: 10.1038/oby.2004.95.
Dimatteo MR. Enhancing patient adherence to medical recommendations. J Am Med Assoc.1994; 271(1):79-83.
Chapman KM. Appeying behavioral models to dietary education of eldery diabetic patients. J NutrI Educ.1995; 27(2):75-9.
Prochaska JO, Redding CA, Evers KE. The transtheoretical model and stages of change. In: Glanz K, Rimer BK, Viswamath K, editors. Health behavior and health education: theory, research and practice. San Francisco Jossey: Bass Publishers; 1997 p.60-84.
Beraldo FC, Vaz IMF, Naves MMV. Nutrição, atividade física e obesidade em adultos: aspectos atuais e recomendações para prevenção e tratamento. Rev Med Minas Gerais. 2004; 14(1):57-62.
Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA; 2003; 289(2):187-93.
Barbato KBG, Martins RCV, Rodrigues MLG, Braga JU, Francischetti EA, Genelhu VA. Efeitos da redução de peso superior a 5% nos perfis hemodinâmico, metabólico e neuroendócrino de obesos grau I. Arq Bras Cardiol. 2006; 87(1):12-21. doi: 10.15 90/S0066-782X2006001400003.
Klack K, Carvalho JF. A importância da intervenção nutricional na redução do peso corpóreo em pacientes com síndrome do anticorpo antifosfolípide. Rev Bras Reumatol. 2008; 48(3):134-40.
Wood AJJ. Obesity. N Engl J Med. 2002; 346 (8): 591-601.
Blumenthal JA, Sherwood A, Gullette EC. Exercise and weight loss reduce blood pressure in men and women with mild hypertension: effects on cardiovascular, metabolic, and hemodynamic functioning. Arch Intern Med. 2000; 160(13): 1947-58.
Olinto MTA, Nacul LC, Dias-da-Costa JS, Gigante DP, Menezes AM, Macedo S. Níveis de intervenção para obesidade abdominal: prevalência e fatores associados. Cad Saúde Pública. 2006; 22(6): 1207-1215.
Bray GA. Medical consequences of obesity. J Clin Endocrinol Metab. 2004; 89(6):2583-9.
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