Resumo O artigo teve como objetivo comparar a percepção de profissionais da atenção primária sobre aconselhamento de modos de vida saudáveis antes e depois de uma intervenção educativa. Trata-se de estudo qualitativo desenvolvido com 22 profissionais de um centro de saúde de Belo Horizonte, Minas Gerais. A entrevista estruturada foi aplicada antes e depois da intervenção educativa, e os dados foram submetidos à análise de conteúdo. Os resultados mostram a dificuldade dos profissionais em adotar e aconselhar modos de vida saudáveis, com poucas mudanças em suas percepções após a intervenção educativa. As dificuldades estavam relacionadas a questões financeiras, culturais, de vida e de trabalho, bem como a concepções conservadoras. Predominou a prática curativista com responsabilização individual e o enfoque sobre hábitos alimentares e de atividade física. Identificou-se que, após a intervenção educativa, um número maior de profissionais estava sensibilizado quanto às atividades educativas coletivas e lúdicas e à importância da atuação multiprofissional. Assim, é vista a necessidade de continuidade da educação permanente dos profissionais de modo que permita a reflexão sobre concepções de saúde possíveis no contexto contemporâneo, favorecendo a produção do cuidado e da autonomia. Palavras-chave aconselhamento; estilo de vida; atenção primária à saúde; promoção da saúde.Abstract This article aims to compare the primary care professionals' views on advice on healthy lifestyles before and after an educational intervention. It is a qualitative study conducted with 22 professionals at a health center in Belo Horizonte, state of Minas Gerais, Brazil. A structured interview was applied before and after the educational intervention, and the data were subjected to content analysis. The results show the difficulty professionals have to adopt and provide counseling on healthy lifestyles, with little change in their views after the educational intervention. The difficulties were related to financial and cultural issues, matters related to life and work, and to conservative views. The curative practice with individual accountability and the focus on eating habits and physical activity predominated. It was noted that, after the educational intervention, more professionals was sensitized with the collective educational and recreational activities and with the need for multidisciplinary work. As such, continuity in the professionals' continuing education is seen as necessary to allow for reflection on possible views on health in the contemporary context, encouraging the production of care and autonomy.
AimsPsychosocial outcomes of obesity in children and adolescents although important are often under-reported and can be difficult to assess and manage. This study looked at the quality of life (QoL) of this cohort in the United Kingdom. It also explored the relationships between QoL and gender, age, ethnicity, socio-economic status, co-morbidities, and schooling.MethodsParticipants were recruited from the hospital paediatric endocrinology weight management services. Height, weight, body mass index (BMI), BMI standard deviation score (SDS), and demographic data were collected cross-sectionally and co-morbidities were acquired from patient notes. QoL scores were obtained using two questionnaires: Paediatric Quality of Life Inventory (PedsQL) and Impact of Weight on Quality of Life-Kids (IWQOL-Kids). Data was analysed using Pearson’s Correlation, Independent T-test, and One-Way analysis of variance (ANOVA).ResultsTwenty-eight patients were recruited; 18 females and 10 males, and the mean (SD) age was 14.6 (2.3) years. The mean (SD) BMI SDS was 3.1 (0.6). The total number of co-morbidities ranged from 0–5, most commonly insulin resistance, 35.7%, and depression, 32.1%. The average total PedsQL score (SD) was 57.2 (21.0), and the lowest sub-scale score was school functioning, scoring 50.6 (26.9). The average total IWQOL-Kids score (SD) was 71.8 (20.3), and the lowest mean sub-scale score was body esteem, scoring 49.2 (31.3). A significant moderate negative correlation was found between BMI SDS and PedsQL emotional functioning (r=-0.437, p = 0.020) and a significant moderate negative correlation was found between BMI SDS and IWQOL-Kids physical comfort (rs = −0.385, p = 0.043). Significant moderate negative correlations were found between the number of co-morbidities and PedsQL physical functioning (r = −0.421, p = 0.026) and between the number of co-morbidities and IWQOL-Kids family relationships (rs = −0.435, p = 0.021). Children who missed more than 4 days of school in the previous term (N=15) scored a lower PedsQL emotional functioning score, 65.0 (24.9) vs. 46.5 (22.8), (p = 0.05)ConclusionThis study supports existing evidence that the overweight and obese cohort have a reduced QoL, particularly in physical and emotional functioning. It also supports evidence that an increase in the number of co-morbidities reduces QoL. Reduced QoL is also associated with reduced school attendance, with two participants stating bullying had caused them to leave mainstream education.
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