Prevenção de transtornos alimentares e obesidade: relato de experiência da implementação do programa New Moves

Dunker, Karin Louise Lenz; Alvarenga, Marle dos Santos; Claudino, Angélica Medeiros

doi:10.1590/0103-1104201811627

Cited by 6 publications

(5 citation statements)

References 29 publications

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“…The results suggest that these efforts are still incipient in most countries in Latin America, as studies from only four among the 22 Latin American countries were included in this review. In this regard, it is important to mention some difficulties in conducting research in these countries, especially the historical and current funding restrictions incurred by Latin American researchers (Dunker et al, 2018; Verstraeten et al, 2012). Moreover, the rules for longitudinal studies in these countries are notable.…”

Section: Discussionmentioning

confidence: 99%

Eating disorders prevention programs in Latin American countries: A systematic review

Dunker

Carvalho

Amaral

2023

Intl J Eating Disorders

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Objective This systematic review evaluates and summarizes existing eating disorder (ED) prevention programs in Latin American countries. Methods A systematic literature search was conducted using the Cochrane Controlled Trial Register, PubMed, and Virtual Health Library databases up to and including July 31, 2022. All ED prevention studies published in English, Spanish or Portuguese were eligible, regardless of the study design, sample characteristics, and type of prevention programs. The Cochrane Collaboration Risk of Bias criteria were used to evaluate the quality of the included studies. Results Twenty‐two studies were included. Most were pilot studies that were nonrandomized, had a high risk of bias, were from Mexico and Brazil, and employed selective interventions. Dissonance‐based programs and social cognitive theory were the commonly used approaches in interventions, and most of them were tested in adolescent girls and women. Short follow‐ups were used, varying from 1 to 6 months. Many found significant decreases after the intervention and/or at follow‐up in ED/disordered eating risk behaviors/symptoms, negative affect, body‐ideal internalization, and body image disturbances. Conclusions This review highlights promising efforts to prevent EDs among Latin American countries. Some barriers in conducting research include funding restrictions, laws that do not allow remuneration or compensation for participants, and high costs of training. Nonetheless, the outcomes of the programs developed and evaluated so far are positive enough to merit further work on ED prevention. Efforts for future researchers should recruit samples with diverse characteristics, use robust designs and data analysis techniques, and expand the accessibility of prevention programs. Public Significance Statement The development of effective eating disorder (ED) prevention programs that can be broadly implemented is a public health priority. Nevertheless, there is limited evidence regarding the characteristics of ED prevention programs and their efficacy among Latin American countries. In the present study, we reviewed existing ED prevention programs adopted in Latin America, described their characteristics and outcomes, noted the limitations of available programs, and discussed the implications of these findings for efforts to prevent the development of EDs in Latin America. The outcomes of the programs developed and evaluated so far are positive enough to merit the development and rigorous evaluation of future programs and their broad dissemination in Latin American countries. PROSPERO registration number CRD42021275245.

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Section: Discussionmentioning

confidence: 99%

Eating disorders prevention programs in Latin American countries: A systematic review

Dunker

Carvalho

Amaral

2023

Intl J Eating Disorders

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“…This program was conducted among girls aged 12 to 14 years old, at ten public schools in the central and southern areas of the city of São Paulo. 14 The randomization of the original trial was performed at the school level to prevent contamination across students, between the intervention and observation arms. There was no blinding regarding intervention assignments or assessment, but blinding was present during data analysis.…”

Section: Methodsmentioning

confidence: 99%

Effects of participation level and physical activity on eating behavior and disordered eating symptoms in the Brazilian version of the New Moves intervention: data from a cluster randomized controlled trial

et al. 2021

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BACKGROUND: Childhood and adolescent obesity is a worldwide public health concern. The New Moves program aims to change eating behavior (EB) and physical activity (PA). OBJECTIVE: To evaluate the effectiveness of an intervention and predictors of better outcomes relating to EB and PA levels. DESIGN AND SETTING: Secondary data from a cluster randomized controlled trial in 10 public schools in São Paulo, Brazil. METHODS: 270 female adolescents, aged 12 to 14 years, were analyzed. Participation levels were categorized as presence in 1 to 9 sessions or 10 to 17 sessions, or control. Effectiveness was evaluated through improvement in disordered EB (DEB) and EB. Predictors of better outcomes relating to PA levels were evaluated through clustering of individual characteristics that affected changes in PA scores. RESULTS: Participation level was not significantly associated with changes in DEB or EB. Girls with higher body mass index percentile (BMI-P) percentile tended to have increases in sedentary lifestyles through the program. Girls with less body image dissatisfaction presented higher increases in daily PA. Girls with higher BMI-P percentile and higher self-esteem showed reductions in sedentary lifestyles. The program seemed to have more effect on daily PA among older girls than among younger girls. CONCLUSIONS: This program could be used as a structured action plan in schools, with the aims of improving eating behaviors and physical activity, in addition to promoting self-acceptance. The results indicate the importance of evaluating determinants of adherence, as these metrics might influence the effectiveness and future design of lifestyle programs. BRAZILIAN REGISTRY OF CLINICAL TRIALS: RBR-6ddpb3.

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“…A grande maioria dos indivíduos (88,9%) aderiu ao programa e conseguiu fazer mudanças substanciais em seu consumo de produtos industrializados, além de reduzirem a ingesta de refrigerantes. Isso sugere que a educação desempenhou um papel fundamental na conscien zação dos par cipantes sobre os efeitos nega vos dos alimentos processados e na capacitação para fazer escolhas mais saudáveis (Dunker, Alvarenga, Claudino, 2018). Essa mudança é par cularmente relevante, pois a qualidade da dieta desempenha um papel essencial na regulação do peso e na manutenção da saúde.…”

Section: Revista Edapeci 88unclassified

Efeitos da prática pedagógica na mudança do estilo de vida sobre a microbiota intestinal em indivíduos obesos: um estudo longitudinal

Von Dolinger de Brito Röder,

Pimentel Florêncio,

De Paula Menezes

et al. 2024

REDaPECI

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Os processos educativos no contexto das práticas de saúde propõem um processo permanente de aprendizado pelo trabalho, desenvolvendo possibilidades de desconstrução/construção de novos valores, ideais e lutas para produzir mudanças de práticas, de gestão e de participação social. Neste sentido, as concepções pedagógicas orientam as metodologias formativas destinadas aos profissionais de saúde, bem como para pacientes, pois o binômio educação e saúde constitui práticas socialmente produzidas em tempos e espaços históricos definidos. A epidemia global de obesidade representa um desafio significativo para a saúde pública, exigindo abordagens inovadoras para a promoção da saúde e a prevenção de doenças. Este estudo investigou os efeitos da prática educacional direcionada para a mudança do estilo de vida em 45 indivíduos obesos, analisando como as intervenções relacionadas à alimentação, prática de atividade física, gerenciamento do sono e da ansiedade influenciaram a composição da microbiota intestinal ao longo de um período de tempo. Os participantes foram submetidos a um programa de educação intensivo, com ênfase na adoção de hábitos mais saudáveis. A análise da microbiota intestinal foi realizada antes e após o programa de intervenção. Foram alcançados resultados, onde os 45 indivíduos se sentiram motivados e conseguiram aderir ao programa proposto, com perda de peso e melhora da diversidade microbiana.

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Prevenção de transtornos alimentares e obesidade: relato de experiência da implementação do programa New Moves

Cited by 6 publications

References 29 publications

Eating disorders prevention programs in Latin American countries: A systematic review

Eating disorders prevention programs in Latin American countries: A systematic review

Effects of participation level and physical activity on eating behavior and disordered eating symptoms in the Brazilian version of the New Moves intervention: data from a cluster randomized controlled trial

Efeitos da prática pedagógica na mudança do estilo de vida sobre a microbiota intestinal em indivíduos obesos: um estudo longitudinal

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