Fatores determinantes de perda de peso em adultos submetidos a intervenções dietoterápicas

Abstract

RESUMOObjetivo: Analisar os fatores determinantes da perda de peso (≥ 5%) resultante de atendimento ambulatorial individual. Sujeitos e métodos: Estudo de coorte retrospectivo com 318 pacientes com sobrepeso/obesidade em atendimento individual para perder peso. Resultados: Quinze por cento dos pacientes não perderam peso, 35,1% apresentaram perda < 5%, 35,4% entre 5-10% e 13,9% perda ≥ 10%. Os pacientes que perderam ≥ 5% de peso (-7,6 ± 3,3 kg; n = 156) tiveram maior número e menor intervalo entre consultas e maior frequência de atendimentos particulares, acompanhamento por nutricionista e atendimentos multidisciplinares. Ainda, houve neste grupo menor prescrição de medicamentos antiobesidade e o valor calórico total da dieta foi maior do que nos demais pacientes. ABSTRACTObjective: To analyze the determinants for weight loss (≥ 5%) resulting from outpatient individual appointments. Subjects and methods: A retrospective cohort study was conduct in 318 overweight/obese patients seeking individual care to lose weight. Results: Fifteen percent of the patients did not lose weight; 35.1% had lost < 5%; 35.4% had lost between 5 and 10%; and 13.9% had lost ≥ 10%. Patients who lost ≥ 5% body weight (-7.6 ± 3.3 kg, n = 156) had a greater number of visits at a shorter interval, and greater frequency of visits with a registered dietitian and multidisciplinary care. This group had a lower prescription of anti-obesity drugs and their total calorie intake was higher than the other patients. In multivariate Cox regression, only the interval between appointments and the total number of visits remained inversely associated with weight loss. Conclusions: The determinants of ≥ 5% weight loss were fewer visits with a shorter interval between appointments. Arq Bras Endocrinol Metab. 2013;57(9):717-21

Índice De Massa Corporal E Os Fatores Associados Em Idosos Participantes De Grupo De Convivência

“…Os resultados deste estudo apresentaram associações significativas entre as alterações do IMC e o tratamento para perda de peso. Confirmando os achados de Leão et al, (2015), que destacaram em seu estudo, que grande parte dos indivíduos que procuram tratamento para perda de peso não o faz com a motivação necessária, somado a isso há evidências de que a perda de peso depende da mudança do estilo de vida permanente, como os hábitos alimentares (VIANA et al, 2013). Uma vez que a ingesta de refrigerante e carne vermelha com gordura apresentaram associação significativa com o sobrepeso/obesidade.…”

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“…There is an urgent need for interventions on the part of health professionals in order to modify this unfavorable outcome that results in a reduced quality of life and life expectancy and in increased health costs for the treatment of diseases secondary to excess weight. Many studies have reported positive results after interventions involving public policies and the monitoring of people for a given period of time, with the implementation of actions such as weight monitoring and laboratory tests, health promotion campaigns, encouragement of the regular practice of physical exercises, and the adoption of a healthy diet [10][11][12].…”

A multidisciplinary weight-loss program: the importance of psychological group therapy

“…Curiously, it seems to be a pattern in the literature that female individuals tend to participate more than males in health and weight-loss interventions [32][33][34] . Both PG and CG showed significant improvements in BMI, WC, and fat percentage, but changes in the GP group were higher across all variables, especially in body fat percentage (Δ = −1%; Cohen's d=0.40 in CG and Δ = −3.5%; Cohen's d=1.07 inPG).…”