Reasons for non-adherence to obesity treatment in children and adolescents

Abstract

OBJECTIVE To analyze the reasons for non-adherence to follow-up at a specialized outpatient clinic for obese children and adolescents. METHODS Descriptive study of 41 patients, including information from medical records and phone recorded questionnaires which included two open questions and eight closed ones: reason for abandonment, financial and structural difficulties (distance and transport costs), relationship with professionals, obesity evolution, treatment continuity, knowledge of difficulties and obesity complications. RESULTS Among the interviewees, 29.3% reported that adherence to the program spent too much time and it was difficult to adjust consultations to patientsâ€(tm) and parentsâ€(tm) schedules. Other reasons were: childrenâ€(tm)s refusal to follow treatment (29.3%), dissatisfaction with the result (17.0%), treatment in another health service (12.2%), difficulty in schedule return (7.3%) and delay in attendance (4.9%). All denied any relationship problems with professionals. Among the respondents, 85.4% said they are still overweight. They reported hurdles to appropriate nutrition and physical activity (financial difficulty, lack of parentsâ€(tm) time, physical limitation and insecure neighborhood). Among the 33 respondents that reported difficulties with obesity, 78.8% had emotional disorders such as bullying, anxiety and irritability; 24.2% presented fatigue, 15.1% had difficulty in dressing up and 15.1% referred pain. The knowledge of the following complications prevailed: cardicac (97.6%), aesthetic (90.2%), psychological (90.2%), presence of obesity in adulthood (90.2%), diabetes (85.4%) and cancer (31.4%). CONCLUSIONS According to the results, it is possible to create weight control public programs that are easier to access, encouraging appropriate nutrition and physical activities in order to achieve obesity prevention.

Bullying in Medically Fragile Youth

“…Despite recommendations by the American Academy of Pediatrics and the Society for Adolescent Medicine that pediatric health care providers should contribute to bullying prevention and intervention efforts, researchers also have yet to identify the best ways for providers to intervene with medically fragile youth. [7][8][9] Given evidence for social vulnerability, it is important for medical providers to recognize risk and protective factors that apply to pediatric chronic illness populations. Then, the authors specifically address the ways in which these risk and protective factors are likely to apply to children with fragile medical conditions, and they provide summaries of extant bullying research for selected examples of medically fragile pediatric populations.…”

Aspectos motivacionais do abandono do tratamento de obesidade

“…A dificuldade de agendar retorno e a demora no atendimento foram motivos também encontrados e que são consonantes com os achados da pesquisa feita com crianças e adolescentes 20 . Acredita-se que esses motivos neste estudo estejam relacionados ao grande número de pacientes cadastrados no SUPRIMIDO, que não permite o agendamento do retorno com mais brevidade.…”

“…Os participantes que relacionaram a desistência de frequentar o programa com problemas relacionados ao trabalho referiram que o horário das consultas não era compatível com sua disponibilidade de tempo. Estes resultados estão de acordo com outro estudo, que constatou que o horário de trabalho pode ser um empecilho para a frequência às consultas em serviços de saúde 20 .…”

The Role Of Primary Kinetoprophilaxy In Metabolic Disorders – Exogenous Obesity

“…Waters et al, 2011 refer to the efficacy of various alternative methods of combating obesity contributing to a healthy lifestyle. After the stratifying studies on the context and duration of the program https: //doi.org/10.15405/epsbs.2019.08.03.109 Corresponding Author: Florentina Nechita Selection and peer-review under responsibility of the Organizing Committee of the conference eISSN: 909 and the age of the patient, the authors conclude that the overall efficacy of the proposed interventions in reducing BMI (Nogueira & Zambon, 2013;Borus & Laffel, 2010).…”