A história de pessoas com obesidade mórbida: uma experiência no sul do Brasil

Abstract

Este estudo objetiva conhecer a história de vida de clientes com obesidade mórbida internados em um hospital geral para submeterem-se à cirurgia bariátrica. Pesquisa qualitativa descritiva por meio de entrevistas, abordando a história de vida de dez sujeitos, cujos resultados apontaram dificuldades para o autocuidado que se evidenciaram pela desistência da prática de atividades físicas e consequente dor corporal. A sexualidade aparentemente não é um fator importante, porém o preconceito faz parte do cotidiano do indivíduo obeso, interferindo em sua vida, atitudes e decisões. A autoimagem negativa motiva a realização da cirurgia bariátrica. Os discursos revelaram o desconhecimento quanto à doença e à cirurgia e a importância do papel da equipe de saúde.Descritores: História, Obesidade, Obesidade Mórbida, Cirurgia Bariátrica.The history of people with morbid obesity: experience in southern BrazilThis study aims to examine the history of life of patients with morbid obesity hospitalized in a general hospital to undergo bariatric surgery. Descriptive qualitative research by means of interviews, approaching the life history of 10 subjects, whose results indicated difficulties for self-care that is evidenced by the withdrawal of physical activity and consequent body pain. Sexuality is apparently not an important factor, but the bias is part of daily life in obese individuals, interfering in his life, attitudes and decisions. . The negative self-image motivates the bariatric surgery. The speeches revealed ignorance about the disease and surgery and the importance of the role of the health team.Descriptors: History, Obesity, Morbid Obesity, Bariatric Surgery.La historia de las personas con obesidad mórbida: experiencia en el sur de BrasilEste estudio tiene como objetivo examinar la historia de vida de los pacientes con obesidad mórbida, hospitalizados en un hospital general de someterse a cirugía bariátrica. La investigación descriptiva cualitativa a través de entrevistas, que trata de la historia de vida de 10 sujetos, cuyos resultados indicaron dificultades para el autocuidado que se evidencia por el retiro de la actividad física y dolor corporal consecuente. La sexualidad no es al parecer un factor importante, pero el sesgo es parte de la vida diaria en personas obesas, lo que interfiere en su vida, las actitudes y decisiones. La imagen negativa de sí mismo fomenta la cirugía bariátrica. Los discursos revelaron la ignorancia sobre la enfermedad y la cirugía y la importancia del papel del equipo de salud.Descriptores: Historia, Obesidad, Obesidad Mórbida, La Cirugía Bariátrica.

“It is over there, next to that fat lady”: a qualitative study of fat women’s own body perceptions and weight-related discriminations

“…As discussed by Trainer, Wutich, and Brewis (2017), people with a fat body are usually seen as someone negligent, unable of exerting selfdiscipline and self-surveillance properly; thereby, external monitoring is not only socially accepted and uncontested but is seen as imperative to "recover" someone's health, responsibility, and morality. In a Brazilian study, the obese participants shared they were told to be shameless and were given advices such as to eat less and practice physical activities, disregarding their actual eating and exercise habits (Santos et al, 2010). In our study, most participants reported feeling irritated about these external comments, but few expressed this discontentment, choosing to ignore them instead.…”

“…For heavier individuals, those with a BMI higher than 35 kg/m², the percentages were 28% for men and 45% for women. A study carried out in Florianópolis, Santa Catarina, Brazil, aimed to know the life story of people who underwent a bariatric surgery (Santos et al, 2010). The interviewees perceived themselves socially excluded, avoided social situations, and were called names because of their fat bodies.…”

“…The interviewees perceived themselves socially excluded, avoided social situations, and were called names because of their fat bodies. This motivated their decision to proceed with the surgery (Santos et al, 2010). Weight-related discriminations have serious impacts on obese people, negatively affecting their access to career and education, equality of payment, health care assistance, and interpersonal relationships (Carr;Friedman, 2005;Janssen et al, 2004;Poulain, 2009;Heuer, 2009;Sobal, 2000).…”