Eating Pleasure in a Sample of Obese Brazilian Women: A Qualitative Report of an Interdisciplinary Intervention Based on the Health at Every Size Approach

Sabatini, Fernanda; Ulian, Mariana Dimitrov; Perez, Isabel; Pinto, Ana Jéssica; Vessoni, André; Aburad, Luiz; Benatti, Fabiana Braga; Campos-Ferraz, Patrícia Lopes de; Coelho, Desiré; Sato, Priscila de Morais; Roble, Odilon José; Unsain, Ramiro Fernandez; Schuster, Roseanne C.; Gualano, Bruno; Scagliusi, Fernanda Baeza

doi:10.1016/j.jand.2019.01.006

Cited by 8 publications

(7 citation statements)

References 32 publications

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“…Se encontraron 14 ensayos clínicos publicados entre 2012 y 2022, de los cuales 4 fueron desestimados por presentar un tamaño muestral inferior de 50 (22)(23)(24)(25) , otros 2 debido a que el seguimiento fue menor de 3 meses (26,27) y 1 porque solo se encontró disponible el resumen (28) . En la Figura 1 se puede apreciar el algoritmo de la selección mencionada.…”

Section: Resultsunclassified

“…A nivel general, en los ECC disponibles con intervenciones SETLT, una importante limitación encontrada es la ausencia de evaluación cualitativa (33) . El trabajo de Sabatini y colaboradores (23) fue de los estudios que, aunque no se incluyó en el análisis, sí empleó un enfoque cualitativo. Se realizó la comparación de un formato SETLT intensificado con un grupo control que solo asistió a conferencias bimensuales y se recabaron experiencias con grupos focales.…”

Section: Limitaciones De La Revisión Narrativaunclassified

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Intervenciones no pesocentristas y principios de salud en todas las tallas en el abordaje del sobrepeso y la obesidad. Revisión narrativa de la literatura

Lema

2022

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La perspectiva pesocentrista es criticada por presentar un enfoque reduccionista, donde el peso corporal se considera un indicador suficiente de enfermedad y desestima otros componentes que hacen a la salud y propician el desarrollo de actitudes estigmatizantes. Los tratamientos que explicitan los objetivos de peso y emplean una restricción alimentaria suelen tener una alta tasa de fracaso a largo plazo. El objetivo de la presente revisión es realizar una actualización bibliográfica de los principales estudios que utilizan una intervención basada en el enfoque salud en todas las tallas (health at every size) en adultos.

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Section: Resultsunclassified

Section: Limitaciones De La Revisión Narrativaunclassified

Intervenciones no pesocentristas y principios de salud en todas las tallas en el abordaje del sobrepeso y la obesidad. Revisión narrativa de la literatura

Lema

2022

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“…Our data challenge this notion by showing that 80% of our participants who underwent a weight-neutral intervention reduced or maintained weight. Notably, the participants also improved eating attitudes, body image, physical capacity, and quality of life ( 8 , 9 ). The excessive focus on weight loss may deviate the focus on overall health gains potentially attained with lifestyle-modification programs characterized by an increase in physical activity and healthy eating ( 2 , 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…Its principles include the promotion of a pleasurable and sustainable physical activity practice, and flexible, individualized eating based on hunger, satiety, nutritional needs, and pleasure. We recently showed that an intensive HAES®-based intervention was capable of improving participants' eating attitudes and practices, perception of body image, cardiorespiratory fitness, physical function, and health-related quality of life ( 8 , 9 ). The central aim of our physical activity program was to increase enjoyment and autonomy in daily physical activities; thus, the participants were encouraged to exercise at a self-selected intensity.…”

Section: Introductionmentioning

confidence: 99%

Health at Every Size®-Based Interventions May Improve Cardiometabolic Risk and Quality of Life Even in the Absence of Weight Loss: An Ancillary, Exploratory Analysis of the Health and Wellness in Obesity Study

et al. 2022

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We examined whether weight loss following HAES®-based interventions associates with changes in cardiometabolic risk factors and quality of life of women with obesity. This was an exploratory, ancillary analysis of a 7-month, mixed-method, randomized controlled trial. Fifty-five women (age: 33.0 ± 7.2; BMI: 30–39.9 kg/m2) were included in this study. Body weight, cardiovascular risk factors, clustered cardiometabolic risk, and quality of life were assessed before (Pre) and after HAES®-based interventions (Post). Delta scores (Post-Pre) were calculated for each outcome and used in linear regression models. After adjusting by potential confounders, weight loss was associated with improvements in waist circumference (β = 0.83, p <0.001), fasting glycemia (β = 0.45, p = 0.036), total cholesterol (β = 1.48, p = 0.024), LDL (β = 1.33, p = 0.012), clustered cardiometabolic risk (β = 0.18, p = 0.006), and quality of life (β = −1.05, p = 0.007). All participants but one who reduced body weight (n = 11) improved clustered cardiometabolic risk and quality of life. Of relevance, 34% and 73% of the participants who maintained or gained weight improved clustered cardiometabolic risk and quality of life, respectively, although the magnitude of improvements was lower than that among those who lose weight. Improvements in cardiovascular risk factors and quality of life following HAES®-based interventions associated with weight loss as expected. However, most of the participants who maintained or even gained weight experienced benefits to some extent. This suggests that weight-neutral, lifestyle-modification interventions may improve wellness and health-related outcomes, even in the absence of weight loss.

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“…Studies from South Korea have also demonstrated that people who ate fewer meals together had poorer mental health [ 82 ] and that eating together is associated with better life satisfaction [ 53 ]. A Brazilian study further showed how increased pleasure in commensality may be a part of successful health intervention among women with obesity [ 83 ]. Public health research also covers attempts for combatting the lack of commensality.…”

Section: Questioning Commensalitymentioning

confidence: 99%

What Is Commensality? A Critical Discussion of an Expanding Research Field

Jönsson

Michaud

Neuman

2021

IJERPH

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Commensality (the act of eating together) is studied in a range of disciplines and often considered important for social communion, order, health and well-being, while simultaneously being understood as in decline (especially the family meal). However, such claims are also contested in various ways. In this paper, we discuss the expanding field of commensality research and critically reflect on the debates surrounding its social functions, including its role in public health. We illuminate the deep social and cultural significance of commensality, through time and space, and conclude that whether or not commensality is the preferred social form of eating for any given individual, it is difficult to escape its sociocultural desirability and idealization. As a cross-cultural phenomenon in both past, present, and future, we suggest that commensality deserves further research. This includes commensality as a research topic in itself and as an entry point to unveil different dimensions of social relations between people, as well as interactions between humans and material objects.

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Eating Pleasure in a Sample of Obese Brazilian Women: A Qualitative Report of an Interdisciplinary Intervention Based on the Health at Every Size Approach

Cited by 8 publications

References 32 publications

Intervenciones no pesocentristas y principios de salud en todas las tallas en el abordaje del sobrepeso y la obesidad. Revisión narrativa de la literatura

Intervenciones no pesocentristas y principios de salud en todas las tallas en el abordaje del sobrepeso y la obesidad. Revisión narrativa de la literatura

Health at Every Size®-Based Interventions May Improve Cardiometabolic Risk and Quality of Life Even in the Absence of Weight Loss: An Ancillary, Exploratory Analysis of the Health and Wellness in Obesity Study

What Is Commensality? A Critical Discussion of an Expanding Research Field

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