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Health and Well-Being in Obesity: evaluation of an interdisciplinary intervention based on the "Health at every size" approach for obese women

Abstract

Recently, it has been intensely discussed the failure of the prescriptive treatments (usually based on restrictive diets) for obesity. New proposals, more interdisciplinary and holistic, have emerged. Thus, the present study aims to investigate the multiple physiological, attitudinal, nutritional and behavioral effects of an interdisciplinary intervention based on the "Health at Every Size" approach among obese women through a randomized controlled clinical trial of mixed methods (qualitative and quantitative). There will be recruited adult women, with a body mass index (BMI) between 30 and 39.9 kg/m2, which will be randomly allocated into two groups, whose follow-up will be seven months. The experimental group/intervention will take part in sessions of physical activity, nutrition counseling and philosophical workshops, aligned with the principles of the "Health at Every Size". The control group will participate in bimestrial lectures about the same contents offered to the experimental group, encouraging the adoption of healthy lifestyles. In the quantitative component, the following outcomes will be compared between groups: Framingham score (primary outcome); blood pressure; blood concentrations of total cholesterol, HDL, LDL, VLDL, glucose, insulin, PCR, VHS, cortisol, leptin, adiponectin; circumferences of waist and hip; body weight; BMI; fat mass; fat-free mass; maximal aerobic capacity; physical activity; muscle function; functional mobility; disordered eating attitudes; binge eating symptoms; attitudes towards taste; food cravings; body attitudes; body dissatisfaction and quality of life. The qualitative component will analyze the experiences of the subjects along the intervention, through focal groups and semistructured interviews, which will be submitted to content analysis. The team of interdisciplinary research involved in this proposal has varied and complementary expertise, making the project feasible. The production of knowledge arising from this proposal will help to guide new interdisciplinary interventions that can in a broad sense enhance the health of obese individuals. (AU)

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Scientific publications (5)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MARIANA DIMITROV ULIAN; PRISCILA DE MORAIS SATO; ANA JÉSSICA PINTO; FABIANA B. BENATTI; PATRICIA LOPES DE CAMPOS-FERRAZ; DESIRE COELHO; ODILON J. ROBLE; FERNANDA SABATINI; ISABEL PEREZ; LUIZ ABURAD; ANDRÉ VESSONI; RAMIRO FERNANDEZ UNSAIN; BRUNO GUALANO; FERNANDA B. SCAGLIUSI. “It is over there, next to that fat lady”: a qualitative study of fat women’s own body perceptions and weight-related discriminations. Saúde e Sociedade, v. 29, n. 4, p. -, 2020.
SCAGLIUSI, FERNANDA BAEZA; ULIAN, MARIANA DIMITROV; GUALANO, BRUNO; ROBLE, ODILON JOSE; UNSAIN, RAMIRO FERNANDEZ; CARRIERS, MARIA REGINA; SATO, PRISCILA DE MORAIS; STURTZSREETHARAN, CINDI; BREWIS, ALEXANDRA; WUTICH, AMBER. ``Before I Saw a Gas Canister, Now I See a Person{''}: Post Obesity-Intervention Body Acceptance and Responses to Weight Stigma among Urban Brazilian Gorda Women. HUMAN ORGANIZATION, v. 79, n. 3, p. 176-191, FAL 2020. Web of Science Citations: 0.
SABATINI, FERNANDA; ULIAN, MARIANA D.; PEREZ, ISABEL; PINTO, ANA JESSICA; VESSONI, ANDRE; ABURAD, LUIZ; BENATTI, FABIANA B.; DE CAMPOS-FERRAZ, PATRICIA LOPES; COELHO, DESIRE; SATO, PRISCILA DE MORAIS; ROBLE, ODILON J.; UNSAIN, RAMIRO FERNANDEZ; SCHUSTER, ROSEANNE C.; GUALANO, BRUNO; SCAGLIUSI, FERNANDA B. Eating Pleasure in a Sample of Obese Brazilian Women: A Qualitative Report of an Interdisciplinary Intervention Based on the Health at Every Size Approach. JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, v. 119, n. 9, p. 1470-1482, SEP 2019. Web of Science Citations: 0.
ULIAN, M. D.; ABURAD, L.; DA SILVA OLIVEIRA, M. S.; POPPE, A. C. M.; SABATINI, F.; PEREZ, I.; GUALANO, B.; BENATTI, F. B.; PINTO, A. J.; ROBLE, O. J.; VESSONI, A.; DE MORAIS SATO, P.; UNSAIN, R. F.; BAEZA SCAGLIUSI, F. Effects of health at every size (R) interventions on health-related outcomes of people with overweight and obesity: a systematic review. Obesity Reviews, v. 19, n. 12, p. 1659-1666, DEC 2018. Web of Science Citations: 4.
ULIAN, MARIANA DIMITROV; PINTO, ANA JESSICA; SATO, PRISCILA DE MORAIS; BENATTI, FABIANA B.; DE CAMPOS-FERRAZ, PATRICIA LOPES; COELHO, DESIRE; ROBLE, ODILON J.; SABATINI, FERNANDA; PEREZ, ISABEL; ABURAD, LUIZ; VESSONI, ANDRE; UNSAIN, RAMIRO FERNANDEZ; ROGERO, MARCELO MACEDO; TOPORCOV, TATIANA NATASHA; DE SA-PINTO, ANA LUCIA; GUALANO, BRUNO; SCAGLIUSI, FERNANDA B. Effects of a new intervention based on the Health at Every Size approach for the management of obesity: The ``Health and Wellness in Obesity{''} study. PLoS One, v. 13, n. 7 JUL 6 2018. Web of Science Citations: 1.

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