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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

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

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Autor(es):
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Ulian, Mariana Dimitrov [1] ; Pinto, Ana Jessica [2] ; Sato, Priscila de Morais [1] ; Benatti, Fabiana B. [3, 2] ; de Campos-Ferraz, Patricia Lopes [3] ; Coelho, Desire [2] ; Roble, Odilon J. [4] ; Sabatini, Fernanda [1] ; Perez, Isabel [1] ; Aburad, Luiz [1] ; Vessoni, Andre [1] ; Unsain, Ramiro Fernandez [5] ; Rogero, Marcelo Macedo [1, 6] ; Toporcov, Tatiana Natasha [7] ; de Sa-Pinto, Ana Lucia [8] ; Gualano, Bruno [2] ; Scagliusi, Fernanda B. [1]
Número total de Autores: 17
Afiliação do(s) autor(es):
[1] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo - Brazil
[2] Univ Sao Paulo, Appl Physiol & Nutr Res Grp, Lab Assessment & Conditioning Rheumatol, Fac Med FMUSP, Sao Paulo - Brazil
[3] Univ Estadual Campinas, Sch Appl Sci, Limeira - Brazil
[4] Univ Estadual Campinas, Fac Phys Educ, Campinas, SP - Brazil
[5] Univ Fed Sao Paulo, Inst Hlth & Soc, Sao Paulo - Brazil
[6] Res Innovat & Disseminat Ctr Sao Paulo Res Fdn, CEPID FAPESP, Food Res Ctr FoRC, Sao Paulo - Brazil
[7] Univ Sao Paulo, Sch Publ Hlth, Dept Epidemiol, Sao Paulo - Brazil
[8] Univ Sao Paulo, Lab Assessment & Conditioning Rheumatol, Fac Med FMUSP, Sao Paulo - Brazil
Número total de Afiliações: 8
Tipo de documento: Artigo Científico
Fonte: PLoS One; v. 13, n. 7 JUL 6 2018.
Citações Web of Science: 1
Resumo

Health at Every Size (R) (HAES (R)) is a weight-neutral approach focused on promoting healthy behaviors in people with different body sizes. This study examined multiple physiological, attitudinal, nutritional, and behavioral effects of a newly developed, intensive, interdisciplinary HAES (R)-based intervention in obese women. This was a prospective, seven-month, randomized (2: 1), controlled, mixed-method clinical trial. The intervention group (I-HAES (R); n = 39) took part in an intensified HAES (R)-based intervention comprising a physical activity program, nutrition counseling sessions, and philosophical workshops. The control group (CTRL; n = 19) underwent a traditional HAES (R)-based intervention. Before and after the interventions, participants were assessed for physiological, psychological, and behavioral parameters (quantitative data) and took part in focus groups (qualitative data). Body weight, body mass index, and waist and hip circumferences did not significantly differ within or between groups (P > 0.05). I-HAES (R) showed increased peak oxygen uptake and improved performance in the timed-stand test (P = 0.004 and P = 0.004, between-group comparisons). No significant within-or between-group differences were observed for objectively measured physical activity levels, even though the majority of the I-HAES (R) participants indicated that they were engaged in or had plans to include physical activity in their routines. I-HAES (R) resulted in improvements in eating attitudes and practices. The I-HAES (R) group showed significantly improved all Body Attitude Questionnaire subscale and all Figure Rating Scale scores (P <= 0.05 for all parameters, within-group comparisons), whereas the CTRL group showed slight or no changes. Both groups had significant improvements in health-related quality of life parameters, although the I-HAES (R) group had superior gains in the ``physical health,{''} ``psychological health,{''} and ``overall perception of quality of life and health{''} (P = 0.05, 0.03, and 0.02, respectively, between-group comparisons) domains. Finally, most of the quantitative improvements were explained by qualitative data. Our results show that this new intensified HAES (R)-based intervention improved participants' eating attitudes and practices, perception of body image, physical capacity, and health-related quality of life despite the lack of changes in body weight and physical activity levels, showing that our novel approach was superior to a traditional HAES (R)-based program. (AU)

Processo FAPESP: 17/17424-9 - Saúde e bem-estar na obesidade: avaliação de uma intervenção interdisciplinar baseada na abordagem 'health at every size' para mulheres obesas
Beneficiário:Fernanda Baeza Scagliusi
Linha de fomento: Bolsas no Exterior - Pesquisa
Processo FAPESP: 15/26937-4 - Estudos sobre (in)atividade física em pacientes com artrite reumatóide: caracterização, associações com a doença e efeitos da interrupção do tempo sedentário
Beneficiário:Ana Jéssica Pinto
Linha de fomento: Bolsas no Brasil - Doutorado Direto
Processo FAPESP: 17/05651-0 - Consumo de alimentos ultraprocessados e práticas alimentares de mães em Cruzeiro do Sul, Acre: uma análise de métodos mistos
Beneficiário:Priscila de Morais Sato
Linha de fomento: Bolsas no Brasil - Pós-Doutorado
Processo FAPESP: 15/03878-2 - Saúde e bem-estar na obesidade: avaliação de uma intervenção interdisciplinar baseada na abordagem 'health at every size' para mulheres obesas
Beneficiário:Fernanda Baeza Scagliusi
Linha de fomento: Auxílio à Pesquisa - Regular
Processo FAPESP: 15/12235-8 - A barriga erótica: intersecções entre saúde, gêneros, alimentações e sexualidades na comunidade homossexual de ursos da cidade de São Paulo, Brasil
Beneficiário:Ramiro Andres Fernandez Unsain
Linha de fomento: Bolsas no Brasil - Doutorado