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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.)

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

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Autor(es):
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Sabatini, Fernanda [1] ; Ulian, Mariana D. [1] ; Perez, Isabel [1, 2] ; Pinto, Ana Jessica [3] ; Vessoni, Andre [1] ; Aburad, Luiz [1] ; Benatti, Fabiana B. [3] ; de Campos-Ferraz, Patricia Lopes [4] ; Coelho, Desire [3] ; Sato, Priscila de Morais [1] ; Roble, Odilon J. [5] ; Unsain, Ramiro Fernandez [6] ; Schuster, Roseanne C. [7] ; Gualano, Bruno [3] ; Scagliusi, Fernanda B. [1]
Número total de Autores: 15
Afiliação do(s) autor(es):
[1] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Av Dr Arnaldo 715, BR-01246904 Sao Paulo, SP - Brazil
[2] Unified Hlth Syst Brazil, Sao Paulo - Brazil
[3] Univ Sao Paulo, Appl Physiol & Nutr Res Grp, Sao Paulo - Brazil
[4] Univ Estadual Campinas, Fac Appl Sci, Limeira - Brazil
[5] Univ Estadual Campinas, Fac Phys Educ, Campinas, SP - Brazil
[6] Univ Fed Sao Paulo, Inst Hlth & Soc, Sao Paulo - Brazil
[7] Arizona State Univ, Ctr Global Hlth, Tempe, AZ - USA
Número total de Afiliações: 7
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS; v. 119, n. 9, p. 1470-1482, SEP 2019.
Citações Web of Science: 0
Resumo

Introduction Health at Every Size (HAES) is a weight-neutral approach focused on promoting healthy behaviors in people with different body sizes and on enhancing pleasure derived from consuming food to achieve sustainable healthy eating outcomes. However, to the best of our knowledge, there are no studies in the literature assessing the effects of the HAES approach on perceptions of eating pleasure. Objective We qualitatively investigated the perceptions of obese women about eating pleasure before and after a new interdisciplinary, nonprescriptive intervention based on the HAES approach. Design The intervention was a randomized controlled clinical trial, designated as Health and Wellness in Obesity, conducted over 7 months at University of Sao Paulo (Brazil). We used a qualitative approach to data construction and analysis of perceptions about eating pleasure. Participants were randomized to either the intervention (I-HAES) group or the control (CTRL) group. The I-HAES group featured individual nutritional counseling, group practice of enjoyable physical activity, and philosophical workshops. The CTRL group was a traditional HAES intervention group (lecture-based model). Focus group discussions eliciting perceptions of pleasure around eating were conducted at baseline and post-study. Focus group transcripts were analyzed by exploratory content analysis. Participants Forty-three women aged 25 to 50 years with body mass index (measured in kilograms per square meter) between 30 and 39.9 completed the intervention and the focus groups, with 32 in the I-HAES group and 11 in the CTRL group. Results Lack of guilt about experiencing pleasure while eating and increased reflection on their own desires increased in participants of both groups after the study. The I-HAES group also displayed a greater sense of autonomy related to eating, increased pleasure in commensality, familiarity with the practice of cooking, and decreased automatic eating. Conclusion HAES-based intervention featuring nutritional counseling, appreciation for physical activity, and philosophical engagement was shown to stimulate pleasure around eating without leading to indiscriminate eating. (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