"Três formas de intervenção para a adesão ao tratamento dietético da obesidade em cardiologia: estudo comparativo" / Interventional actions directed to compliance with dietetic management in obesity and cardiology: comparative study

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

The study was performed in a cardiology specialty hospital of Sao Paulo state public system with obese outpatients followed up by the Sector of Nutrition and Dietetics of the institution. Nutritional intervention actions that were assessed include: individual visit, group approach (control) and multiprofessional group (including dietitian and psychologist). In the preliminary phase of the study, an opinion survey was performed, which supported many of the studied variables. In the main phase of the study, the participants were divided into groups, and 2 individual interviews were conducted within a 6-month interval. Only patients who had been discharged were assessed. The results concerning body weight, body mass index, abdominal circumference, and follow up of cardiovascular risks (arterial hypertension, diabetes mellitus, dyslipidemia) were compared using variation of blood pressure measures and blood levels of glucose, triglycerides and total and fractioned cholesterol. We also checked whether patients found it easy or difficult to follow the received instructions, using our own non-validated instrument. In the group activities, results were satisfactory but not optimal and participants started to value family support. In the individual approach, participants reached higher reduction of glucose and triglyceride levels, but they could not be explained exclusively by the diet. In the multiprofessional group, there was change in behavior and recognition of multiprofessional approach.

ASSUNTO(S)

obesity/diet therapy resultado de tratamento avaliação nutricional doenças cardiovasculares/dietoterapia treatment outcome feeding behavior reducing diet/psychology conduta na alimentação dieta edutora/psicologia nutrition assessment cardiovascular diseases/diet therapy obesidade/dietoterapia

ACESSO AO ARTIGO

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