Care strategies in the care of people with obesity in health services

  • Joyce Sousa Aquino Brito Mestranda em Alimentos e Nutrição, Universidade Federal do Piauí, Teresina, Piauí, Brasil.
  • Diana Stefany Cardoso de Araújo Mestranda em Alimentos e Nutrição, Universidade Federal do Piauí, Teresina, Piauí, Brasil.
  • Mickael de Paiva Sousa Mestrando em Alimentos e Nutrição, Universidade Federal do Piauí, Teresina, Piauí, Brasil.
  • Thayanne Gabryelle Visgueira de Sousa Mestranda em Alimentos e Nutrição, Universidade Federal do Piauí, Teresina, Piauí, Brasil.
  • Luísa Helena de Oliveira Lima Professora Doutora, Docente do Programa de Pós-graduação em Ciências e Saúde, Universidade Federal do Piauí, Teresina, Piauí, Brasil.
  • Ana Larissa Gomes Machado Professora Doutora, Docente do Programa de Pós-graduação em Ciências e Saúde, Universidade Federal do Piauí, Teresina, Piauí, Brasil.
Keywords: Obesity, Primary health care, Public health

Abstract

Introduction: Obesity is a chronic disease with a multifactorial character, resulting from the imbalance between energy consumption and expenditure. Therefore, for its treatment, a multidisciplinary care is necessary, through programs and intervention strategies that consider the various causes that influence the onset of the disease. Objective: To analyze in the scientific literature the care strategies for the care of people with obesity in health services. Materials and Methods: Integrative review carried out in November 2021 based on consultation of the following databases: PubMed/Medline, LILACS/IBECS, Web of Science and SciELO. The analysis was performed with 7 articles. Results: Regarding the characterization of the population participating in the studies, this included primary care providers, clinical representatives of specialized services in obesity, members of the multidisciplinary team of health services, members of health advocacy organizations and patients with obesity. The care strategies cited in the studies were (1) Referral to a nutritionist, (2) Pharmacotherapy, (3) Bariatric surgery, (4) Support groups, (5) Education programs, (6) Skill development, and (7) Increased access to healthy foods. Conclusion: It can be concluded that in the treatment of obesity, frequent and intensive multidisciplinary interaction should be prioritized. However, it is also necessary to adapt care for those patients who do not respond sufficiently to lifestyle intervention in isolation.

References

-Aboueid, S.; Jasinska, M.; Bourgeault, I.; Giroux, I. Current Weight Management Approaches Used by Primary Care Providers in Six Multidisciplinary Healthcare Settings in Ontario. Canadian Journal of Nursing Research. Vol. 50. Num. 4. p.169-178. 2018. Disponível em: https://journals.sagepub.com/doi/abs/10.1177/0844562118769229.

-Afshin, A.; Forounzafar, M. H.; Reitsma, M. B.; Sur, P.; Estep, K.; Lee, A.; Marczak, L.; Mokdad, A. H.; Moradi-Lakeh, M. e colaboradores. Health effects of overweight and obesity in 195 countries over 25 years. New England Journal of Medicine. Vol. 377. p.13-27. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28604169/.

-Al-Hazzaa, H. M. Albawardi, N. M. Activity energy expenditure, screen time and dietary habits relative to gender among Saudi youth: interactions of gender with obesity status and selected lifestyle behaviours. Asia Pacific Journal of Clinical Nutrition. Vol. 28. Num. 2. p. 389-400. 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31192569/.

-Almeida, L. M.; Ramos, K. F. C.; Randow, R.; Guerra, V. A. Estratégias e desafios da gestão da Atenção Primária à Saúde no controle e prevenção da obesidade. Revista Eletrônica Gestão e Saúde. Vol. 8. Num 1. p. 114-139. 2017. Disponível em: https://periodicos.unb.br/index.php/rgs/article/view/3700.

-ACC. American College of Cardiology. American Heart Association Task Force on Practice Guidelines. Obesity Expert Panel. Expert Panel report: guidelines (2013) for the management of overweight and obesity in adults. Obesity. Vol. 22. Num. suppl 2. p. S41-S410. 2014. Disponível em: https://pubmed.ncbi.nlm.nih.gov/24227637/.

-ADA. American Diabetes Association. Obesity management for the treatment of type 2 diabetes. Diabetes Care. Vol. 39. Num. suppl 1. p. S47-S51. 2016. Disponível em: https://diabetesjournals.org/care/article/39/Supplement_1/S47/28938/6-Obesity-Management-for-the-Treatment-of-Type-2.

-Atlantis, E.; Kormas, N.; Samaras, K.; Fahey, P.; Sumithran, P.; Glastras, S. e colaboradores. Clinical Obesity Services in Public Hospitals in Australia: a position statement based on expert consensus. Clinical Obesity. Vol. 8. Num. 3. p. 203-210. 2018. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29683555/.

-Benaich, S.; Mehdad, S.; Andaloussi, Z.; Boutayeb, S.; Alamy, M.; Aguenaou, H.; Taghzouti K. Weight status, dietary habits, physical activity, screen time and sleep duration among university students. Nutrition and Health. Vol. 27. Num. 1. p. 69-78. 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33045923/.

-Biddle, S. J. H.; García-Bengoechea, E.; Pedisic, Z.; Bennie, J.; Vergeer, I.; Wiesner, G. Screen Time, Other Sedentary Behaviours, and Obesity Risk in Adults: A Review of Reviews. Current Obesity Reports. Num. 6. Vol. 2. p. 134-147. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28421472/.

-Blüher, M. Obesity: global epidemiology and pathogenesis. Nature Reviews Endocrinology. Vol.15. p. 288-298. 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30814686/.

-Booth, H. P.; Prevost, A. T.; Gulliford, M. C. Access to weight reduction interventions for overweight and obese patients in UK primary care: population-based cohort study. BMJ Open. Vol. 5. Num. 1. p. e006642. 2015. Disponível em: https://pubmed.ncbi.nlm.nih.gov/25586371/.

-Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde. Vigitel Brasil 2020: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2020. Brasília. 2021.

-Brightman, L.; Huang, H. C.; Dugdale, P. Determining patient attendance, access to interventions and clinical outcomes in a publicly funded obesity programme: Results from the Canberra Obesity Management Service. Clinical Obesity. Vol. 9. Num. 4. p. e12325. 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31207135/.

-Brzozowska, M. M.; Sainsbury, A.; Eisman, J. A.; Baldock, P. A.; Center, J. R. Bariatric surgery, bone loss, obesity and possible mechanisms. Obesity Reviews. Vol. 14. p. 52–67. 2013.

-Cleland, V.; McNeilly, B.; Crawford, D.; Ball, K. Obesity prevention programs and policies: practitioner and policy-maker perceptions of feasibility and effectiveness. Obesity. Vol. 21. Num. 9. p. E448-55. 2013. Disponível em: https://pubmed.ncbi.nlm.nih.gov/23666784/.

-Gudzune, K. A.; Doshi, R. S.; Mehta, A. K.; Chaudhry, Z. W.; Jacobs, R. M. V.; Lee, C. J. Efficacy of commer-cial weight-loss programs: an updated systematic review. Annals of Internal Medicine. Vol. 162. Num. 7. p. 501-512. 2015.

-IBGE. Instituto Brasileiro de Geografia e Estatística. Pesquisa de orçamentos familiares 2017-2018: análise do consumo alimentar pessoal no Brasil. IBGE. Coordenação de Trabalho e Rendimento. Rio de Janeiro. 2020.

-Kahan, S. Overweight and obesity management strategies. The American Journal of Managed Care. Vol. 22. Num. 7 Suppl. p.s186-96. 2016. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27356116/.

-Kaplan, L. M.; Golden, A.; Jinnett, K.; Kolotkin, R. L.; Kyle, T. K.; Look, M. e colaboradores. Perceptions of Barriers to Effective Obesity Care: Results from the National Action Study. Obesity. Vol. 26. Num. 1. p. 61-69. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29086529/.

-Leach, R. J.; Powis, J.; Baur L. A.; Caterson, I. D.; Dietz, W.; Logue, J. e colaboradores. Clinical care for obesity: A preliminary survey of sixty-eight countries. Clinical Obesity. p. e12357. 2020.

-Lemmens, V. E.; Oenema, A.; Klepp, K. I.; Henriksen, H. B.; Brug J. A systematic review of the evidence regarding efficacy of obesity prevention interventions among adults. Obesity Reviews. Vol. 9. p. 446-455. 2008.

-Lombard, C. B.; Deeks, A. A.; Teede, H. J. A systematic review of interventions aimed at the prevention of weight gain in adults. Public Health Nutrition. Vol. 12. p. 2236-2246. 2009.

-Mehta, A.; Marso, S. P.; Neeland, I. J. Liraglutide for weight management: A critical review of the evidence. Obesity Science & Practice. Vol. 3. p. 3-14. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28392927/.

-Moyer, V. A. US Preventive Services Task Force. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Annals of Internal Medicine. Vol. 157. Num. 5. p. 373-378. 2012. Disponível em: https://pubmed.ncbi.nlm.nih.gov/22733087/.

-Page, M. J.; Mckenzie, J. E.; Bossuyt, P. M.; Boutron, I.; Hoffmann, T. C.; Mulrow, C. D. e colaboradores. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. The BMJ. Vol. 29. p. 372. 2021.

-Pearce, C.; Rychetnik, L.; Wutzke, S.; Wilson, A. Obesity prevention and the role of hospital and community-based health services: a scoping review. BMC Health Services Research. Vol. 19. Num. 1. p.453. 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31277640/.

-Pool, A. C.; Kraschnewski, J. I.; Cover, L. A.; Lehman, E. B.; Stuckey, H. L.; Hwang, K. O. e colaboradores. The impact of phy-sician weight discussion on weight loss in US adults. Obesity Research & Clinical Practice. Vol. 8. Num. 2. p. e131-e139. 2014. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4264677/.

-Pories, W. J. Bariatric surgery: risks and rewards. The Journal of Clinical Endocrinoly & Metabolism. Vol. 93. p. S89-96. 2008. Disponível em: https://pubmed.ncbi.nlm.nih.gov/18987275/.

-Ramos-Lopez, O.; Milagro, F. I.; Allayee, H.; Chmurzynska, A.; Choi, M. S.; Curi, R. e colaboradoes. Guide for Current Nutrigenetic, Nutrigenomic, and Nutriepigenetic Approaches for Precision Nutrition Involving the Prevention and Management of Chronic Diseases Associated with Obesity. Journal of Nutrigenetics and Nutrigenomics. Vol. 10. Num. 2. p.43-62. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28689206/.

-Salinas, G. D.; Glauser, T. A.; Williamson, J. C.; Rao, G.; Abdolrasulnia, M. Primary care physician attitudes and practice patterns in the management of obese adults: results from a national survey. Postgraduate Medicine. Vol.123. Num. 5. p. 214-219. 2011. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21904104/.

-Simon, R.; Lahiri, S. W. Provider practice habits and barriers to care in obesity management in a large multicenter health system. Endocrine Practice. Vol. 24. Num. 4. p. 321-328. 2018. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29561192/.

-Souza, M. T.; Silva, M. D.; Carvalho, R. Revisão integrativa: como é e como fazer? Einstein. Vol. 8. Num. 1. p.102-106. 2010.

-Sweeting, A. N.; Caterson, I. D. Approaches to obesity management. Internal Medicine Journal. Vol. 47. p. 734-739. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28677316/.

-Tabet, E.; Caterson, I. D.; Markovic, T. Bariatric surgery positive and negative effects. Endocrinology. Vol. 5. p. 29-33. 2016.

-Torti, J.; Luig, T.; Borowitz, M.; Johnson, J. A.; Sharma, A. M.; Campbell-Scherer, D. l. The 5As team patient study: patient perspectives on the role of primary care in obesity. BMC Family Practice. Vol. 18. Num. 1. p. 19. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28178930/.

-Whittemore, R.; Knafl, K. The integrative review: updated methodology. Journal of Advanced Nursing. Vol. 52. Num. 5. p. 546-53. 2005. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16268861/.

-Wing, R. R.; Phelan, S. Long-term weight loss maintenance. The American Journal of Clinical Nutrition. Vol. 82. p. S222-5. 2005. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16002825/.

-WHO. World Health Organization. Overweight and obesity. Geneva: World Health Organization. 2021. Disponível em: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

-Zheng, A.; Cretikos, M. How can health services strengthen support for children affected by overweight and obesity, and their families? Public Health Res Pract. Vol. 29. Num. 1. p. 2911903. 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30972404/.

Published
2022-11-17
How to Cite
Brito, J. S. A., Araújo, D. S. C. de, Sousa, M. de P., Sousa, T. G. V. de, Lima, L. H. de O., & Machado, A. L. G. (2022). Care strategies in the care of people with obesity in health services. Brazilian Journal of Obesity, Nutrition and Weight Loss, 16(101), 322-333. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/1996
Issue
Vol. 16 No. 101 (2022)
Section
Scientific Articles - Original

Copyright (c) 2022 Joyce Sousa Aquino Brito, Diana Stefany Cardoso de Araújo, Mickael de Paiva Sousa, Thayanne Gabryelle Visgueira de Sousa, Luísa Helena de Oliveira Lima, Ana Larissa Gomes Machado

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