Obese children and adolescents: parents' experiences and perceptions
Abstract
Introduction: Obesity, currently considered an important public health problem, stems from multiple factors, and both prevention and intervention actions are extremely complex. Objective: The present investigation aims to analyze the perception of parents or guardians of children and adolescents in relation to obesity and how they experience care. Materials and Methods: Qualitative study based on 30 interviews with parents or guardians of obese children and adolescents, who attend a Child Obesity Care Center in a medium-sized city in the interior of São Paulo. The analysis was performed using the thematic analysis technique. Data collection took place from August to December 2020. Results and discussion: Most children and adolescents are aged between 5 and 10 years and are severely obese. Most study participants were mothers. In the analysis, the following themes were identified: difficulties in dealing with food; the feelings of mothers/guardians; child or adolescent problems related to obesity; attempts to change habits; and effects of the pandemic. The degree of obesity of children and adolescents found in the present study suggests that the search for help occurs in extreme cases. Conclusions: Parents or guardians are able to understand the risks and consequences of obesity; however, they face great difficulties in implementing care. The experiences with childhood obesity are full of suffering, both for parents or guardians and for children.
References
-Alves, C.A.D. Endocrinologia pediátrica. Manole. 2019. p. 429-449.
-Ammar, A.; e colaboradores. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients. Vol. 12. Num. 6. 2020.p.1583.
-Bhadoria, A.; Sahoo, K.; Sahoo, B.; Choudhury, A.; Sufi, N.; Kumar, R. Childhood obesity: causes and consequences. J Family Med Prim Care. Vol.4. Num.2. 2015. p.187-92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4408699/.
-Braun, V.; Clarke, V. Using thematic analysis in psychology. Qual Res Psychol. Vol. 3. Num. 2. 2006. p.77-101. https://doi.org/10.1191/1478088706qp063oa
-Brasil. Ministério da Saúde. Sistema de Vigilância Alimentar e Nutricional. Relatórios. 2004. Acesso em 01/06/2021. Disponível em: https://sisaps.saude.gov.br/sisvan/relatoriopublico/index#
-Brasil. IBGE. Pesquisa Nacional por Amostra de Domicílios Contínua: características gerais dos domicílios e dos moradores 2017. Rio de Janeiro. IBGE. 2017.
-Cardel, M.I.; Szurek, S.M.; Dillard, J.R.; Dilip, A.; Miller, D.R.; Theis, R.; Bernier, A.; Thompson, L.A.; Dulin, A.; Janicke, D.M.; Lee, A.M. Perceived barriers/facilitators to a healthy lifestyle among diverse adolescents with overweight/obesity: A qualitative study. Obes Sci Pract. Vol. 6. Num. 6. 2020.p.638-648.
-Cason-Wikerson, R.; Goldberg, S.; Albright, K.; Allison, M.; Haemer, M. Factors influencing healthy lifestyle changes: a qualitative look at low-income families engaged in treatment for overweight children. Child Obes. Vol. 11. Num. 2. 2015. p.170-6.
-Dias, P.C.; Henriques, P.; Anjos, L.A.; Burlandy, L. Obesity and public policies: the Brazilian government’s definitions and strategies. Cad Saúde Pública. Vol. 33. Num. 7. 2017. http://dx.doi.org/10.1590/0102-311x00006016
-Eldridge, G.; Paul, L.; Bailey, S.J.; Ashe, C.B.; Martz, J.; Lynch, W. Effects of parent-only childhood obesity prevention programs on BMIz and body image in rural preteens. Body image. 2016. p.143-53. https://doi.org/10.1016/j.bodyim.2015.12.003
-Frontzek, L.G.M.; Bernardes, L. R.; Modena, C.M. Obesidade infantil: compreender para melhor intervir. Rev. abordagem gestalt. Vol 23. Num. 2. 2017.p.167-174.
-Gardner, B.; Lally, P. The Psychology of Habit: Theory, Mechanisms, Change, and Contexts. Switzerland. Modelling Habit Formation and Its Determinants. Springer. 2018.p. 207-229.
-Gregori, D.; Hochdorn, A.; Azzolina, D.; Berchialla, P.; Lorenzoni, G. OBEY-AD Study Consortium. Does Love Really Make Mothers Blind? A Large Transcontinental Study on Mother’s Awareness About Their Children’s Weight. Obesity. Vol. 26. Num. 7. 2018.p.1211-1224.
-Kokkvoll, A.; Grimsgaard, S.; Steinsbekk, S.; Flægstad, T.; Njølstad, I. Health in overweight children: 2-year follow-up of Finnmark Activity School - a randomised trial. Arch Dis Child. 2015. p.441-8. Available from: https://pubmed.ncbi.nlm.nih.gov/25414250/
-Li, J.; Kaiser, T.; Pollmann-Schult, M.; Strazdins, L. Long work hours of mothers and fathers are linked to increased risk for overweight and obesity among preschool children: longitudinal evidence from Germany. J Epidemiol Community Health. Vol. 73. Num. 8. 2019. p.723-729.
-Marçal, I.R.; Fernandes, B.; Viana, A.A.; Ciolac, E.G. The Urgent Need for Recommending Physical Activity for the Management of Diabetes During and Beyond COVID-19 Outbreak. Front Endocrinol. Vol. 11. 584642. 2020.
-Martinez-Ferran, M.; Guía-Galipienso, F.; Sanchis-Gomar, F.; Pareja-Galeano, H. Metabolic Impacts of Confinement during the COVID-19 Pandemic Due to Modified Diet and Physical Activity Habits. Nutrients. Vol.12. Num. 6. 2020. p.1549.
-Marília. Secretaria Municipal de Assistência Social. Estrutura organizacional. Marília. Prefeitura Municipal de Marília. 2013. http://www.marilia.sp.gov.br/prefeitura/wpcontent/uploads/2013/01/AtribuicoesSocial1.pdf
-Marques, M.S.; Silva, J.R.; Lima, C.A.G.; Maia, E.M.G.C. Prevalência de sobrepeso e obesidade entre crianças de 7 a 10 anos atendidas em uma unidade de Estratégia Saúde da Família-ESF. Rev Bras Med Fam Comunidade. Vol. 14. Num.37. 2015. p.1-9.
-Melca, I. A.; Fortes, S. Obesidade e transtornos mentais: construindo um cuidado efetivo. Rev Hosp Univ Pedro Ernesto. Vol.13. Num.1. 2014. p.18-25.
-Minayo, M.C.S. Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Rev Pesq Qualitat. 2017.
-Miranda, J.M. Q.; Palmeira, M. V.; Polito, L.F. T.; Brandão, M.R.F.; Bocalini, D.S.; Figueira Junior, AJ. Prevalência de sobrepeso e obesidade infantil em instituições de ensino: públicas vs. privadas. Rev Bras Med Esporte. Vol.21. Num.2. 2015. p.104-7.
-Ogden, C.L.; Fryar, C.D.; Hales, C.M.; Carroll, M.D.; Aoki, Y.; Freedman, D.S. Differences in obesity prevalence by demographics and urbanization in US children and adolescents, 2013-2016. Jama. Vol. 319. Num. 23. 2018. p.2410-8. http://dx.doi.org/10.1001/jama.2018.5158
-Pas, K.D.; Soder, T.F.; Deon, R.G. Percepção dos pais: meu filho tem obesidade infantil? Rev Contexto Saúde. Vol.19. Num.36. 2019. p.20-6.
-Pesch, M.H.; Rizk, M.; Appugliese, D.P.; Rosenblum, K.L.; Miller, A.; Lumeng, J.C. Maternal concerns about children overeating among low-income children. Eat Behav. 2016. p.220-7.
-Ribeiro, L.S.; Fernandes, M.D.F.; Garcia, H.B.T.; Borges, R.D.; Furtado, M.S. Prevalência de Obesidade Infantil em crianças de 7 a 10 anos nas Escolas de Ipatinga e sua Correlação com Dados Sociodemográficos. Braz J of Surg Clin Res - BJSCR. Vol.3. Num. 28. 2019. p.19-27.
-Rietmeijer-Mentink, M.; Paulis, W.D.; Van Middelkoop, M.; Bindels, P.J.; Van der Wouden, J.C. Difference between parental perception and actual weight status of children: a systematic review. Matern Child Nutr. Vol.9. Nun. 2013. p.3-22.
-Rocha, M.; Pereira, H.; Maia, R.; Silva, E.; Morais, N.; Maia, E. Aspectos psicossociais da obesidade na infância e adolescência. Psic., Saúde & Doenças. Vol. 18. Num. 3. 2017. p.713-23.
-Scutti, C.S.; Seo, G.Y.; Amadeu, R.S.; Sampaio, R.F. O enfrentamento do adolescente obeso: a insatisfação com a imagem corporal e o bullying. Rev Fac de Ciênc Méd de Sorocaba. Vol.16. 2014. p.130-133.
-Silva, L.O.; Borges, B.S. Bullying nas Escolas. Direito & Realidade. Vol.6. Num.5. 2018. p.27-40.
-Stanford, F.C.; Tauqeer, Z.; Kyle, T.K. Media and Its Influence on Obesity. Curr Obes Rep. Vol.7. Num.2. 2018.p.186-92.
Copyright (c) 2022 Miriam Alarcon, Nádia Sanches Marin, Osni Lazaro Pinheiro, Antônio Henrique Rodrigues dos Passos, Luzmarina Aparecida Doretto Braccialli
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