Mudanças no estilo de vida após a primeira consulta em abulatório de obesidade infantojuvenil

Abstract

Objetivo Identificar as principais recomendações de mudanças no estilo de vida pactuadas e a adesão das crianças entre a primeira e segunda consulta ambulatorial. Método Coorte retrospectiva. Foram analisados os dados dos atendimentos ambulatoriais realizados entre 1 de janeiro de 2008 e 30 de novembro de 2011 de crianças e adolescentes obesos, livres de doença genética ou de uso de medicamentos controlados. Na primeira consulta, foram propostas metas relacionadas aos hábitos de vida, aos hábitos alimentares e à atividade física. Foi considerada “adesão” quando o paciente relatou na segunda consulta que atingiu parcial/totalmente a pactuação. A análise foi realizada com o PASW Statistics for Windows, Version 18.0 (SPSS Inc., Chicago, IL, EUA). Projeto aprovado pelo Comitê de Ética e Pesquisa. Resultados Um total de 305 pacientes com idade média de 10 3,8 anos foram analisados, dentre os quais 51,1% eram meninas; do total, 261 (85,6%) compareceram à primeira e à segunda consulta. Forampactuados 401 desafios de mudança de hábitos alimentares (adesão de 86,8%), 264 de atividade física (adesão de 70,2%) e 218 hábitos de vida (adesão de 72,4%). Conclusões Mudanças de hábitos alimentares foram mais recomendadas e tiveram maior adesão.

Objective To identify the main recommendations for the agreed changes in lifestyle and the adherence of overweight children in the time interval between the first and second outpatient visits. Method Retrospective cohort. We analyzed the data from the visits of children and adolescents to the outpatient obesity clinic from January 1st 2008 to November 30th 2011. The children were free of genetic disease and did not use controlledmedications.The data were collected directly from the standardized forms used in the visits, conducted by a multidisciplinary team. In the first visit, goals related to lifestyle, diet, and physical activity were proposed. When the patients reported at the second visit that they had achieved fully or partly an agreed goal, it was considered as “adherence.” The analysis was performed with PASW Statistics for Windows, Version 18.0 (SPSS Inc, Chicago, IL, USA). The project was approved by the Research and Ethics Committee. Results A total of 305 subjects, with a mean age of 10 3.8 years were analyzed, 51.1% of whomwere female; of the total number of subjects, 261 (85,6%) attended the first and second visits. A total of 401 challenges were negotiated regarding changes in eating habits (adherence of 86.8%), 264 regarding physical activity (adherence of 70.2%), and 218 regarding changes in the lifestyle (adherence of 72.4%). Conclusions Changes in eating habits were the most recommended and had greater adherence.