Artículos de revistas
Reasons For Non-adherence To Obesity Treatment In Children And Adolescents [razões Do Abandono Do Tratamento De Obesidade Por Crianças E Adolescentes]
Registro en:
Revista Paulista De Pediatria. , v. 31, n. 3, p. 338 - 343, 2013.
1030582
10.1590/S0103-05822013000300010
2-s2.0-84885605420
Autor
Nogueira T.F.D.
Zambon M.P.
Institución
Resumen
Objective: To analyze the reasons for non-adherence to follow-up at a specialized outpatient clinic for obese children and adolescents. Methods: Descriptive study of 41 patients, including information from medical records and phone recorded questionnaires which included two open questions and eight closed ones: reason for abandonment, financial and structural difficulties (distance and transport costs), relationship with professionals, obesity evolution, treatment continuity, knowledge of difficulties and obesity complications. Results: Among the interviewees, 29.3% reported that adherence to the program spent too much time and it was difficult to adjust consultations to patients' and parents' schedules. Other reasons were: children's refusal to follow treatment (29.3%), dissatisfaction with the result (17.0%), treatment in another health service (12.2%), difficulty in schedule return (7.3%) and delay in attendance (4.9%). All denied any relationship problems with professionals. Among the respondents, 85.4% said they are still overweight. They reported hurdles to appropriate nutrition and physical activity (financial difficulty, lack of parents' time, physical limitation and insecure neighborhood). Among the 33 respondents that reported difficulties with obesity, 78.8% had emotional disorders such as bullying, anxiety and irritability; 24.2% presented fatigue, 15.1% had difficulty in dressing up and 15.1% referred pain. The knowledge of the following complications prevailed: cardicac (97.6%), aesthetic (90.2%), psychological (90.2%), presence of obesity in adulthood (90.2%), diabetes (85.4%) and cancer (31.4%). Conclusions: According to the results, it is possible to create weight control public programs that are easier to access, encouraging appropriate nutrition and physical activities in order to achieve obesity prevention. 31 3 338 343 Wang, Y., Monteiro, C.A., Popkin, B.M., Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia (2002) Am J Clin Nutr, 75, pp. 971-977 (2009) WHO forum and technical meeting on population-based prevention strategies for childhood obesity, , World Health Organization. Geneva: WHO; (2010) Pesquisa de orçamentos familiares 2008-2009: Antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil, , Brasil. Ministério do Planejamento, Orçamento e Gestão Instituto Brasileiro de Geografia e Estatística. Diretoria de pesquisas. Coordenação de trabalho e rendimento. Rio de Janeiro: IBGE; Daniels, S.R., The consequences of childhood overweight and obesity (2006) Future Child, 16, pp. 47-67 Warder Wal, J.S., Mitchell, E.R., Psychological complications of pediatric obesity (2011) Pediatr Clin North Am, 58, pp. 1393-1401 Porter, J.S., Bean, M.K., Gerke, C.K., Stern, M., Psychosocial factors and perspectives on weight gain and barriers to weight loss among adolescents enrolled in obesity treatment (2010) J Clin Psychol Med Settings, 17, pp. 98-102 Daniels, S.R., Complications of obesity in children and adolescents (2009) Int J Obes (Lond), 33 (SUPPL. 1), pp. S60-S65 Ferreira, J.S., Aydos, R.D., Prevalence of hypertension among obese children and adolescents (2010) Cienc Saude Coletiva, 15, pp. 97-104 VI Diretrizes Brasileiras de Hipertensão (2010) Rev Bras Hipertens, 17, pp. 1-64. , Sociedade Brasileira de Cardiologia Mitka, M., Programs to reduce childhood obesity seem to work, say Cochrane reviewers (2012) JAMA, 307, pp. 444-445 Lenders, C.M., Gorman, K., Lim-Miller, A., Puklin, S., Pratt, J., Practical approaches to the treatment of severe pediatric obesity (2011) Pediatr Clin North Am, 58, pp. 1425-1438 Waters, E., de Silva-Sanigorski, A., Hall, B.J., Brown, T., Campbell, K.J., Gao, Y., Interventions for preventing obesity in children (2011) Cochrane Database Syst Rev, pp. CD001871 Zambon, M.P., Antônio, M.A., Mendes, R.T., Barros Filho, A.A., Obese children and adolescents: Two years of interdisciplinary follow-up (2008) Rev Paul Pediatr, 26, pp. 130-135 (2012) Obesidade na infância e adolescência: Manual de Orientação, , http://www.sbp.com.br/PDFs/Man%20Nutrologia_Obsidade.pdf, Sociedade Brasileira de Pediatria [homepage on the Internet]. Departamento de Nutrologia. Rio de Janeiro: SBP [cited 2013 Jun 4]. Available from Barlow, S.E., Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report (2007) Pediatrics, 120, pp. S164-S192. , Expert Committee Barlow, S.E., Ohlemeyer, C.L., Parent reasons for nonreturn to a pediatric weight management program (2006) Clin Pediatr (Phila), 45, pp. 355-360 Moroshko, I., Brennan, L., O'Brien, P., Predictors of dropout in weight loss interventions: A systematic review of the literature (2011) Obes Rev, 12, pp. 912-934 Kitscha, C.E., Brunet, K., Farmer, A., Mager, D.R., Reasons for non-return to a pediatric weight management program (2009) Can J Diet Pract Res, 70, pp. 89-94 Lara, M.D., Baker, M.T., Larson, C.J., Mathiason, M.A., Lambert, P.J., Kothari, S.N., Travel distance, age, and sex as factors in follow-up visit compliance in the post-gastric by pass population (2004) Surg Obes Relat Dis, 1, pp. 17-21 Sivagnanam, P., Rhodes, M., The importance of follow-up and distance from centre in weight loss after laparoscopic adjustable gastric banding (2010) Surg Endosc, 24, pp. 2432-2438 Stewart, L., Chapple, J., Hughes, A.R., Poustie, V., Reilly, J.J., Parents' journey through treatment for their child's obesity: A qualitative study (2008) Arch Dis Child, 93, pp. 35-39 Minniti, A., Bissoli, L., Di Francesco, V., Fantin, F., Mandragona, R., Olivieri, M., Individual versus group therapy for obesity: Comparison of dropout rate and treatment outcome (2007) Eat Weight Disord, 12, pp. 161-167 Venturini, L.P., (2000) Obesidade e família-Uma caracterização de famílias de crianças obesas e a percepção dos familiares e das crianças de sua imagem corporal, , [tese de mestrado] Ribeirão Preto (SP): USP; Keeton, V.F., Kennedy, C., Update on physical activity including special needs populations (2009) Curr Opin Pediatr, 21, pp. 262-268 Palma, A., Atividade física, processo saúde-doença e condições sócio-econômicas: Uma revisão da literatura (2000) Rev Paul Educ Fis, 14, pp. 97-106 Skelton, J.A., Beech, B.M., Attrition in paediatric weight management: A review of the literature and new directions (2011) Obes Rev, 12, pp. e273-e281 Muller, R.C., Obesidade na adolescência (2001) Pediatr Mod, 37, pp. 45-48 Lee, Y.S., Consequences of childhood obesity (2009) Ann Acad Med Singapore, 38, pp. 75-77 Skelton, J.A., Beech, B.M., Attrition in paediatric weight management: A review of the literature and new directions (2011) Obes Rev, 12, pp. e273-e281 Skelton, J.A., DeMattia, L.G., Flores, G., A pediatric weight management program for high-risk populations: A preliminary analysis (2008) Obesity (Silver Spring), 16, pp. 1698-1701