Combating childhood obesity
lessons learned from a student extension project
DOI:
https://doi.org/10.30712/44115Keywords:
Pediatric Obesity, Primary Prevention, Feeding BehaviorAbstract
Obesity is a multifactorial disease characterized by the excessive accumulation of adipose tissue throughout the body. In the Brazilian pediatric population, one in every three patients aged between 5 and 10 years is above the ideal weight threshold. Therefore, the extension project "Childhood Obesity: Intervention and Care for the Child's Future" was developed to provide guidance on appropriate nutritional strategies tailored to the age group of children/adolescents and emphasize the importance of physical activity combined with dietary habit modifications to yield optimal outcomes. This is an experience report based on the perceptions of medical and nursing students engaged in extension activities at the pediatric outpatient clinic. Throughout the project, a total of 165 children were engaged by 13 extension students. The students addressed various topics, such as weight loss strategies among pediatric patients and their families, including the significance of physical activity and the implementation of the Traffic Light Diet as a means to enhance dietary quality. Socioeconomic challenges, such as insufficient financial resources, were identified by the students, constituting a barrier to the performance of healthier habits.
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ABRAN (ASSOCIAÇÃO BRASILEIRA DE NUTROLOGIA). Educação nutricional na prevenção da obesidade infantil. 2022. Disponível em: https://abran.org.br/2022/02/23/relacao-entre-dietas-centradas-em-plantas-e-doencas-cardiovasculares-2/?gclid=Cj0KCQjw3a2iBhCFARIsAD4jQB3Z4yKxPj2XCFNciowWV50eGBZUsxAMzePQo_Bw_cEMsR31w9GEvjcaAtnzEALw_wcB. Acesso em: 16 maio 2023.
ARGUMEDO, Gabriela; STANDAGE, Martyn; CURRAN, Thomas; GILLISON, Fiona. “É um pouco irritante estar preso”: uma exploração das barreiras e facilitadores percebidos pelos adolescentes mexicanos para a prática de atividade física e alimentação saudável. Revista Brasileira de Atividade Física & Saúde, v. 29, p. 1–8, 2024. DOI: 10.12820/rbafs.29e0334. Disponível em: https://rbafs.org.br/RBAFS/article/view/15182. Acesso em: 23 jan. 2025.
ASH, Tayla; AGARONOV, Alen; YOUNG, Ta’Loria; AFTOSMES-TOBIO, Alyssa; DAVISON, Kristen K. Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. International Journal of Behavioral Nutrition and Physical Activity, v. 14, n. 1, 2017.
BARBOSA, Lizelda Maria de Araújo; ARRUDA, Ilma Kruze Grande de; CANUTO, Raquel; et al. Prevalence and factors associated with excess weight in adolescents in a low-income neighborhood – Northeast, Brazil. Revista Brasileira de Saúde Materno Infantil, v. 19, p. 661–670, 2019. Disponível em: https://www.scielo.br/j/rbsmi/a/pnG4yQkNZym7yCCD6zZJKZw/. Acesso em: 18 nov. 2022.
BENTO, I. C.; ESTEVES, J. M. de M.; FRANÇA, T. E. Alimentação saudável e dificuldades para torná-la uma realidade: percepções de pais/responsáveis por pré-escolares de uma creche em Belo Horizonte/MG, Brasil. Ciência & Saúde Coletiva, v. 20, n. 8, p. 2389–2400, 2015.
BERGE, Jerica M.; EVERTS, Jessie. Family-based interventions targeting childhood obesity: a meta-analysis. Child Obes., v. 7, n. 2, p. 110–121, 2011.
BROWN, Ryan D. The Traffic Light Diet can lower risk for obesity and diabetes. NASN School Nurse, v. 26, n. 3, p. 152–154, 2011.
BROWNE, V. R.; BRUNO, D. M.; DHUPER, S.; AFABLE, A. Insights into the challenges and facilitators to physical activity among Brooklyn teens enrolled in a weight management programme. Health Expectations, v. 25, n. 4, p. 1832–1843, 2022.
COSTA, L.; MELO, M. E. S. C.; RIBEIRO, J. M. A.; PEREIRA, V. G.; COSTA, M. D. et al. Ação de educação alimentar e nutricional aos alunos de uma escola no interior da Bahia. Revista FT, v. 27, n. 125, 2023.
DE CASTRO, M. A. V.; DE LIMA, G. C.; ARAÚJO, G. P. B. Educação alimentar e nutricional no combate à obesidade infantil: visões do Brasil e do mundo. Revista da Associação Brasileira de Nutrição, v. 12, n. 2, p. 167–183, 2021. Disponível em: https://www.rasbran.com.br/rasbran/article/view/1891. Acesso em: 16 maio 2023.
FARIA, Eliane Cristina de. Interferência da família na obesidade infantil. Revista Ibero-Americana de Humanidades, Ciências e Educação, v. 7, n. 9, p. 276–294, 2021. DOI: 10.51891/rease.v7i9.2192. Disponível em: https://periodicorease.pro.br/rease/article/view/2192. Acesso em: 23 fev. 2024.
FIOCRUZ. Conscientização contra a obesidade mórbida infantil. 2021. Disponível em: https://portal.fiocruz.br/noticia/conscientizacao-contra-obesidade-morbida-infantil. Acesso em: 16 maio 2023.
GALLÈ, Francesca; VALERIO, Giuliana; DANIELE, Ornella; et al. Multidisciplinary treatment for childhood obesity: a two-year experience in the Province of Naples, Italy. Children (Basel), v. 9, n. 6, p. 834–834, 2022.
HARVARD SCHOOL OF PUBLIC HEALTH. Early child care obesity prevention recommendations: complete list. 2012. Disponível em: https://www.hsph.harvard.edu/obesity-prevention-source/obesity-prevention/early-child-care/early-child-care-obesity-prevention-recommendation-complete-list/. Acesso em: 16 maio 2023.
HO, M.; GARNETT, S. P.; BAUR, L.; et al. Effectiveness of lifestyle interventions in child obesity: systematic review with meta-analysis. Pediatrics, v. 130, n. 6, p. e1647–e1671, 2012.
INOUE, Kosuke; SEEMAN, Teresa E.; ROCH NIANOGO, et al. The effect of poverty on the relationship between household education levels and obesity in U.S. children and adolescents: an observational study. The Lancet Regional Health – Americas, v. 25, p. 100565, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/37559944/. Acesso em: 23 fev. 2024.
LINDEMANN, I. L.; OLIVEIRA, R. R.; MENDOZA-SASSI, R. A. Dificuldades para alimentação saudável entre usuários da atenção básica em saúde e fatores associados. Ciência & Saúde Coletiva, v. 21, n. 2, p. 599–610, 2016.
LUESSE, Hiershenee B.; PAUL, Rachel; GRAY, Heewon L.; et al. Challenges and facilitators to promoting a healthy food environment and communicating effectively with parents to improve food behaviors of school children. Maternal and Child Health Journal, v. 22, n. 7, p. 958–967, 2018. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29445980/. Acesso em: 23 fev. 2024.
NABORS, L.; BURBAGE, M.; WOODSON, K. D.; SWOBODA, C. Implementation of an after-school obesity prevention program: helping young children toward improved health. Issues in Comprehensive Pediatric Nursing, v. 38, n. 1, p. 22–38, 2014.
OPAS (ORGANIZAÇÃO PAN-AMERICANA DA SAÚDE). Dia Mundial da Obesidade 2022: acelerar ação para acabar com a obesidade. 2022. Disponível em: https://www.paho.org/pt/noticias/4-3-2022-dia-mundial-da-obesidade-2022-acelerar-acao-para-acabar-com-obesidade. Acesso em: 16 maio 2023.
ORGANIZAÇÃO MUNDIAL DA SAÚDE. Obesity and overweight. 2021. Disponível em: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Acesso em: 16 maio 2023.
PELICCIARI, C. R.; ARTIOLI, T. O.; LONGUI, C. A.; MONTE, O.; KOCHI, C. The impact of COVID-19 in children and adolescents with obesity in Brazil. Archives of Endocrinology and Metabolism, v. 66, n. 2, p. 256–260, 2022.
RAO, Goutham. Childhood obesity: highlights of AMA expert committee recommendations. American Family Physician, v. 78, n. 1, p. 56–63, 2008.
ROSSI, A.; ADDISON, E.; RAUEN, M. S. Determinantes do comportamento alimentar: uma revisão com enfoque na família. Revista de Nutrição, v. 21, n. 6, p. 739–748, 2008.
SOCIEDADE BRASILEIRA DE PEDIATRIA. Obesidade na infância e adolescência: manual de orientação. 3. ed. São Paulo: Sociedade Brasileira de Pediatria, Departamento Científico de Nutrologia, 2019.
SOCIEDADE DE PEDIATRIA DE SÃO PAULO. Pediatria: enfrentando a obesidade infantil. Atualize-se, ano 4, n. 2, 2019.
SOCIEDADE GOIANA DE PEDIATRIA. Pandemia de coronavírus está provocando ganho de peso nas crianças. 2021. Disponível em: https://www.sbp.com.br/filiada/goias/noticias/noticia/nid/pandemia-de-coronavirus-esta-provocando-ganho-de-peso-nas-criancas/. Acesso em: 16 maio 2023.
UNIVERSITY AT BUFFALO. Traffic Light Diet. 2012. Disponível em: https://www.buffalo.edu/research/about-us/units.host.html/content/shared/smbs/research_highlights/traffic-light-diet.detail.html. Acesso em: 16 maio 2023.
VORLAND, Colby J.; BROWN, Michelle; CARDEL, Michelle I.; et al. Traffic light diets for childhood obesity: disambiguation of terms and critical review of application, food categorization, and strength of evidence. Curr Dev Nutr., v. 6, n. 3, p. nzac006, 2022.
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