Multiprofessional programs for treating obesity with defined weight loss targets: a systematic literature review
DOI:
https://doi.org/10.33448/rsd-v10i1.11779Keywords:
Multi-professional treatment; Primary care; Obesity.Abstract
Introduction: The increase in overweight, obesity and severe obesity in the world represents a major public health challenge in terms of both prevention and treatment of obesity and associated chronic diseases. Objective: This review analyzes multiprofessional studies whose goals include at least 5% weight loss used in programs aimed at changing behavior in adults with a BMI above 30kg / m2 as well as their clinical outcomes. Methods: A systematic review was carried out in the Pubmed and Embase databases with the keywords "multi-professional", "treatment", "primary care" and "obesity", in both bases the filters "clinical trial", "studies randomized ”and“ adults over 18 years ”, the selected works should have evaluated face-to-face intervention programs, with an established weight loss goal and intervention results. Results: Both databases resulted in 241 articles, 148 in Pubmed and 93 in Embase. Of this total, 82 articles were selected for reading in full and after analysis four manuscripts were selected, with one manuscript being duplicated, leaving three articles for review. The analyzed studies were carried out in developed countries (USA, United Kingdom and Switzerland). Conclusion: The results of the systematic review indicate the effectiveness of this type of program in studies of medium and long duration. They also reveal the need for more scientific studies due to the scarcity of face-to-face interventions with weight loss goals in adults with a BMI above 30kg / m2 and that differentiate the results of the intervention and control groups.
References
Apovian, C. M., Garvey, W. T., & Ryan, D. H. (2015). Challenging obesity: Patient, provider, and expert perspectives on the roles of available and emerging nonsurgical therapies. Obesity, 23(S2), S1–S26. https://doi.org/10.1002/oby.21140
Bandura, A., & Simon, K. M. (1977). The role of proximal intentions in self-regulation of refractory behavior. Cognitive Therapy and Research, 1(3), 177–193. https://doi.org/10.1007/BF01186792
Bianchini, J. A. A., Fernandes Da Silva, D., Lopera, C. A., Rui Matsuo, A., Drieli Seron Antonini, V., & Nardo, N. (2013). Efectos de un programa multiprofesional de tratamiento de la obesidad sobre los factores de riesgo para síndrome metabólico en niños prepúberes, púberes y adolescentes: Diferencias entre géneros. Revista Andaluza de Medicina del Deporte, 6(4), 139–145. https://doi.org/10.1016/S1888-7546(13)70049-2
Bianchini, J. A. A., Silva, D. F. Da, Lopera, C. A., Antonini, V. D. S., & Nardo Junior, N. (2016). Intervenção multiprofissional melhora a aptidão física relacionada à saúde de adolescentes com maior efeito sobre as meninas em comparação aos meninos. Revista Brasileira de Educação Física e Esporte, 30(4), 1051–1059. https://doi.org/10.1590/1807-55092016000401051
Bianchini, J., Hintze, L., Bevilaqua, C., Agnolo, C., & Junior, N. (2012). Tratamento da Obesidade: Revisão de artigos sobre intervenções multiprofissionais no contexto brasileiro. Arq Ciênc Saúde, 19(2), 9–15.
Bim, R. H. (2019). Risco cardiometabólico e tratamento multiprofissional da obesidade em adultos. (Programa de Pós-Graduação em Educação Física UEM/UEL - UEM (org.); Tese).
Bradshaw, A. J., Horwath, C. C., Katzer, L., & Gray, A. (2010). Non-dieting group interventions for overweight and obese women: What predicts non-completion and does completion improve outcomes? Public Health Nutrition, 13(10), 1622–1628. https://doi.org/10.1017/S1368980009992977
Castilho, M. M., Westphal, G., Pereira, I. A. S., Martins, F. M., Bim, R. H., Thon, R. A., Moreira, V. F. R., Bevilaqua, C. A., Meireles, K. B., Okawa, R. T. P., & Júnior, N. N. (2020). Teste de caminhada de 6 minutos (tc6m) na obesidade severa: considerações. Revista Valore, 5(e-555).
Castilho, M. M., Westphal, G., Thon, R. A., Pereira, I. A. S., Martins, F. M., Amaral, M. F. do, Okawa, R. T. P., & Nardo Junior, N. (2021). Efeitos de um programa multiprofissional de tratamento da obesidade no ambiente aquático em adultos com obesidade severa. Research, Society and Development, 10(1), e12910111636. https://doi.org/10.33448/rsd-v10i1.11636
Chang, M. W., Brown, R., & Nitzke, S. (2009). Participant recruitment and retention in a pilot program to prevent weight gain in low-income overweight and obese mothers. BMC Public Health, 9. https://doi.org/10.1186/1471-2458-9-424
Christinelli, H. C. B., Westphal, G., Nardo Junior, N., Borim, M. L. C., Costa, M. A. R., & Fernandes, C. A. M. (2021). Nutritional status and body composition in individuals with overweight or obesity using usual and unusual indicators. Research, Society and Development, 10(1), e4910111339. https://doi.org/10.33448/rsd-v10i1.11339
Colombo, O., Ferretti, V. V., Ferraris, C., Trentani, C., Vinai, P., Villani, S., & Tagliabue, A. (2014). Is drop-out from obesity treatment a predictable and preventable event? Nutrition Journal, 13(1). https://doi.org/10.1186/1475-2891-13-13
Crowe, C., Gibson, I., Cunningham, K., Kerins, C., Costello, C., Windle, J., O’Shea, P. M., Hynes, M., McGuire, B., Kilkelly, K., Griffin, H., O’Brien, T., Jones, J., & Finucane, F. M. (2015). Effects of an eight-week supervised, structured lifestyle modification programme on anthropometric, metabolic and cardiovascular risk factors in severely obese adults. BMC Endocrine Disorders, 15(1). https://doi.org/10.1186/s12902-015-0038-x
Dietz, W. H. (2001). The obesity epidemic in young children: Reduce television viewing and promote playing. British Medical Journal, 322(7282), 313–314. https://doi.org/10.1136/bmj.322.7282.313
Elfhag, K., & Rössner, S. (2010). Initial weight loss is the best predictor for success in obesity treatment and sociodemographic liabilities increase risk for drop-out. Patient Education and Counseling, 79(3), 361–366. https://doi.org/10.1016/j.pec.2010.02.006
Fabricatore, A. N., Wadden, T. A., Moore, R. H., Butryn, M. L., Heymsfield, S. B., & Nguyen, A. M. (2009). Predictors of attrition and weight loss success: Results from a randomized controlled trial. Behaviour Research and Therapy, 47(8), 685–691. https://doi.org/10.1016/j.brat.2009.05.004
Garvin, J. T. (2015). Weight reduction goal achievement with high-intensity MOVE!® treatment. Public Health Nursing, 32(3), 232–236. https://doi.org/10.1111/phn.12194
Greenberg, I., Stampfer, M. J., Schwarzfuchs, D., & Shai, I. (2009). Adherence and success in long-term weight loss diets: The dietary intervention randomized controlled trial (direct). Journal of the American College of Nutrition, 28(2), 159–168. https://doi.org/10.1080/07315724.2009.10719767
Hall, K. D., & Kahan, S. (2018). Maintenance of Lost Weight and Long-Term Management of Obesity. Medical Clinics of North America, 102(1), 183–197. https://doi.org/10.1016/j.mcna.2017.08.012
Haywood, C., & Sumithran, P. (2019). Treatment of obesity in older persons—A systematic review. Obesity Reviews, 20(4), 588–598. https://doi.org/10.1111/obr.12815
Jennings, A., Hughes, C. A., Kumaravel, B., Bachmann, M. O., Steel, N., Capehorn, M., & Cheema, K. (2014). Evaluation of a multidisciplinary Tier 3 weight management service for adults with morbid obesity, or obesity and comorbidities, based in primary care. Clinical Obesity, 4(5), 254–266. https://doi.org/10.1111/cob.12066
Jensen, M. D., Ryan, D. H., Apovian, C. M., Ard, J. D., Comuzzie, A. G., Donato, K. A., Hu, F. B., Hubbard, V. S., Jakicic, J. M., Kushner, R. F., Loria, C. M., Millen, B. E., Nonas, C. A., Pi-Sunyer, F. X., Stevens, J., Stevens, V. J., Wadden, T. A., Wolfe, B. M., & Yanovski, S. Z. (2014). 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: A report of the American college of cardiology/American heart association task force on practice guidelines and the obesity society. Journal of the American College of Cardiology, 63(25 PART B), 2985–3023. https://doi.org/10.1016/j.jacc.2013.11.004
Johnston, C. A., Moreno, J. P., Hernandez, D. C., Link, B. A., Chen, T. A., Wojtanowski, A. C., Foster, G. D., & Foreyt, J. P. (2019). Levels of adherence needed to achieve significant weight loss. International Journal of Obesity, 43(1), 125–131. https://doi.org/10.1038/s41366-018-0226-7
Kinsey, A. W., Gowey, M. A., Tan, F., Zhou, D., Ard, J., Affuso, O., & Dutton, G. R. (2018). Similar weight loss and maintenance in African American and White women in the Improving Weight Loss (ImWeL) trial. Ethnicity and Health, 1–13. https://doi.org/10.1080/13557858.2018.1493435
Kolasa, K. M., Collier, D. N., & Cable, K. (2010). Weight loss strategies that really work. Journal of Family Practice, 59(7), 378–385.
Lantz, H., Peltonen, M., Agren, L., & Torgerson, J. S. (2003). A dietary and behavioural programme for the treatment of obesity. A 4-year clinical trial and a long-term posttreatment follow-up. Journal of Internal Medicine, 254(3), 272–279. https://doi.org/10.1046/j.1365-2796.2003.01187.x
Lee, Y., Biddle, S., Chan, M., Cheng, A., Cheong, M., Chong, Y., Foo, L., Lee, C., Lim, S., Ong, W., Pang, J., Pasupathy, S., Sloan, R., Seow, M., Soon, G., Tan, B., Tan, T., Teo, S., Tham, K., & Wang, J. (2016). Health Promotion Board–Ministry of Health Clinical Practice Guidelines: Obesity. Singapore Medical Journal, 57(8), 472–472. https://doi.org/10.11622/smedj.2016141
Lim, S. S., Norman, R. J., Clifton, P. M., & Noakes, M. (2009). Psychological Effects of Prescriptive vs General Lifestyle Advice for Weight Loss in Young Women. Journal of the American Dietetic Association, 109(11), 1917–1921. https://doi.org/10.1016/j.jada.2009.08.008
Lopera, C. A., da Silva, D. F., Bianchini, J. A. A., Locateli, J. C., Moreira, A. C. T., Dada, R. P., Thivel, D., & Nardo, N. (2016). Effect of water- versus land-based exercise training as a component of a multidisciplinary intervention program for overweight and obese adolescents. Physiology and Behavior, 165, 365–373. https://doi.org/10.1016/j.physbeh.2016.08.019
Marcon, E. R., Gus, I., & Neumann, C. R. (2011). Impacto de um programa mínimo de exercícios físicos supervisionados no risco cardiometabólico de pacientes com obesidade mórbida. Arquivos Brasileiros de Endocrinologia e Metabologia, 55(5), 331–338. https://doi.org/10.1590/S0004-27302011000500006
Mayo Clinic. (2016). Weight loss: 6 strategies for success - Mayo Clinic. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/weight-loss/in-depth/weight-loss/art-20047752
Melin, I., Reynisdottir, S., Berglund, L., Zamfir, M., & Karlström, B. (2006). Conservative treatment of obesity in an academic obesity unit. Long-term outcome and drop-out. Eating and Weight Disorders, 11(1), 22–30. https://doi.org/10.1007/BF03327740
Mendes, A. A., Ieker, A. S. D., de Castro, T. F., Avelar, A., & Nardo Júnior, N. (2016). Multidisciplinary programs for obesity treatment in Brazil: A systematic review. Revista de Nutricao, 29(6), 867–884. https://doi.org/10.1590/1678-98652016000600011
Milsom, V. A., Middleton, K. M. R., & Perri, M. G. (2011). Successful long-term weight loss maintenance in a rural population. Clinical interventions in aging, 6, 303–309. https://doi.org/10.2147/cia.s25389
Morgen, C. S., & Sørensen, T. I. A. (2014). Obesity: Global trends in the prevalence of overweight and obesity. Nature Reviews Endocrinology, 10(9), 513–514. https://doi.org/10.1038/nrendo.2014.124
Nardo Junior, N., Bianchini, J. A. A., da Silva, D. F., Ferraro, Z. M., Lopera, C. A., & Antonini, V. D. S. (2018). Building a response criterion for pediatric multidisciplinary obesity intervention success based on combined benefits. European Journal of Pediatrics, 177(6). https://doi.org/10.1007/s00431-018-3115-0
OECD, O. for E. C. and D. (2017). Obesity Update. OECD.
OPAS, O. P.-A. D. S. (2020). Nações Unidas pedem ações urgentes para frear o aumento da fome e da obesidade na América Latina e no Caribe. https://www.paho.org/bra/index.php?option=com_content&view=article&id=6058
Patel, M. L., Hopkins, C. M., Brooks, T. L., & Bennett, G. G. (2019). Comparing self-monitoring strategies for weight loss in a smartphone app: Randomized controlled trial. Journal of Medical Internet Research, 21(2). https://doi.org/10.2196/12209
Pjanic, I., Müller, R., Laimer, M., Hagenbuch, N., Laederach, K., & Stanga, Z. (2017). Evaluation of a multiprofessional, nonsurgical obesity treatment program: which parameters indicated life style changes and weight loss? Journal of Eating Disorders, 5(1), 14. https://doi.org/10.1186/s40337-017-0144-4
Sartorio, A., Maffiuletti, N. A., Agosti, F., & Lafortuna, C. L. (2005). Gender-related changes in body composition, muscle strength and power output after a short-term multidisciplinary weight loss intervention in morbid obesity. Journal of Endocrinological Investigation, 28(8), 494–501. https://doi.org/10.1007/bf03347236
Strecher, V. J., Seijts, G. H., Kok, G. J., Latham, G. P., Glasgow, R., Devellis, B., Meertens, R. M., & Bulger, D. W. (1995). Goal Setting as a Strategy for Health Behavior Change. Health Education & Behavior, 22(2), 190–200. https://doi.org/10.1177/109019819502200207
Tello, M. (2018). Obesity is complicated — and so is treating it. Harvard Health Publishing.
Westphal, G., Baruki, S. B. S., Mori, T. A. de, Montebello, M. I. de L., & Pazzianotto-Forti, E. M. (2020). Effects of Individualized Functional Training on the Physical Fitness of Women with Obesity. Lecturas: Educación Física y Deportes, 25(268), 61–75. https://doi.org/10.46642/efd.v25i268.2084
WHO. (2017). 10 Facts on Obesity. In World Health Organization. https://www.who.int/features/factfiles/obesity/en/
WHO, W. H. O. (2003). World Health Organization What Is Happening? the Global Strategy on Diet, Physical Activity and Health. Cvd, 2–3. https://www.who.int/dietphysicalactivity/media/en/gsfs_general.pdf
Xu, X., Leahey, T. M., Boguszewski, K., Krupel, K., Mailloux, K. A., & Wing, R. R. (2017). Self-Expansion is Associated with Better Adherence and Obesity Treatment Outcomes in Adults. Annals of Behavioral Medicine, 51(1), 13–17. https://doi.org/10.1007/s12160-016-9823-7
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Copyright (c) 2021 Igor Alisson Spagnol Pereira; Fernando Malentaqui Martins; Greice Westphal; Mario Moreira Castilho; Nelson Nardo Junior
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