Multiprofessional programs for treating obesity with defined weight loss targets: a systematic literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i1.11779

Keywords:

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.

Author Biographies

Igor Alisson Spagnol Pereira, Universidade Estadual de Maringá

Aluno regular de Mestrado pelo Programa de Pós-Graduação Associado em Educação Física UEM/UEL. Graduado em Educação Física (Licenciatura) pela Universidade Estadual de Maringá (UEM). Bolsista de Iniciação Científica pela Universidade Estadual de Maringá - UEM (2017 - 2018). Bolsista de Iniciação Cientifica pelo Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq (2018 - 2019). Integrante do Núcleo de Estudos Multiprofissional da Obesidade (NEMO-UEM-HUM) vinculado ao Departamento de Educação Física UEM

Fernando Malentaqui Martins, Universidade Estadual de Maringá

Aluno regular de Mestrado pelo Programa de Pós-Graduação Associado em Educação Física UEM/UEL Graduado em Educação Física pela Universidade Paranaense (2007). Especialização em Educação Especial. Atualmente participa do Núcleo de Estudos Multiprofissional da Obesidade (NEMO) na Universidade Estadual de Maringá (UEM) como membro do grupo de pesquisa no projeto 443353/2016-6 Ensaio de Eficácia de um Programa de Orientação para Mudança de Hábitos alimentares e de Atividade Física em Adultos com Sobrepeso e Obesidade Abdominal de Três Países da América do Sul: Estudo BRAASUL, vinculado a Universidade Estadual de Maringá, pelo Núcleo de Estudos Multiprofissional da Obesidade-NEMO/HUM/UEM Coordenado pelo Prof° Dr.° Nelson Nardo Júnior

Mario Moreira Castilho, Universidade Estadual de Maringá

Possui graduação em Educação Física pela Universidade Estadual de Maringá- PR - (1992), Mestrado em Promoção da Saúde - Envelhecimento Ativo com o tema: Influência do Envelhecimento Sobre o Condicionamento Físico de Bombeiros Militares de Maringá - PR.- (2013). Orientador Professor Dr. Joaquim Martins Júnior. Doutorando pelo Programa de Pós-Graduação em Educação Física da UEM com o tema: Efeitos de um Programa Multiprofissional de Tratamento da Obesidade de Longa Duração Sobre Parâmetros Bioquímicos e de Aptidão Física em Adultos com Obesidade Severa. Orientador Professor Dr. Nelson Nardo Júnior. Participante do NEMO (Núcleo de Estudos Multiprofissional da Obesidade). Atualmente é Sargento - Polícia Militar do Estado do Paraná. Tem experiência na área de Educação Física, atuando principalmente nos projetos de: Obesidade, Maratona de Revezamento, Bombeiros por 24 horas, Prova Rústica Tiradentes, Dia Desafio e DUATLHON

Nelson Nardo Junior, Universidade Estadual de Maringá

Possui graduação em Educação Física pela Universidade Estadual Paulista Júlio de Mesquita Filho - FCT - Pres. Prudente-SP (1994), mestrado em Ciências da Motricidade pela Universidade Estadual Paulista Júlio de Mesquita Filho - IB - Rio Claro-SP (1998) e doutorado em Nutrição Humana Aplicada pela Universidade de São Paulo (2005). Realizou, no período de 2011-2012, estágio de pós-doutorado na University of Ottawa-Canada na Behavioral and Metabolic Research Unit e no ano de 2015 no Research Institute do Children's Hospital of Eastern Ontario. Professor associado da Universidade Estadual de Maringá, Coordenador do Programa Associado de Pós-Graduação em Educação Física UEM/UEL no período 2012-2014, Coordenador do Núcleo de Estudos Multiprofissional da Obesidade (NEMO) e integrante da Canadian Obesity Network (CON). Tem experiência na área de Educação Física, com ênfase na área da Atividade Física relacionada à Saúde, atuando principalmente nos seguintes temas: Promoção da Saúde, prevenção e tratamento de doenças cronicas não transmissíveis, tratamento multiprofissional da obesidade e doenças associadas, atividade física, aptidão física, composição corporal e controle metabólico.

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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10/01/2021

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PEREIRA, I. A. S. .; MARTINS, F. M. .; WESTPHAL, G.; CASTILHO, M. M. .; NARDO JUNIOR, N. Multiprofessional programs for treating obesity with defined weight loss targets: a systematic literature review. Research, Society and Development, [S. l.], v. 10, n. 1, p. e24710111779, 2021. DOI: 10.33448/rsd-v10i1.11779. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11779. Acesso em: 22 nov. 2024.

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Vol. 10 No. 1

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Review Article

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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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