Efeitos de uma intervenção on-line de mindful eating em mulheres com obesidade
Data
2023-06-26
Autores
Oliveira, Milena Santos de 
Orientadores
Caranti, Danielle Arisa
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: A obesidade se configura como uma doença e importante fator de risco para doenças cardiovasculares e atualmente é considerada uma epidemia global. Uma doença multifatorial, crônica, complexa, na qual fatores ambientais e comportamentais se destacam como a principal etiologia. Nessa perspectiva, as intervenções interdisciplinares têm demonstrado resultados positivos em relação à mudança do estilo de vida. Propostas inovadoras, baseadas em mindfulness e mindful eating têm mostrado resultados significativos com essa população. Objetivo: avaliar o efeito de uma intervenção on-line de mindful eating sobre o comportamento alimentar de mulheres com obesidade. Método: Trata-se de um estudo quase experimental, com métodos mistos, de abordagem quantitativa e qualitativa. A amostra foi composta por 10 participantes, com idades entre 18 e 60 anos, com valor de IMC entre 30 e 39,9 kg/m². Como método de avaliação foram utilizados os instrumentos de coleta: Questionário Holandês do Comportamento Alimentar e Escala de Compulsão Alimentar Periódica para avaliar o comportamento alimentar, Escala de Atenção e Consciência Plena para mensurar a habilidade de atenção plena, Escala de Depressão, Ansiedade e Estresse para identificar sintomas de depressão, ansiedade e estresse, e aplicação de questionário de feedbacks. Resultados: Verificou-se a diminuição significativa do escore de alimentação emocional (p=0,020) e da alimentação externa (p=0,010). O escore da alimentação restrita e compulsão alimentar não demonstraram diferença estatisticamente significativa. O principal achado foi a diferença nos sintomas de depressão (p=0,036), mas os dados de ansiedade e estresse não apresentaram diferença significativa. O escore de habilidade de atenção plena apresentou diferença significativa (p=0,038). Não houve alterações voltadas para perda de massa corporal. Na análise qualitativa observa-se que os participantes adotaram uma postura mais compassiva, assim como uma maior autoconsciência, autopercepção, que podem influenciar mudanças positivas de comportamentos. Conclusão: Verificou-se que houve melhora da alimentação emocional e externa, diminuição de sintomas de depressão e aumento das habilidades de atenção plena.
Introduction: Obesity is a disease and an important risk factor for cardiovascular diseases and is currently considered a global epidemic. It is a multifactorial chronic and complex disease, in which environmental and behavioral factors stand out as the main etiology. From this perspective, interdisciplinary interventions have shown positive results in relation to lifestyle changes. Innovative proposals based on mindfulness and mindful eating have shown significant results with this population. Objective: To evaluate the effect of an online intervention based on mindfulness and mindful eating on the eating behavior of women with obesity. Method: This is a quasiexperimental pilot, with mixed methods, with a quantitative and qualitative approach. The sample consisted of 10 participants, aged between 18 and 60 years old, with a BMI value between 30 and 39.9 kg/m². As follows evaluation method, the following collection instruments were used: Dutch Eating Behavior Questionnaire and BingeEating Scal to assess eating behavior, Mindful Attention Awareness Scale to measure the ability of mindfulness, Depression, Anxiety and Stress Scale to identify symptoms of depression, anxiety and stress, and application of a feedback questionnaire. Results: Significant decrease in emotional eating scores (p=0.020) and external eating (p=0.010). Restricted eating and binge eating scores did not show a statistically significant difference. There was a significant difference in depression symptoms (p=0.036), but anxiety and stress data showed no significant difference. The mindfulness skill score showed a significant difference (p=0.038). There were no changes at weight loss/BMI. In the qualitative analysis, it was observed that the participants adopted a more compassionate attitude, as well as a greater selfawareness, self-perception, which can influence positive changes in behavior. Conclusion: It was found that there was an improvement in emotional and external eating, a decrease in depression symptoms and an increase in mindfulness skills.
Introduction: Obesity is a disease and an important risk factor for cardiovascular diseases and is currently considered a global epidemic. It is a multifactorial chronic and complex disease, in which environmental and behavioral factors stand out as the main etiology. From this perspective, interdisciplinary interventions have shown positive results in relation to lifestyle changes. Innovative proposals based on mindfulness and mindful eating have shown significant results with this population. Objective: To evaluate the effect of an online intervention based on mindfulness and mindful eating on the eating behavior of women with obesity. Method: This is a quasiexperimental pilot, with mixed methods, with a quantitative and qualitative approach. The sample consisted of 10 participants, aged between 18 and 60 years old, with a BMI value between 30 and 39.9 kg/m². As follows evaluation method, the following collection instruments were used: Dutch Eating Behavior Questionnaire and BingeEating Scal to assess eating behavior, Mindful Attention Awareness Scale to measure the ability of mindfulness, Depression, Anxiety and Stress Scale to identify symptoms of depression, anxiety and stress, and application of a feedback questionnaire. Results: Significant decrease in emotional eating scores (p=0.020) and external eating (p=0.010). Restricted eating and binge eating scores did not show a statistically significant difference. There was a significant difference in depression symptoms (p=0.036), but anxiety and stress data showed no significant difference. The mindfulness skill score showed a significant difference (p=0.038). There were no changes at weight loss/BMI. In the qualitative analysis, it was observed that the participants adopted a more compassionate attitude, as well as a greater selfawareness, self-perception, which can influence positive changes in behavior. Conclusion: It was found that there was an improvement in emotional and external eating, a decrease in depression symptoms and an increase in mindfulness skills.
Descrição
Citação
OLIVEIRA, Milena Santos de. Efeitos de uma intervenção on-line de mindful eating em mulheres com obesidade. 2023. 106 f. Dissertação (Mestrado Interdisciplinar em Ciências da Saúde) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2023.