Previous results of semipresential multiprofessional intervention, with an approach to a behavioral treatment in obesity

Abstract

IM: Obesity is recognized as an important multifactorial disease and the Cognitive Behavioural Therapy (CBT), based on reflection on conflicts with food, has been used in a way associated with interdisciplinary clinical therapies, aiming to promote greater understanding, self-efficacy and autonomy of treated individuals. In this context, the objective of this investigation was to analyse the impact of behavioural nutritional intervention using the MTT (Transtheoretical Model); associated with non-intensive interdisciplinary clinical therapy, including digital health education. METHODS: The research was approved by the Research Ethics Committee of University Federal of São Paulo (n º 0242/2017). The 60 selected volunteers (BMI ~34.7Kg/m2) were conducted to an interdisciplinary lifestyle therapy, with duration of 12 weeks. This therapy included clinical, nutritional and exercise physiology approachassociated to digital health education. At the beginning (week 0) and after the 12 weeks an anthropometric evaluation was performed and a biochemical profile analysis as well as evaluation of the stage of behavior change according to Prochaska and Diclemente. Statistical analysis was performed adopting as significant values p ≤ 5%. RESULTS: there was an increased degree of motivation and a reduction in the frequency of volunteers in the Relapse and Pre-Contemplation stages, as well as an increase in the number of women classified in the Action stage.The decision-categorized group had a statistically significant reduction on body weight (p = 0.00), BMI (p = 0.00), Neck Circumference (p = 0.00), Waist Circumference (p = 0.02), Abdominal Circumference (p = 0.03), Hip Circumference (p = 0.02) Body Fat Percentage (p = 0.00), Total Cholesterol (p = 0.02) and Non-HDL Cholesterol (p = 0.04). In the Action and Maintenance group, there was a significant reduction in body weight (p = 0.00), BMI (p = 0.01), Neck Circumference (p=0.00), Waist Circumference (p= 0.00), Abdominal Circumference (p = 0.00) and Hip Circumference (p = 0.00). CONCLUSION: the semi-presential clinical approach was effective to promote improvements in the body composition, including body fat and lipid profile, as a dependent manner considering the identification of the stage of behavior change.