Motivations of overweight adolescents participating in a multidisciplinary health promotion program

Authors

DOI:

https://doi.org/10.36311/jhgd.v33.13516

Keywords:

Adolescent Behavior, Health Behavior, Patient Care Team, Qualitative Research

Abstract

Introduction: The perception of individuals about their own health is a strong indicator of their real state, as well as their behaviors related to the prognosis in case of presence of pathologies, besides being proportional to their motivations to acquire healthy habits.

Objective: To describe the motivations of overweight adolescents when participating in a multidisciplinary health promotion program and their perceptions about habits related to physical and emotional well-being.

Methods: This is a qualitative study, using the Bardin content analysis technique. The tool used for data collection was the semi-structured interview, analyzed with the help of the software QSR NVivo 11 through grouping of the speech into clusters. These in turn were evaluated in three categories: (1) motivation; (2) food; and (3) physical exercise.

Results: The average age of the participants was 13.8 ± 2.4, with an average body mass index of 31.8 ± 8.5 kg/m². Regarding family income, 41.66% had monthly income of 3 to 6 minimum wages. Regarding the educational level of parents, 70.83% of mothers had completed higher education, while 29.16% had completed high school. According to the respondents’ answers, the greatest motivation to participate in a multidisciplinary obesity treatment program was weight loss. In category 2, it was observed that adolescents associated the act of eating with feelings such as anxiety and nervousness. In category 3, the impact of the pandemic was found under the modalities of physical exercise practiced.

Conclusion: The results prove the importance of understanding the perception of adolescents about their own health and related habits, in order to elaborate effective strategies for health promotion and consequent improvement of the quality of life of these individuals.

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Author Biographies

Isabella Santos, Unicesumar

Postgraduate Program in Health Promotion - UniCesumar, Maringa, PR, Brazil

Interdisciplinary Laboratory for Intervention in Health Promotion (LIIPS/UniCesumar), Maringa, Brazil

Déborah Marques, UniCesumar

Postgraduate Program in Health Promotion - UniCesumar, Maringa, PR, Brazil

Interdisciplinary Laboratory for Intervention in Health Promotion (LIIPS/UniCesumar), Maringa, Brazil

Joed Ryal, UniCesumar

Postgraduate Program in Health Promotion - UniCesumar, Maringa, PR, Brazil

Interdisciplinary Laboratory for Intervention in Health Promotion (LIIPS/UniCesumar), Maringa, Brazil

Gabriela Ross, UniCesumar

Psycology Student - UniCesumar, Maringa, PR, Brazil

Clara Camilo, UniCesumar

Nutrition Student - UniCesumar, Maringa, PR, Brazil

Interdisciplinary Laboratory for Intervention in Health Promotion (LIIPS/UniCesumar), Maringa, Brazil

Lucas Garcia, UniCesumar

Permanent Professor of the Postgraduate Program in Health Promotion - UniCesumar, Maringa, PR, Brazil

Researcher at the Cesumar Institute of Science, Technology and Innovation (ICETI) - UniCesumar, Maringa, PR, Brazil

Braulio Branco, UniCesumar

Interdisciplinary Laboratory for Intervention in Health Promotion (LIIPS/UniCesumar), Maringa, Brazil

Permanent Professor of the Postgraduate Program in Health Promotion - UniCesumar, Maringa, PR, Brazil

Researcher at the Cesumar Institute of Science, Technology and Innovation (ICETI) - UniCesumar, Maringa, PR, Brazil

References

World Health Organization. Obesity and overweight. 2014.

Noncommunicable diseases: Childhood overweight and obesity, 2018.

Christie D, Viner R. Adolescent development. BMJ. 2005 Feb 5;330(7486):301–4.

Roberto Nunes Guedes P, Eduardo Luiz Rios Neto Diretora-Executiva Marise Maria Ferreira PG, Renato Pereira Cotovio C, Danielle Lins Mendes Macedo C, da Saúde Marcelo Antônio Cartaxo Queiroga Lopes Secretário-Executivo Rodrigo Moreira da Cruz M, Pereira Vasconcelos de Oliveira P. INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA-IBGE UNIDADES RESPONSÁVEIS.

Swinburn B, Kraak V, Rutter H, Vandevijvere S, Lobstein T, Sacks G, et al. Strengthening of accountability systems to create healthy food environments and reduce global obesity. The Lancet. 2015 Jun;385(9986):2534–45.

do Amaral e Melo GR, Silva PO, Nakabayashi J, Bandeira MV, Toral N, Monteiro R. Family meal frequency and its association with food consumption and nutritional status in adolescents: A systematic review. PLOS ONE. 2020 Sep 18;15(9):e0239274.

Kumar S, Kelly AS. Review of Childhood Obesity. Mayo Clin Proc. 2017 Feb;92(2):251–65.

Macedo TTS de, Portela PP, Palamira CS, Mussi FC. Obese people’s perception of their own bodies. Escola Anna Nery - Revista de Enfermagem. 2015;19(3).

Loades ME, Chatburn E, Higson-Sweeney N, Reynolds S, Shafran R, Brigden A, et al. Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. J Am Acad Child Adolesc Psychiatry. 2020 Nov;59(11):1218-1239.e3.

Duan L, Shao X, Wang Y, Huang Y, Miao J, Yang X, et al. An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. J Affect Disord. 2020 Oct;275:112–8.

Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res. 2020 Nov;293:113429.

Guessoum SB, Lachal J, Radjack R, Carretier E, Minassian S, Benoit L, et al. Adolescent psychiatric disorders during the COVID-19 pandemic and lockdown. Psychiatry Res. 2020 Sep;291:113264.

Sciberras E, Patel P, Stokes MA, Coghill D, Middeldorp CM, Bellgrove MA, et al. Physical Health, Media Use, and Mental Health in Children and Adolescents With ADHD During the COVID-19 Pandemic in Australia. J Atten Disord. 2022 Feb 17;26(4):549–62.

Nardo Junior N, Bianchini JAA, da Silva DF, Ferraro ZM, Lopera CA, Antonini VDS. Building a response criterion for pediatric multidisciplinary obesity intervention success based on combined benefits. Eur J Pediatr. 2018 Jun 19;177(6):1–12.

Branco BHM, Mariano IR, de Oliveira LP, Bertolini SMMG, de Oliveira FM, Araújo CGA, et al. Sports and Functional Training Improve a Subset of Obesity-Related Health Parameters in Adolescents: A Randomized Controlled Trial. Front Psychol [Internet]. 2021 Jan 21;11. Available from: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.589554/full

Branco BHM, Valladares D, de Oliveira FM, Carvalho IZ, Marques DC, Coelho AA, et al. Effects of the Order of Physical Exercises on Body Composition, Physical Fitness, and Cardiometabolic Risk in Adolescents Participating in an Interdisciplinary Program Focusing on the Treatment of Obesity. Front Physiology. 2019 Aug 6;10.

Silva TMG da, Garcia LF, Oliveira DV de, Anversa ALB, Santos NQ dos, Branco BHM. Expectativas e mudanças de comportamento de pais e adolescentes com síndrome metabólica participantes de um projeto interdisciplinar para promoção da saúde. Revista Cesumar – Ciências Humanas e Sociais Aplicadas. 2020 Dec 29;25(2):247–61.

Bardin L. Análise de conteúdo. 2011. 229 p.

Cole TJ, Lobstein T. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes. 2012 Aug;7(4):284–94.

Biblioteca Virtual em Saúde do Ministério da Saúde [Internet]. Available from: www.saude.gov.br/bvs

Pichon-Rivière E. O processo grupal. 7a. São Paulo: WMF Martins Fontes; 2005. 286 p.

Ministério da Saúde Secretaria de Vigilância em Saúde Secretaria de Atenção à Saúde B. Política Nacional de Promoção da Saúde [Internet]. 2006. Available from: http://www.saude.gov.br/dab/

Bleger J. TEMAS DE PSICOLOGIA: entrevistas e grupos. São Paulo: Martins Fontes; 2003.

Pedroni JL, Rech RR, Halpern R, Marin S, Roth L dos R, Sirtoli M, et al. Prevalência de obesidade abdominal e excesso de gordura em escolares de uma cidade serrana no sul do Brasil. Ciênc Saúde Colet. 2013 May;18(5):1417–25.

Leal VS, Lira PIC de, Oliveira JS, Menezes RCE de, Sequeira LA de S, Arruda Neto MA de, et al. Excesso de peso em crianças e adolescentes no Estado de Pernambuco, Brasil: prevalência e determinantes. Cad Saúde Pública. 2012 Jun;28(6):1175–82.

Guedes DP, Miranda Neto JT, Almeida MJ, Silva AJRM. Impacto de fatores sociodemográficos e comportamentais na prevalência de sobrepeso e obesidade de escolares DOI: 10.5007/1980-0037.2010v12n4p221. Rev Bras Cineantropom Desempenho Hum. 2011 Jan 1;12(4).

Baskaradoss JK. Relationship between oral health literacy and oral health status. BMC Oral Health. 2018 Dec 24;18(1):172.

Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low Health Literacy and Health Outcomes: An Updated Systematic Review. Ann Intern Med. 2011 Jul 19;155(2):97.

del Ciampo LA, del Ciampo IRL. Adolescência e imagem corporal. Adolescência & Saúde. 2010;7(4):55–9.

Diez-Garcia RW, Cervato-Mancuso AM. Mudanças alimentares e educação nutricional. In: Mudanças alimentares e educação nutricional. 2013. p. 411.

Pearson N, Ball K, Crawford D. Predictors of changes in adolescents’ consumption of fruits, vegetables and energy-dense snacks. Br J Nutr. 2011 Mar 14;105(5):795–803.

Boutelle KN, Fulkerson JA, Neumark-Sztainer D, Story M, French SA. Fast food for family meals: relationships with parent and adolescent food intake, home food availability and weight status. Public Health Nutr. 2007 Jan 1;10(1):16–23.

Branco BHM, Mariano IR, de Oliveira LP, Bertolini SMMG, de Oliveira FM, Araújo CGA, et al. Sports and Functional Training Improve a Subset of Obesity-Related Health Parameters in Adolescents: A Randomized Controlled Trial. Front Psychol. 2021 Jan 21;11.

Silva DC de A, Frazão I da S, Osório MM, Vasconcelos MGL de. Percepção de adolescentes sobre a prática de alimentação saudável. Ciência & Saúde Coletiva. 2015 Nov;20(11):3299–308.

Almeida D. Trabalho de conclusão do curso de especialização em informação científica e tecnológica em saúde literacia em saúde: estudo das práticas de consumo de informação e desinformação no contexto da pandemia da COVID-19.

Nogueira CJ, Cortez ACL, Oliveira Leal SM de, Dantas EHM. Recomendações para a prática de exercício físico em face do COVID-19: uma revisão integrativa. Rev Bras Fisiol Exerc. 2021 Mar 19;20(1):101–24. 37.

Magnani Branco BH, Carvalho IZ, Garcia de Oliveira H, Fanhani AP, Machado dos Santos MC, Pestillo de Oliveira L, et al. Effects of 2 Types of Resistance Training Models on Obese Adolescents’ Body Composition, Cardiometabolic Risk, and Physical Fitness. J Strength Cond Res. 2020 Sep;34(9):2672–82.

Brasil. Ministério da Saúde. Caderno do gestor do PSE / Ministério da Saúde, Ministério da Educação. – Brasília : Ministério da Saúde, 2015.

Silva A de A, Gubert F do A, Barbosa Filho VC, Freitas RWJF de, Vieira-Meyer APGF, Pinheiro MTM, et al. Health promotion actions in the School Health Program in Ceará: nursing contributions. Rev Bras Enferm. 2021;74(1).

Baggio MA, Berres R, Gregolin BPS, Aikes S. Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses. Rev Bras Enferm. 2018;71(suppl 4):1540–7.

Ricci ÉC, Dimov T, da Silva Cassais T, Dellbrügger AP. University experiences of occupational therapy in Brazil during the Covid-19 pandemic: Contributions and support in mental health for the population. World Federation of Occupational Therapists Bulletin. 2020 Jul 2;76(2):75–7.

Steigleder LI, Zucchetti DT, Martins RL. Trajetória para curricularização da extensão universitária: contribuições do fórum nacional de extensão das universidades comunitárias - forext e a definição de diretrizes nacionais. Revista brasileira de extensão universitária. 2019 Dec 10;10(3):167–74.

Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults. Circulation. 2014 Jun 24;129(25_suppl_2).

Published

2023-03-23

Issue

Section

ORIGINAL ARTICLES