Projecto top - aspectos psicossociais da obesidade pediátrica: implicações para a intervenção
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2013
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A obesidade pediátrica é actualmente uma das maiores patologias que afecta a qualidade de vida de crianças e adolescentes a nível mundial. Existem factores económicos, sociais e psicológicos que podem estar na origem desta epidemia. É neste sentido que o presente estágio, com a duração de 10 meses, se realiza no âmbito de um programa de Tratamento de Obesidade Pediátrica (TOP) com adolescentes. Este programa desenvolve-se em contexto clínico e universitário com uma equipa multidisciplinar de especialistas em pediatria, nutrição, exercício e mudança comportamental; e tem como objectivo promover estilos de vida saudáveis, particularmente a adesão à prática de exercício e atividade física, contribuindo para diminuir a incidência da obesidade em adolescentes. O estágio realizou-se no contexto das consultas de prescrição de exercício e atividade física integradas na consulta de obesidade no Hospital Santa Maria, e ainda, nas sessões teórico-práticas através da dinamização e supervisão das aulas prática de exercício físico nas instalações do Centro de Exercício e Saúde da Universidade Lusófona.
Este trabalho pretende analisar em particular o impacto do programa TOP em algumas variáveis psicossociais relacionadas com o exercício, baseadas na Teoria da Autodeterminação – necessidades psicológicas básicas e, motivação e autoregulação comportamental. Espera-se que as estratégias de intervenção utilizadas no programa possam influenciar positivamente estas variáveis que sabemos estarem associadas a uma maior adesão e manutenção de estilos de vida saudáveis e, influenciando consequente a perda de peso ou diminuição do IMC.
Neste trabalho foi também efectuada uma revisão sistemática de literatura, da qual se fez uma pesquisa de artigos sobre o tema em questão e se concluiu que intervenções com abordagem multidisciplinar podem influenciar positivamente parâmetros psicossociais e de adesão ao exercício físico.
Na intervenção do programa TOP conseguiram-se alguns resultados concordantes com a RSL, nomeadamente na significância das variáveis competência e regulação externa.
The pediatric obesity is currently one of the major diseases that affect the quality of life of children and adolescents worldwide. There are economic, social and psychological that may be at the root of this epidemic. In this sense the present internship, lasting 10 months, takes place in the context of a program of Pediatric Obesity Treatment - TOP - with adolescents. This program was developed in clinical and university with a multidisciplinary team of specialists in pediatrics, nutrition, exercise and behavioral change, and aims to promote healthy lifestyles, particularly adherence to the practice of exercise and physical activity, contributing to lower the incidence of obesity in adolescents . The stage was held in the context of the consultation exercise prescription and physical activity integrated into the consultation of obesity in the Hospital Santa Maria , and yet, in theoretical and practical sessions by streamlining and supervision of physical exercise classes in the facilities of the Universidade Lusófona This study aims to examine in particular the impact of the TOP program in some psychosocial variables related to exercise, based on Self-Determination Theory - basic psychological needs and motivation and behavioral self-regulation . It is expected that the intervention strategies used in the program can positively influence these variables that are known to be associated with greater adherence and maintenance of healthy lifestyles and influencing subsequent weight loss or decrease in BMI. This work was also carried out a systematic review of literature, which made a research on the topic in question and concluded that multidisciplinary interventions can positively influence psychosocial parameters and adherence to exercise. Intervention in the TOP program were achieved few results in agreement with the systematic review, including the significance of the variables competence and external regulation.
The pediatric obesity is currently one of the major diseases that affect the quality of life of children and adolescents worldwide. There are economic, social and psychological that may be at the root of this epidemic. In this sense the present internship, lasting 10 months, takes place in the context of a program of Pediatric Obesity Treatment - TOP - with adolescents. This program was developed in clinical and university with a multidisciplinary team of specialists in pediatrics, nutrition, exercise and behavioral change, and aims to promote healthy lifestyles, particularly adherence to the practice of exercise and physical activity, contributing to lower the incidence of obesity in adolescents . The stage was held in the context of the consultation exercise prescription and physical activity integrated into the consultation of obesity in the Hospital Santa Maria , and yet, in theoretical and practical sessions by streamlining and supervision of physical exercise classes in the facilities of the Universidade Lusófona This study aims to examine in particular the impact of the TOP program in some psychosocial variables related to exercise, based on Self-Determination Theory - basic psychological needs and motivation and behavioral self-regulation . It is expected that the intervention strategies used in the program can positively influence these variables that are known to be associated with greater adherence and maintenance of healthy lifestyles and influencing subsequent weight loss or decrease in BMI. This work was also carried out a systematic review of literature, which made a research on the topic in question and concluded that multidisciplinary interventions can positively influence psychosocial parameters and adherence to exercise. Intervention in the TOP program were achieved few results in agreement with the systematic review, including the significance of the variables competence and external regulation.
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Orientação: Susana Veloso
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MESTRADO EM EXERCÍCIO E BEM-ESTAR, DESPORTO, EDUCAÇÃO FÍSICA, EXERCÍCIO FÍSICO, OBESIDADE INFANTIL, PROGRAMAS DE INTERVENÇÃO, SPORT, PHYSICAL EDUCATION, CHILD OBESITY, INTERVENTION PROGRAMS, PHYSICAL EXERCISE