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Health and Well-Being in Obesity: evaluation of an interdisciplinary intervention based on the "Health at every size" approach for obese women.

Grant number: 17/17424-9
Support Opportunities:Scholarships abroad - Research
Effective date (Start): February 26, 2018
Effective date (End): June 01, 2018
Field of knowledge:Health Sciences - Nutrition - Nutritional Analysis of Population
Principal Investigator:Fernanda Baeza Scagliusi
Grantee:Fernanda Baeza Scagliusi
Host Investigator: Amber Wutich
Host Institution: Faculdade de Saúde Pública (FSP). Universidade de São Paulo (USP). São Paulo , SP, Brazil
Research place: Arizona State University, Tempe (ASU), United States  
Associated research grant:16/00270-6 - MINA study - Maternal and child health in Acre: birth cohort in the Western Brazilian Amazon, AP.TEM

Abstract

Recently, it has been intensely discussed the failure of the prescriptive treatments (usually based on restrictive diets) for obesity. New proposals, more interdisciplinary and holistic, have emerged. Thus, the present study aims to investigate the multiple physiological, attitudinal, nutritional and behavioral effects of an interdisciplinary intervention based on the "Health at Every Size" approach among obese women through a randomized controlled clinical trial of mixed methods (qualitative and quantitative). There will be recruited adult women, with a body mass index (BMI) between 30 and 39.9 kg/m2, which will be randomly allocated into two groups, whose follow-up will be seven months. The experimental group/intervention will take part in sessions of physical activity, nutrition counseling and philosophical workshops, aligned with the principles of the "Health at Every Size". The control group will participate in bimestrial lectures about the same contents offered to the experimental group, encouraging the adoption of healthy lifestyles. In the quantitative component, the following outcomes will be compared between groups: Framingham score (primary outcome); blood pressure; blood concentrations of total cholesterol, HDL, LDL, VLDL, glucose, insulin, PCR, VHS, cortisol, leptin, adiponectin; circumferences of waist and hip; body weight; BMI; fat mass; fat-free mass; maximal aerobic capacity; physical activity; muscle function; functional mobility; disordered eating attitudes; binge eating symptoms; attitudes towards taste; food cravings; body attitudes; body dissatisfaction and quality of life. The qualitative component will analyze the experiences of the subjects along the intervention, through focal groups and semistructured interviews, which will be submitted to content analysis. The team of interdisciplinary research involved in this proposal has varied and complementary expertise, making the project feasible. The production of knowledge arising from this proposal will help to guide new interdisciplinary interventions that can in a broad sense enhance the health of obese individuals.

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Scientific publications (15)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MAYARA SANAY DA SILVA OLIVEIRA; MARK ANTHONY ARCEÑO; PRISCILA DE MORAIS SATO; FERNANDA BAEZA SCAGLIUSI. Comparação das recomendações governamentais para hábitos alimentares saudáveis expressos em representações visuais de guias alimentares baseadas em alimentos na América Latina. Cadernos de Saúde Pública, v. 35, n. 12, . (17/05651-0, 17/17424-9)
DA SILVA OLIVEIRA, MAYARA SANAY; ARCENO, MARK ANTHONY; SATO, PRISCILA DE MORAIS; SCAGLIUSI, FERNANDA BAEZA. Comparison of government recommendations for healthy eating habits in visual representations of food-based dietary guidelines in Latin America. Cadernos de Saúde Pública, v. 35, n. 12, . (17/05651-0, 17/17424-9)
SCAGLIUSI, FERNANDA BAEZA; PORRECA, FERNANDA IMAMURA; ULIAN, MARIANA DIMITROV; SATO, PRISCILA DE MORAIS; UNSAIN, RAMIRO FERNANDEZ. Representations of Syrian food by Syrian refugees in the city of Sao Paulo, Brazil: An ethnographic study. APPETITE, v. 129, p. 236-244, . (15/12235-8, 17/17424-9, 16/24847-0, 17/05651-0)
PORRECA, FERNANDA IMAMURA; FERNANDEZ UNSAIN, RAMIRO ANDRES; CARRIERO, MARIA REGINA; SATO, PRISCILA DE MORAIS; ULIAN, MARIANA DIMITROV; SCAGLIUSI, FERNANDA BAEZA. Dialogues and Tensions in the Eating Habits of Syrian Refugees Living in Sao Paulo, Brazil. ECOLOGY OF FOOD AND NUTRITION, v. 59, n. 2, p. 20-pg., . (16/24847-0, 17/17424-9, 15/12235-8, 17/05651-0)
MENEGASSIM, BRUNA; SCAGLIUSI, FERNANDA BAEZA; NARDOCCI, MILENA; MOUBARAC, JEAN-CLAUDE. Knowledge of the NOVA food classification in a sample of Brazilian adults. Rev. chil. nutr., v. 47, n. 6, p. 950-959, . (17/17424-9)
ULIAN, MARIANA DIMITROV; PINTO, ANA JESSICA; SATO, PRISCILA DE MORAIS; BENATTI, FABIANA B.; DE CAMPOS-FERRAZ, PATRICIA LOPES; COELHO, DESIRE; ROBLE, ODILON J.; SABATINI, FERNANDA; PEREZ, ISABEL; ABURAD, LUIZ; et al. Effects of a new intervention based on the Health at Every Size approach for the management of obesity: The "Health and Wellness in Obesity" study. PLoS One, v. 13, n. 7, p. 19-pg., . (17/17424-9, 15/03878-2, 15/26937-4, 15/12235-8, 17/05651-0)
RICARDO ANTUNES DANTAS DE OLIVEIRA; MAYARA SANAY DA SILVA OLIVEIRA; CRISTINA MARIA RABELAIS DUARTE; MARK ANTHONY ARCEÑO; ANA LUIZA BRAZ PAVÃO; PRISCILA DE MORAIS SATO; FRANCISCO VIACAVA; FERNANDA BAEZA SCAGLIUSI. Barreiras de acesso aos serviços em cinco Regiões de Saúde do Brasil: percepção de gestores e profissionais do Sistema Único de Saúde. Cadernos de Saúde Pública, v. 35, n. 12, . (17/05651-0, 17/17424-9)
ULIAN, MARIANA DIMITROV; PINTO, ANA JESSICA; SATO, PRISCILA DE MORAIS; BENATTI, FABIANA B.; DE CAMPOS-FERRAZ, PATRICIA LOPES; COELHO, DESIRE; ROBLE, ODILON J.; SABATINI, FERNANDA; PEREZ, ISABEL; ABURAD, LUIZ; et al. Effects of a new intervention based on the Health at Every Size approach for the management of obesity: The ``Health and Wellness in Obesity{''} study. PLoS One, v. 13, n. 7, . (15/03878-2, 17/17424-9, 15/26937-4, 17/05651-0, 15/12235-8)
PORRECA, FERNANDA IMAMURA; FERNANDEZ UNSAIN, RAMIRO ANDRES; CARRIERO, MARIA REGINA; SATO, PRISCILA DE MORAIS; ULIAN, MARIANA DIMITROV; SCAGLIUSI, FERNANDA BAEZA. Dialogues and Tensions in the Eating Habits of Syrian Refugees Living in Sao Paulo, Brazil. Ecology of Food and Nutrition, . (17/17424-9, 17/05651-0, 16/24847-0, 15/12235-8)
SCAGLIUSI, FERNANDA BAEZA; ULIAN, MARIANA DIMITROV; GUALANO, BRUNO; ROBLE, ODILON JOSE; UNSAIN, RAMIRO FERNANDEZ; CARRIERS, MARIA REGINA; SATO, PRISCILA DE MORAIS; STURTZSREETHARAN, CINDI; BREWIS, ALEXANDRA; WUTICH, AMBER. ``Before I Saw a Gas Canister, Now I See a Person{''}: Post Obesity-Intervention Body Acceptance and Responses to Weight Stigma among Urban Brazilian Gorda Women. HUMAN ORGANIZATION, v. 79, n. 3, p. 176-191, . (19/00031-0, 17/17424-9, 15/03878-2)
SABATINI, FERNANDA; ULIAN, MARIANA D.; PEREZ, ISABEL; PINTO, ANA JESSICA; VESSONI, ANDRE; ABURAD, LUIZ; BENATTI, FABIANA B.; DE CAMPOS-FERRAZ, PATRICIA LOPES; COELHO, DESIRE; SATO, PRISCILA DE MORAIS; et al. Eating Pleasure in a Sample of Obese Brazilian Women: A Qualitative Report of an Interdisciplinary Intervention Based on the Health at Every Size Approach. JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, v. 119, n. 9, p. 1470-1482, . (17/05651-0, 15/26937-4, 17/17424-9, 15/03878-2, 15/12235-8)
DIMITROV ULIAN, MARIANA; PINTO, ANA JESSICA; MORAIS SATO, PRISCILA DE; BENATTI, FABIANA B.; LOPES DE CAMPOS-FERRAZ, PATRICIA; COELHO, DESIRE; ROBLE, ODILON J.; SABATINI, FERNANDA; PEREZ, ISABEL; ABURAD, LUIZ; et al. Health at Every Size (R)-Based Interventions May Improve Cardiometabolic Risk and Quality of Life Even in the Absence of Weight Loss: An Ancillary, Exploratory Analysis of the Health and Wellness in Obesity Study. FRONTIERS IN NUTRITION, v. 9, p. 7-pg., . (15/12235-8, 15/03878-2, 17/17424-9, 17/05651-0, 15/26937-4)
ULIAN, MARIANA DIMITROV; UNSAIN, RAMIRO FERNANDEZ; FRANCO, RUTH ROCHA; SANTO, MARCO AURELIO; BREWIS, ALEXANDRA; TRAINER, SARAH; STURTZSREETHARAN, CINDI; WUTICH, AMBER; GUALANO, BRUNO; SCAGLIUSI, FERNANDA BAEZA. Weight stigma after bariatric surgery: A qualitative study with Brazilian women. PLoS One, v. 18, n. 7, p. 17-pg., . (17/17424-9, 19/00031-0)
DA SILVA OLIVEIRA, MAYARA SANAY; ARCENO, MARK ANTHONY; SATO, PRISCILA DE MORAIS; SCAGLIUSI, FERNANDA BAEZA. Comparison of government recommendations for healthy eating habits in visual representations of food-based dietary guidelines in Latin America. Cadernos de Saúde Pública, v. 35, n. 12, p. 22-pg., . (17/17424-9, 17/05651-0)
SCAGLIUSI, FERNANDA BAEZA; ULIAN, MARIANA DIMITROV; GUALANO, BRUNO; ROBLE, ODILON JOSE; UNSAIN, RAMIRO FERNANDEZ; CARRIERS, MARIA REGINA; SATO, PRISCILA DE MORAIS; STURTZSREETHARAN, CINDI; BREWIS, ALEXANDRA; WUTICH, AMBER. "Before I Saw a Gas Canister, Now I See a Person": Post Obesity-Intervention Body Acceptance and Responses to Weight Stigma among Urban Brazilian Gorda Women. HUMAN ORGANIZATION, v. 79, n. 3, p. 16-pg., . (17/17424-9, 15/03878-2, 19/00031-0)

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