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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/65529
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dc.creatorPatrícia Pinheirode Freitaspt_BR
dc.creatorMariana Carvalho de Menezespt_BR
dc.creatorLuana Caroline Dos Santospt_BR
dc.creatorAdriano Marçal Pimentapt_BR
dc.creatorAdaliene Versiani Matos Ferreirapt_BR
dc.creatorAline Cristine Souza Lopespt_BR
dc.date.accessioned2024-03-08T17:58:57Z-
dc.date.available2024-03-08T17:58:57Z-
dc.date.issued2020-05-11-
dc.citation.volume20pt_BR
dc.citation.issue1pt_BR
dc.citation.spagee652pt_BR
dc.citation.epage12pt_BR
dc.identifier.doihttps://doi.org/10.1186/s12889-020-08796-1pt_BR
dc.identifier.issn1471-2458pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/65529-
dc.description.resumoBackground Given the current worldwide epidemic of obesity, there is a demand for interventions with higher impact, such as those carried out in the primary health care (PHC) setting. Here we evaluate the effect of intervention performed according to the stages of change of the transtheoretical model (TTM) for weight management. Methods This randomized controlled trial in Brazilian PHC offered free physical exercise and nutrition education. The participants were women, aged 20 years or older who were obese or overweight, users in PHC service. The intervention group (IG, n = 51) received the same orientation as the comparison group (CG, n = 35) plus individual health counseling based on the TTM aimed at weight loss, which lasted 6 months. The outcome measures were anthropometric, food, and nutrient profiles. Inflammatory parameters were evaluated in a random subsample. The inter-group and intra-group differences were evaluated using interntion-to-treat analysis, and analysis of covariance (ANCOVA) used to assess intervention effectiveness. Results There was a difference between groups of − 1.4 kg (CI95%: − 2.5; − 0.3) in body weight after the intervention. About 97% of women in the IG reported benefits of the intervention and presented positive changes in diet, biochemical markers, and anthropometry. The IG showed better body mass index, resistine, and blood glucose results compared to the CG during follow-up. Conclusion The individualized TTM-based intervention, combined with usual care, was an effective strategy in PHC. These results should encourage the use of interdisciplinary practices; nevertheless, research to identify additional strategies is needed to address barriers to weight maintenance among obese low-income women.pt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorpt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM APLICADApt_BR
dc.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM BÁSICApt_BR
dc.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICApt_BR
dc.publisher.departmentENF - DEPARTAMENTO DE NUTRIÇÃOpt_BR
dc.publisher.departmentENFERMAGEM - ESCOLA DE ENFERMAGEMpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofBMC Public Healthpt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectObesitypt_BR
dc.subjectIntervention studiespt_BR
dc.subjectFeeding behaviorpt_BR
dc.subjectTheoretical modelspt_BR
dc.subjectPrimary health carept_BR
dc.subject.otherAtenção Primária à Saúdept_BR
dc.subject.otherModelos Teóricospt_BR
dc.subject.otherComportamento Alimentarpt_BR
dc.subject.otherObesidadept_BR
dc.subject.otherEstudos de Intervençãopt_BR
dc.titleThe transtheoretical model is an effective weight management intervention: a randomized controlled trialpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08796-1pt_BR
dc.identifier.orcidhttp://orcid.org/0000-0001-9782-2606pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-9836-3704pt_BR
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