Atendimento a pessoas com sobrepeso/obesidade em uma unidade de saúde da família: propostas de intervenção

Abstract

In the past 30 years have seen a significant change in the nutrient profile of the Brazilian, the so-called nutritional transition. Previously the concern was with the high levels of weight deficit. Today is another concern. The prevalence of overweight and obesity is growing alarmingly, and went on to take part in the epidemiological scenario of chronic noncommunicable diseases, including obesity by being simultaneously a disease and a risk factor for other diseases in this group. Associated with sedentary, living mode of modern society has given a standard food, not favorable to the health of the population. Propose identify age populations, met in family health unit of Fame-MG, more affected by Overweight/obesity, and draw up proposals for intervention. Used as bibliographic search methodology narrative. Was also made a survey of secondary data from municipal SISVAN of anthropometric measurements, conducted in August 2008 to December 2009, so if you quantify what age groups, if ponders the largest portion of the population overweight/obesity. Included users met in the period, and who have had their anthropometric data annotated in SISVAN municipality. There was a prevalence of 124 people (53.20%) between 50 and 59 years, and 27 persons (81.82%) aged 60 and older, overweight or obesity, being elected these 2 age groups as priority for intervention proposals. Two fronts were listed as interventions in health, to work the excess weight, nutrition and lifestyle habits. Reducing calorie intake, with a varied diet, colorful and balanced, more changing living habits, assuming a more active posture by reducing the physical inactivity, and focusing on the practice of physical activities, are crucial to be able to reduce excess weight. Self-esteem and the perception of the person about himself, must also be worked on. The Family Health Team (FHT) has a vital role in weight reduction, as well as a role very difficult. To achieve significant results the FHT needs to articulate local social actors; review the information on food and nutritional surveillance, and perform full lifting, electing people with risk to develop overweight and people who already have such disturbances; monitor the nutritional situation of the population on the basis of indicators adscript SISVAN/SIAB; participate in the development of actions to promote dietary practices and lifestyles; meet and stimulate the production and consumption of healthy foods produced regionally; promote intersectional articulation to permit cultivation of community gardens; producing and disseminating educational and informative material on food and nutrition with a focus on healthy eating practices; promote actions of food and nutritional security in the home, safe practices for handling, preparation and packaging of food; conduct nutritional guidelines at different stages of the life course; develop routines to diseases related to food and nutrition, according to basic care protocols, among other actions.