Maria Elias

Estágios motivacionais para mudança de comportamento em indivíduos que iniciam tratamento para perda de peso

Objective Although there are effective programs for treating obesity, are large dropout rates. The aim of this study was to investigate the motivational stage in patients who were overweight or obesity I and II, in an outpatient clinic nutrition, and its associated factors. Methods It is a cross-sectional study with convenience sampling, in which information from the clinical history, anthropometry, binge eating (BES – Binge Eating Scale) and motivation for treatment (URICA – University of Rhode Island Change Assessment Scale) were collected. Results Of the 48 evaluated, 29.2% were in precontemplation stage, 41.7% were in contemplation stage and 29.2% were in action stage. Who sought treatment for comorbidity control besides the weight loss had greater readiness score (p = 0.024). Motivation was not related to nutritional status, nor the previous attempt at weight loss, but was related to the previous professional guidance (p = 0.005). Among 26.8% had moderate or severe symptoms for binge eating, 90.9% were in contemplation, with a significant difference in pre-contemplation (p = 0.001) and action (p = 0.02). Conclusion These results suggest that individuals who seek treatment for weight loss do not make it with the necessary motivation, and that if professional advice on the weight loss importance occurred before the associated with obesity pathologies were installed, more motivated individuals could seek treating and preventing these complications.