Raquel de Melo Boff

Predictors of adherence in a prevention program for patients with metabolic syndrome

The study objectives were (1) comparison of baseline characteristics between individuals with metabolic syndrome, adhering/not adhering to a primary prevention program modificação do estilo de vida e risco cardiovascular; and (2) determination of risk factors for program adherence. The sample included 127 participants with mean age (±standard deviation) of 49.58 (±7.77) years, participating in the modificação do estilo de vida e risco cardiovascular between 2010 and 2012. Results show that program adherence predictors were age (odds ratio: 1.134, 95% confidence interval: 1.106–1.833); practicing physical exercise (odds ratio: 1.322, 95% confidence interval: 1.115–7.589); self-efficacy for regular eating habits (odds ratio: 2.044, 95% confidence interval: 1.184–3.377); low binge eating scores (odds ratio: 1.922, 95% confidence interval: 1.118–3.974); and low isolation and depression scores (odds ratio: 0.721, 95% confidence interval: 0.322–0.917).

The Transtheoretical Model to Assist Lifestyle Modifi cation in Adolescents with Overweight and Obesity

The prevalence of overweight and obesity in adolescents has quadrupled over the last 30 years, with signifi cant consequences for life expectancy. The main non-pharmacological intervention for these conditions is lifestyle modifi cation. This experience report describes an interdisciplinary intervention based on the Transtheoretical Model (TTM), delivered to a group of obese adolescents with the aim of increasing motivation for lifestyle modifi cation, evaluating motivation to change health-related behaviors, and discuss techniques to facilitate the evolution through the stages of change. The study involved thirteen participants with a mean age of 16.32 years (SD = 1.21), of whom fi ve were male and a eight, female. The purpose of this report is to describe how the processes for change can increase motivation for lifestyle change in this population. At the end of the intervention, participants showed increased motivation to exercise regularly and improve eating habits, as well as a mean overall weight loss.

Transtheoretical model for change in obese adolescents: MERC randomized clinical trial:

The randomized controlled trial evaluated the effectiveness of an intervention based on the Transtheoretical Model of Change on anthropometric, metabolic and motivational outcomes in obese adolescents. A total of 135 male and female adolescents were randomized to two groups: intervention group (n = 65) and control group (n = 70). The adolescents were evaluated 1 week before the interventions began and at the end of 12 weeks. There was no statistically significant difference between groups in the outcome variables. Intervention group reported magnitude of effect more expressive on body mass index percentile, waist circumference, waist-to-hip ratio, readiness to change diet and readiness to start exercise.