Grupo de Pesquisa de Intervenções em Nutrição (GIN/UFMG), Universidade Federal dos Vales do Jequitinhonha e Mucuri, MGT 367 Highway- Km 583 - nº 5000., Diamantina, Minas Gerais, 39100000, Brazil.
Grupo de Pesquisa de Intervenções em Nutrição (GIN/UFMG), Universidade Federal da Paraíba, Campos I, s/n, Castelo Branco, João Pessoa, Paraíba, 58050-585, Brazil.
BMC Health Serv Res. 2024 Oct 8;24(1):1197. doi: 10.1186/s12913-024-11642-4.
Obesity is a chronic disease characterized by excess body fat and is a risk factor for other chronic non-communicable diseases. Its multifactorial and complex nature makes its management a challenge for health services. This manuscript presents an investigation protocol that aims to analyze the effectiveness of collective nutritional interventions for obesity management applicable to primary health care.
Randomized Controlled Community Trial (RCCT) in a representative sample of users of the Programa Academia de Saúde (PAS), in Belo Horizonte, Minas Gerais, Brazil, with obesity. The research consists of four phases: (1) Screening to identify the participants eligible for the nutritional interventions (individuals with obesity, readiness for change to lose body weight, and willingness and interest to participate in a group activity for six months or more); (2) Baseline to characterize the participants; (3) Implementation of collective nutritional interventions; (4) Reassessment of the participants. Participants in the control group (CG) will receive the usual health service care, and participants in the intervention group (IG) will participate in collective nutritional interventions based on Therapeutic Group 1 (TG1) or Therapeutic Group 2 (TG2) of the "Instructive of Collective Approach for the obesity management in SUS".
The strengths of the study include its robust RCCT design, which allows for longitudinal analyses and is suitable for investigating causal hypotheses and applying strategies to improve adherence to interventions. Furthermore, the study included a representative sample of a public health service and aims to evaluate therapeutic proposals from the Brazilian Ministry of Health, which can contribute to implementation and extension in the national territory.
RBR-3vzsyqq and RBR-6pg682m.
肥胖是一种以体脂过多为特征的慢性疾病，也是其他慢性非传染性疾病的危险因素。其多因素和复杂的性质使得医疗服务对其管理具有挑战性。本文介绍了一项研究方案，旨在分析适用于基层医疗保健的集体营养干预措施对肥胖管理的有效性。
巴西米纳斯吉拉斯州贝洛奥里藏特的“健康学院计划”（PAS）的代表性用户中进行的随机对照社区试验（RCCT），其中肥胖。研究包括四个阶段：（1）筛选以确定有资格进行营养干预的参与者（肥胖者、有改变体重的意愿、有意愿和兴趣参加六个月或更长时间的小组活动的个体）；（2）基线以描述参与者的特征；（3）实施集体营养干预；（4）重新评估参与者。对照组（CG）的参与者将接受常规医疗服务，干预组（IG）的参与者将参加基于“集体方法指导肥胖管理 SUS”的治疗组 1（TG1）或治疗组 2（TG2）的集体营养干预。
该研究的优势包括其稳健的 RCCT 设计，允许进行纵向分析，适合调查因果假设和应用提高干预依从性的策略。此外，该研究纳入了公共卫生服务的代表性样本，并旨在评估巴西卫生部的治疗方案，这有助于在全国范围内实施和推广。
RBR-3vzsyqq 和 RBR-6pg682m。
