Efeitos de intervenções motivacionais para o tratamento da obesidade em crianças: revisão sistemática da literatura

Abstract

Objective: To determine if motivational interventions contribute to the efficacy of nonpharmacological treatments designed to promote behavioral change in obese children. Me-thod: Three databases were used for the research, being Medline, Psychinfo and Web of Science. Selection of Studies: Clinical trials of treatments for obesity and overweight in children aged 5 to 10 years, from the last 10 years (2009 - 2019), published in English and Portuguese, were selected. Results: A total of 916 studies were found, of which only 5 were included in the final sample of the study. The interventions found varied, but they all somehow addressed motivational interventions for behavior change. The results demon-strated that motivational interventions are effective in modifying BMI, but mainly behavioral changes are observed both in calorie intake and in adherence to physical exercise. The motivation of parents and family also seems to be relevant to the results. Relapse pre-vention sessions should be deployed in treatment so that their effects will be maintained in the long term. Limitations: Few studies have been found with this theme. The lack of methodological rigor also implied that the interventions carried out were evaluated in their entirety. In addition, all studies found were in English. Conclusion: The use of motivational strategies is effective in the treatment of childhood obesity, but a number of variables must be taken into account (sic).