Position statement on nutrition therapy for overweight and obesity: nutrition department of the Brazilian association for the study of obesity and metabolic syndrome (ABESO—2022)

Diabetology & Metabolic Syndrome

Review

Alessandra Rodrigues¹  Mariana Del Bosco¹  Mônica Beyruti¹  Lis Mie Masuzawa Beda¹  Dennys Esper Cintra²  Ana Paula Silva Caldas³  Josefina Bressan³  Sílvia Leite Faria⁴  Patrícia Cruz⁵  Renata Bressan Pepe⁵  Clarissa Tamie Hiwatashi Fujiwara⁵  Ariana Ester Fernandes⁵  Silvia Maria Fraga Piovacari⁶  Priscila Maximino⁷  Carina Rossoni⁸  Ana Maria Lottenberg⁹  Natália Sanchez Oliveira Jensen^1,10  Maria Sílvia Ferrari Lavrador^1,10  Roberta Marcondes Machado^1,10  João Henrique Fabiano Motarelli^1,11  Silvia Pereira^1,12  Fernanda Mattos^1,13  Juliana Saldanha^1,14  Poliana Espíndola Correia^1,15 

[1] Brazilian Association for the Study of Obesity and Metabolic Syndrome (ABESO), São Paulo, SP, Brazil;Centro de Estudos em Lipídios e Nutrigenômica – CELN – University of Campinas, Campinas, SP, Brazil;Department of Nutrition and Health, Universidade Federal de Viçosa, Viçosa, MG, Brazil;Gastrocirurgia de Brasilia/University of Brasilia, Brasilia, DF, Brazil;Grupo de Obesidade e Sindrome Metabolica, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, SP, Brazil;Hospital Israelita Albert Einstein, São Paulo, SP, Brazil;Instituto PENSI - Fundação José Luiz Egydio Setúbal, Instituto Pensi, Fundação José Luiz Egydio Setúbal, Hospital Infantil Sabará, São Paulo, SP, Brazil;Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal;Laboratório de Lipides (LIM10), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil;Nutrition Department of the Brazilian Association for the Study of Obesity and Metabolic Syndrome (ABESO), Rua Mato Grosso 306 – cj 1711, 01239-040, Sao Paulo, SP, Brazil;Liga Acadêmica de Controle de Diabetes do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil;Núcleo de Estudos e Extensão em Comportamento Alimentar e Obesidade (NEPOCA) da Universidade de São Paulo - FMRP/USP, Ribeirão Preto, Brazil;Núcleo de Saúde Alimentar da Sociedade Brasileira de Cirurgia Bariátrica e Metabólica, São Paulo, Brazil;Programa de Obesidade e Cirurgia Bariátrica do Hospital Universitário Clementino Fraga Filho da UFRJ, Rio de Janeiro, RJ, Brazil;Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil;Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil;

关键词: Obesity;    Overweight;    Weight loss;    Nutrition assessment;    Nutrition therapy;    Diet;    Dietary patterns;    Nutritional counseling;   

DOI  :  10.1186/s13098-023-01037-6

 received in 2022-06-29, accepted in 2023-03-23,  发布年份 2023

来源: Springer

【 摘 要 】

Obesity is a chronic disease resulting from multifactorial causes mainly related to lifestyle (sedentary lifestyle, inadequate eating habits) and to other conditions such as genetic, hereditary, psychological, cultural, and ethnic factors. The weight loss process is slow and complex, and involves lifestyle changes with an emphasis on nutritional therapy, physical activity practice, psychological interventions, and pharmacological or surgical treatment. Because the management of obesity is a long-term process, it is essential that the nutritional treatment contributes to the maintenance of the individual’s global health. The main diet-related causes associated with excess weight are the high consumption of ultraprocessed foods, which are high in fats, sugars, and have high energy density; increased portion sizes; and low intake of fruits, vegetables, and grains. In addition, some situations negatively interfere with the weight loss process, such as fad diets that involve the belief in superfoods, the use of teas and phytotherapics, or even the avoidance of certain food groups, as has currently been the case for foods that are sources of carbohydrates. Individuals with obesity are often exposed to fad diets and, on a recurring basis, adhere to proposals with promises of quick solutions, which are not supported by the scientific literature. The adoption of a dietary pattern combining foods such as grains, lean meats, low-fat dairy, fruits, and vegetables, associated with an energy deficit, is the nutritional treatment recommended by the main international guidelines. Moreover, an emphasis on behavioral aspects including motivational interviewing and the encouragement for the individual to develop skills will contribute to achieve and maintain a healthy weight. Therefore, this Position Statement was prepared based on the analysis of the main randomized controlled studies and meta-analyses that tested different nutrition interventions for weight loss. Topics in the frontier of knowledge such as gut microbiota, inflammation, and nutritional genomics, as well as the processes involved in weight regain, were included in this document. This Position Statement was prepared by the Nutrition Department of the Brazilian Association for the Study of Obesity and Metabolic Syndrome (ABESO), with the collaboration of dietitians from research and clinical fields with an emphasis on strategies for weight loss.

【 授权许可】

CC BY   
© The Author(s) 2023

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