ABSTRACT
BACKGROUND AND AIMS: Dysfunctional eating behaviors may be associated with weight gain and have a negative impact on obesity. Intuitive eating is a strategy that helps with changing eating behaviors. This study aimed to analyze the effects of intuitive eating alone or combined with nutritional guidelines on eating behaviors, weight, and body mass index (BMI), in individuals with obesity. METHODS: This is a randomized clinical trial of 58 individuals (84.5% females and 84.5% candidates for bariatric surgery). The mean age was 40.5 years (SD = 9.1). The mean BMI was 48.3 kg/m2 (SD = 7.4). Individuals were randomized into three groups: 1) the control group (CG; n = 18), who received an individualized meal plan, 2) the intuitive eating group (IEG; n = 23), and 3) the intuitive eating and nutritional guidelines application group (IEGDG; n = 17). The study lasted for six months. Eating behaviors were assessed using the Binge Eating Scale and Three Factor Eating Questionnaire, the 21-item version. RESULTS: Compared with the CG, the IEG and IEGDG did not differ in binge eating, cognitive restriction, emotional eating, and uncontrolled eating. Likewise, there were no significant differences in weight and BMI. CONCLUSIONS: Intuitive eating alone or in combination with nutritional guidelines did not alter the general domains of eating behaviors, weight, and BMI in individuals with obesity. We suggest further studies involving other health professionals, as well as evaluating the effects of intuitive eating using scales, in addition to eating behaviors. CLINICAL TRIAL REGISTRATION: https://ensaiosclinicos.gov.br6, Identifier: RBR-7q9nj8.
Subject(s)
Bariatric Surgery , Feeding Behavior , Adult , Bariatric Surgery/psychology , Body Mass Index , Feeding Behavior/psychology , Female , Humans , Male , Obesity/psychology , Surveys and QuestionnairesABSTRACT
Objetivos: Avaliar o impacto da suplementação oral de glutamina sobre o estado nutricional de pacientes com neoplasia hematológicaem quimioterapia e comparar os efeitos obtidos com doses de 0,3g/Kg/dia e 0,65g/Kg/dia. Materiais e métodos: Trata-se de ensaio clínico,randomizado, cego. Foram acompanhados 17 pacientes, dividido sem grupo 1 com oito indivíduos e grupo 2 com nove indivíduos que receberam, respectivamente, 0,3 g/Kg/dia e 0,65g/Kg/dia do suplemento. Para avaliação nutricional utilizou-se circunferênciabraquial, prega cutânea triciptal, circunferência muscular do braço,índice de massa corporal e Avaliação Subjetiva Global Produzida Pelo Paciente. Também foram analisados parâmetros bioquímicos, como hemoglobina, hematócrito, leucócitos, neutrófilos, proteínas totais,albumina e proteína C reativa. Essas variáveis foram avaliadas emdois momentos, antes da intervenção e após 30 dias de uso daglutamina. Resultados: Houve manutenção ou aumento da maioria dos parâmetros antropométricos e de acordo com a Avaliação Subjetiva Global Produzida Pelo Paciente verificou-se alteração da classificação de desnutrição moderada para bem nutrido em 50% no grupo 1 e11,1% no grupo 2, sem significado estatístico intragrupo e entre grupos. Os parâmetros bioquímicos não diferiram em efeito com as doses utilizadas. Conclusão: A suplementação de glutamina nas quantidades de 0,3g/Kg/dia e 0,65g/Kg/dia não propiciaram diferenças significativas na melhora do estado nutricional, porém sugere-se queseu uso possa auxiliar na manutenção da condição nutricional inicial dos pacientes com leucemias agudas e linfomas em quimioterapia.
Objectives: To assess the impact of oral glutamine supplementation on the nutritional status of patients with hematologic malignancy submitted to chemotherapy, and to compare the effects obtained withdoses of 0.3 g/kg/day and 0.65 g/kg/day. Materials and Methods:This was an experimental, randomized, blinded study. A total of 17patients were divided into two groups: group 1, administered 0.3 g/kg/day (n=8), and group 2, administered 0.65 g/kg/day (n=9). For nutritional assessment, we evaluated arm circumference, triceps skin foldthickness, arm muscle circumference, body mass index and the Subjective Global Assessment Produced by the Patient. Biochemicalparameters, such as hemoglobin, hematocrit, leukocytes, total protein,albumin, and C-reactive protein, were also analyzed. These variableswere evaluated in two stages, before intervention and after 30 daysof glutamine use. Results: Most anthropometric parameters weremaintained or increased after supplementation. According to theSubjective Global Assessment Produced by the Patient, malnutrition rating changed from moderate to well-nourished by 50% in group 1and 11.1% in group 2, with no statistically significant differencebetween and intra-groups. The biochemical parameters did not differwith the doses used. Conclusion: Glutamine supplementation in the amounts of 0.3 g/kg/day and 0.65 g/kg/day did not promote significant differences in improvement of nutritional status. Nevertheless, itsuse can help maintain the initial nutritional status of patients withacute leukemia and lymphomas undergoing chemotherapy.
