IDEALIZATIONS AND WEIGHT TRAJECTORIES IN OVERWEIGHT WOMEN: REFLECTIONS FOR NUTRITIONAL TREATMENT
DOI:
https://doi.org/10.12957/demetra.2016.22510Keywords:
Obesity. Women. Body weight changes. Weight loss. Weight gain. Diet.Abstract
This exploratory study has aimed to understand weight idealization, milestones and trajectories of overweight women who seek treatment for weight loss in outpatient nutrition clinics. For this purpose, we have compared measured weight, usual weight and desired weight of 167 overweight women treated in an outpatient clinic located at a tertiary hospital. We have also analyzed the information about the causes and the trajectory of weight changes recorded in 31 detailed records. The results have show that when the patients arrived at the service, they had class II obesity, which is higher than the one usually referred as BMI (class I obesity); also, they desired to reach a BMI classified as overweight. Most of the weight gain landmarks analyzed are events that promote changes in the social and eating context such as marriage, change in work routine, pregnancy, illness and family problems. Weight fluctuation (yo-yo effect) in different stages of life was recurrent in their weight history. Most patients (65.4%) reported that before starting the nutritional treatment, they held diets for weight loss without professional guidance. Through the analysis of patients’ milestones and weight trajectories, we could verify the wide range of factors that influence the social construction of the body of each patient. Thereby, it is believed that research and understanding of this information can promote better adherence to nutritional treatment in the clinical context of establishing goals for weight loss.
DOI: 10.12957/demetra.2016.22510
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