Intervenções para redução do estigma da obesidade: uma revisão sistemática

Authors

  • Andreia Neves Duarte Universidade de Brasília
  • Elizabeth Queiroz

DOI:

https://doi.org/10.34019/1982-8047.2022.v48.36682

Keywords:

Português

Abstract

Introduction: The weight stigma is a phenomenon present in different contexts and represents a barrier to the treatment of obese people.

Objective: This article aimed to conduct a systematic review of the literature on interventions to reduce weight stigma, aiming to understand the main methodologies and instruments used, as well as the methods of evaluation and effectiveness of the proposed strategies, in order to help the development of future interventions as well as the formulation of a research agenda in this field of study.

Material and methods: A literature search was conducted on articles with interventions to reduce obesity stigma from 2010 to 2020, in the CAPES, Scielo and Pubmed databases using the following combination of descriptors: weight stigma AND intervention. After applying inclusion and exclusion criteria, 25 intervention articles were evaluated.

Results: Most studies focused the target audience on health professionals and students, followed by interventions to reduce self-stigma in obese patients. There was a predominance of cross-sectional studies, and those that used longitudinal methodologies performed few intervention sessions. Most research has sought to reduce obesity stigma by modifying knowledge and beliefs about the causes of obesity. The main assessment instruments and other intervention strategies were also presented.

Conclusion: It is suggested that future interventions should address the multiple causes related to stigma, involving the target audience more actively and with diversification of methods for evaluating results.

Downloads

Download data is not yet available.

References

Instituto Brasileiro de Geografia e Estatística (BR). Pesquisa Nacional de Saúde 2019: atenção primária à saúde e informações antropométricas. Rio de Janeiro: 2020.

Andreyeva T, Puhl RM, Brownell KD. Changes in perceived weight discrimination among Americans: 1995-1996 through 2004-2006. Obesity. 2008; 16:1129-34. doi: 10.1038/oby.2008.35

Latner J, O’Brien KS, Durso LE, Brinkman LA, MacDonald T. Weighing obesity stigma: relative strength of different targets of bias. Int J Obes. 2008; 32:1145-52. doi: 10.1038/ijo.2008.53

Mattos RS, Luz TM. Sobrevivendo ao estigma da gordura: um estudo socioantropológico sobre obesidade. Physis. 2009; 19(2):489-507. doi: 10.1590/S0103-73312009000200014

Puhl RM, Heuer CA. The stigma of obesity: a review and update. Obesity. 2009; 17(5):941-64. doi:10.1038/oby.2008.636

Tomiyama AJ, Carr D, Granberg EM, Major B, Robinson E, Sutin AR et al. How and why weight stigma drives the obesity ‘epidemic’ and harms health. BMC Med. 2018; 16:123. doi:10.1186/s12916-018-1116-5

Rubino F, Puhl RM, Cummings DE, Eckel RH, Ryan DH, Mechanick JI et al. Joint international consensus statement for ending stigma of obesity. Nat Med. 2020; 26:485-97. doi: 10.1038/s41591-020-0803-x

Daníelsdóttira S, O’Brien KS, Ciao AC. Anti-fat prejudice reduction: a review of published studies. Obes Facts. 2010. 3:47-58. doi: 10.1159/000277067

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372(71). doi: 10.1136/bmj.n71

Santos CMC, Pimenta CAM, Nobre MRC. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Lat Am Enfermagem. 2007; 15(3):508-11. doi:10.1590/S0104-11692007000300023

Ciao AC, Latner JD. Reducing obesity stigma: the effectiveness of cognitive dissonance and social consensus interventions. Obesity. 2011; 19(9):1768-74. doi: 10.1038/oby.2011.106.

Falker AJ, Sledge JA. Utilizing a bariatric sensitivity educational module to decrease bariatric stigmatization by healthcare professionals. Bariatr Nurs Surg Patient Care. 2011; 6(2):73-8. doi: 10.1089/bar.2011.9974

Persky S, Eccleston CP. Impact of genetic causal information on medical students' clinical encounters with an obese virtual patient: health promotion and social stigma. Ann Behav Med. 2011; 41(3):363-72. doi: 10.1007/s12160-010-9242-0.

Diedrichs PC, Barlow FK. How to lose weight bias fast: evaluating a brief anti-weight bias intervention. Br J Health Psychol. 2011; 16(4):846-61. doi: 10.1111/j.2044-8287.2011.02022.x.

Lippa NC, Sanderson SC. Impact of information about obesity genomics on the stigmatization of overweight individuals: an experimental study. Obesity. 2012; 20(12):2367-76. doi: 10.1038/oby.2012.144

Swift JA, Tischler V, Markham S, Gunning I, Glazebro C, Beer C et al. Are anti-stigma films a useful strategy for reducing weight bias among trainee healthcare professionals? Results of a pilot randomized control trial. Obes Facts. 2013; 6(1):91-102. doi:10.1159/000348714

Lippa NC, Sanderson SC. Impact of informing overweight individuals about the role of genetics in obesity: an on-line experimental study. Hum Hered. 2013; 75(2-4):186-203. doi: 10.1159/000353712

Poustchi Y, Saks NS, Piasecki AK, Hahn KA, Ferrante JM. Brief intervention effective in reducing weight bias in medical students. Fam Med. 2013; 45:345-8.

Kushner RF, Zeiss DM, Feinglass JM, Yelen M, Flegal K, Carroll M et al. An obesity educational intervention for medical students addressing weight bias and communication skills using standardized patients. BMC Med Educ. 2014; 14:53. doi: 10.1186/1472-6920-14-53.

Pearl RL, Lebowitz MS. Beyond personal responsibility: effects of causal attributions for overweight and obesity on weight-related beliefs, stigma, and policy support. Psychol Health. 2014; 29(10):1176-91. doi:10.1080/08870446.2014.916807

Persky S, Street RLJ. Evaluating approaches for communication about genomic influences on body weight. Ann Behav Med. 2015; 49(5):675-84. doi:10.1007/s12160-015-9701-8

Hilbert A. Weight stigma reduction and genetic determinism. PLoS ONE. 2016; 11(9):p.e0162993. doi: 10.1371/journal.pone.0162993

Incollingo-Rodriguez AC, Heldreth CM, Tomiyama AJ. Putting on weight stigma: a randomized study of the effects of wearing a fat suit on eating, well-being, and cortisol. Obesity. 2016; 24(9):1892-8. doi: 10.1002/oby.21575

Setchell J, Gard M, Jones L, Watson BM. Addressing weight stigma in physiotherapy: development of a theory-driven approach to (re)thinking weight-related interactions. Physiother Theory Pract. 2017; 33(8):597-610. doi:10.1080/09593985.2017.1328718.

Luck-Sikorski C, Riedel-Heller SG, Phelan JC. Changing attitudes towards obesity: results from a survey experiment. BMC Public Health. 2017; 17:373. doi: 10.1186/s12889-017-4275-y

Palmeira L, Pinto-Gouveia J, Cunha M. Exploring the efficacy of an acceptance, mindfulness & compassionate-based group intervention for women struggling with their weight (Kg-Free): a randomized controlled trial. Appetite. 2017; 112:107-16. doi:10.1016/j.appet.2017.01.027

Ryan JM, Cameron EM, Mcgowan EL. Changing physical activity counseling outcomes among future health professionals. J Am Kinesio Ass. 2017; 71(3):25-34.

Nutter S, Alberga AS, Macinnis C, Ellard JH, Russell-Mayhew S. Framing obesity a disease: indirect effects of affect and controllability beliefs on weight bias. Int J Obes. 2018; 42(10):1804-11. doi:10.1038/s41366-018-0110-5

Olson KL, Thaxton TT, Emery CF. Targeting body dissatisfaction among women with overweight or obesity: a proof-of-concept pilot study. Int J Eat Disord. 2018; 51(8):973-7. doi: 10.1002/eat.22874

Damiano SR, Yager Z, Mclean SA, Paxton SJ. Achieving body confidence for young children: development and pilot study of a universal teacher-led body image and weight stigma program for early primary school children. Eat Disord. 2018; 26(6):487-504. doi:10.1080/10640266.2018.1453630.

Pearl RL, Hopkins CH, Berkowitz RI, Wadden TA. Group cognitive-behavioral treatment for internalized weight stigma: a pilot study. Eat Weight Disord. 2018; 23(3):357-62. doi: 10.1007/s40519-016-0336-y

Palmeira L, Cunha M, Pinto-Gouveia J. Processes of change in quality of life, weight self-stigma, body mass index and emotional eating after an acceptance-, mindfulness- and compassion-based group intervention (Kg-Free) for women with overweight and obesity. J Health Psychol. 2019. 24(8):1056-69. doi:10.1177/1359105316686668

Pearl RL, Wadden TA, Bach C, Gruber K, Leonard S, Walsh OA et al. Effects of a cognitive-behavioral intervention targeting weight stigma: a randomized controlled trial. J Consult Clin Psychol. 2020; 88(5):470-80. doi: 10.1037/ccp0000480

Myre M, Berry TR, Ball G, Hussey B. Motivated, fit, and strong: using counter‐stereotypical images to reduce weight stigma internalisation in women with obesity. Appl Psychol Health Well Being. 2020; 12(2):335-56. doi:10.1111/aphw.12187

Breithaupt L, Trojanowski P, Fischer S. implicit and explicit anti‐fat attitude change following brief cognitive dissonance intervention for weight stigma. Obesity. 2020; 28(10):1853-9. doi: 10.1002/oby.22909

Gronholm PC, Henderson C, Deb T, Thornicroft G. Interventions to reduce discrimination and stigma: the state of the art. Soc Psychiatry Psychiatr Epidemiol. 2017; 52:249-58. doi: 10.1007/s00127-017-1341-9

Published

2022-08-04

How to Cite

1.
Duarte AN, Queiroz E. Intervenções para redução do estigma da obesidade: uma revisão sistemática. HU Rev [Internet]. 2022Aug.4 [cited 2024Jun.30];48:1-14. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/36682

Issue

Section

Artigos de Revisão Sistemática