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Advisor(s)
Abstract(s)
A obesidade é uma doença crónica multifatorial, que envolve diferentes aspetos na sua
génese e manutenção, sendo que atualmente um padrão-ouro da abordagem médica na patologia é a cirurgia bariátrica. Uma má imagem corporal (IC), leva a baixa autoestima, que se relaciona com o aumento da ansiedade, que por sua vez culmina na procura por comida. Objetivos: Realizar uma revisão sistemática sobre a imagem corporal em utentes após a cirurgia bariátrica. Realizou-se uma revisão sistemática da literatura tendo sido selecionados 13 artigos nas plataformas Web of Science e PubMed/Medline, publicados nos últimos 11 anos (2007 a 2018), que respondessem aos nossos objetivos. Esta revisão foi conduzida de acordo com as diretrizes PRISMA e colaboração Cochrane para revisões sistemáticas. Verificou-se, no geral, uma melhoria da imagem corporal após a cirurgia bariátrica, independente da faixa etária, apesar de 15,4% dos estudos demonstrarem simultaneamente uma permanência de insatisfação corporal. Em 15,4% as mulheres apresentaram melhorias menos acentuadas da imagem corporal, comparativamente com os homens. Aferiu-se ainda, em 30,8% dos estudos, que a melhoria da imagem corporal é mais substancial entre o período pré-operatório e o pós-operatório-1. Constatou-se que na maioria dos estudos se verifica uma melhoria na IC, sendo que a cirurgia bariátrica deve ser realizada de forma consciente e deve ser incentivado o apoio multidisciplinar contínuo a estes doentes, pois é um processo que engloba muito mais do que variáveis físicas que têm um impacto igualmente importante no sucesso da mesma.
Obesity is a chronic multifactorial disease, which involves different aspects in its genesis and maintenance, and currently, a gold standard of the medical approach in pathology is bariatric surgery (BS). A bad body image (BI), leads to low self-esteem, which is related to increased anxiety, which in turn culminates in the search for food. The objective is to perform a systematic review on body image in patients after BS. Methods: An electronic research was carried out on platforms with scientific reliability, selecting studies that seek to evaluate body image after BS. There was an overall improvement in body image after bariatric surgery, regardless of age, although some studies showed a permanence of body dissatisfaction. Women had less marked improvements in body image compared to men. It was further noted that the improvement of body image is more substantial between the PreO period and the PO-1. BS should be consciously performed and continuous multidisciplinary support to these patients should be encouraged as it is a process that encompasses much more than physical variables that have an equally important impact on the success of BS.
Obesity is a chronic multifactorial disease, which involves different aspects in its genesis and maintenance, and currently, a gold standard of the medical approach in pathology is bariatric surgery (BS). A bad body image (BI), leads to low self-esteem, which is related to increased anxiety, which in turn culminates in the search for food. The objective is to perform a systematic review on body image in patients after BS. Methods: An electronic research was carried out on platforms with scientific reliability, selecting studies that seek to evaluate body image after BS. There was an overall improvement in body image after bariatric surgery, regardless of age, although some studies showed a permanence of body dissatisfaction. Women had less marked improvements in body image compared to men. It was further noted that the improvement of body image is more substantial between the PreO period and the PO-1. BS should be consciously performed and continuous multidisciplinary support to these patients should be encouraged as it is a process that encompasses much more than physical variables that have an equally important impact on the success of BS.
Description
Keywords
Obesidade, Imagem corporal Cirurgia bariátrica
Citation
Miranda, Rita; Pereira, Ana Maria Geraldes Rodrigues; Fernandes, António (2019). Body image after bariatric surgery: systematic literature review. In Veiga-Branco, Augusta; Pais, Clarisse (Eds.) I Congresso Internacional em Inteligência Emocional e III Seminário Internacional em Inteligência Emocional: livro de resumos. Bragança: Instituto Politécnico. ISBN 978-972-745-255-2
Publisher
Instituto Politécnico de Bragança