Impacto do estigma do peso no comportamento alimentar e na adesão ao tratamento nutricional

Abstract

Introduction: individuals who are overweight or obese face psychosocial impacts such as weight stigma, this leads to a series of negative consequences on eating habits and possibly in adherence to nutritional treatment. Objective: to comprehend the impact of weight stigma on the eating behavior and adherence to nutritional treatment of overweight and obese people. Materials and methods: this is about an integrative literature review, with a qualitative approach of a descriptive nature, covering a period of seven years from 2017 to 2023. Results: 3.349 publications were found, and using the inclusion and exclusion criteria, the final sample was consisted of 9 articles. Discussion: the weight stigma is a predictor of worsening obesity and poorer perception of quality of life, thus contributing to increased psychological suffering and health conditions in general. The Stigma is associated with a greater intake of high-calorie-density foods and inadequate eating standards, which contributes to weight gain. The strategy that gives patients a greater perception of self-efficacy promotes greater adherence to treatment, weight maintenance and weight loss. In addition, the cognitive dissonance strategy proved beneficial in reducing stigma. Conclusion: it can be concluded that stigma has a negative impact on obesity or overweight and on patient adherence to nutritional treatment.