Adherence to nutritional therapy in obese adolescents; a review

Nutr Hosp. 2013 Jul-Aug;28(4):988-98. doi: 10.3305/nh.2013.28.4.6481.

Abstract

Considering the controversies existent on the subject, the aim of this review is to discuss adherence to diet in obese adolescents. The selection of articles was made in the SCOPUS, COCHRANE, APA Psyc Net, SciELO, LILACS, CAPES Journals, PUBMED/MEDLINE and GOOGLE ACADEMIC databases. Studies published between 2002 and 2012 were selected. There was lack of evidence of conceptual discussion about adherence to diet in obesity in the child-youth context, in addition to scarcity of data on adherence to diet itself in obese adolescents and the methods of evaluating this. Lastly, multiple interdependent factors were found which both facilitated and made the process of adherence to diet difficult for obese youngsters. The majority of these (factors) belong to the socioeconomic and cultural dimension, in addition to pointing out cognitive and psychological factors and those associated with health services and professionals.

Considerando las actuales controversias sobre el tema, el objetivo de esta revisión es discutir la adhesión a la dieta en adolescentes obesos. Los artículos publicados entre 2002 y 2012 fueron seleccionados en las siguientes basis de datos SCOPUS, COCHRANE, APA Psyc Net, SciELO, LILACS, Revistas CAPES, PubMed/MEDLINE y GOOGLE ACADÉMICO. Observa-se ausencia de discusión conceptual sobre el tema, así como escasez de datos sobre adherencia a la dieta en adolescentes obesos y de métodos de evaluación para aferir esta adherencia. Por último, fueron identificados varios factores ínter-dependientes que facilitan y obstaculizan la adhesión a la dieta en jóvenes obesos. La mayoría de estas dimensiones se refieren a los factores socio-económicos y culturales, además de los cognitivos, psicológicos y aquellos relacionados con los servicios de salud y los profesionales.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adolescent
  • Child
  • Diet
  • Humans
  • Patient Compliance*
  • Pediatric Obesity / diet therapy*
  • Pediatric Obesity / psychology
  • Socioeconomic Factors