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Estudo do funcionamento familiar dos utentes da consulta de obesidade e dislipidémia infantil (CODI) do Centro Hospitalar Universitário do Algarve
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Abstract(s)
O excesso de peso tem impacto na saúde dos indivíduos diminuindo a
expectativa de vida e a prevalência da obesidade tem alcançado proporções alarmantes
(OMS, 20181). As crianças obesas apresentam um maior risco de se tornarem adultos
obesos (Moglia & Dill, 2016). Os comportamentos das crianças, incluindo os
relacionados com a saúde, são influenciados pelo ambiente familiar (Haines et al.,
2016). Neste contexto, o presente estudo teve como principal objetivo caracterizar do
ponto de vista sociodemográfico e axiológico os utentes da Consulta de Obesidade e
Dislipidémia Infantil e conhecer o seu funcionamento familiar.
Participaram neste estudo 31 famílias, 20 com crianças obesas e sete com
excesso de peso. O familiar que acompanhava a criança à Consulta preencheu um
questionário sociodemográfico e axiológico e o Inventário de Avaliação Familiar
(FAD). 21 crianças são do sexo feminino e 10 do sexo masculino com idades
compreendidas entre os quatro e os 17 anos. Na análise dos resultados, foi possível
observar diferenças significativas entre o padrão de funcionamento familiar das famílias
utentes da Consulta e os valores normativos. As famílias da Consulta apresentam maior
capacidade em relação à média nos seguintes domínios: Resolução de Problemas e
Responsividade Afetiva. Por outro lado denotam menores competências nos domínios
Envolvimento Afetivo e Controlo de Comportamentos. No que concerne às diferenças
entre rapazes e raparigas, foram encontradas diferenças significativas nos seguintes
domínios do FAD: Comunicação, Responsividade Afetiva, Envolvimento Afetivo,
Controlo de Comportamentos e Funcionamento Geral. Não foram encontradas
diferenças significativas no funcionamento familiar das crianças com excesso de peso e
com obesidade.
Overweight has an impact on the health of individuals, decreasing life expectancy and the prevalence of obesity has reached alarming proportions (OMS, 20181). Obese children are at increased risk of becoming obese adults (Moglia & Dill, 2016). Children's behaviors, including those related to health, are influenced by the family environment (Haines et al., 2016). In this context, the main objective of this study was characterize a sample of users followed in the Childhood Obesity and Dyslipidemia Consultation from a sociodemographic and axiological point of view and understands their family functioning. Thirty-one families participated in this study, 20 obese and seven overweight children. The family member who accompanied the child to the Consultation filled out a sociodemographic and axiological questionnaire and the Family Assessment Device (FAD). 21 children were female and 10 were male aged between four and 17. In the analysis of the results, we found significant differences between the family functioning pattern of the families of the Consultation and the normative values. Families of the Consultation show greater capacity in relation to the average in the following areas: Problem Solving and Affective Responsiveness. On the other hand they evidence less skills in the areas of Affective Involvement and Behavior Control. Concerning differences between boys and girls, significant differences were found in the following areas of FAD: Communication, Affective Responsiveness, Affective Involvement, Behavior Control, and General Functioning. No significant differences were found in the family functioning of overweight and obese children.
Overweight has an impact on the health of individuals, decreasing life expectancy and the prevalence of obesity has reached alarming proportions (OMS, 20181). Obese children are at increased risk of becoming obese adults (Moglia & Dill, 2016). Children's behaviors, including those related to health, are influenced by the family environment (Haines et al., 2016). In this context, the main objective of this study was characterize a sample of users followed in the Childhood Obesity and Dyslipidemia Consultation from a sociodemographic and axiological point of view and understands their family functioning. Thirty-one families participated in this study, 20 obese and seven overweight children. The family member who accompanied the child to the Consultation filled out a sociodemographic and axiological questionnaire and the Family Assessment Device (FAD). 21 children were female and 10 were male aged between four and 17. In the analysis of the results, we found significant differences between the family functioning pattern of the families of the Consultation and the normative values. Families of the Consultation show greater capacity in relation to the average in the following areas: Problem Solving and Affective Responsiveness. On the other hand they evidence less skills in the areas of Affective Involvement and Behavior Control. Concerning differences between boys and girls, significant differences were found in the following areas of FAD: Communication, Affective Responsiveness, Affective Involvement, Behavior Control, and General Functioning. No significant differences were found in the family functioning of overweight and obese children.
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Keywords
Obesidade infantil Funcionamento familiar CODI