Banca de DEFESA: MARIA CRISTINA ESPÍRITO SANTO ARAÚJO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MARIA CRISTINA ESPÍRITO SANTO ARAÚJO
DATE: 23/08/2022
TIME: 10:00
LOCAL: ENUFBA
TITLE:

"I feel very well...": the effects produced by Integrative and Complementary Practices in people with obesity in the context of the Health Care Network. Advisor: Ligia Amparo-Santos. Co-Supervisor: Silvana Lima Guimarães
França. 2022. 76 f. il. Dissertation (Master in Food, Nutrition and Health) - School of Nutrition, Federal University of Bahia, Salvador, 2022.

KEY WORDS:

Obesity. Integrative and Complementary Practices. Health Care Network.

PAGES: 76
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUBÁREA: Análise Nutricional de População
SUMMARY:

New therapeutic approaches emerge aiming not only at obesity management, but also, and
fundamentally, at the expansion of integral care to people with obesity, such as Integrative
and Complementary Health Practices (IPCPs). This dissertation aimed to understand how
Integrative and Complementary Practices produce senses and meanings attributed to the body
and health in people with obesity in the context of the Health Care Network. This study used a
qualitative exploratory-descriptive methodology and was developed in the PICS Outpatient
Clinic of a State Reference Unit of SUS. The empirical universe of the research was made up
of males and females, aged between 18 and 60 years, with a medical diagnosis of obesity,
referred to the practices offered at the unit: Podal Reflexology, Reiki, Chromotherapy,
Auriculotherapy and Meditation. The research, carried out from January to August 2020, used
semi-structured interviews and participant observation as data production techniques, and
field diary writing as a data recording technique. Comprehensive analysis was used as the
mechanism for data analysis and interpretation. The design process of this study resulted in
the construction of two articles. The first article sought to understand the effects produced by
the use of Integrative and Complementary Practices in the care of people with obesity treated
at a state referral center of the Brazilian Unified Health System, from the users' narrative. As a
result of the results of the first article, the second article referred to an integrative review,
which aimed to assess the state of the art on the possible associations between anxiety
symptoms and obesity in adults, from the literature relevant to the topic. Through the analysis
of the interviews it was possible to understand that “feeling well” appears as an articulating
element of a reorganization of the subject's life, of caring for oneself and for the other. It was
possible to observe that the organic presence of the PICS assumes a hybrid and dynamic place
in the flow of care, although a perspective that still links the PICS to obesity through the
control of anxiety, the body, and food stood out. With the integrative review, it was possible 

to observe that, in general, the evidence for the association between anxiety symptoms and
obesity in adults is not conclusive, although the justifications for the findings and the
discussions presented direct towards a confirmation of the association between obesity and
anxiety symptoms, understanding that the latter is mitigated when there is a reduction in body
weight. In this sense, it is essential that further studies be developed aiming not only to
understand the possible associations between anxiety symptoms and obesity, as well as in
other health conditions, but especially to understand the processes involved when there is
coexistence of these. Given the above, it is important to develop new research with theoretical
and methodological contributions similar to those used in this study, so they can contribute to
strengthening health systems that consider not only the various dimensions related to the
phenomenon of obesity, but also the therapeutic strategies to be used in the process of selfcare
and health. It is hoped, then, that the design and reading of this study, and of the
bibliographic productions arising from it, may broaden the debate about obesity, considering
the complex, plural and multidimensional perspective of this phenomenon.

BANKING MEMBERS:
Interna - 1095648 - LIGIA AMPARO DA SILVA SANTOS
Externa ao Programa - 2200041 - ANAMELIA LINS E SILVA FRANCO
Externa ao Programa - 3273558 - PRISCILA DE MORAIS SATO