Banca de DEFESA: MARIANA SANTOS BRITO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MARIANA SANTOS BRITO
DATE: 03/05/2024
TIME: 14:30
LOCAL: MINIAUDITÓRIO 02 ENUFBA
TITLE:

THE PRACTICE OF NUTRITIONISTS AND PICS IN THE CARE OF PEOPLE WITH OBESITY: A QUALITATIVE STUDY

KEY WORDS:

Care; Obesity; Complementary Therapies; Nutritionists

PAGES: 44
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUBÁREA: Análise Nutricional de População
SUMMARY:

Objective: To understand how the practices developed by nutritionists who work with PICS fit into the scope of care for overweight and obese people in health care. Methodology: This is a qualitative study of an exploratory and descriptive nature. Nutritionists from the private network of both sexes who used PICS in the care of people with obesity were recruited. Nine semi-structured interviews were carried out, between the years 2019 and 2021. After transcription, recurring readings were carried out, which were part of the appropriation and beginning of the analysis of the material, the latter of which occurred in two stages. An analysis matrix was adopted to include data from the interviews as well as record the analyticalinterpretive movement carried out by the research. The initial categorization was inspired by the proposal of meaning cores. The indicators were divided into three analysis categories. They are: “The encounter with PICS: experience, training and criticism of Nutrition”, “The Nutritionist's practice and PICS” and “Care for people with obesity using PICS”. The categories were constructed from the grouping of indicators according to similarity, complementarity or opposition between them. Results and Discussion: For the purposes of this dissertation, the results will be presented in article format. The article aims to understand the meanings attributed by nutritionists who work with PICS to their practice and describe how this fits into the scope of care for people with obesity. Regarding the participants, the majority were female, all worked professionally in the private network and one of them also in the public network. Phytotherapy was the PICS most incorporated by interviewees and the one with the highest number of certification via lato sensu postgraduate studies, when compared to the other PICS. It was observed that the participants' first experiences with the practices were associated with personal contexts, including self-care and family influences. It was observed that personal experience and criticism of a nutrition perspective based on hegemonic science, described as “Cartesian” and “in the box” nutrition, acted as drivers for the use of PICS and not “formal” training. “In a box” nutrition was characterized by a focus on weight loss and the use of anthropometric assessment and dietary prescription as the main tools. However, despite criticizing the centrality of weight, it was noted that the interviewees were unable to completely free themselves from this primary parameter. Anxiety emerged as a central theme in the discussion about the care offered to people with obesity. Multiple practices are used simultaneously, driving the creation of “proper” techniques. Final considerations: Despite the existence of the PNPIC, the PICS have not yet found a permanent space within the scope of the SUS with regard to nutritionist care practices. Conversely, private care proved to be an environment more permeated by these practices. It is known that the condition of obesity reinforces the need to rethink the hegemony of the biomedical discourse crystallized as an explanatory and coping model, in order to pave the way for the inclusion of other rationalities present in the field of health, and of a biopsychosocial order, covering aspects of etiology to care tools addressed to individuals and/or communities. In this sense, considering the different medical rationalities of Integrative and Complementary Practices and the science of nutrition, nutritionists have demonstrated that these different forms of care can coexist in comprehensive care for overweight and obese individuals. Finally, it is noted that PICS are not applied in isolation, supplanting conventional nutritional practices. But, on the contrary, they appear as part of a whole developed to promote care.

COMMITTEE MEMBERS:
Interna - 1095648 - LIGIA AMPARO DA SILVA SANTOS
Interna - 3273855 - DEBORA PREVIATTI
Externa ao Programa - 2200041 - ANAMELIA LINS E SILVA FRANCO - UFBA