Serviços Personalizados
Journal
Artigo
Indicadores
- Citado por SciELO
- Acessos
Links relacionados
- Similares em SciELO
Compartilhar
Análise Psicológica
versão impressa ISSN 0870-8231
Aná. Psicológica v.20 n.4 Lisboa nov. 2002
Psicologia, sáude e nutrição: Contributo para o estudo do comportamento alimentar
VICTOR VIANA (*)
RESUMO
O comportamento alimentar constitui um importante aspecto dos hábitos e estilo de vida que importa abordar do ponto de vista da Psicologia. Tradicionalmente o processo alimentar tem sido estudado no caso das perturbações do comportamento alimentar. A abordagem que apresentamos é a do comportamento alimentar do sujeito normal no contexto teórico e metodológico da Psicologia da Saúde.
A Nutrição está intrinsecamente associada à saúde e à doença. Algumas das mais assustadoras doenças do nosso tempo são em grande parte atribuíveis a hábitos alimentares não saudáveis adquiridos na infância e na adolescência.
A compreensão do comportamento e do estilo alimentar, incluindo os aspectos psicológicos que lhe estão subjacentes, parece ser determinante na possibilidade de se definirem estratégias visando implementar mudanças de índole terapêutica ou educacional com vista à promoção de hábitos alimentares saudáveis.
Neste trabalho procuramos demonstrar o papel da Psicologia na investigação no domínio da Nutrição, sobre as relações entre o comportamento alimentar e asaúde. É realçado o contributo da Psicologia para a compreensão do ser saudável e para a adopção de estratégias de prevenção primária e educação para a saúde, nomeadamente no caso dos jovens.
Palavras-chave: Psicologia da saúde, nutrição, comportamento alimentar, estilo de vida, estilo alimentar.
ABSTRACT
Eating behaviour is one of the most important aspects of habits and lifestyle that has to be taken as object of Health Psychology approach.
Eating and nutrition have been studied, in Clinical Psychology, from the point of view of the pathological processes and as eating disorders. Health Psychology approaches eating behaviour in the normal person and in a specific theoretical and methodological context.
Nutrition is obviously related to disease and health. Some of the most frightening diseases of our days are in some degree the result of unhealthy eating habits learned in childhood and adolescence. This is the case of cardiovascular diseases, cancer, diabetes, obesity and others. If unhealthy habits led to this disorders, healthy eating habits can prevent some of them and are in general part of their treatment.
In this paper we present some aspects about the contribution of the Health Psychology in the research of eating behaviour and nutrition. The understanding of behaviour and eating style, witch include psychological factors, seems to be fundamental for the development of strategies in order to promote changes regarding healthy lifestyle.
Key words: Health psychology, nutrition, eating behavior, life style, eating style.
Texto completo disponível apenas em PDF.
Full text only available in PDF format.
REFERÊNCIAS BIBLIOGRÁFICAS
Agras, W., Kraemer, H., Berkowitz, R., & Hammer, L. (1990). Influence of early feeding style on adiposity at 6 years of age. Behavioral Pediatrics, 116, 805-809.
[ Links ]Albu, J., Allison, D., Boozer, C., Heymesfield, S., Kissilef, H., Kretser, A., Krumhar, K., Leibel, R., Nonas, C., Pi-Sunyer, X., Van Itallie, T., & Wedral, E. (1997). Obesity solutions: Report of a meeting. Nutrition Reviews, 55, 150-156.
[ Links ]Amaral, T. (1998). Risco alimentar na epidemiologia do cancro da mama e colorectal. Dissertação de candidatura ao grau de Doutor apresentada ao Curso de Ciências da Nutrição da Universidade do Porto.
[ Links ]A A P (1998). Cholestrol in childhood. Committee on Nutrition' American Academy of Pediatrics. Pediatrics, 101, 141-147.
[ Links ]A D A (1993). Diabetes 1993 vital statistics. Alexandria, VA. American Diabetes Association.
[ Links ]Baldwin, T., & Falciglia, G. (1995). Application of cognitive behavioral theories to dietary change. Journal of the American Dietetic Association, 95, 1315-1317.
[ Links ]Bidlack, W. (1996). Interrelationships of food, nutrition, diet and health: The National Association of the State Universities and Land Grant Colleges White Paper. Journal of American College of Nutrition, 15, 422-433.
[ Links ]Booth, S., & Suttie, J. (1998). Dietary intake and adequacy of vitamin K. Journal of Nutrition, 128, 785-788.
[ Links ]Brownell, K. (1982). Obesity: Understanding and treating a serious, prevalent, and refractory disorder. Journal of Consulting and Clinical Psychology, 50, 820-840.
[ Links ]Brownell, K., & Rodin, J. (1994). The dieting maelstrom: Is it possible and advisable to lose weight? American Psychologist, 19, 781-791.
[ Links ]Brownell, K., Wadden, T. (1991). The heterogeneity of obesity. Behavior Therapy, 22, 153-177.
[ Links ]Bruch, H. (1982). Anorexia nervosa: Therapy and theory. American Journal of Psychiatry, 139, 1531-1538.
[ Links ]Califano, J. (1987). America's health care revolution: health promotion and disease prevention. Journal of The American Dietetic Association, 87, 437-440.
[ Links ]Christoffel, K., & Ariza, A. (1998). The epidemiology of overweight in children: Relevance for clinical care. Pediatrics, 101, 103-105.
[ Links ]Chu, N.-F., Rimm, E., Wang, D.-J., Liou, H.-S., & Shieh, S.-M. (1998). Clustering of cardiovascular disease risk factores among obese schoolchidren: The Taipei Children Heart Study. American Journal of Nutrition, 67, 1141-1146.
[ Links ]CNAN - Conselho Nacional de Alimentação e Nutrição (1997). Recomendações para a educação alimentar da população portuguesa. Revista Portuguesa de Nutrição, 7, 5-19.
[ Links ]Contento, I., Michela, J., & Williams, S. (1995). Adolescent food choice criteria: Role of weight and dieting status. Appetite, 25, 51-76.
[ Links ]Craig, S., Bandini, L., Lichenstein, A., Schaefer, E., & Dietz, W. (1996). The impact of physical activity on lipids, lipotroteins, and blood pressure in preadolescent girls. Pediatrics, 98, 389-395.
[ Links ]Dewberry, C., & Ussher, J. (1994). Restraint and perception of body weight among british adults. Journal of Social Psychology, 134, 609-619.
[ Links ]Dietz, W. (1998). Health consequences of obesity in youth: Childhood predictors of adult disease. Pediatrics, 101(Supplement), 515-525.
[ Links ]Drewnowsky, A. (1996). The behavioral phenotype in human obesity. In E. Capaldi (Ed.), Why we eat what we eat? The psychology of eating (pp. 291-308). Washington D.C.: American Psychological Association.
[ Links ]Drewnowski, A., & Popkin, B. (1997). The nutrition transition: New trends in the global diet. Nutrition Reviews, 55, 31-43.
[ Links ]Drotar, D. (Ed.) (1985). New directions in failure to thrive: Implications for research and practice. New York: Plenum Press.
[ Links ]Dwyer, J., Stone, E., Yang, M., Feldman, H., Webber, L., Must, A., Perry, C., Nader, P., & Parcel, G. (1998). Predictors of overweight and overfatness in a multiethnic pediatric population. American Journal of Clinical Nutrition, 67, 602-610.
[ Links ]ESPGAN (1994). Committee report: Childhood diet and prevention of coronary heart disease. Journal of Pediatric Gastroenterology and Nutrition, 19, 261-269.
[ Links ]Fern, E. (2000). Nutrition in the 21st Century. Alimentação Humana, 6, 215-221.
[ Links ]Fisher, J., & Birch, L. (1995). 3-5 years-old children's fat preferences and fat consumpsion are related to parental obesity. Journal of American Dietetic Association, 95, 759-764.
[ Links ]French, S., Perry, C., Leon, G., & Fulkerson, J. (1995). Changes in psychological variables and health behaviors by dieting status over a three-year period in a cohort of adolescent females. Journal of Adolescent Health, 16, 438-447.
[ Links ]Frisancho, A. R. (1993). Antropometric standards for the assessement of growth and nutritional status. The University of Michigan Press.
[ Links ]Galvão-Teles, A., Baptista, F., & Carmo, I. (1996). Obesidade e cancro. Comportamento Alimentar e Nutrição, 3, 7-13.
[ Links ]Ganley, R. (1986). Epistemology, family patterns, and psychossomatics: The case of obesity. Family Process, 25, 437-451.
[ Links ]Garrow, J., & Webster, J. (1985). Quetelet index (W/H²) as a measure of fatness. International Journal of Obesity and Related Metabolic Disorders, 9, 147-153.
[ Links ]Giovannucci, E., & Goldin, B. (1997). The role of fat, fatty acids, and total energy intake in the atiology of human colon cancer. American Journal of Clinical Nutrition, 66 (Supplement), 1564 S-1571 S.
[ Links ]Glanz, K., Basil, M., Maibach, E., Goldberg, J., & Snyder, D. (1998). Why americans eat what they do: Taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. Journal of the American Dietetic Association, 98, 1118-1126.
[ Links ]Gonzalez, A. (1996). A obesidade e factores de risco. Comportamento Alimentar e Nutrição, 3, 15-19.
[ Links ]Green, S. (1997). Obesity: Prevalence, causes, health risks and treatment. British Journal of Nursery, 6, 1181-1185.
[ Links ]Grenne, G., Rossi, S., Rossi, J., Velicer, W., Fava, J., & Prochaska, J. (1999). Dietary applications of the stages of change model. Journal of the American Dietetic Association, 99, 673-678.
[ Links ]Grundy, S. (1998). Multifactorial causation of obesity: implications for prevention. American Journal of Clinical Nutrition, 67 (Supplement), 563 S-572 S.
[ Links ]Guerra, A. J., Rego, C., Castro, E., Bicho, M., Carvalho Guerra, F., & Teixeira Santos, N. (1997). Estudo prospectivo referente aos principais factores de risco de patologia cardiovascular desde a infância e até à adolescência. Acta Pediátrica Portuguesa, 28, 297-306.
[ Links ]Herman, C., & Mack, D. (1975). Restrained and unrestrained eating. Journal of Personality, 43, 647-660.
[ Links ]Herman, C., & Polivy, J. (1980). Restrained eating. In A. Stunkard (Ed.), Obesity (pp. 208-225). Philadelphia: Saunders.
[ Links ]Huon, G., & Strong, K. (1998). The iniciation and maintenance of dieting: Strutural models for large-scale longitudinal investigations. International Journal of Eating Disorders, 23, 361-369.
[ Links ]Jeffrey, R., Wing, R., & French, S. (1992). Weight cycling and cardiovascular risk factores in obese men and women. American Journal of Clinical Nutrition, 55, 641-644.
[ Links ]Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and action. Journal of Adolescent Health, 12, 597-605.
[ Links ]Johnson, S., & Birch, L. (1994). Parents' and children adiposity and eating style. Pediatrics, 94, 653-661.
[ Links ]Kayman, S. (1989). Applying theory from social psychology and cognitive behavioral psychology to dietary behavior change and assessment. Journal of the American Dietetic Association, 89, 191-193.
[ Links ]Klish, W. J. (1998). Childhood obesity. Pediatrics in Review, 19, 312-315.
[ Links ]Kretchmer, N. (1994). Nutrition is the keystone of prevention. American Journal of Clinical Nutrition, 60, 1.
[ Links ]Lappalainen, R., Saba, A., Holm, L., Mykkanen, H., & Gibney, M. (1997). Difficulties in trying to eat healthier: Descriptive analysis of perceived barriers for healthy eating. European Jounal of Clinical Nutrition, 51 (Suppl. 2), S 36-S 40.
[ Links ]Lennernas, M., Fjellstrom, C., Becker, W., Giachetti, I., Schmitt, A., & de Winter, A. (1997). Influences on food choice perceived to be important by nationally-representative samples of adults in European Union. European Jounal of Clinical Nutrition, 51 (Suppl. 2), S8-S15.
[ Links ]Lewis, C., Sims, L., & Shannon, B. (1989). Examination of specific nutrition/health behaviors using a social cognitive model. Journal of the American Dietetic Association, 89, 194-202.
[ Links ]Lopes dos Santos, P. (1990). Papel dos factores de interacção mãe-filho no crescimento somático do recém-nascido. Dissertação de Doutoramento apresentada à FPCE da Universidade do Porto.
[ Links ]Moreira, P. (2001). Ingestão nutricional e estratégias de controlo de peso associados ao comportamento alimentar restritivo numa amostra de estudantes da Universidade do Porto. Dissertação de candidatura ao grau de Doutor, apresentada à Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto.
[ Links ]Moreira, P., Almeida, L., Sampaio, D., & Almeida, M. D. (1997). Escala para avaliação do comportamento alimentar: Adaptação portuguesa em jovens universitários saudáveis. In M. Gonçalves, I. Ribeiro, S. Araujo, et al. (Eds.), Avaliação psicológica: Formas e contextos (Vol. V, pp. 641-658). Braga: Apport.
[ Links ]Must, A., Jacques, P., Dallal, G., Bajema, C., & Dietz, W. (1992). Long-term morbidity and mortality ofoverweight adolescentes: A follow-up of the Harvard Growth Study of 1922 to 1935. New England Journal of Medicine, 327, 1350-1355.
[ Links ]Nakao, H., Aoyama, H., & Suzuki, T. (1990). Development of eating bahavior and its relation to physical growth in normal weight preschool children. Appetite, 14, 45-57.
[ Links ]Nestlé, M. (1996). Fruits and vegetables: protective or just fellow travelers? Nutrition Review, 54, 255-257.
[ Links ]Nichter, M., Ritenbaugh, C., Nichter, M., Vuckovic, N., & Aickin, M. (1995). Dieting and «watching» behaviors among adolescent females: Report of a multimethod study. Journal of Adolescent Health, 17, 153-162.
[ Links ]Nisbett, R. (1972). Hunger, obesity, and the ventromedial hipothalamus. Psychological Review, 79, 433-453.
[ Links ]Peres, E. (1994). Alimentação ocidental. Comportamento Alimentar e Nutrição, 1, 10-11.
[ Links ]Perri, M., Sears, S., & Clark, J. (1993). Strategies for improving maintenance of weight loss. Diabetes Care, 16, 200-209.
[ Links ]Pickering, T., Schwartz, J., & James, G. (1995). Ambulatory blood pressure monitoring for evaluating the relationships between lifestyle, hypertension and cardiovascular risk. Clinical and Experimental Pharmacology and Physiology, 22, 226-231.
[ Links ]Pirke, K., & Laessle, R. (1993). Restrained eating. In A. Stunkard, & T. Wadden (Eds.), Obesity: Theory and therapy (2nd ed., pp. 151-162). New York: Raven Press.
[ Links ]Poikolainen, K. (1995). Alcohol and mortality: A review. Journal of Clinical Epidemiology, 48, 455-465.
[ Links ]Polivy, J. (1996). Psychological consequences of food restriction. Journal of the American Dietetic Association, 96, 589-592.
[ Links ]Polivy, J., & Herman, C. (1985). Dieting and binging: A causal analysis. American Psychologist, 40, 193-201.
[ Links ]Polivy, J., & Herman, C. (1987). Diagnosis and treatment of normal eating. Journal of Consulting and Clinical Psychology, 55, 635-644.
[ Links ]Polivy, J., & Herman, C. (1992). Undieting: A programe to help people stop dieting. International Journal of Eating Disoders, 11, 261-268.
[ Links ]Raitakari, O., Porkka, K., Viikari, J., Ronnemaa, T., & Akerblom, H. (1994). Clustering of risk factores for coronary heart disease in children and adolescents. The cardiovascular risk in Young Finns Study. Acta Paediatrica, 83, 935-940.
[ Links ]Rodrigues, S., Cardoso, S., & Almeida, D. (2000). Hábitos alimentares: Conceitos e práticas - continuidade e mudança entre gerações. Alimentação Humana, 6, 153-164.
[ Links ]Rodrigues, F., Costa, F., Moura, L., Pinto, B., Gomes, L., Carvalheiro, M., & Ruas, M. (1997). Incidence of childhood type I (insulino dependent) diabetes in Coimbra, Portugal, 1987-94. Diabetes, Nutrition & Metabolism, 110 (Suppl.), 1-3.
[ Links ]Ruderman, A. (1986). Dietary restraint: A theoretical and empirical review. Psychological Bulletin, 99, 247-262.
[ Links ]Schachter, S. (1968). Obesity and eating. Science, 161, 751-756.
[ Links ]Schonfeld-Warden, N., & Warden, C. (1997). Pediatric obesity: Na overview of etiology and treatment. Pediatric Clinics of North America, 44, 339-361.
[ Links ]Schwarzer, R., & Fuchs, R. (1996). Self-efficacy and health behaviors. In M. Conner, & P. Norman (Eds.), Predicting health behaviour: Research and practice with social-cognitive models (pp. 163196). Buckingham: Open University Press.
[ Links ]Serdula, M., Ivery, D., Coats, R., Freedman, D., Williamson, D., & Byers, T. (1993). Do obese children become obese adults? A review of the literature. Preventive Medicine, 22, 167-177.
[ Links ]Shea, S., Stein, A., Basch, C., Contento, I., & Zybert, P. (1992). Variability and self-regulation of energy intake in young children in their everyday environment. Pediatrics, 90, 542-546.
[ Links ]Srinivasan, S., Bao, W., Wattigney, W., & Berenson, G. (1996). Adolescent overweight is associated with adult overweight and related multiple cardiovascular risk factores: The Bogalusa Heart Study. Metabolism, 45, 235-240.
[ Links ]Stinmetz, K., & Potter, J. (1996). Vegetables, fruit and cancer prevention: A review. Journal of the American Dietectic Association, 96, 1027-1039.
[ Links ]Stunkard, A., & Messick, S. (1985). The three factor eating questionnaire to measure dietary restraint, disinibition and hunger. Journal of Psychossomatic Research, 29, 71-84.
[ Links ]Stunkard, A., & Wadden, T. (1990). Restraint eating and human obesity. Nutrition Reviews, 48, 78-86.
[ Links ]Surwit, R., Feinglos, M., & Scovern, A. (1983). Diabetes and behavior: A paradigm for health psychology. American Psychologist, 38, 255-262.
[ Links ]Taylor, C., Sharpe, T., Shisslak, C., Bryson, S., Estes, L., Gray, N., McKnight, K., Crago, M., Kraemer, H., & Killen, J. (1998). Factores associated with weight concerns in adolescent girls. International Journal of Eating Disorders, 24, 31-42.
[ Links ]Taylor, S. (1995). Health psychology, 3rd Edition. Singapore: McGraw-Hill, Inc.
[ Links ]Troiano, R., & Flegal, K. (1998). Overweight children and adolescents: Description, epidemiology, and demographics. Pediatrics, 101 (Suplement), 497-504.
[ Links ]Van Strien, T. (1996). On the relationship between dieting and «obese» and bulimic eating patterns. International Journal of Eating Disorders, 19, 83-92.
[ Links ]Van Strien, T., Frijters, J., Bergers, G., & Defares, P. (1986). Dutch eating behavior questionnaire for assesment of restraint, emotional and external eating behavior. International Journal of Eating Disorders, 5, 295-315.
[ Links ]Viana, V. (1993). Desenvolvimento e crescimento: Estudo de algumas variáveis associadas ao aumento de peso nos primeiros meses da criança. Dissertação de Mestrado apresentada à FPCE da Universidade do Porto.
[ Links ]Viana, V. (2000). Psicologia, saúde e nutrição: Estudo do comportamento alimentar, do estado de nutrição e de alguns factores psicossociais associados num grupo de adolescentes. Dissertação de candidatura ao grau de Doutor, apresentada à Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto.
[ Links ]Viana, V., & Almeida, J. P. (1998). Psicologia pediátrica: Do comportamento à saúde infantil. Análise Psicológica, 1, 29-40.
[ Links ]Viana, V., Guerra, A., Lopes dos Santos, P., Rego, C., Silva, D., & Sinde, S. (2001). Factores psicossociais associados ao comportamento alimentar e ao estado de nutrição num grupo de adolescentes numa perspectiva da psicologia da saúde. Saúde Mental, 3, 7-16.
[ Links ]Viana, V., Lopes dos Santos, P., & Guerra, A. (1998). Estudo de alguns factores psicológicos associados ao incremento ponderal nos primeiros meses pósparto. Acta Pediatrica Portuguesa, 29, 253-260.
[ Links ]Viana, V., & Sinde, S. (2002). Estilo alimentar: Adaptação e validação do Questionário Holandês do Comportamento Alimentar (artigo enviado para publicação na revista Psicologia: Teoria, Investigação e Prática).
[ Links ]Wachs, T. (1995). Relation of mild-to-moderate malnutrition to human development: Correlational studies. Journal of Nutrition, 125, 2245 S-2254 S.
[ Links ]Wardle, J., & Beales, S. (1987). Restraint and food intake: An experimental study of eating patterns in the laboratory and in normal life. Behavior Research and Therapy, 25, 179-185.
[ Links ]Wardle, J., Guthrie, C. A., Sanderson, S., & Rapoport, L. (2001). Development of the Children's Eating Behaviour Questionnaire. Journal of Child Psychology and Psychiatry, 42, 963-970.
[ Links ]Wardle, J., Marsland, L., Sheikh, Y., Quinn, M., Fedoroff, I., & Ogden, J. (1992). Eating style and eating behavior in adolescents. Appetite, 18, 167-183.
[ Links ]Westenhoefer, J. (1991). Dietary restraint and disinhibition: Is restraint a homogeneous construct? Appetite, 16, 45-55.
[ Links ]Willett, W. (1998). Is dietary fat a major determinante of body fat? American Journal of Clinical Nutrition, 67 (Supplement), 556 S-562 S.
[ Links ]Willett, W. (1997). Specific fatty acids and risk of breast and prostate cancer: Dietary intake. American Journal of Clinical Nutrition, 66 (Supplement), 1557 S-1563 S.
[ Links ]Willhite, L. (1998). Osteoporosis in women: Prevention and treatement. Journal of American Pharmacological Association, 38, 614-623.
[ Links ]WHO (1998). The world health report 1998 - Life in 21st Century. A vision for all. Report of the Director General. Geneva, World Health Organization.
[ Links ]WHO (1997). Preventing and managing the global epidemic. Report of a World Health Organization consultation on obesity. Geneva, 3-5 June.
[ Links ]World Cancer Fund-American Institute For Cancer Research (1997). Food, nutrition and the prevention of cancer: A global perspective. Washington, World Cancer Fund-American Institute For Cancer Research.
[ Links ]Young, N. (1997). Effects of alcohol and other drugs in children. Journal of Psychoactive Drugs, 29, 23-42.
[ Links ]Zwiauer, K., Pakosta, R., Mueller, T., & Widham, K. (1992). Cardiovascular risk factores in obese children in relation to weight and body fat distribution. Journal of the American College of Nutrition, 11 (suppl.), 41 S- 50 S.
[ Links ]
(*) Faculdade de Ciências da Nutrição e Alimentação da U. P. (FCNAUP). Instituto Superior de Ciências da Saúde-Norte (ISCS-N). Departamento de Pediatria do H.S.J.- Porto.