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Abstract
The aim was to describe the role of primary health care in the attention to and control of obesity. An integrative literature review study was conducted. The descriptor obesity and primary care was used to search the databases Scientific Electronic Library Online, Latin American and Caribbean Health Sciences Literature, and Virtual Health Library; books and manuals from the Ministry of Health regarding the subject of study were also considered. The approach to obese patients is often permeated by stigma, over-medicalization, and excessive screenings not based on evidence. Three main practices were identified as strategies for caring for obese patients in primary health care, which are: not prescribing weight-loss medications in isolation without a robust therapeutic program including diet, physical activity, and behavioral change; not prescribing weight-loss medications for individuals with mild obesity without comorbidities; and not failing to perform evaluation and follow-up with a multidisciplinary team, including a nutritionist and psychologist, for obese individuals. Significant practices have been identified that can be carried out by professionals during the care of users with obesity, which can reverse the logic of excessive screening, requests for additional tests, overmedicalization, and stigmatization.
References
BEAGLEHOLE, R. et al. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet, v. 372, n. 9642, p. 940-949, 2008.
BONILLA, C. et al. Interprofessional dietary assessment practices in primary care: A mixed-methods study. Journal of Interprofessional Care, v. 30, n. 1, p. 77-82, 2016.
BRAZIL. Ministry of Health. Secretariat of Health Care. Department of Primary Care.Strategies for the care of people with chronic diseases: obesityBrasilia: Ministry of Health, 2014.
BRAZIL. Ministry of Health. Secretariat of Health Surveillance. Department of Surveillance of Non-Communicable Diseases and Health Promotion.Vigitel Brazil 2018: surveillance of risk and protective factors for chronic diseases through telephone survey.Brasilia: Ministry of Health, 2019.
GBD 2015 OBESITY COLLABORATORS. Health effects of overweight and obesity in 195 countries over 25 years. New England Journal of Medicine, v. 377, n. 1, p. 13-27, 2017.
GONZÁLEZ-MUNIESA, P. et al. Obesity.Nature Reviews Disease Primers, v. 3, n. 17034, p. 1-18, 2017.
HÖFELMANN, D. A.; BRAGA, C. Contributions of the Food and Nutrition Surveillance System (Sisvan) to the analysis of the nutritional profile of the Brazilian population: potentialities and limitations.Epidemiology and Health Services, v. 32, n. 4, e2023345, 2023.
JESUS, J. G. L. et al. The work process in the Family Health Strategy focused on overweight and obese people in São Paulo.Health in Debate, v. 46, n. 132, p. 175-187, 2022.
LOPES, M. S. et al. Is the management of obesity in primary health care in Brazil adequate?Public Health Notebooks, v. 37, suppl. 1, e00051620, 2021.
MENEZES, M. C. et al. A systematic review of effects, potentialities, and limitations of nutritional interventions aimed at managing obesity in primary and secondary health care. Nutrition, v. 75-76, 110784, 2020.
MIGOWSKI, A.; COSTA, G. T. L. Temporal Analysis of the Prevalence of Obesity and Overweight in Brazil between 2006 and 2023: Evidence from Vigitel data.Journal on Science, v. 2, n. 1, e00104, 2024.
MINAYO, M. C. S. (org.). Social Research: theory, method and creativity. 18th ed. Petrópolis: Vozes, 2014.
NCD RISK FACTOR COLLABORATION (NCD-RisC). Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. The Lancet, v. 403, n. 10431, p. 1027-1050, 2024.
OLIVEIRA, T. F. V. et al. Strengthening care actions for people with obesity in the context of the COVID-19 pandemic: the case of Brazil.Science & Public Health, v. 28, n. 12, p. 3673-3685, 2023.
RALSTON, J. et al. Time for a new obesity narrative. The Lancet, v. 392, n. 10156, p. 1384-1386, 2018.
REIS, E. C.; PASSOS, S. R. L.; SANTOS, M. A. B. Quality assessment of clinical guidelines for the treatment of obesity in adults: application of the AGREE II instrument. Public Health Notebooks, v. 34, n. 2, e00050517, 2018.
SCHWENKE, M. et al. Attitudes and treatment practice of general practitioners towards patients with obesity in primary care. BMC Family Practice, v. 21, n. 1, p. 169, 2020.
SEMLITSCH, T. et al. Management of overweight and obesity in primary care – A systematic overview of international evidence-based guidelines. Obesity Reviews, v. 20, n. 9, p. 1218-1230, 2019.
SWINBURN, B. A. et al. The global syndemic of obesity, malnutrition and climate change: a report from the Commission.The Lancet. [S. l.: s. n.], 2019a.
SWINBURN, B. A. et al. The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report. The Lancet, London, v. 393, n. 10173, p. 791-846, Feb. 2019b.
THERRIEN, J. New contexts in postgraduate education: a reflection on parameters that permeate training for professional knowledge.. In: 22nd Meeting of Educational Research of the North and Northeast, 2014, Natal. Proceedings [...]. Natal: EPENN, 2014.
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Copyright (c) 2026 Matheus Siega Nepomuceno, Letícia Lima Silva de Abreu, Fernandez Fonseca Almeida, Edila Alves Moraes Nogueira, Rafaela Barros Pinheiro, Kênia Alencar Fróes, Carolliny Pimenta Faria Galvão, Silvânia Paiva Santos Rocha, Ana Caroline Pereira Costa, Flávia Ferreira Santana, Valdira Vieira de Oliveira, Marlete Scremin, Rita de Cássia Caldeira Santos Goes, Andreia Correia, Sueli Antunes Aquino Cardoso Gonçalves, Natália Gonçalves Ribeiro, Leandro Felipe Antunes da Silva