Estratégias nutricionais e interdisciplinares para promover a adesão ao tratamento em adultos com transtorno de compulsão alimentar

Abstract

Objective: This integrative review aims to identify effective strategies that enhance adherence to lifestyle changes in adults diagnosed with Binge Eating Disorder (BED). Methods: The study followed the Integrative Literature Review methodology, with searches conducted in PubMed, ScienceDirect, Scielo, and Biblioteca Virtual em Saúde (BVS) databases using controlled descriptors from DeCS/MeSH. Inclusion criteria encompassed original studies published between 2015 and 2024, focusing on interventions led by nutritionists or multidisciplinary teams in adult populations with BED. Results: Eight articles were selected after rigorous screening. Evidence suggests that rigid dietary control and weight-centric approaches tend to result in treatment dropout and worsening of body image. Conversely, strategies incorporating intuitive eating, mindfulness, and interdisciplinary care foster emotional regulation, reduce binge episodes, and improve metabolic and psychosocial outcomes. Conclusion: Approaches emphasizing flexibility, body acceptance, and non-stigmatizing care demonstrate higher potential for sustained behavioral change and therapeutic adherence. Future research should address current methodological limitations by including diverse samples and long-term follow-up.