{"id":55374,"date":"2026-02-18T11:18:56","date_gmt":"2026-02-18T11:18:56","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=55374"},"modified":"2026-02-23T10:18:36","modified_gmt":"2026-02-23T10:18:36","slug":"disturbios-alimentares-em-obesidade-prevalencia","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/disturbios-alimentares-em-obesidade-prevalencia\/","title":{"rendered":"Dist\u00farbios Alimentares em Adultos com Obesidade: Preval\u00eancia e Abordagens Terap\u00eauticas"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"55374\" class=\"elementor elementor-55374\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c4f2b35 e-flex e-con-boxed e-con e-parent\" data-id=\"c4f2b35\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-601b3fc elementor-widget elementor-widget-heading\" data-id=\"601b3fc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Introdu\u00e7\u00e3o<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03d133a elementor-widget elementor-widget-text-editor\" data-id=\"03d133a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"391\" data-end=\"817\">A obesidade \u00e9 frequentemente acompanhada de comportamentos alimentares desordenados. Adultos que procuram tratamento para o excesso de peso podem apresentar <strong data-start=\"548\" data-end=\"587\">dist\u00farbios alimentares em obesidade<\/strong>, como a perturba\u00e7\u00e3o da ingest\u00e3o compulsiva, a bulimia nervosa ou a s\u00edndrome do comer nocturno. Identificar estes problemas \u00e9 crucial para oferecer um tratamento eficaz, reduzir o risco de reca\u00eddas e evitar abordagens inadequadas.<\/p><p data-start=\"819\" data-end=\"1138\">Uma revis\u00e3o sistem\u00e1tica sobre a preval\u00eancia de dist\u00farbios alimentares em adultos que procuram tratamento da obesidade revelou que 14% preenchem crit\u00e9rios de perturba\u00e7\u00e3o da ingest\u00e3o compulsiva (DSM-5), 26% relatam epis\u00f3dios moderados de ingest\u00e3o compulsiva, 1% apresentam bulimia nervosa e 5% s\u00edndrome do comer nocturno.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-186b093 elementor-widget elementor-widget-heading\" data-id=\"186b093\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perturba\u00e7\u00e3o de ingest\u00e3o compulsiva (PIC)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d324b8a elementor-widget elementor-widget-heading\" data-id=\"d324b8a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">O que caracteriza a PIC?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a220577 elementor-widget elementor-widget-text-editor\" data-id=\"a220577\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1214\" data-end=\"1557\">A perturba\u00e7\u00e3o da ingest\u00e3o compulsiva envolve epis\u00f3dios recorrentes de ingest\u00e3o de grandes quantidades de alimentos num curto per\u00edodo, acompanhados de sensa\u00e7\u00e3o de perda de controlo e sentimentos de culpa, sem comportamentos compensat\u00f3rios regulares, como v\u00f3mitos auto-induzidos. \u00c9 o dist\u00farbio alimentar mais prevalente no contexto da obesidade.<\/p><p data-start=\"1559\" data-end=\"1889\">Nos <strong data-start=\"1563\" data-end=\"1602\">dist\u00farbios alimentares em obesidade<\/strong>, a PIC est\u00e1 associada n\u00e3o apenas ao aumento de peso, mas tamb\u00e9m a depress\u00e3o, ansiedade e baixa autoestima. A meta-an\u00e1lise referida observou que cerca de metade dos indiv\u00edduos com dist\u00farbios alimentares em programas de tratamento da obesidade apresentavam comorbilidades de sa\u00fade mental.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef5012d elementor-widget elementor-widget-heading\" data-id=\"ef5012d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Bulimia nervosa e s\u00edndrome do comer nocturno<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bfa0477 elementor-widget elementor-widget-heading\" data-id=\"bfa0477\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Preval\u00eancia menor, mas significativa<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-760e5dc elementor-widget elementor-widget-text-editor\" data-id=\"760e5dc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1981\" data-end=\"2278\">A bulimia nervosa caracteriza-se por epis\u00f3dios de ingest\u00e3o compulsiva seguidos de comportamentos compensat\u00f3rios, como jejum prolongado ou exerc\u00edcio excessivo. Embora a preval\u00eancia em adultos com obesidade seja relativamente baixa (cerca de 1%), o impacto na sa\u00fade f\u00edsica e psicol\u00f3gica \u00e9 relevante.<\/p><p data-start=\"2280\" data-end=\"2659\">A s\u00edndrome do comer nocturno manifesta-se por ingest\u00e3o alimentar repetida durante a noite ou consumo excessivo ap\u00f3s o jantar, estando presente em cerca de 5% dos adultos que procuram tratamento para a obesidade. Tal como outros <strong data-start=\"2508\" data-end=\"2547\">dist\u00farbios alimentares em obesidade<\/strong>, esta condi\u00e7\u00e3o pode comprometer a efic\u00e1cia dos programas de perda de peso se n\u00e3o for identificada precocemente.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-753e634 elementor-widget elementor-widget-heading\" data-id=\"753e634\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Implica\u00e7\u00f5es para o tratamento da obesidade<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bde675c elementor-widget elementor-widget-heading\" data-id=\"bde675c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Por que \u00e9 importante identificar dist\u00farbios alimentares em programas de perda de peso?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-441047a elementor-widget elementor-widget-text-editor\" data-id=\"441047a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pessoas com dist\u00farbios alimentares podem responder de forma diferente \u00e0s interven\u00e7\u00f5es tradicionais de perda de peso. Quando os <strong data-start=\"2926\" data-end=\"2965\">dist\u00farbios alimentares em obesidade<\/strong> n\u00e3o s\u00e3o reconhecidos, aumenta o risco de abandono do tratamento, frustra\u00e7\u00e3o e recupera\u00e7\u00e3o do peso perdido. Al\u00e9m disso, estrat\u00e9gias excessivamente restritivas podem agravar comportamentos compulsivos.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a23b1f elementor-widget elementor-widget-heading\" data-id=\"5a23b1f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Que estrat\u00e9gias s\u00e3o recomendadas?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-06344eb elementor-widget elementor-widget-text-editor\" data-id=\"06344eb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li data-start=\"3207\" data-end=\"3351\"><strong data-start=\"3207\" data-end=\"3231\">Triagem sistem\u00e1tica:<\/strong> utiliza\u00e7\u00e3o de question\u00e1rios de rastreio, como a <em data-start=\"3280\" data-end=\"3300\">Binge Eating Scale<\/em>, antes do in\u00edcio dos programas de perda de peso.<\/li><li data-start=\"3207\" data-end=\"3351\"><strong data-start=\"3354\" data-end=\"3387\">Interven\u00e7\u00e3o multidisciplinar:<\/strong> integra\u00e7\u00e3o de equipa m\u00e9dica, nutricionista e psic\u00f3logo para tratar simultaneamente o peso e a rela\u00e7\u00e3o com a comida. A terapia cognitivo-comportamental \u00e9 eficaz na perturba\u00e7\u00e3o da ingest\u00e3o compulsiva e na bulimia nervosa.<\/li><li data-start=\"3207\" data-end=\"3351\"><strong data-start=\"3612\" data-end=\"3637\">Foco na sa\u00fade mental:<\/strong> tratamento da depress\u00e3o e ansiedade associadas, com psicoterapia e, quando necess\u00e1rio, interven\u00e7\u00e3o farmacol\u00f3gica prescrita por psiquiatra.<\/li><li data-start=\"3207\" data-end=\"3351\"><strong data-start=\"3781\" data-end=\"3806\">Reeduca\u00e7\u00e3o alimentar:<\/strong> evitar dietas muito restritivas e promover padr\u00f5es alimentares equilibrados, com refei\u00e7\u00f5es regulares e aten\u00e7\u00e3o aos sinais de fome e saciedade.<\/li><li data-start=\"3207\" data-end=\"3351\"><strong data-start=\"3954\" data-end=\"3980\">Suporte a longo prazo:<\/strong> acompanhamento continuado ap\u00f3s a fase inicial de perda de peso, reduzindo o risco de reca\u00eddas.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f7b21e elementor-widget elementor-widget-heading\" data-id=\"8f7b21e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Apoio cl\u00ednico online especializado<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdc1b0b elementor-widget elementor-widget-text-editor\" data-id=\"cdc1b0b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Na <strong data-start=\"4118\" data-end=\"4135\">M\u00e9dico na Net<\/strong>, \u00e9 poss\u00edvel agendar uma <a href=\"https:\/\/www.mediconanet.pt\/produto\/consulta-online-para-disturbios-alimentares-anorexia-e-bulimia\/\"><strong data-start=\"4160\" data-end=\"4239\">consulta m\u00e9dica online especializada em dist\u00farbios alimentares em obesidade<\/strong><\/a>, com acompanhamento cl\u00ednico e psiqui\u00e1trico adequado. Durante a consulta, os profissionais de sa\u00fade avaliam o historial cl\u00ednico, os padr\u00f5es alimentares desordenados, o impacto psicol\u00f3gico e eventuais comorbilidades, permitindo definir um plano terap\u00eautico ajustado. O apoio cl\u00ednico online facilita o acesso a cuidados especializados, assegurando confidencialidade, continuidade de acompanhamento e uma abordagem segura no tratamento dos dist\u00farbios alimentares associados \u00e0 obesidade.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9c9480 elementor-widget elementor-widget-image\" data-id=\"f9c9480\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-obesidade-adultos-1024x573.jpg\" class=\"attachment-large size-large wp-image-55725\" alt=\"Consulta m\u00e9dica online no acompanhamento de dist\u00farbios alimentares em obesidade\" srcset=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-obesidade-adultos-1024x573.jpg 1024w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-obesidade-adultos-300x168.jpg 300w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-obesidade-adultos-768x430.jpg 768w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-obesidade-adultos-1536x860.jpg 1536w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-obesidade-adultos-18x10.jpg 18w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-obesidade-adultos-600x336.jpg 600w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-obesidade-adultos.jpg 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-deccdbd e-flex e-con-boxed e-con e-parent\" data-id=\"deccdbd\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6fb1938 e-con-full e-flex e-con e-child\" data-id=\"6fb1938\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-fd3bb03 e-con-full e-flex e-con e-child\" data-id=\"fd3bb03\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-54158c7 elementor-widget elementor-widget-heading\" data-id=\"54158c7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ae90e4 elementor-widget elementor-widget-n-accordion\" data-id=\"6ae90e4\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1120\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1120\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> \u00c9 comum ter dist\u00farbios alimentares em obesidade sem o saber? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1120\" class=\"elementor-element elementor-element-7659893 e-con-full e-flex e-con e-child\" data-id=\"7659893\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1120\" class=\"elementor-element elementor-element-9b7d16e e-flex e-con-boxed e-con e-child\" data-id=\"9b7d16e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fa9981c elementor-widget elementor-widget-text-editor\" data-id=\"fa9981c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sim. Muitas pessoas com perturba\u00e7\u00e3o da ingest\u00e3o compulsiva ou s\u00edndrome do comer nocturno sentem vergonha e ocultam os comportamentos. A triagem em programas de perda de peso ajuda a identificar casos n\u00e3o diagnosticados.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1121\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1121\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Perder peso resolve a perturba\u00e7\u00e3o da ingest\u00e3o compulsiva? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1121\" class=\"elementor-element elementor-element-4d15141 e-con-full e-flex e-con e-child\" data-id=\"4d15141\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1121\" class=\"elementor-element elementor-element-bb35bad e-flex e-con-boxed e-con e-child\" data-id=\"bb35bad\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c5484a elementor-widget elementor-widget-text-editor\" data-id=\"1c5484a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>N\u00e3o. A perda de peso isolada n\u00e3o trata a PIC. \u00c9 essencial abordar os factores emocionais e cognitivos atrav\u00e9s de terapia adequada.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1122\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1122\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Dietas restritivas s\u00e3o aconselhadas em dist\u00farbios alimentares em obesidade? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1122\" class=\"elementor-element elementor-element-2aea4c7 e-con-full e-flex e-con e-child\" data-id=\"2aea4c7\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1122\" class=\"elementor-element elementor-element-ab03514 e-flex e-con-boxed e-con e-child\" data-id=\"ab03514\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9d576a4 elementor-widget elementor-widget-text-editor\" data-id=\"9d576a4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>N\u00e3o. Dietas muito restritivas podem desencadear ou agravar epis\u00f3dios de ingest\u00e3o compulsiva. Prefere-se uma abordagem alimentar estruturada e equilibrada.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1123\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1123\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Existe cura para a bulimia nervosa? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1123\" class=\"elementor-element elementor-element-b9d6027 e-con-full e-flex e-con e-child\" data-id=\"b9d6027\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1123\" class=\"elementor-element elementor-element-400179c e-flex e-con-boxed e-con e-child\" data-id=\"400179c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ee9e8f2 elementor-widget elementor-widget-text-editor\" data-id=\"ee9e8f2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A bulimia nervosa \u00e9 trat\u00e1vel, sobretudo com terapia cognitivo-comportamental. O progn\u00f3stico melhora com diagn\u00f3stico precoce e apoio multidisciplinar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1124\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1124\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quando devo procurar ajuda profissional? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1124\" class=\"elementor-element elementor-element-8dd1803 e-con-full e-flex e-con e-child\" data-id=\"8dd1803\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1124\" class=\"elementor-element elementor-element-0eac80d e-flex e-con-boxed e-con e-child\" data-id=\"0eac80d\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2d2abb6 elementor-widget elementor-widget-text-editor\" data-id=\"2d2abb6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sempre que existirem epis\u00f3dios frequentes de compuls\u00e3o, sofrimento psicol\u00f3gico, perda de controlo alimentar ou dificuldade em manter um plano de perda de peso, \u00e9 aconselh\u00e1vel procurar avalia\u00e7\u00e3o por profissionais especializados em dist\u00farbios alimentares em obesidade.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"\\u00c9 comum ter dist\\u00farbios alimentares em obesidade sem o saber?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. Muitas pessoas com perturba\\u00e7\\u00e3o da ingest\\u00e3o compulsiva ou s\\u00edndrome do comer nocturno sentem vergonha e ocultam os comportamentos. A triagem em programas de perda de peso ajuda a identificar casos n\\u00e3o diagnosticados.\"}},{\"@type\":\"Question\",\"name\":\"Perder peso resolve a perturba\\u00e7\\u00e3o da ingest\\u00e3o compulsiva?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"N\\u00e3o. A perda de peso isolada n\\u00e3o trata a PIC. \\u00c9 essencial abordar os factores emocionais e cognitivos atrav\\u00e9s de terapia adequada.\"}},{\"@type\":\"Question\",\"name\":\"Dietas restritivas s\\u00e3o aconselhadas em dist\\u00farbios alimentares em obesidade?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"N\\u00e3o. Dietas muito restritivas podem desencadear ou agravar epis\\u00f3dios de ingest\\u00e3o compulsiva. Prefere-se uma abordagem alimentar estruturada e equilibrada.\"}},{\"@type\":\"Question\",\"name\":\"Existe cura para a bulimia nervosa?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A bulimia nervosa \\u00e9 trat\\u00e1vel, sobretudo com terapia cognitivo-comportamental. O progn\\u00f3stico melhora com diagn\\u00f3stico precoce e apoio multidisciplinar.\"}},{\"@type\":\"Question\",\"name\":\"Quando devo procurar ajuda profissional?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sempre que existirem epis\\u00f3dios frequentes de compuls\\u00e3o, sofrimento psicol\\u00f3gico, perda de controlo alimentar ou dificuldade em manter um plano de perda de peso, \\u00e9 aconselh\\u00e1vel procurar avalia\\u00e7\\u00e3o por profissionais especializados em dist\\u00farbios alimentares em obesidade.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9145971 e-flex e-con-boxed e-con e-parent\" data-id=\"9145971\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f1ae124 elementor-widget elementor-widget-heading\" data-id=\"f1ae124\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conclus\u00e3o<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0c1bd3e elementor-widget elementor-widget-text-editor\" data-id=\"0c1bd3e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A coexist\u00eancia de <strong data-start=\"6005\" data-end=\"6044\">dist\u00farbios alimentares em obesidade<\/strong> \u00e9 significativa, com preval\u00eancias de 14% para a perturba\u00e7\u00e3o da ingest\u00e3o compulsiva, 26% de ingest\u00e3o compulsiva moderada, 1% de bulimia nervosa e 5% de s\u00edndrome do comer nocturno. O reconhecimento precoce destas condi\u00e7\u00f5es \u00e9 fundamental para personalizar a interven\u00e7\u00e3o, reduzir reca\u00eddas e melhorar a sa\u00fade f\u00edsica e mental. Programas de perda de peso devem integrar equipas multidisciplinares, abordando simultaneamente comportamentos alimentares e factores emocionais, de forma a alcan\u00e7ar resultados sustent\u00e1veis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6826407 elementor-widget elementor-widget-heading\" data-id=\"6826407\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Refer\u00eancias<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb742ea elementor-widget elementor-widget-text-editor\" data-id=\"bb742ea\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"6574\" data-end=\"6773\"><a href=\"https:\/\/doi.org\/10.1016\/j.eatbeh.2017.01.002\" rel=\"dofollow noopener\" target=\"_blank\"><strong>da Luz FQ, et al.<\/strong> <em data-start=\"6592\" data-end=\"6726\">The prevalence of eating disorders and disordered eating in adults seeking obesity treatment: A systematic review and meta-analysis.<\/em><\/a><\/p><p data-start=\"6775\" data-end=\"6961\"><a href=\"https:\/\/www.thelancet.com\/journals\/lanpsy\/article\/PIIS2215-0366(14)70258-2\/fulltext\" rel=\"nofollow noopener\" target=\"_blank\"><strong>Fairburn CG, Cooper Z.<\/strong> <em data-start=\"6798\" data-end=\"6850\">Cognitive-behavioral therapy for eating disorders.<\/em> <em data-start=\"6851\" data-end=\"6875\">The Lancet Psychiatry.<\/em><\/a><\/p><p data-start=\"6963\" data-end=\"7091\"><a href=\"https:\/\/apmo.pt\/\" rel=\"nofollow noopener\" target=\"_blank\"><strong>Associa\u00e7\u00e3o Portuguesa de Medicina da Obesidade.<\/strong> <em data-start=\"7011\" data-end=\"7072\">Diretrizes para o tratamento multidisciplinar da obesidade.<\/em><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A obesidade \u00e9 frequentemente acompanhada de comportamentos alimentares desordenados. Adultos que procuram tratamento para o excesso de peso podem apresentar dist\u00farbios alimentares em obesidade, como a perturba\u00e7\u00e3o da ingest\u00e3o compulsiva, a bulimia nervosa ou a s\u00edndrome do comer nocturno. Identificar estes problemas \u00e9 crucial para oferecer um tratamento eficaz, reduzir o risco de reca\u00eddas [&hellip;]<\/p>\n","protected":false},"author":2964,"featured_media":55723,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[184],"tags":[],"class_list":["post-55374","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude-mental"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/02\/disturbios-alimentares-em-adultos-com-obesidade.webp","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/55374","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/2964"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=55374"}],"version-history":[{"count":7,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/55374\/revisions"}],"predecessor-version":[{"id":55729,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/55374\/revisions\/55729"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/55723"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=55374"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=55374"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=55374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}