Os resultados encontrados no presente estudo indicam uma relação entre déficits na FE e
TCAP. Para tanto, o entendimento sobre a etiologia e a construção de uma nova abordagem
terapêutica para o tratamento de pessoas com TCAP deve considerar o indivíduo como um todo,
estreitando a relação entre perfil neuropsicológico de funcionamento executivo e uma compulsão
alimentar. Em razão disso, o presente estudo, com delineamento transversal, investigou o perfil
nutricional e neuropsicológico das FE em pacientes com TCAP segundo critérios da ECAP. Para
isso, foram avaliados 36 pacientes, de ambos os sexos e de idades entre 18 e 65 anos, com
diagnóstico principal de obesidade segundo o IMC.
Um dos principais achados desta pesquisa foi o indício de que pacientes obesos com
TCAP apresentam prejuízo nos diversos aspectos do funcionamento executivo, sugerindo, desta
maneira, um padrão executivo distinto quando comparados a pacientes sem TCAP. Essas tarefas
da FE estão relacionadas à atenção seletiva, controle inibitório, planejamento e tomada de
decisão. As FE analisadas por esse estudo foram aquelas que se mostram ser as mais
relacionadas com o ECA em virtude de todo o quadro clínico.
Outro achado do presente estudo foi a evidência de que o perfil nutricional dos pacientes
não difere entre o grupo de obesos com ou sem TCAP. Assim, os resultados indicaram que a
obesidade está relacionada a um pior estado de saúde geral e não somente o transtorno. Assim
como o IMC não está relacionado com um maior grau de prejuízo nas tarefas da FE, a relação
inversamente proporcional entre ganho de peso e déficit da FE não foi encontrada nesse estudo.
Salienta-se que algumas limitações devem ser consideradas. A amostra da pesquisa
poderia abranger melhor as características do TCAP se a população fosse mais heterogênea em
relação à renda. Os testes da FE podem ter sofrido alguma interferência em seus resultados em
razão da escolaridade limitada da grande parte dos participantes. Além disso, para melhor
otimização dos resultados, procura-se sempre que possível utilizar mais testes, para que se possa
avaliar a FE e o perfil neuropsicológico dos pacientes de modo mais abrangente. Contudo,
deve-se considerar que as avaliações foram feitas em ambiente controlado, por profissionais treinados
e capacitados, através de testes e escalas válidas e traduzidas para o nosso idioma. Por fim,
sugere-se que outros estudos neste sentido sejam realizados, uma vez que a literatura ainda é
escassa sobre o assunto, que o TCAP é uma categoria diagnóstica nova dentro dos TA e que essa
n=15 53.6% n=9 32.1% n=25 89.3% n=18 64.3% n=5 17.9%
população ainda não apresenta características delimitadas com exatidão em relação ao
comportamento.
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ANEXO A – Parecer de aprovação do projeto pelo Comitê de Ética em Pesquisa da
UFCSPA
ANEXO B – Normas de Publicação da Revista Científica
International Journal of Eating Disorders
ORIGINALITY
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elsewhere under review.
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Manuscripts published by IJED include: (1) Original Articles; (2) Brief Reports; (3) Critical
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Word Limit: 7,000 words, excluding abstract, references, tables and figures
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References
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Except as noted for Commentaries, “Ideas Worth Researching” and Letters to the Editor,
No documento
Perfil Nutricional e Neuropsicológico das Funções Executivas no Transtorno da Compulsão Alimentar Periódica
(páginas 59-72)