**6. Conclusion**

*Psychology of Health - Biopsychosocial Approach*

intervention initiatives on obesity among poor women.

**5. The possible possibilities of coping with obesity**

and the involvement of the community [37].

(1) strengthening the individual; (2) strengthening the community and (3) improved

In this study, we found that although some of the interviewed women were not "perceived" as obese, they "felt" the enormous discomfort from the symptoms of being overweight. For this reason, they worried excessively about the negative repercussions of obesity on their health and well-being. The external and internal social pressures suffered by obese women, especially those related to the damage to physical health, lead, some of them, to seek a weight reduction program [38]. This fact may contribute to the group's adherence to actions in primary health care. Under the SUS, the close partnership between the Family Health Teams (ESFs) and the Family Health Support Centers (NASFs) may also favor the creation of legitimate spaces for listening, reflection and questioning of social practices that are reproduced in the daily routine of the group for a better performance of the teams. The articulation along with the Bolsa Família program would allow the strengthening, expansion, consolidation and empowerment of intervention actions on obesity among poor women, promoting the universalization of care. In this aspect, it is necessary to expand the actions of nutritional and nutritional surveillance of the holders in order to carry out the diagnosis of obesity more quickly and the referral to the integral care with more efficiency. In the FHS, the creation of operating groups for obese women, dynamics and interdisciplinary support are presented as feasible strategies in the daily practice of primary health care. In this way, to refine the articulation of primary health care programs within the FHS and NASF with the Bolsa Família Program and the Health Academy Program for us seems to be a very timely initiative to control obesity in these groups, especially with the participation

For the area of health promotion, intersectoral partnerships that raise the issue of obesity in poverty as a priority of government should be encouraged. The articulation of the public sector, with institutions of education, vocational training and social support, among others, can generate more favorable opportunities of intervention to the problem in the territory. More than that, partnerships can promote institutional investments in the region to revitalize the economy. The strengthening of cooperatives and residents' associations that disseminate culture, tourism, cooking and regional handicrafts is a concrete opportunity to promote socioeconomic development. Fundamentally, these actions are presented as more feasible possibili-

In the urban environment, the inclusion of public spaces for culture and leisure, expansion of the retail food trade, job offer and professional qualification, income and digital inclusion would be measures with a positive impact on the control of obesity. Partnerships with local retailers to promote healthier rebates for these groups are measures that can undoubtedly favor interventions in obesity [37]. In rural areas, the state must promote agrarian reform and a secure, productive and equitable food system. That is, a model of agro-ecological family production increases access to a nutritious and quality diet in these populations. Agroecology

ties favoring new "doors of exit of poverty" for this population [5, 34, 35].

living conditions at the local level and proved to be extremely successful [37]. In Brazil, intervention initiatives in these social contexts are still scarce. Although advances have been observed in the theoretical field with the publication of official documents in the perspective of health promotion [34, 35], there is an urgent need to build public initiatives in these territories. In our view, such measures are fundamental to find more feasible and decisive strategies for the success of

**86**

This work allowed to understand the dynamics of social interactions that operated in the obese body profile of the poor women, from the Bolsa Família government program. And, in this way, the challenges to coping with obesity are recognized. In our view, research that proposes to incorporate relational theoreticalmethodological approaches, using the perspective of health promotion, become fundamental for the proposition of intervention initiatives more resolutive. Thus, we believe that this study could stimulate new research and contribute to the debate about the subject of female obesity in poverty in Brazil.
