week 3 capstone

Running head: OBESITY AND PICOT STATEMENT

OBESITY AND PICOT STATEMENT 6

Don't use plagiarized sources. Get Your Custom Essay on
week 3 capstone
This is a Snippet Preview, get a Complete Solution Here
Order Essay

 

 

 

Childhood Obesity

Student’s Name

Institution

Date

 

The number of non-communicable diseases is growing steadily in both developing and developed countries. This is a consequence not only of an increase in the life expectancy of the population, but also of malnutrition and a sedentary lifestyle (Foster, et al 2015). Similarly, the prevalence of obesity continues to grow worldwide, the number of overweight and obese people in 2013 reached 2.1 billion. Two major causes of obesity is poor dietary practices and physical inactivity. One of the population groups affected by obesity is children and adolescents. Children represent the special group because they are the future of every nation and healthy children means healthier nation. Since obesity is the main risk factor for the development of type 2 diabetes mellitus (T2DM), understanding the pathogenesis of obesity and the study of methods aimed at reducing body weight are of great importance for the prevention and treatment of T2DM. However, the choice of best intervention for obesity among children is still a problem.

Obese children whose weight reaches or exceeds 20% of the average standard weight calculated by length, have a history of overnutrition, low mobility, or a family history of obesity, are uniformly obese without other abnormal clinical manifestations, can be diagnosed as simple obesity. Body weight over 20%-30% is mild, 30%-50% is moderate, >50% is severe obesity (Herman, 2017).

The vast majority of childhood obesity are simple obesity, also called “physiological obesity”, and a few are pathological obesity or symptomatic obesity. The former cannot find the primary disease, most of which are caused by overeating or underconsumption in children, and a few have family history and are caused by genetic factors (Simmonds, et al 2016). On physical examination, the subcutaneous fat is evenly distributed, the intelligence is normal, and there is no deformity. Pathological obesity can detect the primary disease.

Child obesity also requires differential diagnosis of secondary obesity, such as obesity reproductive impotence syndrome caused by pituitary and hypothalamic lesions, also known as cerebral obesity, which is characterized by short stature, and fat mainly accumulates in the waist and lower abdomen. Sexual growth retardation, which can be accompanied by abnormal fundus and diabetes insipidus; Cushing syndrome (Cushing syndrome) caused by adrenal hyperplasia or tumor, showing short stature, concentric sebum accumulation, full moon face, buffalo back, thin limbs, hirsutism, acne, hypertension, hypokalemia, etc.; at the same time, secondary obesity, often accompanied by clinical manifestations of the primary disease, can be used as a distinction (Herman, 2017).

To diagnose simple obesity clinically, we must first exclude some secondary obesity caused by endocrine, metabolic, genetic, and central nervous system diseases or obesity induced by the use of drugs (Herman, 2017). As a chronic disease, the diagnosis of simple obesity still requires a comprehensive diagnosis from the aspects of medical history, symptoms, signs, and laboratory tests.

The comprehensive intervention of childhood obesity is a combination of schools, families, communities, primary care and other environments, including health education, reasonable diet, physical exercise, and lifestyle improvements (Bryant, et al 2017). Some scholars of the 57 childhood obesity intervention studies conducted systematic review, we found that obese children single intervention is not obvious, but is better integrated intervention. Primary care physicians often advise eating and activity adjusted for the patient, but can not always provide high-intensity behavioral counseling. Moreover, although the front line to play a role in obesity management, but doctors accepted in nutrition consulting and training activities rarely (Farrow, Haycraft & Blissett, 2015). Mere recommendations, including encouraging the use of smartphone apps, have little weight loss effects, which can frustrate both physicians and patients. Therefore, recommending that patients receive high-intensity community intervention is an important method. It is based on the joint intervention of the community, school and family to prevent and control measures such as increasing physical activity time, reducing TV watching time, increasing the intake of fruits and vegetables, enhancing community awareness about the obesity epidemic, and popularizing knowledge about changing bad lifestyles. Eisenmann et al. described the principle, design, and implementation of SWITCH intervention for childhood obesity, but there are few reports on the effect of this method. The study adopted a socio-ecological model.

This inquiry has led to the clinically relevant PICOT question, “In overweight and obese children ages 8-12 years old, how does change intervention (SWITCH) and health education that addresses obesity-related lifestyle behaviors involving nutritional intake, physical activity, and screen time influence these lifestyle behaviors compared to usual care interventions within a period of one year?”

 

References

Bryant, M., Burton, W., Cundill, B., Farrin, A. J., Nixon, J., Stevens, J., Roberts, K., Foy, R., Rutter, H., Hartley, S., Tubeuf, S., Collinson, M., & Brown, J. (2017). Effectiveness of an implementation optimization intervention aimed at increasing parent engagement in HENRY, a childhood-obesity prevention programme- the Optimising family engagement in HENRY (OFTEN) trial: study protocol for a randomized controlled trial. Trials, 18(40), 1-13. doi: 10.1186/s13063-016-1732-3

Eisenmann JC, Gentile DA, Welk GJ, et al. (2008). SWITCH: rationale, design, and implementation of a community, school, and family-based intervention to modify behaviors related to childhood obesity. BMC Public Health, 8: 223. DOI: 10.1186/1471-2458-8-223

Farrow, C. V., Haycraft, E., & Blissett, J. M. (2015). Teaching our children when to eat: how parental feeding practices inform the development of emotional eating- a longitudinal experimental design. The American Journal of Clinical Nutrition, 101, 908-913. doi

10.3945/ajcn.114.103713

Foster, B. A., Farragher, J., Parker, P., & Sosa, E. T. (2015). Treatment interventions for early childhood obesity: A systematic review. Academic Pediatrics, 15(4), 353-361. doi:10.1016/j.acap.2015.04.037

Glanz, K., Burke, L. E., & Rimer, B. K. (2015). Health behavior theories. Philosophies and Theories for Advanced Nursing Practice (2nd ed.). Jones & Bartlett Learning: Burlington, MA.

Herman, A. N. (2017). Childhood Obesity: The Primary Care Provider’s Role in Recognition, Diagnosis, and Management (Doctoral dissertation, University of Kansas).

Simmonds, M., Llewellyn, A., Owen, C. G., & Woolacott, N. (2016). Simple tests for the diagnosis of childhood obesity: a systematic review and meta‐analysis. Obesity reviews, 17(12), 1301-1315.

Homework Market Pro
Calculate your paper price
Pages (550 words)
Approximate price: -

Our Unique Features

Custom Papers Means Custom Papers

This is what custom writing means to us: Your essay starts from scratch. Plagiarism is unacceptable. We demand the originality of our academic essay writers and they only deliver authentic and original papers. 100% guaranteed! If your final version is not as expected, we will revise it immediately.

Qualified and Experienced Essay Writers

Our team consists of carefully selected writers with in-depth expertise. Each writer in our team is selected based on their writing skills and experience. Each team member is able to provide plagiarism-free, authentic and high-quality content within a short turnaround time.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Prompt Delivery and 100% Assuarance

We understand you. Spending your hard earned money on a writing service is a big deal. It is a big investment and it is difficult to make the decision. That is why we support our claims with guarantees. We want you to be reassured as soon as you place your order. Here are our guarantees: Your deadlines are important to us. When ordering, please note that delivery will take place no later than the expiry date.

100% Originality & Confidentiality

Every paper we write for every order is 100% original. To support this, we would be happy to provide you with a plagiarism analysis report on request.We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

24/7 Customer Support

We help students, business professionals and job seekers around the world in multiple time zones. We also understand that students often keep crazy schedules. No problem. We are there for you around the clock. If you need help at any time, please contact us. An agent is always available for you.

Try it now!

Calculate the price of your order

Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

Our services are second to none. Every time you place an order, you get a personal and original paper of the highest quality.

Essays

Essay Writing Service

While a college paper is the most common order we receive, we want you to understand that we have college writers for virtually everything, including: High school and college essays Papers, book reviews, case studies, lab reports, tests All graduate level projects, including theses and dissertations Admissions and scholarship essays Resumes and CV’s Web content, copywriting, blogs, articles Business writing – reports, marketing material, white papers Research and data collection/analysis of any type.

Admissions

Any Kind of Essay Writing!

Whether you are a high school student struggling with writing five-paragraph essays, an undergraduate management student stressing over a research paper, or a graduate student in the middle of a thesis or dissertation, homeworkmarketpro.com has a writer for you. We can also provide admissions or scholarship essays, a resume or CV, as well as web content or articles. Writing an essay for college admission takes a certain kind of writer. They have to be knowledgeable about your subject and be able to grasp the purpose of the essay.

Reviews

Quality Check and Editing Support

Every paper is subject to a strict editorial and revision process. This is to ensure that your document is complete and accurate and that all of your instructions have been followed carefully including creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.

Reviews

Prices and Discounts

We are happy to say that we offer some of the most competitive prices in this industry. Since many of our customers are students, job seekers and small entrepreneurs, we know that money is a problem. Therefore, you will find better prices with us compared to writing services of this calibre.