Treating Overweight And Obesity Essay Research Paper

Treating Overweight And Obesity Essay Research Paper

Part 1: Problem Identification and Description

  1. Identifying and Describing the Problem

For this project, a critically pertinent research topic on overweight and obesity was selected. In the United States, overweight/ obesity is a significant public health issue that increases the risk of several chronic, life-threatening diseases like hypertension, type II diabetes, hyperlipidemia, and heart disease (Abdelaal et al., 2017; Hammer & McPhee, 2018)Treating Overweight And Obesity Essay Research Paper. Only clinical research and evidence search for evidence-based practice, or EBP, can accomplish the task of finding suitable interventions to tackle the problem in practice. This is done through the clinical inquiry route that uses the PICOT format for evidence search.

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Being overweight or obese is significant because it is one of the major health disparities prevalent in the United States. According to studies, disadvantaged minority ethnic groups like Hispanics and African Americans are more likely to be overweight and obese (Kornet-van der Aa et al., 2017)Treating Overweight And Obesity Essay Research Paper. One of the causes is that people with low socioeconomic standing do not have the money to buy a steady supply of fresh fruits and vegetables. Also, these communities mainly live in neighborhoods that are unsafe and riddled with crime such that activities such as outdoor sports activities cannot be done without fearing for one’s life. Therefore, most of the young people go to school by bus and come back staying indoors watching television for hours.

The setting for this clinical problem is a community health center in one of the minority communities offering primary health care and being served by an advanced practice registered nurse or APRN. The kinds of problems often seen at the community clinic include hypertension, cardiovascular disease, hyperlipidemia, dyslipidemia, and type II diabetes mellitus. The PICOT question to be used to generate key terms for searching research databases will be as follows:

Among teenage Latinas and African Americans who are overweight and obese (P), does prescribing lifestyle measures of exercise and diet alone (I) compared to prescribing obesity medications like lorcaserin (C) produce the fastest, safest, and most effective weight loss (O) within a timeframe of 12 months (T)? Treating Overweight And Obesity Essay Research Paper

Table

The PICOT elements for overweight and obesity management

P Population Teenagers from disadvantaged minority communities such as African Americans and Latinas with overweight and obesity.
I Intervention Exercise and diet exclusively.
C Comparison Medications such as lorcaserin.
O Outcome Faster, safer and more effective weight loss that is sustainable.
T Timeframe Twelve (12) months.

 

  1. Problem Statement, Background, and Target Population

To prevent a public health catastrophe, the issue of obesity among children and adolescents and overweight must be immediately addressed. Statistics show that 33% of all children in the United States between the ages of 2 and 19 are either overweight or fat. (Kornet-van der Aa et al., 2017; Pasqua et al., 2020)Treating Overweight And Obesity Essay Research Paper. However, what is more concerning is the alarming pattern that has been seen and supported by study, which shows that youth from underprivileged communities are most affected by overweight and obesity. The bulk of these kids and teenagers are Hispanic and African Americans. Because of societal disparities in income and access to healthcare, childhood and adolescent obesity statistically correlates with socioeconomic standing.

Teenage obesity is at danger due to a number of factors. The consumption of sugar-sweetened snacks and beverages by children and teenagers is the main risk factor in this situation. Children and adolescents from poor socioeconomic backgrounds are disproportionately affected by obesity and overweight, as was already mentioned. (Kornet-van der Aa et al., 2017; Pasqua et al., 2020)Treating Overweight And Obesity Essay Research Paper. These kids typically can only afford cheap caloric sweetened drinks as their snacks at home or at school because of their parents’ limited financial resources. The growth of obesity and overweight is then brought on by regular consumption of these beverages. The other danger factor is an unhealthy diet.

Children and teenagers from poor neighborhoods and communities have no access to regular fruits and veggies. Both a dearth of purchasing power and insufficient education are contributing factors in this. Retailers of these essential food items avoid poor communities because the residents cannot purchase these items. However, another contributing reason is that people do not realize how important it is to eat regular fruits and vegetables. (Kornet-van der Aa et al., 2017)Treating Overweight And Obesity Essay Research Paper. Sedentary behavior is another significant risk factor. Many of these kids and teenagers are unable to easily participate in sports or go jogging after school due to the rife insecurity in the impoverished neighborhoods. As a consequence, obesity develops due to a lack of frequent exercise.

The genetics or genetic makeup comes last but not least. It has been demonstrated that genetic polymorphisms can predispose a person to obesity as early as infancy. However, environmental variables like a poor diet and inactivity must be controlled to some extent to prevent this occurrence. Due to the social determinants of health in these underprivileged areas, such as educational attainment, socioeconomic standing, family incomes, and living conditions, this factor is insignificant in comparison. (Kornet-van der Aa et al., 2017)Treating Overweight And Obesity Essay Research Paper. This issue is big enough to analyze and interesting enough to spend time on.

  • Significance of the Project

The clinical significance of this problem and its solution is that majority of the teenagers and children seen in this community clinic are either overweight or obese. The other reason is that these children are at risk of later developing chronic lifestyle conditions such as type II DM, hypertension, and heart disease. These diseases as stated above are overwhelming in these poor communities. The interest for me is that I have been working with this community and so belong there. The gap in practice is that there are no specific cost-effective and practical interventions suitable for this population. Quite a lot of research has now been done on the role of lifestyle factors in managing the problem (Madjd et al., 2016; Xu et al., 2017)Treating Overweight And Obesity Essay Research Paper. This is what this paper relies on.

References

Abdelaal, M., le Roux, C.W., & Docherty, N.G. (2017). Morbidity and mortality associated with obesity. Annals of Translational Medicine, 5(7), 1-12. http://dx.doi.org/10.21037/atm.2017.03.107

Hammer, D.G., & McPhee, S.J. (2018). Pathophysiology of disease: An introduction to clinical medicine, 8th ed. McGraw-Hill Education.

Kornet-van der Aa, D.A., Altenburg, T.M., van Randeraad-van der Zee, C.H. & Chinapaw, M.J.M. (2017). The effectiveness and promising strategies of obesity prevention and treatment programmes among adolescents from disadvantaged backgrounds: A systematic review. Obesity Reviews, 18(5), 1-13. http://dx.doi.org/10.1111/obr.12519

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Madjd, A., Taylor, M.A., Neek, L.S., Delavari, A., Malekzadeh, R., Macdonald, I.A., & Farshchi, H.R. (2016). Effect of weekly physical activity frequency on weight loss in healthy overweight and obese women attending a weight loss program: A randomized controlled trial. The American Journal of Clinical Nutrition, 104(5), 1202–1208. https://doi.org/10.3945/ajcn.116.136408

Pasqua, T., Cerra, M.C., & Angelone, T. (2020). Mechanisms and pathophysiology of obesity: Upgrading a complex scenario. Current Medicinal Chemistry, 27(2), 172-173.  https://doi.org/10.2174/092986732702200218123007

Xu, X., Parker, D., Ferguson, C., & Hickman, L. (2017). Where is the nurse in nutritional care? Contemporary Nurse, 53(3), 267-270. https://doi.org/10.1080/10376178.2017.1370782 Treating Overweight And Obesity Essay Research Paper

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