Childhood obesity: Prevention practices of nurse practitioners

Larsen, Lone Marie; Mandleco, Barbara; Williams, Mary-Anne; Tiedeman, Mary E.

doi:10.1111/j.1745-7599.2006.00105.x

Cited by 46 publications

(56 citation statements)

References 30 publications

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“…24,26,28 Young et al 23 recommend consistent identification and treatment of overweight and obesity as the standard of care for all children admitted to children' s hospitals. This is the first study to specifically examine recognition, diagnosis, and treatment of overweight and obesity in children hospitalized for asthma.…”

Section: Discussionmentioning

confidence: 99%

“…21 Identifying, plotting, and monitoring BMI percentile are essential steps in the algorithm 22 and are recommended for all hospitalized children by the National Association of Children' s Hospitals and Related Institutions, 23 but studies have shown that providers in both primary care and inpatient settings are failing to measure and monitor BMI percentile. [24][25][26] A recent study by King et al 27 described lack of identification and treatment of overweight and obesity in hospitalized children; however, only a small number of patients with asthma were included, and results specific to the patients with asthma were not described.…”

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confidence: 99%

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Lack of Recognition, Diagnosis, and Treatment of Overweight/Obesity in Children Hospitalized for Asthma

Borgmeyer

Ercole²,

Niesen

et al. 2016

Hospital Pediatrics

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A B S T R A C TOBJECTIVES: Information is lacking regarding recognition and treatment of overweight and obesity in children hospitalized for asthma. The study objectives were to determine the current practice of recognition, diagnosis, and treatment of overweight and obesity for children hospitalized for asthma and to describe demographic, asthma, and weight characteristics for these patients. METHODS:A retrospective record review was conducted for children admitted to the hospital with asthma in 2012. Charts were reviewed for evidence of recognition, diagnosis, and treatment of overweight and obesity. Subjects were classified into age-adjusted Centers for Disease Control and Prevention weight categories based on BMI percentile and chronic asthma severity categories according to National Asthma Education and Prevention Program guidelines. RESULTS:A total of 510 subjects aged 3 to 17 years were studied. Obesity was present in 19.6% and overweight in 13.3% of subjects. BMI percentile was recorded in only 3.3% of all charts, in only 11% of subjects with obesity, and in 0% of subjects with overweight. BMI percentile was documented more often in subjects with severe obesity (P 5 .013) and with moderate to severe persistent asthma (P 5 .035). Only 9 of 168 subjects who were overweight or obese (5.6%) were given a discharge diagnosis indicating overweight or obesity, and 14 (8.3%) received treatment. Chronic asthma severity differed by BMI weight category (P , .001), with a significant relationship between obesity status and chronic asthma severity in older subjects (P 5 .033). There were no differences in severity of acute episodes based on weight group.CONCLUSIONS: Overweight and obesity were underrecognized, underdiagnosed, and undertreated in children hospitalized for asthma.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Lack of Recognition, Diagnosis, and Treatment of Overweight/Obesity in Children Hospitalized for Asthma

Borgmeyer

Ercole²,

Niesen

et al. 2016

Hospital Pediatrics

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“…Advanced practice nurses (APNs) are integral to providing lifestyle interventions for many chronic and complex health conditions including obesity (Parkinson & Parker, 2013). Nurse practitioners who integrate prevention strategies into their practice may help to alleviate the problem of adolescent obesity (Larsen, Mandleco, Williams, & Tiedeman, 2006).…”

Section: Background and Significancementioning

confidence: 99%

Systematic review of text messaging as an intervention for adolescent obesity

Keating

McCurry

2015

Journal of the American Association of Nurse Practitioners

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Purpose Adolescent overweight and obesity is a significant problem for health care with associated quality of life and financial concerns. This systematic review investigated text messaging as an intervention to treat or prevent obesity in adolescent populations. Data sources The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement was used as a guideline for the literature search and interpretation of findings. CINAHL, Medline, Cochrane Database of Systematic Reviews, PsycINFO, and SocINDEX were searched using a combination of search terms. The initial 95 articles that met the search criteria were narrowed to seven that fit the focus. Conclusions Text messaging is acceptable to adolescents as an obesity treatment but data about content and timing of messages vary. The effects of text messaging on body mass index (BMI) were difficult to determine because messaging was often part of a multicomponent intervention. Text messaging as an intervention for adolescent obesity was used in various settings. There were no included studies from primary care settings. Implications for practice Further research is needed to determine the effect of messages on BMI and the most helpful content, timing, and frequency. This information may provide advanced practice nurses with effective, affordable tools to manage adolescent obesity in different settings.

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“…Evidence is beginning to support that weight gain in early life, including infancy, is a predictor of later obesity and that lifestyle behaviors have their roots in early childhood (Rudolf et al ,201 0). Furthermore, Larsen, Mandleco, Williams, and Tiedeman (2006) state that once a child becomes overweight treatment to decrease weight is difficult and often unsuccessful. Hence, the early years are considered to be a key time for developing both an unhealthy weight and its precursor behaviors (Campbell & Hesketh, 2007;Legislative Assembly of British Columbia, 2006).…”

Section: Demography Of Childhood Obesitymentioning

confidence: 99%

“…Moreover, Larsen et al (2006) acknowledge that NPs are not exempt from this inadequacy in educational need. They utilized a convenience sample of 99 family and pediatric NPs from Texas to evaluate common NP pediatric obesity prevention practices.…”

Section: Barriers To Obesity Managementmentioning

confidence: 99%

NP-led obesity clinics: a NP guided primary care approach for managing obesity in low income preschool-age children in Canada

Heighes¹

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Childhood obesity continues to increase at alarming rates despite health prevention efforts to date. New innovative approaches are needed to help address this public health concern.Moreover , current literature confirms that early childhood is a fundamental time for establishing life behaviors that will follow into adulthood; thus, the early years are considered to be an essential stage for developing both an unhealthy weight and its precursor behaviors. Social circumstances including socioeconomic status greatly impact health and are notable risk factors for the development of obesity. Acknowledging sociological influences and working within these constructs helps to create programs and care plans that are contextual. The purpose of this paper is to explore the role of nurse practitioners when working with low income families to address childhood obesity in the preschool-aged population in Canada, specifically within the setting of a NP-led obesity clinic. Literature to date does not exist for NP-led obesity clinics as this is a proposed approach to helping combat pediatric obesity. Existing literature regarding nurse-managed health centers and pediatric weight management programs were utilized to support the creation of a NP-led obesity clinic. Nurse-managed health centers have established that NPs are capable of providing appropriate medical treatment with positive health outcomes.

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Childhood obesity: Prevention practices of nurse practitioners

Cited by 46 publications

References 30 publications

Lack of Recognition, Diagnosis, and Treatment of Overweight/Obesity in Children Hospitalized for Asthma

Lack of Recognition, Diagnosis, and Treatment of Overweight/Obesity in Children Hospitalized for Asthma

Systematic review of text messaging as an intervention for adolescent obesity

NP-led obesity clinics: a NP guided primary care approach for managing obesity in low income preschool-age children in Canada

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