Understanding health policy to improve primary care management of obesity

Bowen, Pamela G.; Lee, Loretta T.; McCaskill, Gina M.; Bryant, Pamela H.; Hess, Mary Annette; Ivey, Jean

doi:10.1097/01.npr.0000531069.11559.96

Cited by 6 publications

(3 citation statements)

References 43 publications

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“…They need to become politically active at all levels of government, including decisionmaking, in order to better cope with obesity. 14 Given the fact that obesity is a worldwide epidemic, a multifactorial health problem, and given the importance of PHC in providing integrated care to deal with the problem, identifying the various actions carried out worldwide has the potential to: (i) produce insights into the potential of new actions that can be adapted to varied geographical and cultural contexts; and (ii) encourage reflections on the existing obstacles that are common to all countries.…”

Section: Introductionmentioning

confidence: 99%

Interventions Carried Out In Primary Health Care To Deal With Overweight And Obesity - A Scoping Review

Souza

Davies

Silva

et al. 2020

Preprint

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Introduction and objectives: overweight and obesity are important public health problems which have a negative impact on the quality of life of individuals and on health systems around the world. Primary Health Care (PHC) becomes a crucial health care model for addressing the problem of overweight and obesity. This study presents the protocol of a scoping review that aims to describe the interventions related to dealing with overweight and obesity in PHC, identifying the obstacles and facilitators for their implementation.Methods and Analysis : the scoping review protocol presented was based on the recommendations of the Prisma Extension for Scoping Reviews (PRISMA-SCR), as well as the framework proposed by Arksey and O’Malley. The research questions were elaborated by a multidisciplinary team of researchers, graduate students and professors belonging to a research group working in the area of health policy and program evaluation. In addition, two pilot studies were carried out to refine the questions and to improve the online article research and consequently the protocol. The bibliometric databases that will be used are PUBMED, EBSCO, SCOPUS, WEB OF SCIENCE; using specific keywords for each database to orientate the search for original articles written in English. Every step of the research will be carried out by two researchers working independently. The steps include: searching the selected databases with the keywords; reading the title and summary of the articles found; reading the selected articles in full and transferring the data extracted from the articles to a table; a thematic analysis of the results.Ethics and Dissemination : the results of the scoping review will be published in a scientific journal and presented at conferences and other scientific events. It is hoped that the presentation and discussion of the findings of the scoping review proposed in this protocol can help researchers, health professionals and planners of PHC policies and programs to identify gaps in the literature, to reflect upon the experiments conducted around the world, and to explore possibilities for adapting successful interventions to varied geographical and cultural contexts.

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Section: Introductionmentioning

confidence: 99%

Interventions Carried Out In Primary Health Care To Deal With Overweight And Obesity - A Scoping Review

Souza

Davies

Silva

et al. 2020

Preprint

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“…Obesity has reached a critical level of public health concern, and increased the risk of non-communicable diseases such as hypertension, diabetes, and cardiovascular diseases [1,2]. Obesity, especially abdominal obesity is accompanied by systemic inflammation, and a large group of adipocytokines are secreted from adipose tissue [3].…”

Section: Introductionmentioning

confidence: 99%

Effect of Dietary Fiber on Serum Leptin Level: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Hassanzadeh-Rostami¹,

Faghih

2019

Exp Clin Endocrinol Diabetes

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Background Dietary fibers may induce satiety through affecting gastro-intestinal and peripheral appetite regulating hormones. Thus, we aimed to investigate the effect of dietary fiber consumption on serum leptin level compared to control diet, in short- and long- term trials, through a systematic review and meta-analysis. Methods We searched PubMed, web of science, Scopus, ProQuest, EMBASE, and Cochrane Library to find randomized controlled clinical trials that evaluated effect of any type of dietary fiber on serum leptin level compared to control diet, until April 2019. Both short-term (1–4 days) and long-term (longer than 2 weeks) studies were selected. Mean differences (MD) of changes in serum leptin level and 95% confidence intervals were extracted from eligible studies, and random effects model was used to analyze data. Results Thirteen studies included the systematic review and 11 entered in the meta-analysis. No significant change was seen in serum leptin level in short-term (MD=0.02, 95% CI; −0.15, 0.20, Tau2=0.0) and long-term studies (MD=−0.10, 95% CI; −0.28, 0.08, Tau2=0.0), followed by fiber consumption. However, this effect was statistically significant in obese participants (MD=−0.36, 95% CI; −0.71, −0.02, Tau2=0.0) in long-term studies. Moreover, we found no significant results in subgroups of baseline serum leptin level, intervention duration, fiber dose, and fiber type. Conclusions This meta-analysis found that taking dietary fiber for long term could lower serum leptin level, just in obese persons. However, further clinical trials are needed in this field to clarify this issue.

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“…Considering obesity as a chronic disease rather than a concept related to patients' inability to control diet or exercise effectively is important to instill in future nurse practitioners (NPs) as they will become front-line managers of patient health (Davis, 2017). Perfectly aligned to counteract obesity's devastating effects through effective assessment, counseling, and treatment, NPs are in an ideal position to be leaders in obesity management and prevention (Bowen et al, 2018). Equally, NPs often perceive self-efficacy, skills training, and attitudes toward patients with obesity as direct influencers of obesity management effectiveness (Zhu, Norman, & While, 2013).…”

mentioning

confidence: 99%

Competency in obesity management: An educational intervention study with nurse practitioner students

Fruh

Golden²,

Graves

et al. 2019

J Am Assoc Nurse Pract

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Authors' contributions: S. M. Fruh: involved in study design, writing, and editing the manuscript. A. Golden: involved in study design, writing, and editing the manuscript. L. A. Minchew: involved in study design, data collection, writing, and editing the manuscript. T. H. Platt: involved in study design, data collection, writing, and editing the manuscript. H. R. Hall: involved in study design, literature review, writing, and editing the manuscript. R. J. Graves: involved in study design, literature review, data collection, data analysis, writing, and editing the manuscript. S. G. Williams: involved in study design, writing, and editing the manuscript. K. Mehari: involved in study design, data analysis, writing, and editing the manuscript. B. M. Sims: involved in the evaluation of the research and manuscript, study design, literature review, data analysis, writing, and editing the manuscript. C. Hauff: involved in study design, literature review, writing, and editing the manuscript. C. Cheese: involved in study design, data collection, writing, and editing the manuscript.

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Understanding health policy to improve primary care management of obesity

Cited by 6 publications

References 43 publications

Interventions Carried Out In Primary Health Care To Deal With Overweight And Obesity - A Scoping Review

Interventions Carried Out In Primary Health Care To Deal With Overweight And Obesity - A Scoping Review

Effect of Dietary Fiber on Serum Leptin Level: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Competency in obesity management: An educational intervention study with nurse practitioner students

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