Childhood Obesity by Julie Ponce https://padlet.com/childhoodobesity/yth55ggvpoo4xb32 en-us 2023-06-29 16:31:39 UTC 2023-07-13 20:55:23 UTC hello@padlet.com Challenges juliep39 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2636570938 Here you can explore the different causes/risk factors associated with childhood obesity.

Julie]]> 2023-07-02 14:24:28 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2636570938 Does healthy food really cost more? (Challenges) juliep39 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2636571939 -Over the three years since 2019, the cost of food and drinks has escalated, particularly in the most recent year, with the prices of healthy foods and drinks increasing at almost double the rate of increase in prices of unhealthy items (Lewis et al, 2023).
-A major contributor to the increased cost of a healthy diet from 2021 to 2022 was the increase in fruit, vegetable, and grain prices that has been attributed to heavy rainfall and flooding in key Queensland food production areas during that year (Lewis et al, 2023).
-As prices of healthy foods escalate, unhealthy foods have become cheaper, which influences dietary choices, particularly with the economic inflation (Lewis et al, 2023). Lewis et al (2023) continues to explain that in times of financial stress, families, particularly in low socio-economic groups, tend to purchase the cheapest and most affordable food.


Julie]]> 2023-07-02 14:28:44 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2636571939 Marketing a.k.a. Misleading (Challenges) juliep39 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2636579558 -Youth are now exposed to marketing in new media, including food company-sponsored websites, apps, and advergames as well as in advertising on third-party children’s websites and marketing via mobile devices and social media (Robinson et al, 2017).
-A number of possible mechanisms are thought to explain the effects of screen media exposure on obesity including displacing physical activity, increasing energy intake from eating while viewing and/or the effects of advertising, and reducing sleep (Robinson et al, 2017).
-Studies have revealed that children consume a large proportion of their daily calories and meals while watching screen media (Robinson et al, 2017).

Julie]]> 2023-07-02 14:58:14 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2636579558 Enhancing access to healthy food fathihassan1 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2638902726 Improving the quality of food can be challenging in areas where resources are limited, which can prevent people from accessing healthy options. To address this issue, programs can be implemented to increase the availability of nutritious foods in school cafeterias, promote farmers' markets, and increase the number of grocery stores in areas with limited access to healthy food. It is particularly important to create a healthy food environment for children to prevent obesity, as they are more vulnerable to their surroundings and marketing (Yang et al., 2020).

References
Yang, S., Zhang, X., Feng, P., Wu, T., Tian, R., Zhang, D., Zhao, L., Xiao, C., Zhou, Z., He, F., Cheng, G., & Jia, P. (2020). Access to fruit and vegetable markets and childhood obesity: A systematic review. Obesity Reviews, 22(S1). https://doi.org/10.1111/obr.12980 

Fathi

]]> 2023-07-05 16:15:33 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2638902726 QI Intervention- Implementing comprehensive school wellness policies fathihassan1 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2638906755 One way to improve the health of students is by implementing comprehensive school wellness policies. These policies should cover various areas of a child's environment, such as nutrition, physical activity, and overall healthy lifestyle promotion. By prioritizing the creation of healthier environments, schools can positively impact students in many ways. Research shows that quality physical education programs lead to higher physical activity levels among students. Moreover, school wellness policies that promote access to healthy foods and limit unhealthy options can lead to lower caloric intake and improved dietary quality for students while at school (Ickovics et al., 2019).

References
Ickovics, J. R., Duffany, K. O., Shebl, F. M., Peters, S. M., Read, M. A., Gilstad-Hayden, K. R., & Schwartz, M. B. (2019). Implementing school-based policies to prevent obesity: Cluster Randomized Trial. American Journal of Preventive Medicine, 56(1). https://doi.org/10.1016/j.amepre.2018.08.026

Fathi 

]]> 2023-07-05 16:26:39 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2638906755 Fitness for children fathihassan1 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2638913427 Physical activity is important for healthy children and those with obesity-related issues. Personalized plans based on each child's health status can help prevent and treat obesity. Encourage activities like walking to school, playing during breaks, hiking, and reducing screen time. Regular exercise can prevent cardiovascular disease, but complications such as osteoarthritis and functional limitations can still occur (Bülbül, 2020).

Reference
Bülbül, S. (2020). Exercise in the treatment of childhood obesity. Turk pediatri arsivi. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096559/ 

Fathi]]> 2023-07-05 16:45:01 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2638913427 The statistics ashleym54 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2639822429 The prevalence of childhood obesity varies among different ethnic groups, age, sex, education levels, and socioeconomic status. For children ages 2-19 obesity is defined as a body mass index at or above the 95th percentile of the CDC sex-specific BMI-for-age-growth-charts.

  • The prevalence of obesity was 19.7% and affected about 14.7 million children and adolescents.
  • Obesity prevalence was 12.7% among 2- to 5-year-olds, 20.7% among 6- to 11-year-olds, and 22.2% among 12- to 19-year-olds.
  • Obesity prevalence was 26.2% among Hispanic children, 24.8% among non-Hispanic Black children, 16.6% among non-Hispanic White children, and 9.0% among non-Hispanic Asian children.
  • Obesity prevalence was 18.9% among children and adolescents aged 2-19 years in the lowest income group, 19.9% among those in the middle-income group, and 10.9% among those in the highest income group.

Reference
Centers for Disease Control and Prevention. (2022, May 17). Childhood obesity facts. Centers for Disease Control and Prevention. https://www.cdc.gov/obesity/data/childhood.html  
 
Ashley M.
 
]]> 2023-07-06 19:23:33 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2639822429 The consequences ashleym54 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2639909420 The dramatic increase in childhood obesity foreshadows the serious health consequences of their adult life.
There is a large association with poor academic performance and a lower quality of life experienced by the child with childhood obesity.
It is also known that “metabolic, cardiovascular, orthopedic, neurological, hepatic, pulmonary, and menstrual disorders among others are consequences of childhood obesity" (Sanyaolu et al., 2019).
There are many health consequences of childhood obesity, and three of the more common ones are sleep apnea, diabetes, and cardiovascular diseases.
While a complete picture of all the risk factors associated with obesity remains elusive, many of the studies agreed that prevention is the key strategy for controlling the current problem.

Reference

Sanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and Adolescent Obesity in the United States: A Public Health Concern. Global pediatric health, 6, 2333794X19891305. https://doi.org/10.1177/2333794X19891305

Ashley M]]> 2023-07-06 20:46:21 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2639909420 Provider Challenges to Treatment siobhanb3 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2640900814
  • Failure to follow recommendations: The American Academy of Pediatrics (AAP) has guidelines for treating children with obesity.  While most providers are aware of these guidelines, and evidence to support their use, there are gaps between what the providers are actually doing and these guidelines (Yeager et al., 2019). 
  • Poor Screening and documentation: Part of the AAP guidelines requires documentation and screening for elevated BMI, and basing recommendations after that.  However, many fail to even document a BMI, and follow up with guided treatment recommendations. 
  • Obesity Bias: Up to 45% of healthcare providers have negative views of people with obesity, reporting to hold prejudice against them, such as being lazy, and unlikely to comply with guided recommendations for weight loss (Wolfenden et al, 2019). 

    • Siobhan
    ]]>     2023-07-08 18:01:37 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2640900814     Patient Challenges to Treatment siobhanb3 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2640900855
  • Family motivation plays an important role in treatment and success in managing childhood obesity.  The effort of changing health habits needs to be 50-50 between the child and the parents (Young, 2023)
  • Timing also plays an important role in treatment. If families are struggling in other aspects of life, they may not be able to start a whole lifestyle change (Young, 2023).  
  • Family viewpoints: Beliefs of the family can also pose a challenge.  Some cultures value larger body sizes, especially in children, and often see it as a sign of good health (Wolfenden et al., 2019). Some do not see a child's high BMI as an issue, but view it as normal because the rest of the family may be bigger as well (Young, 2023).  
  • Child’s support:  In a study done by Yeager et al. (2019), NPs often reported that patients would come to appointments alone.  They also communicated that while they were trying to adhere to the lifestyle change, they did not do the grocery shopping and had little control over what they eat. 

    • Siobhan

    ]]>     2023-07-08 18:01:54 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2640900855     References siobhanb3 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2640904250 CDC. (2022) Overweight & Obesity. https://www.cdc.gov/obesity/basics/causes.html

    Lewis, M., Herron, L. M., Chatfield, M. D., Tan, R. C., Dale, A., Nash, S., & Lee, A. J. (2023). Healthy Food Prices Increased More Than the Prices of Unhealthy Options during the COVID-19 Pandemic and Concurrent Challenges to the Food System. International journal of environmental research and public health, 20(4), 3146. https://doi.org/10.3390/ijerph20043146

    Robinson, T. N., Banda, J. A., Hale, L., Lu, A. S., Fleming-Milici, F., Calvert, S. L., & Wartella, E. (2017). Screen Media Exposure and Obesity in Children and Adolescents. Pediatrics, 140(Suppl 2), S97–S101. https://doi.org/10.1542/peds.2016-1758K

    Wolfenden, L., Ezzati, M., Larijani, B., & Dietz, W. (2019). The challenge for global health systems in preventing and managing obesity. Obesity Reviews, 20, 185-193. https://onlinelibrary.wiley.com/doi/full/10.1111/obr.12872

    Yeager, L. J., Karp, S. M., & Leming-Lee, T. (2019). Barriers to the Implementation of Pediatric Overweight and Obesity Guidelines in a School-Based Health Center. The Nursing clinics of North America, 54(1), 159–168. https://doi.org/10.1016/j.cnur.2018.10.003


    Young, L. (2023).  5 obstacles parents commonly face in child obesity treatment and how to overcome them.  University of Alberta.
    https://www.ualberta.ca/folio/2018/08/5-obstacles-parents-commonly-face-in-child-obesity-treatment-and-how-to-overcome-them.html



    ]]>     2023-07-08 18:23:51 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2640904250     External Challenges to Treatment siobhanb3 https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2640907021
    • Health inequities:  Logistical and financial issues can impede care.  Not having the means to travel to a weight loss clinic or to be able to afford appointments and the shame of disclosing this can lead to lack of care for children (Young, 2023)  Parents having to vocalize that they may not be able to afford healthy food options can be difficult and may result in missing out on assistance 
    • Unrealistic Expectations: Goals and expectations from the media, parents, providers and even the children themselves can be set too high.  Failure to reach these goals or false hope can lead to drop out rates in programs set up for the children (Young, 2023).
    • Lack of public recognition: This lack of acknowledgement that obesity is a concern and the adverse consequences that go along with it make treatment a challenge (Wolfenden et al, 2019).

    Siobhan
    ]]>     2023-07-08 18:40:57 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2640907021     QI- How PCPs play a role in obesity epidemic emdelbarba https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2642858439 PCPs play a critical role in the childhood obesity epidemic. Study conducted by the Mayo clinic in Minnesota found that the greatest barriers for PCPs were lack of time (73%) and perception of parents (77%) in treating pediatric obesity care (Busch et al, 2018). An educational program was provided regarding detection, documentation, and follow-up/referral for childhood obesity and comorbidities (Busch et al, 2018). Post intervention, provider referrals increased from 6% to 16% after intervention, and laboratory testing increased from 14% to 26% with no significant changes were noted in discussion of weight status, diagnosis/documentation, or billing (Busch, 2018).

    Busch, A. M., Hubka, A., & Lynch, B. A. (2018). Primary care provider knowledge and practice patterns regarding childhood obesity. Journal of Pediatric Health Care, 32(6), 557-563. 

    Liz]]>     2023-07-11 17:41:41 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2642858439     QI- Nurse-directed school health program emdelbarba https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2643778265 School-age years are known to be formative in shaping behaviors and attitudes. Per study performed by Wright et al using a nurse lead health improvement program was shown to increase overall daily physical activity, improve participation and attendance in PE classes, and lead to sustained decreased in BMI over 1 year  (2012). In this study, the impact of a nursing specific program and collaboration with the interdisciplinary team allowed for more rapid adoption of healthy behaviors (Wright et al, 2012). 

    Wright, K., Giger, J. N., Norris, K., & Suro, Z. (2013). Impact of a nurse-directed, coordinated school health program to enhance physical activity behaviors and reduce body mass index among minority children: a parallel-group, randomized control trial. International journal of nursing studies, 50(6), 727–737. https://doi.org/10.1016/j.ijnurstu.2012.09.004

    Liz

    ]]>     2023-07-12 21:34:16 UTC https://padlet.com/childhoodobesity/yth55ggvpoo4xb32/wish/2643778265