Download or read book Evaluating a Targeted Universal Middle School Program for Childhood Overweight and Obesity written by Myra Altman and published by . This book was released on 2017 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity is a pressing public health concern associated with significant medical and psychosocial comorbidities. Intervention is crucial, and schools are often suggested as an important venue through which to intervene, although the results of such interventions are inconsistent and mixed. The present study sought to expand on the literature by evaluating the effect of a targeted and universal school-based obesity intervention, StayingFit, in three middle schools in a low-socioeconomic status, rural community. The intervention was tested in both a cluster-randomized (Study 1) and pre-post (Study 2) design. StayingFit was largely ineffective in creating changes in relative weight, behavior, or psychosocial outcomes. Possible reasons for the ineffectiveness of the intervention include the nature of the population and community, insufficient use of behavioral strategies and technology, limited program duration, low completion rates, and lack of parental engagement. Further research is needed to design multi-level and multi-sector interventions that can create meaningful change in high-risk communities.

Download or read book Bridging the Evidence Gap in Obesity Prevention written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-24 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new approach to decision making and research on obesity prevention to use a systems perspective to gain a broader understanding of the context of obesity and the many factors that influence it.

Download or read book Weighing the Options written by Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity and published by National Academies Press. This book was released on 1995-03-15 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly one out of every three adults in America is obese and tens of millions of people in the United States are dieting at any one time. This has resulted in a weight-loss industry worth billions of dollars a year and growing. What are the long-term results of weight-loss programs? How can people sort through the many programs available and select one that is right for them? Weighing the Options strives to answer these questions. Despite widespread public concern about weight, few studies have examined the long-term results of weight-loss programs. One reason that evaluating obesity management is difficult is that no other treatment depends so much on an individual's own initiative and state of mind. Now, a distinguished group of experts assembled by the Institute of Medicine addresses this compelling issue. Weighing the Options presents criteria for evaluating treatment programs for obesity and explores what these criteria mean--to health care providers, program designers, researchers, and even overweight people seeking help. In presenting its criteria the authors offer a wealth of information about weight loss: how obesity is on the rise, what types of weight-loss programs are available, how to define obesity, how well we maintain weight loss, and what approaches and practices appear to be most successful. Information about weight-loss programs--their clients, staff qualifications, services, and success rates--necessary to make wise program choices is discussed in detail. The book examines how client demographics and characteristics--including health status, knowledge of weight-loss issues, and attitude toward weight and body image--affect which programs clients choose, how successful they are likely to be with their choices, and what this means for outcome measurement. Short- and long-term safety consequences of weight loss are discussed as well as clinical assessment of individual patients. The authors document the health risks of being overweight, summarizing data indicating that even a small weight loss reduces the risk of disease and depression and increases self-esteem. At the same time, weight loss has been associated with some poor outcomes, and the book discusses the implications for program evaluation. Prevention can be even more important than treatment. In Weighing the Options, programs for population groups, efforts targeted to specific groups at high risk for obesity, and prevention of further weight gain in obese individuals get special attention. This book provides detailed guidance on how the weight-loss industry can improve its programs to help people be more successful at long-term weight loss. And it provides consumers with tips on selecting a program that will improve their chances of permanently losing excess weight.

Download or read book Progress in Preventing Childhood Obesity written by National Academies and published by National Academies Press. This book was released on 2006-05-04 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2002, Congress charged the Institute of Medicine (IOM) with developing a prevention-focused action plan to reduce the number of obese children and youth in the United States. In 2005, with support from The Robert Wood Johnson Foundation (RWJF), the IOM is building on its previous work by conducting a study to assess progress toward the obesity prevention recommendations in the original report. The IOM organized three regional meetings in the midwest, southeastern, and western United States to galvanize obesity prevention efforts of local, state, and national decision-makers, community and school leaders, grassroots organizations, and industry representatives including the food, beverage, restaurant, leisure, recreation, and entertainment industries. These three meetings will involve disseminating the findings and recommendations of the original IOM report and catalyzing dialogues that highlight best practices and identify assets and barriers to moving forward with obesity prevention efforts in each selected region. In collaboration with The California Endowment, the committee held its third regional symposium on December 1, 2005 in Irvine, California. The symposium included three plenary panels that focused on food and physical activity products, portfolio shifts, and packaging innovations; retailing healthy lifestyles with regard to food and physical activity; and the business response to childhood obesity. Participants also engaged in two break-out sessions. The first session focused on marketing communication strategies that promote both healthful products and physical activity opportunities. The second session focused on public and private education campaigns and industry self-regulation of advertising to children. A program agenda is at the end of this summary. The symposium provided a useful forum for stakeholders to explore viable strategies and exchange information about promising practices for addressing barriers to obesity prevention initiatives, and to identify how public health interests can coincide with the business interests of companies to have a positive impact on reversing the childhood obesity trend. This summary highlights the recurring themes for accelerating change and how industry collectively can move forward with obesity prevention efforts that emerged from the symposium. The themes include reverse the obesity trend; market health and nutrition; make a business commitment to health; change the food and physical activity environment; forge strategic partnerships; garner political support to ally public health and industry; educate stakeholders; collect, disseminate, and share local data; and evaluate programs and interventions. This summary, along with those of two other symposia summaries and a more detailed discussion of insights and regional examples, will be incorporated in the IOM committee's final report on progress in preventing childhood obesity that will be released in the fall of 2006.

Download or read book Community Perspectives on Obesity Prevention in Children written by Institute of Medicine and published by National Academies Press. This book was released on 2010-01-01 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the public health threat of childhood obesity has become clear, the issue has become the focus of local, state, and national initiatives. Many of these efforts are centered on the community environment in recognition of the role of environmental factors in individual behaviors related to food and physical activity. In many communities, for example, fresh produce is not available or affordable, streets and parks are not amenable to exercise, and policies and economic choices make fast food cheaper and more convenient than healthier alternatives. Community efforts to combat obesity vary in scope and scale; overall, however, they remain fragmented, and little is known about their effectiveness. At the local level, communities are struggling to determine which obesity prevention programs to initiate and how to evaluate their impact. In this context, the Institute of Medicine held two workshops to inform current work on obesity prevention in children through input from individuals who are actively engaged in community- and policy-based obesity prevention programs. Community perspectives were elicited on the challenges involved in undertaking policy and programmatic interventions aimed at preventing childhood obesity, and on approaches to program implementation and evaluation that have shown promise. Highlights of the workshop presentations and discussions are presented in this volume.

Download or read book Childhood Obesity Prevention written by Jennifer A. O'Dea and published by . This book was released on 2010 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity is an international public health concern, with a high profile in both the media and government policy. Controversial issues in the prevention of childhood obesity need to be considered early in the development of school, clinical or community prevention programs, as these issues are often the ones that promote the success or failure of attempts to ameliorate the problem at hand. This book combines health education theory, research, and practice to guide researchers, students, educators, community health workers and practitioners in the prevention of childhood obesity and the promotion of child and adolescent health and well-being. It examines controversy in childhood obesity, including the link with poverty and the difficulty of addressing obesity whilst also tackling the issue of eating disorders. The prevalence of childhood obesity is covered, with international chapters examining the importance of factors such as social class and ethnic differences, and global and local trends are identified. Approaches to prevention are presented, and the book concludes with the successful outcome of various interventions, demonstrating how the whole school community can collaborate to promote health among young people.

Download or read book Evaluation of a Counseling Program Targeting Obese and Overweight Children written by Dino William Ramzi and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book A Program Evaluation written by Bianca Bernal and published by . This book was released on 2021 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: This graduate project evaluated The Whole Child program in order to better understand whether the program components effectively and equitably addresses the prevalence of obesity in the Hispanic community. The Whole Child (TWC) is a grant funded program in the Service Planning Area (Spa 7) in Los Angeles, providing mental health, housing, parent enrichment and nutrition services in a predominantly Hispanic community. The prevalence of obesity in children within the Hispanic community has been increasing rapidly in Los Angeles County. Hispanics in Los Angeles bear a disproportionately higher incidence and prevalence of being overweight and obese, and also have higher rates of diet related chronic disease. Research has demonstrated that health and nutrition education programs are effective in decreasing the incidence of diet related chronic disease in children, however, evaluating cultural relevance, efficacy of early intervention, and effects of socioeconomic status for Hispanic families are key components for program success. TWC was evaluated to better understand how effective addressing whole health is in supporting the nutritional health of children in this marginalized community. The researchers utilized the Logic Model to identify outputs, outcomes, external factors and assumptions of the program in conjunction with short-term and long-term projected goals. Research implications and recommendations for future programs were identified.

Download or read book Progress in Preventing Childhood Obesity written by National Academies and published by National Academies Press. This book was released on 2005-10-13 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity is now an epidemic among children and adolescents in the United States. Nationwide, roughly nine million children over six years of age are obeseâ€"with elevated risks of both health conditions, such as diabetes and hypertension, and poor quality of life, possibly throughout adulthood. The Institute of Medicine (IOM) report, Preventing Childhood Obesity: Health in the Balance, was released in September 2004 and identified promising approaches for obesity prevention efforts and a set of recommendations for a variety of stake holders and sectors. The IOM is building on its previous work by initiating a new study to assess progress in childhood obesity prevention efforts. In 2005, the IOM organized three regional meeting in the Midwest, South, and Western United States to galvanize obesity prevention efforts of local, state, and national decision-makers, community and school leaders, grassroots organizations, and industry including the food, beverage, restaurant, leisure, and entertainment industries. In collaboration with the Kansas health Foundation (KHF), the IOM held the study's first regional symposium in Wichita, Kansas on June 27-28, 2005. The symposium was structured to include three panels that focused on challenges and innovations for obesity prevention and school policies, school programs, and additional steps that can be taken by numerous stakeholders to overcome barriers to progress. Three break-out sessions focused on creating and strengthening linkages with other sectors to promote childhood obesity prevention including links between schools and home, community, and health care; links between schools and industry; and links between schools and the built environment. This brief summary highlights the recurring themes for accelerating change and moving forward with obesity prevention efforts that emerged from the symposium; forge strategic partnerships; empower local schools and communities; educate stakeholders; evaluate obesity prevention efforts; document the benefits of obesity preventions; innovate to address barriers; use a systems approach; and develop a long-term strategic plan. The findings of this summary, along with those of two other symposia, and a more detailed discussion of insights and regional examples will be incorporated in the committee's final report that will be released in 2006.

Download or read book School based Childhood Obesity Prevention Targeting Middle Schools written by Meghan E. Shannon and published by . This book was released on 2009 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Disease Control Priorities Third Edition Volume 8 written by Donald A. P. Bundy and published by World Bank Publications. This book was released on 2017-11-20 with total page 977 pages. Available in PDF, EPUB and Kindle. Book excerpt: More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.

Download or read book Burns Pediatric Primary Care E Book written by Dawn Lee Garzon and published by Elsevier Health Sciences. This book was released on 2023-11-27 with total page 1026 pages. Available in PDF, EPUB and Kindle. Book excerpt: Build a comprehensive foundation in children’s primary care. Burns' Pediatric Primary Care, 8th Edition, covers the full spectrum of health conditions seen in primary care pediatrics, emphasizing both prevention and management. This in-depth, evidence-based textbook is the only one on the market written from the unique perspective of the Nurse Practitioner. It guides you through assessing, managing, and preventing health problems in children from infancy through adolescence. Key topics include developmental theory, issues of daily living, the health status of children today, and diversity and cultural considerations. Updated content throughout reflects the latest research evidence, national and international protocols, and standardized guidelines. Additionally, this edition includes three new chapters on topics such as palliative care; inclusivity, equity, diversity, and justice; and child maltreatment. Comprehensive content provides a complete foundation in the primary care of children from the unique perspective of the Nurse Practitioner and covers the full spectrum of health conditions seen in the primary care of children, emphasizing both prevention and management. In-depth guidance covers assessing and managing pediatric health problems in patients from infancy through adolescence. Highlights indicate situations that require urgent action, consultation, or referral for additional treatment outside the primary care setting. Coverage of activities related to every child’s daily living, such as nutrition and toilet training, explores issues that could lead to health problems unless appropriate education and guidance are given. Algorithms throughout the book provide a concise overview of the evaluation and management of common disorders. Resources for providers and families are included throughout the text for further information. Expert editor team is well-versed in the scope of practice and knowledge base of Pediatric Nurse Practitioners (PNPs) and Family Nurse Practitioners (FNPs).

Download or read book Childhood Obesity Prevention Programs written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-07 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: Childhood obesity is a serious health problem in the United States and worldwide. More than 30 percent of American children and adolescents are overweight or obese. We assessed the effectiveness of childhood obesity prevention programs by reviewing all interventional studies that aimed to improve diet, physical activity, or both and that were conducted in schools, homes, primary care clinics, childcare settings, the community, or combinations of these settings in high-income countries. We also reviewed consumer health informatics interventions. We compared the effects of the interventions on weight-related outcomes (e.g., body mass index [BMI], waist circumference, percent body fat, skinfold thickness, prevalence of obesity and overweight); intermediate outcomes (e.g., diet, physical activity); and obesity-related clinical outcomes (e.g., blood pressure, blood lipids). DATA SOURCES: We searched MEDLINE(r), Embase(r), PsycInfo(r), CINAHL(r), clinicaltrials.gov, and the Cochrane Library through August 11, 2012. METHODS: Two reviewers independently reviewed each article for eligibility. For each study, one reviewer extracted the data and a second reviewer verified the accuracy. Both reviewers assessed the risk of bias for each study. Together, the reviewers graded the strength of the evidence (SOE) supporting interventions--diet, physical activity, or both--in each setting for the outcomes of interest. We quantitatively pooled the results of studies that were sufficiently similar. Only experimental studies with followup of at least 1 year (6 months for studies in school settings) were included. We abstracted data on comparisons of intervention versus control. RESULTS: We identified 34,545 unique citations and included 131 articles describing 124 interventional studies. The majority of the interventions (104 studies) were school based, although many of them included components delivered in other settings. Most were conducted in the United States and in the past decade. Results of four studies were pooled for BMI and four for BMI z-score in the school-only setting; results of five school-home studies were pooled for BMI. Other studies tested interventions delivered at home (n=6), in primary care (n=1), in childcare (n=4), and in the community (n=9). Six studies tested consumer health informatics interventions. For obesity prevention, the following settings and interventions showed benefit: school-based--diet or physical activity interventions (SOE moderate); school-based with a home component--physical activity interventions (SOE high) and both diet and physical activity (SOE moderate); school-based with home and community components--diet and physical activity interventions (SOE high); school-based with a community component--diet and physical activity interventions (SOE moderate); community with a school component--diet and physical activity interventions (SOE moderate). The strength of the evidence is either low or insufficient for the remainder of the interventions and settings. CONCLUSIONS: The evidence is moderate about the effectiveness of school-based interventions for childhood obesity prevention. Physical activity interventions in a school-based setting with a family component or diet and physical activity interventions in a school-based setting with home and community components have the most evidence for effectiveness. More research is needed to test interventions in other settings, such as those testing policy, environmental, and consumer health informatics strategies.

Download or read book Obesity Prevention written by Laurette Dube and published by Academic Press. This book was released on 2010-06-25 with total page 832 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the years, approaches to obesity prevention and treatment have gone from focusing on genetic and other biological factors to exploring a diversity of diets and individual behavior modification interventions anchored primarily in the power of the mind, to the recent shift focusing on societal interventions to design "temptation-proof" physical, social, and economic environments. In spite of repeated calls to action, including those of the World Health Organization (WHO), the pandemic continues to progress. WHO recently projected that if the current lifestyle trend in young and adult populations around the world persist, by 2012 in countries like the USA, health care costs may amount to as much as 17.7% of the GDP. Most importantly, in large part due to the problems of obesity, those children may be the first generation ever to have a shorter life expectancy than that of their parents. Obesity Prevention presents the most current research and proposals for addressing the pandemic. Past studies have focused primarly on either genetic or behavioral causes for obesity, however today's research indicates that a strongly integrated program is the best prospect for success in overcoming obesity. Furthermore, focus on the role of society in establishing an affordable, accessible and sustainable program for implementing these lifestyle changes is vital, particularly for those in economically challenged situations, who are ultimately at the highest risk for obesity. Using studies from both neuroscience and behavioral science to present a comprehensive overview of the challenges and possible solutions, The brain-to-society approach to obesity prevention focuses on what is needed in order to sustain a healthy, pleasurable and affordable lifestyle. Explores the "brain-to-society" approach to obesity prevention, focusing on an integrative approach to addressing the obesity pandemic Presents both the nueroscientific and the behavioral factors that impact eating habits Identifies the challenges and suggests solutions for altering attitudes toward food on both an individual and a societal level

Download or read book Parenting Matters written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-21 with total page 525 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Download or read book Childhood Obesity written by Cathie Kassin and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity represents a significant problem in the United States, impacting almost one-fifth of children between the ages of 6 and 11 years (Centers for Disease Control and Prevention, 2013). Obesity and overweight are associated with increased health risks in adulthood, including cardiovascular disease, stroke, type 2 diabetes and cancer. Furthermore, obese and overweight children are more likely to experience pre-diabetes, bone and joint issues, sleep apnea, and decreased self-esteem. Given the prevalence and severity of childhood obesity, the following PICO question was posed: Among children between the ages of 6 and 11 years, how do residential or community-based obesity intervention program compare with school-based intervention programs affect the reduction weight in obese children by the end of the intervention program? In order to answer this question, a review of scholarly literature was conducted, which suggested that current school-based obesity intervention programs demonstrate little to no improvements in weight reduction among this population; however, some community-based interventions have demonstrated success in weight reductions among obese children. In response to this finding, a community-based intervention was proposed which is grounded in the research literature pertaining to these types of interventions. This proposed intervention, which will be delivered by nursing staff to children between the ages of 6-11 years and their parents, focuses on information pertaining to fruit and vegetable consumption, consumption of sugary or high-fat snacks, soda and sweetened beverage consumption, whole milk consumption, self-efficacy, and problem-solving skills. This intervention is grounded in King's Goal Attainment Theory, which explains that individuals exist as open systems that interact with their environments, both internal and external (Boyd, 2008, page 71). Approval and support for the project will be secured from the nurse manager, director of nursing, and hospital administration. Support from the nursing staff that will be recruited to implement the intervention program will be obtained by providing them with information about childhood obesity and associated morbidities as well as a summary of the research literature that supports the elements of the proposed intervention. Intervention materials and training, which will include a PowerPoint presentation to staff, child-friendly educational materials, and assessments, will take six months to complete and cost approximately appropriately $25,000.00 or 4,166.00 per month. Evaluation of the intervention will be comprised of three questionnaires aimed at assessing child knowledge, behaviors, and self-efficacy pertaining to nutrition, as well as height and weight. These questionnaires will be administered prior to, immediately after, and six months after the intervention. Questionnaire results will be analyzed to determine any changes in weight status pre- and post-intervention. These results will be presented to the stakeholders, including hospital staff and families, in the form of reports, as well as to the nursing community as a whole through publication in scholarly nursing journals and globally through Centers for Disease Control and Prevention and National Health Institutes.

Download or read book The Effect of Universal Free School Meals on Child BMI written by Will Davis and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: We estimate the effect of universal free school meal access through the Community Eligibility Program (CEP) on child BMI. Through the CEP, schools with high percentages of students qualified for free or reduced-priced meals can offer free breakfast and lunch to all students. With administrative data from a large school district in Georgia, we use student-level BMI measures from the FitnessGram to compare within-student outcomes before and after CEP implementation across eligible and non-eligible schools. We find one year of CEP exposure increased expected BMI percentile by about 0.085 standard deviations, equivalent to a nearly 1.88-pound weight increase for a student of average height. We also find that the program led to a small increase in the likelihood of overweight and limited evidence of a small decrease in the likelihood of underweight. We do not find that the program increased student obesity risk. Examining the effects of CEP on child BMI by grade suggests that the overall effect is largely driven by students in middle schools, highlighting potential heterogeneity in the program's impact across grades. The findings of this paper are relevant for researchers and policymakers concerned with the effects of universal free school meals on student health.