Evaluation of a Peer-Reviewed Article

21) According to the best available estimates, social circumstances impact what portion of the population's early death?

Attention Getter: “Approximately 17 percent of U.S. youth have obesity, and nearly one in three children and adolescents are either overweight or have obesity” (Healthier America).

In 2015, 15% of children between the ages of 2 to 15, in Scotland, were at risk of obesity, in relation to their Body Mass Index (Scottish Health Survey, 2015). For children, the BMI ranges changes as they grow and get older, as well as being dependent on gender. For example, if a 12 year old boy and a 9 year old boy have the same BMI, and the 12 year old is classed as healthy, it doesn’t mean that subsequently the 9 year old is healthy too. It can, in fact, allude that the younger boy is overweight. Obesity in childhood can lead to a plethora of health issues in later life, and the children are more likely to be obese or overweight in adulthood. The World Health Organisation identified some of the future health outcomes of being obese in childhood. These include cardiovascular diseases, diabetes, musculoskeletal disorders, such as osteoarthritis, and in the worst case; death. WHO has estimated that, globally, over two million people die annually from health problems associated with being obese or overweight (WHO, 2016). There are several contributing factors to a child’s weight, including; parental weight and activity level, geographical location and deprivation.

2b) The authors provided the reader a lot of information on the topic. Each topic was very well explored. A lot of different information on different but similar studies. The authors seemed very knowledgeable on the topic. This article lacked a few things. A clear research question and a hypothesis. The paragraphs were not clear and consist, I felt that I had to dig to get certain information. The paper was very wordy, which made me have a hard time understanding the substance.

“Obesity is a disease that affects more than one-third of the U.S adult population (approximately 78.6 million Americans). The number of Americans with obesity had steadily increase since 1960, a trend that has slowed down in recent years but show no sign of reversing”.

Part B: How might each of the following concepts affect the results of the study?

America, like any other country, has its assortment of problems: immigration, debt, or foreign affairs but one issue that is rather hard to overlook, literally, its obesity epidemic. The extra pounds have become a sight all too common in America’s society, “men are now on average seventeen pounds heavier than they were in the late seventies, and for women that figure is even higher: nineteen pounds.” (Kolbert). Obesity does not just affect adults in this way either, the kid population has been getting bigger, according to the numbers on a scale “the proportion of overweight children, age six to eleven, has more than doubled, while the proportion of overweight adolescents, age twelve to nineteen, has more than tripled.” (Kolbert). This issue has been a major concern to doctors and scientists for decades and in recent years, has even has the American Medical Association recognizing obesity to be a disease (Pollack). That is a highly debatable statement because obesity itself is a preventable lifestyle. Obesity is avoidable and curable to all (or at least most) of its sufferers. For some citizens, obesity is not a choice, rather genetics, but for the majority of the population, obesity is caused by an unhealthy diet and lazy lifestyle, and for these certain individuals, through a lot of work and discipline, the return to a healthy lifestyle is not as impossible as it may appear.

The Healthy Child Programme (Rudolf, 2009) aims to provide guidance and practical direction in a strategy to reduce the risks of obesity for babies, toddlers and preschool children. For action are outlined that have the potential to encourage the development of lifelong healthy lifestyle and reduce the risk of obesity. The case for intervening in the very early years to prevent obesity is compelling. Its rationale is based on epidemiological studies that point to the high prevalence of obesity on starting school, the link between infant weight gain and later obesity, and tracking of obesity into adult life. Evidence from other sources highlights how lifestyle choice-both food preferences and physical activity - have their roots in the very

The obesity rate in America has become a major national health issue over the last several decades. Increasingly alarming statistics have garnered national headlines. Current statistics place 68.5% of the U.S. population in classifications ranging from "overweight" to "super obese." Approximately 35% of all U.S. adults currently fall under the label of "obese".(Ogden, et al., 2014) Potentially more alarming is the prevalence of obesity in adolescents. U.S. youth are becoming obese at earlier and earlier ages. One out of six children ages 2-19 are now obese and fully one-third of adolescents are overweight or obese. (Ogden, Carroll, Curtin, Lamb, & Flegal, 2010) Between 1980 and 2000, obesity rates among adults doubled and tripled among adolescents. (CDC.gov)

     Researchers from the Stanford University School of Medicine in California assessed risk factors for becoming overweight during childhood. A group of 150 children and their parents participated in the study, which began within days of birth and continued for 9.5 years. Researchers in the study collected information about each

Crombie & Davies (1997) stated that the article title gives an understanding of what the study is going to be about and the author intentions of how the study will be done. The

“Childhood Obesity.” WebMD WebMD UK Limited and Boots UK Limited, 2014. Web. 16 Oct. 2014.

America is facing a rigorous obesity plague that is endangering the health of millions. Moreover, we are passing our bad practices down to our children. Obesity is a stipulation in which anomalous or excessive fat buildup in adipose tissue that damages health. Obesity is defined in adults as a body mass index (BMI) exceeding 30 (kg/m). Obesity is one of the most discernible, but until recently, most deserted public health problems. The present high pervasiveness of obesity and the brisk increase in pervasiveness in the last twenty years has been referred to as an endemic (Johnson SJ, Birch LL. 1994). Children all through the U.S. are getting fatter and less fit, through potentially treacherous enduring consequences. The figure of

Establish Need/Relevance: Obesity is spreading across the United States and is becoming a serious problem that can affect anyone. Not only is obesity affecting adults but it is also affecting children as well. According to The Gale Encyclopedia of Diets: A Guide to Health and Nutrition written by the authors Megan Porter and Tish Davidson, the Centers for Disease Control and Prevention

As advancements are made in science and technology that relates to the care of patients, it is critical for nurses to be aware of the treatments that have been proven to be evidence-based. Systematic research reviews (SRR) are considered to have the highest ranking or level of evidence falling under level 1 evidence for reliability, validity, and least amount of error (Melnyk & Fineout-Overholt, 2015, p.607). The aim of this paper is to critique the chosen SRR related to core temperature obtainment in children, relevance of the research problem to nursing practice, rigor of the research found in the SRR to include levels of evidence and designs of included studies, the clarity of findings, summarized findings in the SRR, and the implications for practice.