Running head: OBESTIY IN ADULTS: EFFECTIVE MANAGEMENT Nursing Scholarly Project Obesity in Adults: Effective Management in Primary Care Settings MSN 891 Concordia University Wisconsin Darlene C. Beck June 1, 2015 Scholarly Project Rough Draft Abstract As a future clinician working in primary care, I know that managing obesity continues to be a current challenge. Obesity is a contributing factor to chronic conditions such as hypertension, type two diabetes mellitus and hyperlipidemia. During my clinical rotations, I rarely saw obesity and its risk factors being addressed with patients who clearly fit the definition of being obese. Smith et al. (2011) showed that overweight and obesity are substantial problems in the …show more content…
I developed the PICOT question, in adults with a diagnosis of obesity, how effective is behavioral counselling compared to education on diet and nutrition in reducing the body mass index. To answer the PICOT question this paper will explore published articles that report the results from research that showed a reduction in body mass index from education on diet, exercise and behavioral counselling. As a clinician, along with my peers, we will be at the forefront in treating patients who suffer from obesity and its contributing health problems. Researching effective management will be beneficial to the Practitioner practice as well as the patients we serve. Introduction of Project/Background What is overweight and obesity? According to the World Health Organization, overweight and obesity are defined as an abnormal or excessive fat accumulation that may impair health. To determine if a patient is considered overweight or obese, many healthcare providers use a tool known as the body mass index. The body mass index is a simple index of weight to height that is commonly used to classify overweight and obesity in adults. It is defined as a person 's weight in kilograms divided by the square of his height in meters (kg/m2) (WHO.gov). The World Health Organization defines overweight and obesity using the BMI as a BMI greater than or equal to 25 is overweight and a BMI greater than or equal to 30 is obesity. The prevalence of obesity in the United States continues to be
Obesity is defined as a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduce life expectancy and/or increased health problems. “The problem of obesity is increasing in the United States. Understanding the impact of social inequalities on health has become a public health priority in the new millennium. Social, political, and economic factors now are acknowledged to be "fundamental" causes of disease that affect behavior, beliefs, and biology.” (Goodman, 2003) In the United States today, obesity has become an enormous problem. In the last 3 decades, the number of people overweight has increased dramatically. Obesity has not always been seen as a medical
Obesity is usually defined by using the body mass index (BMI). A persons BMI is worked out by dividing the persons weight in kilograms by their height in meters squared. To be classified as obese a person’s BMI will be equal to or over 30. (CDC, 2015)
Individuals with a body mass index of 30 or higher are considered to be obese. Body max index is the way you are able to calculate a person’s health conditions based on their height and weight.
Obesity is defined as defined as abnormal or excessive fat accumulation that may impair health. Obesity is not only based on an individual’s weight but also their BMI. A BMI greater than or equal to 25 is overweight. A BMI greater than or equal to 30 is obesity ((Organization, 2013). Obesity is the most common preventable deaths and the fifths leading health risk globally. Obesity has also been linked to other debilitating diseases and can increase a person’s chances of being hospitalized. Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some of the leading causes of preventable death (cdc.gov, 2014).
Within the last half century, the obesity rate in America has increased by twenty one percent from thirteen percent to thirty four percent of adults; while the percent of the population considered overweight has remained stagnate at thirty-four percent. Unfortunately, the increase in the obese population poses a large threat to the health and well-being of United States citizens. Obesity is not only an accumulation of fat mass, but has been linked to many diseases such as cancer, cardiovascular disease, and diabetes. The strain that each of these respective diseases contributes onto the United States healthcare system is great, but how exactly does obesity contribute to the occurrence of these three diseases? What health factors are affected by obesity and lead to the development of chronic illness?
Obesity has been measured or defined in various ways. Many researchers have differing opinions on the origins and effects of obesity. The rapidly increasing rates of obesity are often linked to a high calorie diet and little to no physical activity. Although obesity is seen as a disease that affects a person’s weight, it actually affects a lot more than that. Obesity can affect individuals in both adolescence and adulthood, their families, and the healthcare system. From an outside viewpoint, obesity looks like a disease that careless, inactive people develop. Not always is this the case. Obesity is not a disease that affects solely the weight of a person. To be considered obese, your BMI (body mass index) would have to be 30 or higher. Almost 70 percent of Americans are either overweight or obese. Not only does obesity affect the weight of a person, it can also lead to increased risk for diabetes, high blood pressure, heart disease, sleep apnea, and many other things. Questions posed on this dreadful disease by many people are on the origin of the disease, the effects and exponential growth of the disease, and the actions that are being taken to help provide a healthier environment for Americans and to establish programs and preventative methods across the country to help fight the ever increasing obesity rate.
Obesity has been a problem in America for multiple years. Obesity rates in the United States are going to increase 37% in the next twenty-five years (Pomeranz 2009). According to the National Institute of Diabetes and Digestive and Kidney Diseases 68.8% of adults are overweight or obese, one in every 20 people or 6.3% of adults have extreme obesity and 3 in every 4 males or 74% of males are obese (Overweight and Obesity 2009). Once someone comes to the realization that they are obese, it can be hard to turn their life around and lose some of that weight that is making them obese. Obesity can be the cause of multiple health related issues that Americans face. For example, obesity can cause type two diabetes, cardio metabolic disease,
Obesity presents numerous health risks, both physical and mental. Obesity has been linked to or is a risk factor for many non-communicable diseases such as cardiovascular disease (including stroke and heart) type two diabetes, many cancers (including breast, colorectal….), musculoskeletal conditions such as osteoarthritis, depression and mental health disorders. Obesity along with all of the alarming health implications have the ability to
One of the most commonly discussed issues of America in the last few decades has been obesity. It remains one of the biggest problems in American society and requires a careful, systematic but also immediate solution. Obesity is a term used to describe body weight that is much greater than what is considered healthy. Today, 65% of adults in the U.S. are overweight and half of those are obese. The rates for children are smaller but they are not satisfying either: 15% are overweight and another 15% are headed that way (Lemonick). Besides the aesthetic problems for many people that this condition creates, it is most importantly known as the main cause of serious health problems as well.
Obesity in the United States has been a serious problem affecting Americans and has been continually growing higher in numbers each year. American obesity has nearly doubled within the last 40 years and is now considered to be an epidemic that is affecting millions of people around the nation. According to the National institute of Diabetes and digestive and kidney Diseases, 31% of men and 35% of women are considered seriously overweight, along with 15% of children between the ages of six and nineteen are also overweight. The lack of physical inactivity and extreme poor dieting are catching up to almost the same threat as cigarettes and tobacco smoking. We as a nation are considered to be the fattest country in the world.
There are a variety of public issues in the United States society today. Many people are facing some type of illness or disease, one we do not consider a major problem until just recently. Obesity is a disease/condition that many people in America are suffering from. Really obesity can be defined in many different ways; Mayo Clinic defines obesity as a “complex disorder involving an excessive amount of body fat” (Obesity, 2015). When a person is diagnosed having this disease/condition it can cause many health problems such as, diabetes, heart trouble, high and low blood pressure. According to Centers for Disease Control and Prevention (CDC), more than one-third (34.9% or 78.6 million) of U.S adults are obese. (“Adult Obesity Facts,” 2015).
Obesity is becoming a major problem to many Americans as well as many people around the world. Being the second cause of preventable death in the United States, obesity increases the risk of numerous adverse health problems including breast cancer, heart disease, type II diabetes, osteoarthritis, colon cancer, stroke, and more. Obesity is defined as an excess proportion of total body fat, with a person being considered obese if his or her weight is twenty percent or more above normal body weight. A common way to measure obesity is by calculating the body mass index. An individual is considered overweight if his or her BMI is between twenty five and thirty,
Although many individuals are uncertain about the increasing statistics associated with obesity, more than seventy percent of men and virtually sixty-two percent of women within the United States adult population are overweight or obese (Wilmore, Costill, & Kenney). Obesity refers to the condition of having an excessive amount of body fat. If an individual’s amount of body fat becomes too excessive, he/she is at a much greater risk of developing life-altering diseases such as heart failure, hypertension, type II diabetes, cancer, gallbladder disease, osteoarthritis, etc. (Wilmore, et al., 2008).
It was merely a decade ago that the obesity epidemic was thought to only be a minor problem and had only alarmed a small number of endocrinologists interested by the size of the situation (James, 2008). However today, the problem of obesity is vast with more awareness of its presence by doctors and individuals alike. In fact, the Center for Disease Control and Prevention states, “More than one-third (34.9% or 78.6 million) of U.S. adults are obese (CDC, 2014)”. These numbers are outrageous and eye opening, leaving millions looking for a solution to this troubling epidemic. Obesity is not simply a cosmetic flaw as some might think, but is actually a very dangerous state of being for any individual to sustain long-term. Mentioned further in
Obesity has caused great dilemma in America. It was known as an adult disease. “Over two thirds of adults are over weight or obese.”(Obesity, Jerry R Ballenttne) these numbers are increasing rapidly. Obesity is not just a appearance