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Studies that continue to seek a link between childhood SEP and adult BMI have tended to use "representative national samples," the authors explain. There is "regional variation in the SEP-adiposity relationship," they explain, that "may make a difference in a regionally constrained sample such as ours" (Trotter, p. 1092). "Regionally constrained" is a legitimate conclusion as to why there is such a variance between the Los Angeles sampling and the NHANES data collected between 1999 and 2004 and their own sampling. The NHANES reported a higher (31%) rate of obesity than the Los Angeles findings (20%). These authors admit the Los Angeles data is "regionally constrained."
Measurement: The reader loses faith in the veracity of this research when the authors explain (p. 1092) that there is "missing data" (up to 18% of data missing from "working class status"). Moreover, the "self-reported" weight of participants leaves a reader wondering just how far off those numbers were from what people actually weigh. There is a "downward bias," they explain, associated with "self-reported weight"; i.e., the heavier a person is, the more that person will tend to understate his or her weight. That's not scientific, but it's a fair assumption. To be empirically accurate, the authors should have put people on the scales, if that was practical to do.
Data Collection methods and analysis: Meantime, the authors mention that the "…growing prevalence of overweight and obesity may be eroding...
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In addition, those who are emotionally troubled and who are overweight -- often a contributing factor to emotional difficulties -- do not receive extra counseling time." Seale, Seale & Zhang (2008, p.425) This is a serious concern and one that must be addressed immediately by physicians who are providing care for obese patients. Future A lot of revamping has to be done to meet this increased need of obese elderly and
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" (2008, p. 146) Flegal, Ogden & Carroll stress the need to educate lowering the fat content of the diet through nursing intervention and practice. (2004, p. S147) These nursing interventions can like this work stress the implementation of a program that exposes adolescents to healthier alternatives and builds the efficacy for obtaining them through successfully seeking family behavior changes and building awareness about healthier options and food costing that
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