Childhood Obesity In the last three decades, the rates of childhood obesity have increased by more than three times. This is according to the American Health Trust (2013), which further reports that 30 states have over 30% of their children above the overweight mark. Weight ranges greater than what is considered healthy for a given height, is what is considered overweight or obese by the Center for Disease Control and Prevention (CDC). These weight ranges are considered to increase the likelihood of some health complications such as Type 2 Diabetes, hypertension, sleep apnea and liver disease. Both the CDC and American Academy of Pediatrics (AAP) recommend the Body Mass Index (BMI) as the screening tool to identify possible weight problems in children.

Overweight and obese children are at a risk of developing serious health complications such as diabetes type 2 and hypertension (CDC, 2015b). Children and adolescents are the ones mostly affected by childhood obesity. Health consequences related to obesity that can be studied include: increased risk for adulthood obesity and corresponding problems and educational plans to prevent childhood obesity risk factors.

Target Population and Setting

The intervention program will consist of Fifth grade students from two different schools. One will be an experimental group while the other one will be a control group. A questionnaire titled "know your body" will test the participant's baseline knowledge of obesity-related risk factors. BMI, waist circumference, blood pressure, blood glucose and lipid concentration and cholesterol level are the metabolic parameters that will be obtained for each student before and after the intervention to enhance cardiovascular risk factors student's awareness (May at al., 2010). Researchers will work with science teachers in the school and come up with a program that would address nutrition, physical activity, heart disease and diabetes. The intervention contained four class sessions and lessons for four months and the health questionnaire repeat.

Application to Advanced Practice Role

In today's world, childhood obesity is an ongoing issue. The risk factors identified such as lack of sufficient physical exercise and poor nutrition are of great significance to understand the etiology of obesity (Fahlman et al., 2008). This study primarily focuses on preventable factors that lead to obesity in a child. In order to end the obesity menace, children must be educated about

Perhaps educational interventions in schools may prevent the obesity problem in children. It will also provide more knowledge on healthy lifestyles among the children which will make them adapt to healthy behavior. This will be of benefit to their families, society and even the economy.
Theoretical Framework

This study is informed by the Health Promotion Model (HPM) by Nola Pender. The focus of HPM is based on the achievement of higher levels of welfare and self-actualization and groups the factors affecting behavior. The changing factors that the model describes are behavioral and situational factors, interpersonal influences, as well as demographic and biological characteristics.

Behavioral factors are those that inform a person's behavior to current situations in relation to former experiences, while situational factors are their reactions in response to their immediate environment. Interpersonal influences are inclusive of the social support and expectations of relations such as those of family and peers. Biological and demographic tendencies include gender, age, racial and ethnic backgrounds and income; which are necessary towards the self-actualization part of this model.

The modifying factors are reported to indirectly influence health behavior while the cognitive-perceptual determinants are important in informing motivational methods of improving health. The factors include the individual's view-point on the importance of health and on the profits of healthy practices. This model also insists on the need of understanding how one defines health as this influences how they see their own health and eventually impacts behavior towards their health (Galloway, 2003).

The educational intervention was developed using this model to promote health among middle school students. This can be achieved by increasing their wellbeing levels. It will expound on some of the cognitive-perceptual and modifying factors relevance to obesity during childhood. For instance, certain situational and behavioral determinants were discussed in relation to childhood diets, physical exercise, and risk of obesity factors.

The educational intervention will show the benefits of eating healthy and having enough exercise for the students to understand the need of healthy practices. This intervention will create a positive effect on healthy behavior which will lead to increased self-efficiency and heightened positive behavior for middle-school students.

Review of Literature

A study by Fahlman et.al (2008) tested the efficiency of the MM (Michigan Model) Nutrition Curriculum on nutrition information and eating tendencies among middle school students. The study utilized a pre and post-test quasi-experimental model with a sample size of 783 middle school pupils.…