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, 2007). However, family reports of enrolled children engaging in more exercise and eating healthier did reach statistical significance at both time points. The authors of this report argue that these findings are too preliminary to draw hard conclusions. Moodie and colleagues (2008) mention that a much larger LEAP study is underway. The short time-span of the intervention may also be a problem, since a 2-year pilot study in Pittsburgh, Pennsylvania revealed a significant reduction in BMI for elementary school children in an in-school obesity intervention group (Manger et al., 2012).
My recommendation would be to implement the LEAP-U.S. program on a limited scale geographically to test whether it can have a significant impact over at least a 2-year period. The cost benefit analysis suggests that only a minor improvement in BMI scores need be realized to reach the break-even point. With the obesity epidemic still representing a significant healthcare cost burden in the U.S. And the results of numerous studies indicating that childhood obesity leads to lifetime obesity and the development of related comorbid conditions, if only 4% of all overweight and obese children achieved a healthy weight, the program would pay for itself in the short-term. The long-term benefits could also be potentially significant, but determining whether this is true would require a much longer study period.
References
Australian Bureau of Statistics. (2012). 3101.0 Australian Demographic Statistics. Table 59. Estimated resident population by single...
ABS.gov.AU. Retrieved 4 May 2013 from http://www.abs.gov.au/AUSSTATS/[email protected]/DetailsPage/3101.0Jun%202011?OpenDocument.
BLS (U.S. Bureau of Labor Statistics). (2012). Occupational Outlook Handbook, 2012-13 Edition. BLS.gov. Retrieved 4 May 2013 from http://www.bls.gov/ooh/management/medical-and-health-services-managers.htm.
Manger, William, M., Manger, Lynn S., Minno, Alexander M., Killmeyer, Mike, Holzman, Robert S., Schullinger, John N. et al. (2012). Obesity prevention in young schoolchildren: Results of a pilot study. Journal of School Health, 82(10), 462-468.
McCallum, Z., Wake, M., Gerner, B., Baur, L.A., Gibbons, K., Gold, L. et al. (2007). Outcome data from the LEAP (Live, Eat and Play) trial: A randomized controlled trial of a primary care intervention for childhood overweight/mild obesity. International Journal of Obesity, 31, 630-636.
Moodie, Marjory, Haby, Michelle, Wake, Melissa, Gold, Lisa, and Carter, Robert. (2008). Cost-effectiveness of a family-based GP-mediated intervention targeting overweight and moderately obese children. Economics and Human Biology, 6, 363-376.
Trasande, Leonardo and Elbel, Brian. (2012). The economic burden placed on healthcare systems by childhood obesity. Expert Reviews in Pharmacoeconomics Outcome Research, 12(1), 39-45.
U.S. Census Bureau. (2012). Table 7. Resident population by sex and age: 1980 to 2010. Census.gov. Retrieved 4 Feb. 2012 from http://www.census.gov/compendia/statab/2012/tables/12s0007.pdf.
References
Australian Bureau of Statistics. (2012). 3101.0 Australian Demographic Statistics. Table 59. Estimated resident population by single year of age, Australia. ABS.gov.AU. Retrieved 4 May 2013 from http://www.abs.gov.au/AUSSTATS/[email protected]/DetailsPage/3101.0Jun%202011?OpenDocument.
BLS (U.S. Bureau of Labor Statistics). (2012). Occupational Outlook Handbook, 2012-13 Edition. BLS.gov. Retrieved 4 May 2013 from http://www.bls.gov/ooh/management/medical-and-health-services-managers.htm.
Manger, William, M., Manger, Lynn S., Minno, Alexander M., Killmeyer, Mike, Holzman, Robert S., Schullinger, John N. et al. (2012). Obesity prevention in young schoolchildren: Results of a pilot study. Journal of School Health, 82(10), 462-468.
McCallum, Z., Wake, M., Gerner, B., Baur, L.A., Gibbons, K., Gold, L. et al. (2007). Outcome data from the LEAP (Live, Eat and Play) trial: A randomized controlled trial of a primary care intervention for childhood overweight/mild obesity. International Journal of Obesity, 31, 630-636.
U.S. Census Bureau. (2012). Table 7. Resident population by sex and age: 1980 to 2010. Census.gov. Retrieved 4 Feb. 2012 from http://www.census.gov/compendia/statab/2012/tables/12s0007.pdf.
This approach can take the focus off of the child, and instead treats the child's environment as a way of holistically treating his or her condition. Also, if time and the nurse's relationship allows for the use of such an open-ended tool, a great deal of information can be yielded about the family system that cannot by other models. Works Cited Chen, J.L, C.H. Yeh, & C. Kennedy. (2007, Jun 22).
In the 90s, sugar, cookies, snacks and candies were amongst the foods that were most advertised on the TV. Since the 80s, the ads showing high fat and high sodium foods has almost doubled. Effects of Movie and TV show Characters on Eating habits of American Children There has been a great increase in the usage of cross promotions by the fast food companies as well. Other than this, one of
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
197). Further, Robinson and Sirard posit that applying a "Litmus Test" helps to identify the specific research questions, study designs, and methods that will most likely contribute to improving individual and overall population health (198). The researchers suggest that a study should only be performed if the researcher(s) knows what the conclusion from each possible result (negative, null, positive) will be, and how the result will incline intervention to address
Doctors of nursing practice have an ethical and professional obligation to disseminate findings that emerge from relevant and timely research. One area of ongoing concern is the near-epidemic levels of childhood obesity that have emerged in recent years due in large part to increasingly sedentary lifestyles and poor eating habits among young people. This paper provides an assessment and reflection on the success of the program design for disseminating the
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