Topic: Childhood Obesity

Please use the template to fill out the “synthesis of the literature” and “practice recommendation” sections. Only two pages needed. The previous sections with background information completed is in the other attachment. That other attachment must be read to understand the last two sections. 

University of Saint Augustine for Health Sciences

NUR7050: Evidence-Based Practice for Healthcare Professionals

NOTE: An abstract is not required

NOTE: This is a template and guide. Delete all highlighted materials.

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Synthesis of the Literature

Synthesize your final primary quantitative research studies and/or systematic reviews; do not include summary articles such as a review of the literature, a clinical article, or a clinical practice guidelines. This section is all about the scientific evidence rather than someone else’s opinion of the evidence. Refer the reader to your evidence table(s). See Table 1 and 2. Do not use secondary sources; you need to get the article, read it, and make your own decision about quality and applicability to your question even if you did find out about the study in a review of the literature. The studies that you cite in this section must relate directly to your PICOT question. This is a synthesis (Table 3) rather than a study-by-study review. Address the similarities, differences, and controversies in the body of evidence.

Practice Recommendations

So. . . using available best evidence, what is the answer to your question? This section is for you to summarize the strength of the body of evidence (quality, quantity, and consistency), make a synthesis statement, and, based on your conclusions drawn from your review of the body of evidence related to your clinical question, give a recommendation for practice change. This would logically be the intervention of your PICOT question. You might want to design an algorithm and include it in as a figure. Perhaps you found substantiation for usual practice, and you recommend reinforcement and education regarding this best practice. Using Johns Hopkins, identify whether this recommendation be graded A, B, or C based on the strength of the evidence.

References

Remember that this is a reference list rather than a bibliography. A bibliography is everything you read to prepare the paper but a reference list is only what you cited. If there is not a citation for a reference, it should not be here. PLEASE make sure that your references and your citations throughout the paper are in APA format. You can go from an A paper to a B paper on APA errors alone. Take the time to make sure that they are correct. We have already formatted the paper for you with this template.

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Table 1

Primary Quantitative Research Evidence (this table may be single space and 10-point font; ONLY primary quantitative research articles should be in this table) Example provided.

Source

Study design


Obesity In Children

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Obesity in Children Comment by Shawna Butler: Bold this heading

An apple does not fall far from the tree. A saying that has been referenced in conversations involving children who have acquired specific traits from their parents. Among these traits is obesity, both genetic and lifestyle-related obesity. A child is classified as obese when his or her weight is well above the normal for their age and height (CDC, 2021). Comment by Shawna Butler: Use “their weight” instead of his/hers

One of the tools widely used to gauge obesity is the body mass index (BMI). The BMI needs to be compared against age and sex growth charts as children gain weight and muscle a different rate with age. Normal BMI for boy’s ranges from 13.8 to 16.8 at five years, 14.2 to 19.4 at ten years, and 16.5 to 23.4 at fifteen years. Normal BMI for girls ranges from 13.6 to 16.7 at five years, 14.0 to 19.5 at ten years and 163 to 24.0 at fifteen years (CDC, 2021). Discussed in this paper is the relation of parent health patterns and their probability of affecting their children’s weight.

Significance of the Practice Problem

BMI values that lie above the higher percentiles very likely indicate obesity. Obesity puts the child at a higher risk of chronic lifestyle diseases such as hypertension, diabetes, and cardiovascular diseases (Henderson, 2021). Not only does it affect their physical well-being, but it also exposes them to psychological issues including low self-esteem issues, bullying, eating disorders and depression (Angawi, & Gaissi, 2021). Comment by Shawna Butler: Add a little more detail here. Two sentences is probably not enough to lay the foundation for the significance of the problem for the entire premise of the question.

Address significance to family, health system, finances, society, etc.

Include the incidence and prevalence and any other relevance like disability issues, etc. Use the template as a guide. Include sources.

PICOT Question

In adolescent patients under the age of 12 who have obese parents (P) what is the effect of a dietitian and exercise program (I) compared to children who did not have a dietitian and exercise program (C) on preventing the adolescent from having a BMI over the 85th percentile range (O) within one year (T)? This is our main question of concern throughout this article. A child’s health and well-being are fostered by a home environment with engaged and skillful parenting that models, values, and encourages sensible eating habits and a physically active lifestyle. Parents can have a great influence on their children that is marked when they serve as role models who promote specific values and reinforce or punish certain behaviors. It is no