-Two peer-reviewed articles that demonstrate theoretical foundations or the relationship between theory and evidence regarding childhood obesity.
-Critique each article, highlighting the strengths and the weaknesses of each article.
-Interpret the statistical analysis and significance of results.
-Finally, analyze the feasibility of applying the theory to your population 6-18 or problem of interest in your current practicum setting. Childhood Obesity Assignment Paper
WRITE your initial discussion response in 300 words
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PROJECT PICOT QUESTION
The picot question has been presented as: “Among obese or overweight child or adolescent (6 to 18-year-old) who attended a primary care pediatric setting (P), does the implementation of a multidisciplinary pediatric obesity program (I) versus no pediatric obesity program (C) result in 5% decrease in BMI and childhood obesity (O) over a period of 6 months (T)?
“Among obese or overweight child or adolescent (6 to 18-year-old) who attended a primary care pediatric setting (P), does the implementation of a multidisciplinary pediatric obesity program (I) versus no pediatric obesity program (C) result in 5% decrease in BMI and childhood obesity (O) over a period of 6 months (T)?”
Zolotarjova, Ten Velde and Vreuqdenhil (2018) is clear that an effective obesity management plan among children requires input from obesity programs. The article explains that applying an intervention program without input from multidisciplinary sources would result in limited results since each stakeholder occupies a unique position. It further adds that despite the manner intervention programs already implemented, statistics indicate that obesity incidence among children is increasing with the figures showing no signs of reversing. The article postulates that there is an urgent need to develop and apply multidisciplinary approaches in obesity management, with the focus being on complementing short-term interventions with long-term lifestyle changes. It specifically mentions that the best obesity management results are achieved by complementing inputs from different disciplines in terms of family involvement, modifying behavior, education about nutrition, and physical activity. That is because these results would achieve an initial weight loss that would then be sustained over the long term. The implication is that simply having a single discipline to present an intervention plan would only have short-term benefits with the initial gains likely to be reversed over the long term (Zolotarjova, Ten Velde & Vreuqdenhil, 2018). Childhood Obesity Assignment Paper
Mameli et al. (2017) similarly noted that interdisciplinary approaches achieved the best approaches in obesity management among children since they not only improved body mass index (BMI) scores but also stabilized the body shape index and hip index scores to achieve the best outcomes. Still, the article is cautious in noting that although multidisciplinary approaches achieve the best outcomes, they are taxing for patients thereby increasing the probability of dropout from the treatment program. As a result, there is a need to address the high dropout rates reported for multidisciplinary programs, although those who follow the program to completion report favorable treatment outcomes (Mameli et al., 2017). Based on the two articles, it is clear that adopting a multidisciplinary approach is important in achieving favorable and sustainable short-term and long-term benefits for obesity care among children.
Mameli, C., Krakauer, J., Krakauer, N., Bosetti, A., Ferrari, C. … & Zuccotti, G. (2017). Effects of a multidisciplinary weight loss intervention in overweight and obese children and adolescents: 11 years of experience. PLoS ONE, 12(7), e0181095. doi: 10.1371/journal.pone.0181095
Zolotarjova, J., Ten Velde, G. & Vreuqdenhil, A. (2018). Effects of multidisciplinary interventions on weight loss and health outcomes in children and adolescents with morbid obesity. Obes Rev., 19(7), 931-946. doi: 10.1111/obr.12680 Childhood Obesity Assignment Paper
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