Article

Obesity-related cardiovascular risk factors: intervention recommendations to decrease adolescent obesity.

Comprehensive Health Services, Kennedy Space Center, FL 32899, USA.
Journal of Pediatric Nursing (Impact Factor: 0.92). 03/2005; 20(1):3-14. DOI: 10.1016/j.pedn.2004.12.001
Source: PubMed

ABSTRACT The incidence of adolescent obesity is increasing dramatically in the United States with associated risks of hypertension, adverse lipid profiles, and Type II diabetes. Unless reversed, this trend predicts an epidemic of adult cardiovascular disease. Interventions at home, at school, and in the community are required to empower teens to increase physical activity and to modify eating habits. This article describes assessment for obesity-related health problems as well as scientific guidelines and research-based intervention strategies to decrease obesity in adolescents.

0 Bookmarks
 · 
84 Views
  • 12/2008: pages 5-20;
  • [Show abstract] [Hide abstract]
    ABSTRACT: Weight loss is an important health issue for overweight girls. Understanding their subjective feelings and experiences regarding weight loss may help healthcare professionals and hospitals develop an appropriate intervention for this population. However, there have been few studies done on the subjective weight loss experiences of overweight adolescent girls. This study developed a descriptive theory framework to elicit the weight loss experiences of overweight adolescent girls in Taiwan. This qualitative study used grounded theory to conduct in-depth interviews with 20 overweight adolescent girls aged 16-20 years. Data were analyzed using the constant comparative method. "Struggle against fat" was the core theme that described and guided the process of weight loss for participants. During this process, "obesity as a stigma" was identified as the antecedent condition with the subcategories: being teased, being blamed, being bullied, and lack of personal attractiveness. Participants struggled to practice a new lifestyle while continuing their previous lifestyle during the weight loss process. This process was categorized as "trying dieting shortcuts," "self-sabotage," "confronting weakness," and "adhere to a new life." During this process, some participants adhered to a new life by perceiving peer/family support, using incentive slogans, and sharing experiences. Finally, participants either continued to maintain their new lifestyle and gradually lost weight or resumed their previous lifestyle and regained weight by entering into a vicious cycle of combating fat through dieting shortcuts while practicing self-sabotage. Weight loss is a difficult issue for most overweight and obese adolescent girls. Health providers should better understand adolescent psychology to provide this population with effective incentives to modify their lifestyles for health purposes. It is crucial that healthcare providers be good coaches to guide and positively support these girls in their struggle against fat.
    The journal of nursing research: JNR 03/2014; 22(1):28-36. DOI:10.1097/jnr.0000000000000017 · 0.84 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background:Obese subjects are at risk of multiple comorbidities including stroke and coronary heart disease (CHD), which is partly due to disturbances in the hemostatic system.Aims:The aims of the present study were to determine the effects of a weight-loss program on fibrinogen and fibrinolytic markers.Materials and Methods:Twenty-eight obese subjects were involved in a weight-loss program consisted of exercise and nutritional education for 12-weeks duration. Physical parameters were documented and blood specimen was tested at pre and post-intervention for fibrinogen, tissue plasminogen activator (t-PA), plasminogen activator inhibitor-1 (PAI-1), and thrombin activatable fibrinolysis inhibitor (TAFI). Paired t-test was used for statistical analysis.Results:There was a significant decline in the levels of t-PA, PAI-I, TAFI and fibrinogen following the weight-loss program (P < 0.01 for each). A significant positive correlation between tPA levels and body weight, body mass index (BMI), waist circumference, and fat-free mass were found. There was also a significant correlation betwen BMI and other blood parameters.Conclusion:Reduced fibrinogen, fibrinolytic, and physical parameters were demonstrated in obese subjects following the weight reduction program. These findings suggest the possible beneficial effects of this program on the hemostatic burden particularly on the fibrinolytic biomarkers.
    08/2014; 6(8):377-82. DOI:10.4103/1947-2714.139286
    This article is viewable in ResearchGate's enriched format