Obesity-related cardiovascular risk factors: intervention recommendations to decrease adolescent obesity.
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.
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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. · 0.84 Impact Factor
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ABSTRACT: Many food guides are used around the world, with most based on a graphical design to indicate how much of each food group should be eaten. However, the most recent versions of the food guides used in the United States (MyPyramid) and Canada (Eating Well with Canada's Food Guide) have moved away from using a graphical design. In this article, we evaluate the design of these various food guides and describe an alternative design for a food guide based on a traffic lights approach. Foods are classed as green (eat freely based on recommended amounts), amber (eat in limited amounts), and red (eat little or none). The food guide is accompanied by a set of simple rules for selecting an appropriate diet. This design has several advantages over conventional designs. In particular, the proposed design more closely reflects the actual composition of foods, namely that foods within each food group tend to fall into three distinct groups based on nutritional composition, a point which is much less clear with conventional food guide designs. The simplicity of the design may make it especially valuable in developing countries and among communities where educational standards are poor. Only a limited amount of research has been conducted on traffic lights food guides, mainly for its use in the treatment of childhood obesity. Further research is therefore required.Ethnicity & disease 01/2010; 20(4):485-7. · 0.92 Impact Factor