Name
Capella University
NURS-FPX 8045 Doctoral Writing and Professional Practice
Prof. Name
Date
Obesity is a critical public health issue, with 42% of adults affected and an estimated healthcare expenditure of $3.8 trillion in 2019 (State of Nevada, 2021). Despite its recognition as a chronic disease, obesity remains underdiagnosed and undertreated (Caterson et al., 2019). In female patients, the effects of screening for readiness to change, introducing a weight loss bundle with diet and exercise education, and conducting monthly check-ins will be examined in comparison to no intervention. The outcome will assess compliance with weight loss education during primary care visits at 4 weeks and 8 weeks (American Diabetic Association, 2021; Sutton, 2022; ElSayed et al., 2022; Gaesser & Angadi, 2021; Lin & Li, 2021; Ruban et al., 2019; Samuel N & Megan, 2019; Wyatt, 2018).
The American Diabetic Association (2021) highlights the importance of evaluating patients’ readiness to make behavioral changes in weight loss interventions. The transtheoretical model, consisting of pre-contemplation, contemplation, preparation, action, and maintenance stages, is a key framework for promoting readiness for change (Sutton, 2022). ElSayed et al. (2022) note the connection between obesity and the increased risk of type 2 diabetes, supporting the feasibility of long-term weight management. Gaesser and Angadi’s (2021) meta-analysis suggests that maintaining an overweight BMI can reduce mortality risks, shedding light on weight-neutral strategies. Lin and Li (2021) emphasize the importance of food quality in obesity management. Additionally, Ruban et al. (2019) provide an overview of interventions ranging from dietary modifications to surgical options. Samuel N and Megan (2019) emphasize a multi-pronged approach, including lifestyle counseling, medications, and bariatric surgery. Wyatt (2018) underscores the significance of diet adherence in predicting successful weight loss outcomes.
Obesity is influenced by various genetic and environmental factors, requiring a comprehensive management approach that considers metabolic, social, cultural, behavioral, physiological, and genetic aspects (American Diabetic Association, 2021; Sutton, 2022; Lin & Li, 2021). Screening for readiness to change and tailoring interventions accordingly is crucial for effective weight management (American Diabetic Association, 2021; Sutton, 2022). Theoretical models of behavior change guide interventions such as calorie restriction, macronutrient management, exercise, pharmacotherapy, and bariatric surgery, all of which have been shown to contribute positively to obesity management (Ruban et al., 2019; Samuel N & Megan, 2019; Wyatt, 2018).
Using the Strength of Recommendations Table (SORT) and the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework, the reviewed literature demonstrates various evidence levels. High-quality evidence, as seen in studies by ElSayed et al. (2022) and Gaesser & Angadi (2021), supports the benefits and feasibility of weight loss interventions. Medium-quality evidence from Lin & Li (2021) stresses the significance of food quality in obesity management. Evidence from Wyatt (2018) and Samuel N & Megan (2019) ranks as Level 1, SORT category A, highlighting the multifaceted nature of obesity treatment and the critical role of diet adherence.
Obesity presents a serious health and economic challenge, affecting 42% of the adult population. Addressing obesity requires interventions tailored to patient readiness for change, including dietary adjustments, increased physical activity, and, in some cases, bariatric surgery. A wide range of literature supports the importance of a comprehensive approach to obesity management, though future research could further explore gender-specific strategies and long-term treatment outcomes.
Aspect | Main Findings | Source(s) |
---|---|---|
Importance of Readiness to Change | Behavioral change models, like the transtheoretical model, are essential for promoting weight loss readiness. | American Diabetic Association (2021); Sutton (2022) |
Connection to Type 2 Diabetes | Obesity significantly increases the risk of type 2 diabetes, highlighting the importance of long-term weight loss. | ElSayed et al. (2022) |
Weight-Neutral Strategies | Overweight BMI can have mortality benefits, suggesting that weight-neutral interventions could be effective. | Gaesser & Angadi (2021) |
Food Quality in Management | Nutritional quality is crucial for managing obesity, beyond just calorie restriction or macronutrient adjustments. | Lin & Li (2021) |
Multifaceted Approaches | Effective obesity management involves lifestyle counseling, medications, exercise, and bariatric surgery when needed. | Ruban et al. (2019); Samuel N & Megan (2019); Wyatt (2018) |
American Diabetic Association. (2021). Obesity and weight management for the prevention and treatment of type 2 diabetes: Standards of medical care in diabetes—2022. Diabetes Care, 45(Supplement_1), S113–S124. https://doi.org/10.2337/dc22-s008
ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D., Johnson, E. L., Kahan, S., Khunti, K., Leon, J., Lyons, S. K., Perry, M., Prahalad, P., Pratley, R. E., Seley, J., Stanton, R. C., & Gabbay, R. A. (2022). Obesity and weight management for the prevention and treatment of type 2 diabetes. Diabetes Care, 46(Supplement_1), S128–S139. https://doi.org/10.2337/dc23-s008
Gaesser, G. A., & Angadi, S. S. (2021). Obesity treatment: Weight loss versus increasing fitness and physical activity for reducing health risks. iScience, 24(10), 102995. https://doi.org/10.1016/j.isci.2021.102995
Lin, X., & Li, H. (2021). Obesity: Epidemiology, pathophysiology, and therapeutics. Frontiers in Endocrinology, 12. https://doi.org/10.3389/fendo.2021.706978
Ruban, A., Stoenchev, K., Ashrafian, H., & Teare, J. (2019). Current treatments for obesity. Clinical Medicine, 19(3), 205–212. https://doi.org/10.7861/clinmedicine.19-3-205
Samuel N, G., & Megan, W. (2019). Approach to obesity management in the primary care setting. Journal of Obesity and Weight-loss Medication, 5(1). https://doi.org/10.23937/2572-4010.1510024
Sutton, J. (2022, October 13). How to assess and improve readiness for change. PositivePsychology.com. https://positivepsychology.com/readiness-for-change/
Wyatt, H. R. (2018). Update on treatment strategies for obesity. The Journal of Clinical Endocrinology & Metabolism, 98(4), 1299–1306. https://doi.org/10.1210/jc.2012-3115
Have a question or need support? Connect with our team today. We’re ready to assist you with personalized guidance to help you achieve your academic goals. Reach out via email, phone, or our easy-to-use contact form.
612-217-0144
info@hireonlineclasshelp.com
Get expert assistance to excel in your courses with personalized support. Our creative approach ensures your academic success every step of the way.
Our Services