Synthesis of the Evidence: Substantiating an Intervention for Obesity
Obesity impacts 42% of adults, ensuing in healthcare spending of $3.8 trillion in 2019 (State of Nevada, 2021). Despite elevated awareness as a continual disease, weight problems stays underdiagnosed and undertreated (Caterson et al., 2019). In overweight lady patients, the have an effect on of screening for readiness to change, introduction of a weight loss bundle with eating regimen and workout education, and month-to-month check-ins in contrast to no intervention on weight loss schooling compliance for the duration of a foremost care health center office go to at four weeks and eight weeks will be explored (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).
Critical Review of the Literature
The American Diabetic Association (2021) emphasizes the want to verify patients’ readiness for behavioral modifications associated to weight loss. The transtheoretical model, comprising pre-contemplation, contemplation, preparation, action, and preservation stages, gives a framework for grasp and advertising readiness for exchange (Sutton, 2022). ElSayed et al. (2022) spotlight the hyperlink between weight problems and the danger of kind two diabetes, helping the feasibility of long-term weight loss.
Gaesser & Angadi’s (2021) meta-analysis underscores the mortality advantages related with obese BMI categories, offering perception into weight-neutral strategies. Lin & Li (2021) stress the significance of perception the pleasant of meals sources and vitamins in weight problems management. Ruban et al. (2019) assessment a variety of strategies, together with dietary, pharmacological, and surgical approaches. Samuel N & Megan (2019) suggest for way of life counseling, diet, exercise, medications, and bariatric surgical treatment in weight problems management. Wyatt (2018) emphasizes the position of adherence to weight-reduction plan in predicting weight loss success.
Synthesis of the Literature
Obesity, a complicated interaction of genetic and environmental factors, requires a complete strategy encompassing metabolic, social, cultural, behavioral, physiological, and genetic issues (American Diabetic Association, 2021; Sutton, 2022; Lin & Li, 2021). Assessing readiness for exchange is crucial, involving an grasp of the advantages of conduct exchange (American Diabetic Association, 2021; Sutton, 2022). Screening for readiness to lose weight the usage of theoretical fashions aids in tailoring interventions (Sutton, 2022). Various interventions, such as dietary modifications, calorie restriction, macronutrient composition, meal replacement, pharmacotherapy, exercise, and bariatric surgery, make a contribution to weight problems administration (Ruban et al., 2019; Samuel N & Megan, 2019; Wyatt, 2018).
Evaluate the Quality of the Literature
Using the Strength of Recommendations Table (SORT) and the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework, the literature famous various ranges of evidence. High-quality proof from research like ElSayed et al. (2022) and Gaesser & Angadi (2021) helps the feasibility and mortality advantages of weight loss interventions. Medium-grade proof from Lin & Li (2021) emphasizes the function of meals exceptional in obesity. Wyatt (2018) and Samuel N & Megan (2019) furnish Level 1, SORT class A evidence, emphasizing the significance of eating regimen adherence and the multifaceted method to weight problems management.
Conclusion
Obesity is a large fitness and financial crisis, affecting 42% of adults. Readiness for exchange and tailor-made interventions, which include dietary modifications, bodily activity, and bariatric surgery, are vital in addressing this complicated issue. The literature, characterised by means of various stages of evidence, underscores the want for a complete strategy in managing obesity. Future research may want to in addition discover gender-specific interventions and long-term outcomes.
References
American Diabetic Association. (2021). Obesity and weight management for the prevention and remedy of kind two diabetes: Standards of scientific care in diabetes—2022. Diabetes Care, 45(Supplement_1), S113–S124. https://doi.org/10.2337/dc22-s008
BMJ Best Practice. (2023, January 12). What is grade? Retrieved January 14, 2023, from https://bestpractice.bmj.com/info/us/toolkit/learn-ebm/what-is-grade/
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 administration for the prevention and cure of kind two diabetes. Diabetes Care, 46(Supplement_1), S128–S139. https://doi.org/10.2337/dc23-s008
Freeman, E. E., McMahon, D. E., Fitzgerald, M., Robinson, S., Frazer-Green, L., Hariharan, V., McMillen, A., Malik, S., Cornelius, L., Pak, H. S., Cronin, T. A., Bordeaux, J. S., & Cooper, K. D. (2020). Modernizing medical exercise suggestions for the American Academy of Dermatology. Journal of the American Academy of Dermatology, 82(6), 1487–1489. https://doi.org/10.1016/j.jaad.2019.12.075
NURS FPX 8045 Assessment 6 Synthesis of the Evidence: Substantiating an Intervention for Obesity
Gaesser, G. A., & Angadi, S. S. (2021). Obesity treatment: Weight loss versus growing health and bodily recreation for lowering fitness 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 redress 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 weight problems administration in the principal 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 check and enhance readiness for change. PositivePsychology.com. https://positivepsychology.com/readiness-for-change/
Wyatt, H. R. (2018). Update on remedy strategies for obesity. The Journal of Clinical Endocrinology & Metabolism, 98(4), 1299–1306. https://doi.org/10.1210/jc.2012-3115