Literature evaluation table

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Literature Evaluation Table

Student Name: Tania Gonzalez Diaz

Change Topic: (Nutrition and Body Weight Status)

Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Amis, J. M., Wright, P. M., Dyson, B., Vardaman, J. M., & Ferry, H.

American Journal of Public Health, 102(7), 1406-1413.

doi:10.2105/AJPH.2011.300414

Nie, P., & Sousa-Poza, A.

Applied Economics, 46(20), 2418-2428.

doi:10.1080/00036846.2014.902025

Bentley, F., Swift, J. A., Cook, R., & Redsell, S. A.

BMC Public

Health, 171-10.

doi:10.1186/s12889-017-4684-y

Dewan, M.

Bio Science Research Bulletin-Biological Sciences, 33(1), 4-10.

doi:10.5958/2320-3161.2017.00002.5

Article Title and Year Published

Implementing Childhood Obesity Policy in a New Educational Environment: The Cases of Mississippi and Tennessee.

Year of publication: 2012

Maternal employment and Childhood Obesity in China: evidence from the China Health and Nutrition Survey.

Year of publication: 2014

"I would rather be told than not know" - A Qualitative study exploring parental views on identifying the future risk of Childhood Overweight and Obesity during infancy

Year of publication: 2017

Family Status: a contributing factor towards Childhood and Adolescent Obesity

Year of publication: 2017

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

The purpose of this study was to investigate the process and outcomes of implementation of 3 new state level school-based Childhood Obesity policies enacted between 2004 and 2007.

The purpose of this study is to enhance the understanding of the association of Childhood Obesity and maternal employment, using data form the China health and Nutrition Survey. Data from CHNS is particularly useful because it contains data on Obesity Anthropometric Measures (BMI and WC), and dietary habits, and levels of physical activity.

Using risk assessment tools, the study investigates parent’s perspectives on recognition of risks to Childhood Obesity and overweight during infancy and informing the parents of the risks.

The study aimed to investigate the lack of time by parents to prepare home cooked nutritious meals which led to consumption of fast foods associated with Obesity.

Design (Type of Quantitative, or Type of Qualitative)

The design type is Qualitative

This study is Qualitative

The study was a Qualitative Research.

The study was Qualitative and Quantitative. Surveys and questionnaires were administered on dietary survey and BMI measurements and fasting Blood Sugar Tests were conducted for the Quantitative investigations.

Setting/Sample

The study involved a total of 8 high schools in Mississippi and Tennessee.

The sample was drawn from nine regions with varying social economic levels and health disparities. Of the nine provinces, the multistage random cluster sampling was employed, which was based high, middle and low-income levels. Further, four counties and two cities were selected in each of the regions and villages communities urban and suburban regions in each city. 20 households were selected from each of these communities. A total of 2618 Children aged between 3 and 17 years were selected.

A total of 23 parents were involved in the study.

A random selection of children aged between 10-19 years for the survey and medical examination was done.

Methods: Intervention/Instruments

Policy interventions in the 8 high schools was followed and data gathered through interviews with teachers, policy makers, school administrators and students. School-based activities were observed, and school documentation were reviewed

The maternal working hours measured by how many hours a mother worked in a past week were employed to capture nonlinearities, dummy variables were introduced to maternal working hours. Estimates for the impact of maternal working hours on child diets were based on data from 1997,2000,2004,2006, and 2009. Child social economic status and family are included as a set of variables.

Semi-structured and Qualitative Interviews were conducted.

2048 children undertook the questionnaire survey, out of which 1017 were from urban areas and 1013 were from rural areas BMI measurement and fasting Blood Glucose Levels were examined.

Analysis

Data was analyzed in three main stages which included repetitions in circular ways. Stage one comprised of narration of narratives and perspectives on new policies. In stage two the data was coded and evaluated

Econometric Models assessed the link between Childhood Obesity and maternal work using ORS regressions which revealed major differences in China in regard to economic development. The descriptive statistics for employed mothers was 78% while that of un employed mothers was 21.2

An inductive interpretive and thematic analysis was done.

At the 85th percentile and above children are at risk for Overweight. At 95th percentile and above children are Overweight according to the guidelines provided by CDC a fasting Blood Glucose of 126ml/dl indicated Diabetes which is related to Obesity.

Key Findings

In 7 out of the 8 schools studied, policy implantation was avoided. This phenomenon was common in schools that differed in race, size, economic status academic achievement and location.

Regressions investigating the associations between the maternal employment and child Obesity reveal no substantial associations between the two variables. In the Quantile regressions maternal employment is adversely associated with BMI, which seems to indicate the negative influence of maternal employment on BMI.

Three themes emerged which were identification of Infant Overweight and Obesity risk which caused parents to hesitate to acknowledge because it would expose their own risks.

Effects of Infant Obesity that parents were anxious about because of its progressive nature and parental causal factors parents felt responsible for their child’s obese condition.

23.19% of the mothers were working and had inadequate time to prepare proper meals for their children. 37.4% of the children spent one hour with the family discussing homework and family issues which affected children obese status.

Recommendations

Policy-makers should not expect that public health problems can be addressed in the same way they were handled in the past. New approaches that recognize the changed environments and work pressures that school administrators and teachers face is crucial

This study provided no significant evidence that maternal employment was negatively associated Childhood Obesity. Recommendations seem to support that mothers should be employed since employment seems to impact positively on the nutritional statuses of children especially in a country like China where children are reared by grandparents.

Identification of childhood risk factors to obesity is acceptable to parents and timing is equally important. Professionals should consider using personalized approaches while communicating.

Families have a great impact on the nutrition and lifestyle status of the children which in turn influence Obesity. Mothers should have more time to prepare health and nutritionally adequate meals to prevent Obesity in Childhood.

Explanation of How the Article Supports EBP/Capstone Project

School based policies on Obesity are cornerstones of intervention implementation. Therefore, this article supports the Capstone Project through the recognition of the dynamic nature of issues that regard school-based policies and interventions

Childhood Obesity is closely associated with the nutrition and diet patterns of children. Hence, maternal employment may contribute to a positive or negative impact on the BMI of children which influences Obesity.

Risk assessment is an important aspect in Evidence-Based Practices of Childhood Obesity because they assist to identify and implement early interventions.

Nutrition interventions at household levels are essential in prevention of Obesity because it ascertains consumption nutrient dense foods that prevent Obesity. Therefore, this article supports the EBP Project.

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Mihrshahi, S., Drayton, B. A., Bauman, A. E., & Hardy, L. L.

BMC Public Health,

181-10.

doi:10.1186/s12889-017-4595-y

Nigg, C. R., Anwar, M. U., Braun, K. L., Mercado, J., Fialkowski, M. K., Areta, A. R., & ... Novotny, R. (2016).

Journal of Environmental Health, (3), 18.

http://eds.a.ebscohost.com/eds/pdfviewer/pdfviewer?vid=6&sid=abc57652-6367-4c8d-8500-415428575d39%40sessionmgr4009

Benjamin Neelon, S. E., Østbye, T., Hales, D., Vaughn, A., & Ward, D. S.

Child: Care, Health & Development, 42(3), 351-358.

ds.b.ebscohost.com/eds/pdfviewer/pdfviewer? vid=1&sid=9f048a1c-6ebd-4265-9e04-9289edfa0546%40sessionmgr101

Wendel, M. L., Benden, M. E., Hongwei, Z., & Jeffrey, C.

American Journal of Public Health, 106(10), 1849-1854.

doi:10.2105/AJPH.2016.303323

Article Title and Year Published

Associations between Childhood Overweight, Obesity, Abdominal Obesity, and Obesogenic behaviors and practices in Australian homes.

Year of publication: 2017

A review of promising multicomponent environmental child Obesity prevention intervention strategies by the children's healthy living program.

Year of publication: 2016

Preventing Childhood Obesity in early care and education settings: lessons from two intervention studies.

Year of Publication of 2016

Stand-Biased Versus Seated Classrooms and Childhood Obesity: A Randomized Experiment in Texas.

Year of publication: 2016

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

How the role of families and environments influence Overweight, Obesity, Abdominal Obesity, Obesogenic behaviors and practices in Australian homes.

The purpose of the study was to evaluate effective environmental interventions in family, community and school settings as preventive measures for Obesity. To achieve the objective, identification of effective Obesity interventions was to be carried out; hence insignificant studies were excluded. The study’s specific objectives were to review feasible sustainable environment and effective early Childhood Obesity intervention programs and recognize common plans of action across successful studies to be utilized in future Evidence-Based interventions.

The research is Quantitative and Qualitative a presentation of lessons learnt from two Obesity interventions in the US targeting distinct child care environments. The two studies’ objectives were to prevent Obesity by enhancing feeding habits, levels of physical activity, interactions between care providers and environments in which kids spend time. The intervention is modeled according to NAP, SACC guidelines.

The purpose of the study was to measure changes in BMI percentiles among fourth grade and third grade learners in a stand biased classroom versus traditional seated classrooms in a total of 3 elementary schools in Texas’

Design (Type of Quantitative, or Type of Qualitative)

The study is a Qualitative review of literature.

The design type is a Qualitative literature review.

The study is a Qualitative study, using a cluster randomized control trial.

The research is a randomized Quantitative experiment.

Setting/Sample

A representative sample of Australian children aged between 5-16 years was used.

The review was a part of Children’s Healthy Living Program which is a multisite, multicomponent Obesity Prevention Program

The sample was generated from 640 children attending one of the 80 child centers in North Carolina.

The sample is 3 elementary schools in Texas, involving 24 teachers, a total of 8 teachers in each school.

Methods: Intervention/Instruments

Data used include measured anthropometry such as BMI, WC, and information on home-related weight behaviors

The literature review utilized Ebscohost database, Google scholar and Medline to search for original peer-reviewed articles published between 1995 and 2012. The search terms were Childhood, Obesity prevention, and nutrition physical activity. Each item was searched with environment and inclusion measures were home targeted interventions, school or community environments.

The primary outcome which is child adiposity is measured through skin-fold thickness and weight for length. Physical activity and dietary intake are measured via accelerometry and dietary intake via direct observation in the family care home.

4 teachers in each school were assigned to treatment conditions and another 4 to the control group. A total of 480 students qualified for the study and parental permission was obtained for 380 of the students.

Analysis

For the analyses to the questions administered, responses were dichotomized as usually, never, and sometimes. Descriptive statistics and logistic regression analyses using SPSS was done. The investigators employed post stratification variables to accommodate the complex sampling design.

First level screening entailed consideration of the title of article and abstract. The remaining articles were read in full, while applying inclusion measures. For effective articles, similar Evidence-Based Strategies were reckoned if they were a critical part of at least three reviews.

The intervention is conducted over a six months period to observe behavior change in child and provider. The social cognitive theory and the sociological frameworks are used to identify various that affect behavior, with the environment identified as a primary influence.

To analyses the effect of the stand biased desks on students, a linear regression model with BMI percentile changes over 2 years as the outcome and race gender ethnicity as the variables

Key Findings

Of 3884 children, 3671 children who ate breakfast at home were1.54 times more likely to have Obesity than children who did not. Similar behavioral patterns were associated with home environments and impacted on Obesity.

In total, 590 articles were singled out. Of these, 502 were excluded based on Title and Abstract and 55 based on inclusion criteria. The 33 remaining articles were fully read and 18 were classified as effective.

The study provided a framework for development and conduction of NAP SACC intervention programs and informing directions on future works.

After alterations for grade, race/ethnicity,

and gender, there was a statistical major

decrease in BMI percentile in the group that

had stand-biased desks for two years compared to the group that used standard

desks during the two years.

Recommendations

Children should live in environments that do not pre-dispose them to negative dietary patterns and Obesity

School-Based Interventions could change eating behaviors sedentary lifestyles and physical activity.

Key recommendations spring up from future development of interventions based on the behavior theory

Adjusting the classroom environment to a stand-biased environment can have significant effects on BMI percentiles of students and on their Obesity Status

Explanation of How the Article Supports EBP/Capstone

This article supports the Capstone Project since with Childhood Obesity, the home environment is critical to achievement of intervention goals.

This study correlates with the Capstone Project since Health and Nutrition Intervention Programs among school going children are critical in addressing lifestyle factors such as nutrition and physical activity that impact negatively or positively on Childhood Obesity.

The Capstone Project also incorporates behavior change and adoption of attitudes that foster early Obesity prevention strategies are crucial in Childhood Obesity.

One of the Capstone Project aims is elimination of sedentary lifestyles from obese children’s lives which impact negatively on the Obesity and nutrition status, causing non-utilization of extra calories during classroom sessions.

References

1) Amis, J. M., Wright, P. M., Dyson, B., Vardaman, J. M., & Ferry, H. American Journal of Public Health, 102(7), 1406-1413. doi:10.2105/AJPH.2011.300414.

2) Nie, P., & Sousa-Poza, A. Applied Economics, 46(20), 24182428.doi:10.1080/00036846.2014.902025.

3)Bentley, F., Swift, J. A., Cook, R., & Redsell, S. A. BMC Public Health, 171-10. doi:10.1186/s12889-017-4684.

4) Dewan, M. Bio Science Research Bulletin-Biological Sciences, 33(1), 4-10. doi:10.5958/2320-3161.2017.00002.5.

5) Mihrshahi, S., Drayton, B. A., Bauman, A. E., & Hardy, L. L. BMC Public Health, 181-10. doi:10.1186/s12889-017-4595.

6) Nigg, C. R., Anwar, M. U., Braun, K. L., Mercado, J., Fialkowski, M. K., Areta, A. R., & ... Novotny, R. (2016).

Journal of Environmental Health, (3), 18

7) Benjamin Neelon, S. E., Østbye, T., Hales, D., Vaughn, A., & Ward, D. S. Child: Care, Health & Development, 42(3), 351-358.

ds.b.ebscohost.com/eds/pdfviewer/pdfviewer? vid=1&sid=9f048a1c-6ebd-4265-9e04-9289edfa0546%40sessionmgr101.

8) Wendel, M. L., Benden, M. E., Hongwei, Z., & Jeffrey, C. American Journal of Public Health, 106(10), 1849-1854.

doi:10.2105/AJPH.2016.303323.

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© 2017. Grand Canyon University. All Rights Reserved.