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Alexis Cameron, Tori Gaer, Brianna Philipsen, Paige Schmidt, and Stevie Spencer










                                                                                                                                                                                                                                                                                                                                                  College of Nursing











                                                                                                                                                                                                                                    Interventions for Decreasing Obesity



































                                      INTRODUCTION                                                                                                                                                                                                                                                                    METHODS                                                                                                                                                                                                                                                             RESULTS











               • Obesity is a public health issue due





                       to its world-wide prevalence and its                                                                                                                                             • Articles were retrieved                                                                                                                                                                                                                                                                                                                       •            Bariatric surgery produced




                       association with the risk of                                                                                                                                                             from: CINAHL, Briggs Library,





                       development of chronic diseases.                                                                                                     1                                                   Research Gate, Elsevier                                                                                                                                                                                                                                                                                                                              greater weight loss after 1





               • Obesity: having an excessive                                                                                                                                                           • Together, as a group, we                                                                                                                                                                                                                                                                                                                                   year than conservative




                       amount of body fat; BMI ≥ 30.                                                                                         4                                                                                                                                                                                                                                                                                                                                                                                                                       treatments.                                        4





               • 1.6 million adults are overweight and                                                                                                                                                          quantitatively and qualitatively                                                                                                                                                                                                                                                                                                        •            The reduction in weight




                       400 million clinically obese.                                                                             4                                                                              appraised the articles to determine if                                                                                                                                                                                                                                                                                                               reached its maximum at 1





               • Obesity can lead to comorbidities                                                                                                                                                              the articles were “good or excellent”                                                                                                                                                                                                                                                                                                                year for both




                       such as type 2 diabetes,                                                                                                                                                         • Keywords that were used included:                                                                                                                                                                                                                                                                                                                          bariatric surgery and





                       cardiovascular disease, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   lifestyle interventions.                                                                      6





                       hypertension.                                          1                                                                                                                                 obesity, weight loss, surgery,                                                                                                                                                                                                                                                                                                          •            Bariatric surgery and some




               • Lifestyle changes: residential                                                                                                                                                                 intervention, lifestyle, bariatric                                                                                                                                                                                                                                                                                                                   outpatient interventions had





                       intermittent program, weight loss                                                                                                                                                        surgery.                                                                                                                                                                                                                                                                                                                                             weight regain between





                       camp, hospital outpatient programs.                                                                                                                                              • 5 Articles were used.




                       4, 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          years 1 and 5. These





               • Bariatric Surgery: stomach or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       groups still had significantly




                       intestine procedure to aid in weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          lower weight compared to





                       loss                                                                                                                                                                                                                              DISCUSSION/CONCLUSIONS                                                                                                                                                                                                                                                                                      their baseline.                                                5




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        •            After 8 weeks of improved


                                                                                                                                                                                                                                                                                                                                                                  • Provide therapeutic education and                                                                                                                                                                diet and physical exercise,





                                                                                                                                                                                                                                                                                                                                                                          counselling to clients and families of




                                                                                                                                                                                                                                                                                                                                                                          obese individuals undergoing treatment.                                                                                                          3                                         there was a decrease in



                                   PICO QUESTION                                                                                                                                                                                                                                                                                                   2              • Emphasize importance of attending                                                                                                                                                                body fat percentage, fat





                                                                                                                                                                                                                                                                                                                                                                          follow-up appointments.                                                               3                                                                                                    mass, and waist and hip




                                                                                                                                                                                                                                                                                                                                                                  • Recommend counselling and support                                                                                                                                                                circumference.                                                    1



                     In obese patients, does                                                                                                                                                                                                                                                                                                                              groups for clients and their families to                                                                                                                                      •            Participants in both groups







                     lifestyle change                                                                                                                                                                                                                                                                                                                                     help prevent miscommunication and                                                                                                                                                          reported that if they were



                                                                                                                                                                                                                                                                                                                                                                          misunderstandings in expectations.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          3

                     compared to bariatric                                                                                                                                                                                                                                                                                                                        • Encourage clients to identify and cope                                                                                                                                                           able to regulate their







                     surgery help maintain                                                                                                                                                                                                                                                                                                                                with individuals who may be detrimental                                                                                                                                                    behaviors, they can                                                                         3



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     maintain weight loss.
                                                                                                                                                                                                                                                                                                                                                                          to their success.
                                                                                                                                                                                                                                                                                                                                                                                                                                     3
                     weight loss?                                                                                                                                                                                                                                                                                                                                 • Encourage client to place a priority on






                                                                                                                                                                                                                                                                                                                                                                          their own health needs.                                                             3
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