Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Bleich, S. N., Segal, J., Wu, Y., Wilson, R., & Wang, Y.
doi: 10.1542/peds.2013-0886.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3691541/
Tester, J. M., Phan, T. T., Jared M. Tucker, J. M., Leung, C.W., Gillette, M. L., Sweeney, B. R., Kirk, S., Tindall, A., Olivo-Marston, S. E., & Eneli, I. U.
DOI: 10.1542/peds.2017-3228
http://pediatrics.aappublications.org/content/141/3/e20173228
Cunningham, S. A., Kramer, M. R., & Narayan, K. V.
DOI: 10.1056/NEJMoa1309753
http://www.nejm.org/doi/10.1056/NEJMoa1309753
Arthur M. L., Scharf, J. R., DeBoer, M. D.
DOI: 10.1016/j.nut.2017.12.008
http://www.nutritionjrnl.com/article/S0899-9007(18)30025-X/fulltext
Article Title and Year Published
Title: Systematic review of community-based childhood obesity prevention studies.
Year: 2013
Characteristics of Children 2 to 5 Years of Age with Severe Obesity.
Year: 2018
Incidence of Childhood Obesity in the United States
Year: 2014
Association between kindergarten and first-grade food insecurity and weight status in U.S. children.
Year: 2018
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
The purpose of the study was to conduct a systematic review of community based childhood obesity prevention.
The purpose of the study was to investigate the characteristics of obese children between the age of 2 and 5 years.
The paper aimed at identifying the prevalence of obesity in the United States at the national level.
The aim of the paper was to determine if food insecurity is an independent risk factor for obesity in U.S. children
Design (Type of Quantitative, or Type of Qualitative)
Systematic Review
Qualitative
Qualitative
Qualitative
Setting/Sample
Intervention was exclusively in a community setting eg, home, school, primary care, child care
Sample included children between 2 and 5 years.
N=7028, from NHANES (1999–2014)
Classification: normal weight, overweight, obesity
7738 participants who were in kindergarten in 1998 in the United States.
Early Childhood Longitudinal Study—Kindergarten Cohort 2011
Methods: Intervention/Instruments
Comparative Review as recommended by the Agency for Healthcare Research and Quality Methods Guide
Survey weights were used to account for probability sampling design.
This analysis was done in accordance with recommendations from the National Center for Health Statistics.
Height and weight were measured seven times between 1998 and 2007.
An obese baseline was set and the population analyzed
Statistical analyses were performed to evaluate longitudinal associations between food security and body mass index (BMI) z-score.
Analysis
Relevant articles were searched from Medline, Embase, Psych-Info, CINAHL, and the Cochrane Library.
It was also based on medical subject headings terms and text words of key articles that we identified a priori.
Multinomial logistic and linear regressions were conducted, with normal weight as the referent.
The study used Growth Charts to calculate each child’s BMI
CDC’s standard thresholds of the 85th percentile for overweight and 95th percentile for obesity.
estimates of prevalence and incidence were stratified according to sex and quantile
Regression models were formulated on race/ethnicity, household income, and parental education.
Key Findings
The study’s search revealed 9 relevant articles, four of which use combined diet and physical activity approaches to childhood obesity.
It is also important to note that at least one of the articles revealed significant improvements in intermediate weight-related outcome, which can be related to the physical activity that results from the intervention.
Findings from the results revealed that factors such as race, ethnicity, household income and level of education of parents as well as other factors such as breastfeeding will affect the weight of a child.
The study also revealed that energy intake and Healthy Eating Index 2010 scores were not significantly different in children with Severe Obesity.
Significant statistics obtained from the study revealed that there were no significant increases in prevalence between the ages of 11 and 14 years.
It was also revealed that prevalence of obesity was higher among Hispanic children than among non-Hispanic white children of all ages while those from the wealthiest families had a lower prevalence of obesity.
The incidence of obesity between the ages of 5 and 14 years was 4 times as high among children who had been overweight at the age of 5 years as among children who had a normal weight at that age.
Findings of the study indicated that children with household food insecurity had increased obesity prevalence from kindergarten through grade 3.
Recommendations
Based on the review conducted, the study identifies a research gap, noting that not much has been done to determine the impact of community-based childhood obesity prevention programs on primary or secondary weight outcomes.
From the literature available, however, the article recommends the use of this intervention as a combination of events would lead to more effective ways to prevent weight gain.
The study recommends a better understanding of behavioral and physiologic mechanisms and relationships behind the risk factors behind weight problems among children
Based on the findings, the study recommends a better understanding of the ding risk over a lifetime and identifying potential ages for intervention.
The study identified food-insecure children as most prone to obesity calling for interventions to focus on this area.
Explanation of How the Article Supports EBP/Capstone Project
This article provides the research gap that would be exploited by working on the capstone. It asserts that more needs to be done to provide better interventions on weight management.
It also pointed out that multiple settings may be more effective at preventing weight gain in children than single-component interventions located in the community only. This information is critical for purposes of coming up with better EPB through the capstone.
This article provides a better understanding of the characteristics of obese children and classifies them into different categories. It also provides an overview of other characteristics based on social and economic aspects.
The study has provided the much needed information on the prevalence of obesity in the country. This provides a rationale for the importance of having the necessary EBP that can be used as interventions to the problem, one of which will be provided by the capstone.
This article also emphasized on some of the most prone characteristics of childhood obesity. It identified food-prone children as having the highest chances. The capstone project will therefore consider this when coming up with an intervention