10 Responses

  1. mlsaracco at |

    I was surprised that only 35.7 per cent of the population is obese. Curious which is worse, smoking or obesity. I can make a case for both. I think society has gotten more lax on exercise. Now we beat other on xbox instead of the ball field. I wonder how many baseball fields have quit being used. Is participation in sports down by population per centage?

    1. gareichert at |

      Interestingly enough, I found an article stating that participation in youth sports is in decline. Kids age 6-12 participation in youth sports was down about 8% in Washington according to a 2017 article. (Bogage, 2017) I think this is just another indicator of our sedentary lives. Technology has had many positive effects, but I believe it has also caused many Americans to seek a more sedentary life style.

      Source

      Bogage, J. (2017, September 06). Youth sports study: Declining participation, rising costs and unqualified coaches. Retrieved from https://www.washingtonpost.com/news/recruiting-insider/wp/2017/09/06/youth-sports-study-declining-participation-rising-costs-and-unqualified-coaches/?noredirect=on&utm_term=.088f9e8ce025

  2. Caitlin Murphy at |

    You’re intervention sounds like it could be very beneficial to your community. I found a study that investigated whether the amount of fast food restaurants in an individual’s neighborhood increased the risk for type II diabetes and other risk factors to get diabetes. Bodicoat et al. found that for every two fast food outlets that are added to a 500m radius from the participant’s home zipcode, there is one more diabetes case that is recognized (2015). This shows a positive correlation between fast food places being close to residence and getting diabetes due to obesity. Healthy eating is a major gateway to decreasing DM type II and more education may really be able to make a difference.

    Reference:
    Bodicoat, D. H., Carter, P., Comber, A., Edwardson, C., Gray, L. J., Hill, S., . . . Khunti, K. (2015). Is the number of fast-food outlets in the neighbourhood related to screen-detected type 2 diabetes mellitus and associated risk factors? Public Health Nutrition, 18(9), 1698-1705. doi:http://dx.doi.org.ezproxy.fhsu.edu:2048/10.1017/S1368980014002316

    1. gareichert at |

      That is very interesting information. During my research for my current issues project I came across a thesis paper out of KSU that discussed the closure of rural grocery stores and linked it to dietary issues in the diets of the rural community. It made sense that when access to healthy food is taken away, many families turn to fast food or boxed foods that lack nutritional value. Sugary beverages such as soda and juice are another large contributor to this lack of nutritional value in their diets.

  3. jtjustice2 at |

    Gage,
    Obesity prevalence is higher in rural compared to urban residents. Rural health clinics offer a potential venue for delivery of weight management. However, traditional programs require travel to attend on-site meetings which is impractical or inconvenient for rural residents. Clinic staff in most rural settings are unlikely to be trained to provide effective weight management. Recent focus to provide whole-person health care suggests that rural primary care clinics may provide an ideal setting for delivery of weight management.Excellent job. Great information.
    https://doi.org/10.1016/j.cct.2018.02.006

    1. gareichert at |

      Thank you for watching my video. My research also found rural communities to be lacking in obesity and type 2 diabetes specific care. Pair this with the unhealthy eating and living habits common in rural areas and obesity can become a huge issue. Many overweight people in my community may not even be fully aware of the established link between obesity and type 2 diabetes. I believe education is the only way we can prevent this disease.

  4. sctucker at |

    Gage,

    I enjoyed your powerpoint and found it very informative. You have a great idea with educating high risk patients. I’m surprised the government does not require hospitals to provide education by adding diabetes as a core measures like they do for smoking. I know at my facility because smoking is a core measures it is addressed on admission and discharge whether or not the patient smokes or not. The reason behind educating non smokers is that they most likely have a family member or a friend who smokes and that perhaps they will talk to them about it.

    1. gareichert at |

      I never considered making diabetes a “core measure” and adding it to all discharge education. I think this is a slippery slope though and it would be almost impossible to decide which diseases, out of the many diseases, to add to the core measures. I think keeping my focus on only those patients at risk with high BMIs keeps the teaching more relevant.

  5. acwagner at |

    Gage,

    You have picked a great topic! I actually picked this topic for another VOPP that was due for another class in the FHSU RN-BSN program, so I think it is extremely important. You did a great job with your presentation. I appreciate the detailed information you have added about the correlation between type 2 diabetes and obesity. The evidence is hard to ignore; obesity and diabetes are closely related. It can be challenging to have discussions with our patients about weight and diet. We do not want to seem judgmental, but it is a conversation that should occur. Obesity is causing so many health problems in our country! Thank you for shining light on this topic and encouraging your community to be healthy. Great job.

    1. gareichert at |

      Offending patients is one of the downsides I found to my method of intervening. I would keep the education focused on the actual statistics and show them the risk of being obese. If a patient wants to decline this education because they are offended then that is their right as a patient.

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