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Health care plans intended for the management of certain metabolic disorders may involve a solid framework from various sources in the society. This could be due to the frequency of the disease occurrence. Hence, in this context obesity could be chosen as the topic for description. Obesity is an important health issue in countries like in the United States and worldwide (Frank, Andersen & Scmid, 2004).
There are certain flaws in dissecting the connection between obesity and community or the built environment (Frank, Andersen & Scmid, 2004).Initially, there is a need to define community.
A community is a social object that can be categorized keeping in view of inhabitants, work atmosphere learning centers, worshiping places and recreational areas. These may include Medium to High schools, houses, parks, and nibhourhoods. Surveys and assessment programs help to streamline the health education plan to a greater degree.
For example, in a community survey it was revealed that obesity has been increasing due to the food environment (Swinburn, 2009). This stems from the defects in the government based policies in the area of marketing and programs.
Therefore, the first element to be considered under health education plan is Food marketing to children. This has implications in lessening the incidence of childhood obesity (Swinburn, 2009). This strategy can be increased to the national level for optimum results.
Here, socioeconomic conditions need to be understood like Housing and zoning, Stores and street people, ethnicity and religion (Swinburn, 2009). Working on these components may help in lessening the obesity in children and eating patterns (Swinburn, 2009).
Therefore, from the surveys it was revealed that strategy identification is primarily important in the health education plan where focused on public health strategy, regulatory, environmental and sociocultural boundaries play vital role.
In this regard, healthier foods can be made available to the community by reducing their costs. Since obesity results due to the association of biology, individual behavior and environment, nutrition education is mandatory in the health education plan (Contento, 2008).
There are three important elements to be considered under this scheme. The first is motivational component which emphasizes on awareness and enthusiasm with beliefs, mental acumen routed to communication skills (Contento, 2008).
Secondly, in action component, individuals ability need to be judged by their goals and self orientation attitude (Contento, 2008). Thirdly, nutrition educators should contribute to assistance for implementation of society cooperation (Contento, 2008). Hence, in health education plan nutrition educators need to be focused without fail.
Ethnicity and type of population play vital role in the health education plan. In a Swedish population study, obesity prevalence was reported to be connected to life style and socioeconomic conditions (Nyholm, Gullberg, Haglund, RÃ¥stam & Lindblad, 2008). In addition rural environments should be given paramount importance in the health education plan (Nyholm et al., 2008).
Assessment of factors like leisure-time physical activity (LTPA) and education in combination may furnish better insights on the development of obesity (Nyholm et al., 2008). This is because increased levels of LTPA and education were reported to be safe with no risk for obesity (Nyholm et al., 2008).
Therefore, a cross-sectional population survey should be incorporated in a health education plan with a special emphasis on ethnic and rural communities. Similarly, in another ethnic study that comprised Iranian population, excess body weight revealed to be frequent where women dominated men in abdominal obesity and overweight. Here, there is need to consider family name and the type (Janghorbani et al., 2007).
This could furnish insights on age, physical activity, education, marital life and house hold relationship in urban localities, as these components may be better connected with obesity (Janghorbani et al., 2007). This is in agreement with the Friedman Family Assessment Model. Further, association between health care strategies and worksite play important role in the educational plans.
This reveals that the obesity management has firm connection with the intervention programs intended at outdoors (Beresford et al., 2007).Activities like physical exercise and hygienic eating help to lessen the risk of obesity. Employees in service centers may be recruited for this purpose (Beresford et al., 2007). Here, with a solid curriculum educational plan may be structured like by the inclusion of race, gender, age and education (Beresford et al., 2007).
In addition, body mass index (BMI) which was considered to be linked to intensity oriented physical activity, fast food, drinks and beverages, eating while involved in different activities, vegetable and fruit consumption etc has pivotal role in the health education(Beresford et al., 2007). Therefore, while making the worksite assessment for obesity, BMI must be focused as a mandatory component (Beresford et al., 2007).
This approach becomes an important research method to recognize contributors and limiting factors of behavioral change(Beresford et al., 2007). Most probably, the education plan should involve transportation, household, utilities, personal and other manufacturing services for recruitment (Beresford et al., 2007). More the number of worksites more will be the outcome associated with the randomization (Beresford et al., 2007).
Thus, health education plans in this area may have far reaching implications for the obesity management in various service centers that covers wide population from various demographic and ethical origins.
As obesity is associated with the physical activity, health education plan should further stress on transportation. This may include public services like metros, street cars, buses, commuter transport facilities such as bus lanes and transit stops (Besser & Dannenberg, 2005).
Individuals can be instructed to walk to and from the transit system to ensure routine physical activity (Besser & Dannenberg, 2005). This could be accomplished through walking or using ride bicycles to and from the destinations (Cervero, 1996).
This is because this might also lessen the use of automobiles (Cervero, 1996). Encouraging this aspect in the health education plan may motivate the increased access to transportation and enhances the physical activity levels.Next, increasing physical activity is dependant on zoning where mixed land use is the best choiceb (Saelens, Sallis, & Frank, 2003).
This could facilitate enhanced cycling and walking (Saelens et al., 2003). Similarly, individuals from far located residential colonies could walk many trips in a week compared to those from those colonies where is single land use, low connectivity and density (Saelens, et al., 2003). This strategy if planned in the health education curriculum will offer advantage as it has implications in decreasing the obesity (Frank, Andresen & Schmid, 2004).
This approach enables the land to be utilized for multipurpose on a common platform. Like the establishment of residential colonies, government and private institutions, commercial outlets etc in the nearest distance altogether (Frank et al, 2004).
It facilitates low number of trips individuals can make by vehicles and enhances foot and bicycle rides (Frank et al, 2005). In the health education plan this strategy requires, authorization from the government such that regulations will be imposed on the land intended for mixed purposes (Frank et al, 2005).
There should not be any barriers that might restrict this mixing of land for physical activity. Therefore, based on the Windshield Survey and Friedman Family Assessment strategies, it can be concluded that health education plans require an evidence based approach for the mananagment of obesity in the community family based assessment.
References
Beresford, S,A., Locke, E., Bishop, S., West, B., McGregor, B,A., Bruemmer, B., Duncan, G,E.,Thompson, B. (2007). Worksite study promoting activity and changes in eating (PACE): design and baseline results. Obesity (Silver Spring), 1,4S-15S.
Besser, L, M., & Dannenberg, A, L. (2005). Walking to public transit: steps to help meet physical activity recommendations. Am J Prev Med, 29,273-80.
Cervero R. Mixed land-uses and commuting: evidence from the American Housing Survey. Transportation Research Part A: Policy & Practice, 30, 361-77.
Contento, I, R. (2008). Nutrition education: linking research, theory, and practice. Asia Pac J Clin Nutr, 17,176-9.
Frank, L, D., Andresen, M, A., Schmid, T, L. (2004). Obesity relationships with community design, physical activity, and time spent in cars. Am J Prev Med, 27, 87-96.
Frank, L, D., Schmid, T, L., Sallis, J, F. (2005). Linking objectively measured physical activity with objectively measured urban form: findings from SMARTRAQ. Am J Prev Med, 28,1172.
Janghorbani, M., Amini, M., Willett, W,C., Mehdi Gouya, M., Delavari, A., Alikhani, S., Mahdavi, A. (2007). First nationwide survey of prevalence of overweight, underweight, and abdominal obesity in Iranian adults. Obesity (Silver Spring), 15, 2797-808.
Nyholm, M., Gullberg, B., Haglund, B., Råstam, L., Lindblad, U. (2008). Higher education and more physical activity limit the development of obesity in a Swedish rural population. The Skaraborg Project. Int J Obes (Lond), 32,533-40.
Saelens, B, E., Sallis, J, F., Frank, L, D. (2003). Environmental correlates of walking and cycling: findings from the transportation, urban design, and planning literatures. Ann Behav Med, 25, 8091.
Swinburn, B. (2009). Obesity prevention in children and adolescents. Child Adolesc Psychiatr Clin N Am, 18, 209-23.
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