Reducing BMI Measures in School-Aged Children

Introduction

Almost 20% of children between 2 and 18 years old affected
Unhealthy lifestyle, inactivity, and harmful dietary habits
Ineffective school-based interventions
Efficient school-based programs are needed
More physical activity during school hours

The Spirit of Inquiry Ignited

False beliefs concerning childhood obesity
Comorbidity of obesity
Parental lifestyles and dietary habits
BMI explained
Effectiveness of BMI

The PICOT Question Formulated

P Children
I participate in 30 minutes of physical activity every day
C and how it compares to a day without it
O according to the body mass index
T which is measured after the end of an academic year which is typically 8 months

Search Strategy Conducted

The use of online journals
The studies and opinions of scientists, pediatricians, and therapists
The focus on interventions and programs for obese children and those at risk
BMI as an effective tool to determine a childs health status
Effective interventions are necessary

Critical Appraisal of the Evidence Performed

Physical activity ensures BMI loss (Coimbra et al., 2017)
The ineffectiveness of primary-school programs (Tarro et al., 2014)
The benefits of physical activity (Pbert et al., 2016)
Ineffectiveness of a specific school-based intervention (Larsen et al., 2016)
The need for a comprehensive approach

Evidence Integrated with Clinical Expertise and Patient Preferences to Implement the Best Practice

The purpose of the study: the relationship between additional physical activity in school and students BMI
The exact extent to which the intervention is effective compared to no intervention
Can 30 minutes suffice?
A school year as an appropriate period for data collection
Stakeholders include students and educators

Evaluation Plan

18 months for the intervention
Measuring the participants BMI
Analyzing questionnaires and interviews
Analyzing the opinions of students, educators, parents
Peers opinion analysis
Starting the discussion of the effectiveness of the intervention in question and other programs for the target population

Methods

Theoretical Framework
Design
Confidentiality
Sample/Setting/Procedure
Instrument

Theoretical Framework

The importance of the theoretical framework for an EBP project
Conceptual framework: lifestyle transformations, academic activity, obesity, and school-based intervention
Self-care theory: transforming students ability to maintain proper BMI
Neumans Systems Model: the collaboration of parents, educators, students, and healthcare staff
Schools as the platform for the change

Design

Mixed method research
Quasi-experimental design
Convenience sampling enables to ensure the participants motivation to change (which can make the program effective)
BMI as a dependent variable
Intervention as an independent variable

Confidentiality

Participants names coding
Personal data safety and proper storage
No access to the participants personal data
Participants will be able to withdraw at any point
The written informed consent signed by parents

Sample/Setting/Procedure

Obese children and students willing to participate as the participants
Setting: a school-based intervention
Period: 18-month intervention
The provision of training for educators who will be involved
Parental involvement through the participation in physical activities developed for the participants

Instrument

Measuring BMI
Analyzing questionnaires to elicit opinions and attitudes
Interviews to obtain more detailed accounts
Comparing the results of obese and non-obese students
The use of data analysis software to facilitate data reliability

The Outcome of the Practice Change Evaluated

Measuring the participants BMI
Questionnaires for the participants
Interviews to elicit opinions and attitudes
Obese children and those who are willing to avoid health issues
Comparing BMI of the two groups

Project Dissemination

Supervisors and managers as reviewers
Analyzing feedback from different to improve the intervention
Developing programs and conducting other studies
Informing parents
The collaboration of educators, healthcare staff, and parents

Conclusion

Childhood obesity as a new pandemic
30-minute physical activity as a solution
Transforming lifestyles
Changing dietary habits
Active academic life

References

Coimbra, S., Catarino, C., Nascimento, H., Alves, A. I., Medeiros, A. F., Bronze-Da-Rocha, E.,& Belo, L. (2017). Physical exercise intervention at school improved hepcidin, inflammation, and iron metabolism in overweight and obese children and adolescents. Pediatric Research, 82(5), 781-788. Web.

Larsen, K. T., Huang, T., Ried-Larsen, M., Andersen, L. B., Heidemann, M., & MÃ¸ller, N. C. (2016). A multi-component day-camp weight-loss program is effective in reducing BMI in children after one year: A randomized controlled trial. Plos One, 11(6), 1-16. Web.

Pbert, L., Druker, S., Barton, B., Schneider, K. L., Olendzki, B., Gapinski, M. A.,& Osganian, S. (2016). A school-based program for overweight and obese adolescents: A randomized controlled trial. The Journal of School Health, 86(10), 699-708. Web.

Tarro, L., LlauradÃ³, E., Albaladejo, R., MoriÃ±a, D., Arija, V., SolÃ , R., & Giralt, M. (2014). A primary-school-based study to reduce the prevalence of childhood obesity the EdAl (EducaciÃ³ en AlimentaciÃ³) study: A randomized controlled trial. Trials, 15(58), 1-13. Web.

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