THE ROLE OF THE NURSE IN THE PREVENTION OF ALIMENTARY OBESITY: FROM RECOMMENDATIONS TO PRACTICAL APPLICATION

Authors

  • M. M. Andrusevych Municipal Institution “City Clinical Hospital No. 4” of Dnipro City Council
  • Yu. A. Moiseeva Municipal Institution “City Clinical Hospital No. 4” of Dnipro City Council
  • A. I. Tzipkalo Military Medical Service in Transcarpathian Region
  • O. V. Batiukh Kremenets Medical College named after Arsen Richynsky
  • T. V. Kharkovska Ternopil Regional Clinical Psychoneurological Hospital

DOI:

https://doi.org/10.11603/bmbr.2706-6290.2020.2.11378

Keywords:

alimentary obesity, prevention, nurse

Abstract

Summary. The interest of scientists and health professionals in alimentary obesity as a serious health threat is growing every year. Today, overweight occurs in more than 30 % of the population, so obesity is seen as a global epidemic that has affected various segments of the population.

The aim of the study – to analyze scientific data on the prevention of alimentary obesity and the role of the nurse in this process.

Materials and Methods. Recommendations for weight management of the American Heart Association, the American College of Cardiology, the American Association of Clinical Endocrinologists, the Society of Obesity, the Endocrine Society, the European Society of Endocrinology were analyzed and our own algorithm was proposed.

Results. A systematic review of the literature on the role of nurses in the prevention of chronic diseases in the United Kingdom, the United States, Finland, the Netherlands and New Zealand shows the effectiveness of measures aimed at adjusting the lifestyle of such patients. The nurses measured weight, controlled blood pressure and cholesterol, and promoted healthy eating habits and exercise. In the UK, the Netherlands and the Nordic countries, nurses provide advice on healthy living to control weight. In the United States, the activities of nurses to optimize body weight are still not clearly defined, so they work on their own initiative. It is noted that nurses are more accessible to communicate with patients than doctors. In Ukraine, research is being conducted on the role of nurses in optimizing the body weight of obese people, but in practice the proposed algorithms are not implemented.

Conclusions. Although nurses have limited time and resources, regular support for overweight and obese patients improves weight loss outcomes. Prevention of alimentary obesity should include the usual measures: clear motivation, lifestyle changes (diet and physical activity) and maintenance of weight loss. At the same time, the nurse must provide the necessary care for the patient at each of these stages.

References

Nguyen DM, El-Serag HB. The epidemiology of obesity. Gastroenterol Clin North Am. 2010;39(1): 1-7. DOI: https://doi.org/10.1016/j.gtc.2009.12.014

Crowley VE. Over view of human obesity and central mechanisms regulating energy homeostasis. Ann Clin Biochem. 2008;45(3): 245-55. DOI: https://doi.org/10.1258/acb.2007.007193

Wang Y, Beydoun M. The obesity epidemic in the United States – gender, age, 480 socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and 481 meta-regression analysis. Epidemiol Rev. 2007;29: 6-28. DOI: https://doi.org/10.1093/epirev/mxm007

Ogden CL, Lamb MM, Carroll MD, Flegal KM. Obesity and socioeconomic status in adults. United States 2005-2008: NCHS Data Brief. 2010;50: 1-8.

German AJ, Ryan VH, German AC, Wood IS, Trayhurn P. Obesity, its associated disorders and the role of inflammatory adipokines in companion animals. The Veterinary Journal. 2010;185: 4-9. DOI: https://doi.org/10.1016/j.tvjl.2010.04.004

Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States 1994-2004. JAMA. 2006; 295(13): 1549-55. DOI: https://doi.org/10.1001/jama.295.13.1549

Marushchak MI, Myalyuk OP, Klishch IM. [Experimental dietary obesity: apoptosis, antioxidant system, macro-and micronutrients in liver tissue]. Medychna ta klinichna khimiia. 2015;17(4): 29-33. Ukrainian. DOI: https://doi.org/10.11603/mcch.2410-681X.2015.v17.i4.5680

Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, Hu FB, et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: A report of the American College of Cardiology/American Heart Association task force on practice guidelines and the Obesity Society. Circulation. 2014;129(25): 102-38. DOI: https://doi.org/10.1161/01.cir.0000437739.71477.ee

Apovian CM, Aronne LJ, Bessesen DH, McDonnell ME, Murad MH, Pagotto U, Ryan DH, et al. Pharmacological management of obesity: An endocrine Society clinical practice guideline. Journal of Clinical Endocrinology & Metabolism. 2015;100(2): 342-62. DOI: https://doi.org/10.1210/jc.2014-3415

Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, Nadolsky K, et al. American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocrine Practice. 2016;3(22): 1-203. DOI: https://doi.org/10.4158/EP161365.GL

American Diabetes Association (ADA). Standards of medical care in diabetes 2016 abridged for primary care providers. Clinical Diabetes. 2016; 34(1): 3-21. DOI: https://doi.org/10.2337/diaclin.34.1.3

Sargent GM, Forrest LE, Parker RM. Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: a systematic review. Obes Rev. 2012;13(12): 1148-71. DOI: https://doi.org/10.1111/j.1467-789X.2012.01029.x

van Dillen SM, Hiddink GJ. To what extent do primary care practice nurses act as case managers lifestyle counselling regarding weight management? A systematic review. BMC Fam Pract. 2014;15: 197. DOI: https://doi.org/10.1186/s12875-014-0197-2

Lublinska MS, Pirus IV, Musienko VA, Tsipkalo AI, Marushchak MI. [Features of eating behavior of patients with obesity and the role of the nurse in its correction]. Medsestrynstvo. 2019;(1): 15-18. Ukrainian. DOI: https://doi.org/10.11603/2411-1597.2019.1.9978

Kozak KI, Marushchak MI, Denefil OV. [The main causes of overweight among the population of Ternopil region]. Medsestrynstvo. 2015;1: 17-21. Ukrainian.

Marushchak M, Krynytska I, Milevska L, Miz A, Mialiuk O. The changes of activity of effector caspase cascade components in case of alimentary obesity in rats. Bangladesh Journal of Medical Science. 2017;16(2): 252-258. DOI: https://doi.org/10.3329/bjms.v16i2.31280

Dietz WH, Baur LA, Hall K, Puhl RM, Taveras EM, Uauy R, Kopelman P. Management of obesity: Improvement of health care training and systems for prevention and care. Lancet. 2015;385(9986): 2521-33. DOI: https://doi.org/10.1016/S0140-6736(14)61748-7

Fruh SM, Nadglowski J, Hall HR, Davis SL, Crook ED, Zlomke K. Obesity stigma and bias. Journal for Nurse Practitioners. 2016;12(7): 425-32. DOI: https://doi.org/10.1016/j.nurpra.2016.05.013

Apovian CM, Garvey WT, Ryan DH. Challenging obesity: Patient, provider, and expert perspectives on the roles of available and emerging nonsurgical therapies. Obesity. 2015;23(2): 1-26. DOI: https://doi.org/10.1002/oby.21140

Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the Atkins, Ornish, Weight Watchers, and zone diets for weight loss and heart disease risk reduction: a randomised trial. Journal of the American Medical Association. 2005;293(1): 43-53. DOI: https://doi.org/10.1001/jama.293.1.43

Wing RR, Lang W, Wadden TA, Safford M, Knowler WC, Bertoni AG, Hill JO, et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 2011;34(7): 1481-6. DOI: https://doi.org/10.2337/dc10-2415

Published

2020-09-16

How to Cite

Andrusevych, M. M., Moiseeva, Y. A., Tzipkalo, A. I., Batiukh, O. V., & Kharkovska, T. V. (2020). THE ROLE OF THE NURSE IN THE PREVENTION OF ALIMENTARY OBESITY: FROM RECOMMENDATIONS TO PRACTICAL APPLICATION. Bulletin of Medical and Biological Research, (2), 5–9. https://doi.org/10.11603/bmbr.2706-6290.2020.2.11378