Nursing, Physical Inactivity Intervention

Paper Summary:

This paper discusses the growing issue of physical inactivity in relation to the increase in related diseases. The writer looks at various studies and how patients can be behaviorally influenced by specifically targeted interventions that address health issues and help them realize that they can actively take part in re-orienting themselves around healthy lifestyles.

Outline:
Epidemiology of physical inactivity
Review of interventions from the literature
Implications for advanced practice nurses

From the Paper:

"It is not hard to see the crucial role of physical activity in any individual's lifestyle. The prevalence of physical inactivity has been indirectly linked to mortalities associated with the aforementioned diseases. In the case of overweight and obesity, in 2001, the Surgeon General asserted the urgency of addressing overweight and obesity's cause: excess calorie accumulation and/or physical inactivity (U.S. Department of Health and Human Services, 2001). In 2005, overweight and obesity in the U.S. reached a prevalence rate of 60.5% and 23.9%, respectively (Centers for Disease Control [CDC], 2006). Even more alarming, this prevalence has significantly increased within 1995-2005 across all states (p < 0.01), in spite of a decrease in prevalence of obesity <20% in 28 states from 1995-2000 (CDC, 2006).
"A typical profile of a high-risk family group is generally one that endorses a sedentary lifestyle. Children as early as 3 to 4 years of age and adolescents in particular, are at high risk for adapting behaviors that promote physical inactivity and often carry these behaviors into adulthood (U.S. Department of Health and Human Services, 2000). Risks for decreased physical inactivity include watching television for 4 or more hours daily, physical activity during less than half the total time allocated to physical education classes, lack of at least 30 minutes of moderate and regular physical activity daily either as part of a particular setting (work, home, school, leisure), conditions that prevent carrying out a physical activity regimen, and an environment that is not conducive to safe physical activity (U.S. Department of Health and Human Services, 2000)."

Sample of Sources Used:

• Barlow SE, Trowbridge FL, Klish WJ, Dietz WH. (2002). Treatment of child and adolescent obesity: reports from pediatricians, pediatric nurse practitioners, and registered dietitians. Pediatrics, 110(1 Pt 2), 229-35. Retrieved March 12, 2007, from http://pediatrics.aappublications.org/cgi/content/full/110/1/S1/229
• Centers for Disease Control (CDC). (2006). State-Specific prevalence of obesity among adults - United States, 2005. Morbidity and Mortality Weekly Report, 55(36), 985-1012. Retrieved March 12, 2007, from http://www.cdc.gov/mmwr/PDF/wk/mm5536.pdf
• Constanzo C, Walker, SN, Yates, BC & McCabe, B. (2006). Physical activity counseling for older women. Nursing Research, 28(7), 786-801. Retrieved March 12, 2007, from http://wjn.sagepub.com/cgi/reprint/28/7/786
• Frenn M, Malin S & Bansal, NK. (2003). Stage-Based interventions for low-fat diet with middle school students. Journal of Pediatric Nursing, 18(1), 36-45. Retrieved March 12, 2007 from http://download.journals.elsevierhealth.com/pdfs/journals/0882-5963/PIIS0882596302439073.pdf
• Logue E, Sutton K, Jarjoura D & Smucker, W. (2000). Obesity management in primary care: assessment of readiness to change among 284 family practice patients. J Am Board Fam Pract, 13(3), 164-171. Retrieved March 12, 2007 from http://www.medscape.com/viewarticle/421558_print.

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