• Research article
  • Open access
  • Published: 15 September 2021

Primary care nurses’ perceptions and experiences of patients being overweight or obese as well as visions and attitudes about working with lifestyle issues: a qualitative interview study

  • Marie Bräutigam Ewe 1 ,
  • Cathrine Hildingh 2 ,
  • Jörgen Månsson 1 &
  • Marie Lydell 2  

BMC Nursing volume  20 , Article number:  170 ( 2021 ) Cite this article

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In 2016, overweight and obesity worldwide was high and obesity rates are expected to increase further until at least 2030 [ 1 , 2 ]. In Sweden, 51 % of adults were overweight or obese in 2018 [ 3 ]. Overweight and obesity contribute to a large proportion of lifestyle-related diseases and increase the burden on the health care system [ 4 ]. The obesity “pandemic” in almost all countries seems to be driven by changes in the food system, which is producing more processed, affordable food than ever before [ 5 ].

The urban environment has many physical features that reduce the need for physical activity, such as elevators, escalators and other labour-saving devices, along with passive entertainment such as video games and TV watching [ 6 ]. This sedentary behaviour has caused what is called a sitting disease (defined as metabolic syndrome and other ill-effects) and is a greater threat to public health and mortality than smoking [ 7 ], according to a large cohort study, maintaining physical activity from adolescence into later adulthood was associated with an up to 36 % lower risk for all-cause mortality [ 8 ].

In the Ottawa Charter, health care was emphasized to be of particular importance as an arena for health promotion because of a range of contact with the overall population [ 9 ], but it seems to be difficult to reorient health care towards health promotion [ 10 ]. However, primary care (PC) is the first point of contact for all patients and is thus viewed as the ideal place to address overweight, obesity and lifestyle issues [ 11 ]. There are therapeutic recommendations regarding how to treat overweight and obesity in PC [ 12 , 13 ], nevertheless, it seems challenging for health care professionals to face obesity; according to one study, they are experiencing this dilemma because the patient is recognized as central in disease management but is also unwilling to change, which is a major potential barrier to treatment [ 14 ].

In a Swedish study, 73 % of all health professionals in PC would like to work more to support the promotion of healthy lifestyles among their patients, and nurses were most favourable towards this work [ 15 ]. Nurses in a primary health care centre (PHCC) have two key roles in obesity management. First, they work with overweight patients with comorbidities; second, they work with healthy overweight patients [ 16 ].

PHCCs has guidelines to follow by the National Board of Health and Welfare for lifestyle counselling focusing on alcohol, smoking, unhealthy eating habits and inadequate physical activity for patients at risk (e.g., overweight, diabetes and high blood pressure) [ 17 ]. According to a two-year study of health care professionals about their use of practical guidelines, nurses were the professionals who had increased their lifestyle counseling most, however, there was room for improvement concerning methods for reducing alcohol consumption and unhealthy eating habits [ 15 ].

Overweight is a sensitive topic, and patients who are overweight often experience stigmatization and discrimination [ 18 ]. It is also known that there could be a weight bias in the interaction between healthcare professionals and the patients [ 19 ], therefore, it is important to create a climate with empathy and compassion where the patients feel seen and listened to [ 20 ]. A recommended method for lifestyle conversations is motivational interviewing (MI) [ 21 ]. The method seemed especially suitable for patients who have self-reported that they are motivated and aware of their role in making lifestyle changes. MI can enable patient self-determination and create a sense of well-being [ 22 ].

However, there are obstacles to overcome to address obesity in PC. A review of studies about physician and nurses’ approach to overweight and obese patients showed that health advice is more likely to be given when Body mass index BMI increases and can be of poor quality due to educational barriers and availability of resources [ 23 , 24 ]. These aspects require ongoing education for nurses and other practitioners about raising the topic with patients in a non-stigmatizing and non-harmful way [ 25 , 26 ].

Most nurses in PC are receptive to and play a key role in health promotion work and are well suited to work with this patient group. It should be clarified how this work can be better organized for the future from the nurse’s point of view to be able to slow down the development of obesity and metabolic diseases as well as improve public health.

To describe primary care nurses’ experiences of patients being overweight or obese, as well as primary care nurses’ perceptions of overweight problems in society and visions working with lifestyle issues.

Study design

The study had a descriptive design with a qualitative method and an inductive approach. Semi-structured face-to-face interviews were conducted with thirteen practice nurses in the southwest of Sweden.

Participants

The inclusion criteria were nurses in PHCC with experience of working with overweight patients. The exclusion criteria were to understand the language in speech or writing. The participants in the study were nurses in a PHCC (registered nurses, health nurses or diabetic nurses). A strategic selection was used regarding age, work experience, gender and private or public workplace. Twelve of them were women aged 27–61 years, and one was a 62-year-old man; the median age was 51 years. Their working experience varied from 2 to 40 years with a median of 28 years. They were recruited from seven primary health care centres (PHCCs) located in the southwest of Sweden. Some PHCCs had more patients with foreign backgrounds and lower socioeconomic situations. The PHCC’s also differed in size and whether they were located on the countryside or in the city. Each head manager of the PHCC received an e-mail with an information letter about the study, and they were asked if they were interested in participating in the study. They were also asked to forward the e-mail to those nurses who worked with lifestyle issues with a focus on overweight. A reminder was sent out after ten days if no one had responded. Thirty-five PHCCs in southwest of Sweden received an e-mail. When the nurses agreed to participate, we conducted an interview at their workplace. One nurse was interviewed in her home. They received both verbal and written information about the study and a consent form to read and sign when we met before the interview.

Data collection

Data were collected using an open qualitative interview [ 27 ] in the form of a dialogue.

The recruitment occurred between October 2019 and February 2020. A semi-structured interview guide developed by the authors was used with open questions, and the interviewer also had the opportunity to ask probing questions. The first interview was carried out as a pilot, and then included in the study. The topics were nurses’ thoughts about overweight in general and in society, why overweight has increased, what experiences they had working with patients with overweight and lifestyle difficulties, how they worked with lifestyle issues and if overweight was prioritized in PHCCs. Furthermore, there were questions regarding if they received support from the manager, if there were ethical dilemmas, what results they obtained and if they had any dream scenarios of how they would like to work with obesity and lifestyle issues. The interviews lasted from 22 to 45 min and were digitally recorded and transcribed verbatim. Notes was also taken during the interviews. Data saturation was achieved when no new data occurred in the interviews.

Data analysis

Qualitative content analysis was conducted based on the steps described by Graneheim & Lundman [ 28 ]. The analysis began by reading the transcriptions several times to obtain an overall sense of the data. Sentences and phrases corresponding to the aim of the study, referred to as meaning units, were highlighted. The meaning units were abstracted, coded and subsequently sorted into subcategories and categories based on similar content of the analysis, an example can be seen from table 1 (below). The subcategories and categories were discussed in a cross-professional group with four people (two nurses, one physiotherapist and one physician). Throughout data analysis, several meetings of this cross-professional group occurred. All members in the group had read the interviews and discussed the codes, subcategories and categories until a consensus was met. They all had long experience of working with lifestyle issues and of the analysis method. The translation into the English language occurred after the data analysis. The analysis of the interviews resulted in three categories and nine subcategories.

Examples of the analytic process in the categories, Primary care nurses wish to promote health and prevent illness, Arenas for health promotion in society and support patients to change their behaviour, follows in Table  1 .

The analysis of the interviews resulted in three categories and nine subcategories which is presented in Table  2 .

Arenas for health promotion in society

This category consisted of three subcategories: School’s and media’s impact on lifestyle , Regulation of the food market and Health promotion outside of the health care mission

Schools and media’s impact on lifestyle

The nurses found it important to inform parents, children and teenagers early about what is a healthy lifestyle. School was considered an important platform, and the school nurse had a task to begin early when informing children and young people of what a healthy diet is in order to establish a normal eating behaviour. Schools should teach students to think critically about what to listen to and how to screen information from Instagram and Facebook. The nurses experienced that adolescents were adversely affected by images of a perfect body that led to eating disorders such as bulimia and anorexia. There was also experiences that the school should work more on encouraging more daily exercise and preferably encouraging gymnastics between lessons so that the students could develop a healthier lifestyle, prevent overweight and perform better in school. Information on healthy diets and exercise was considered important to disseminate. A nurse said the following:

“School is a place for information and thoughts on what is normal diet and exercise…. a little more wellness at school does not hurt.” (Nurse 11).

The nurses felt that the media such as TV, magazines and social media had an increasing impact on our lifestyle and our eating habits and that different messages in newspapers and magazines about what is a healthy diet and lifestyle became confusing. The influence of the media on our lifestyle, especially our eating habits, was something that was reflected around, and many felt that there was far too large a selection of different food programmes on TV with “delicious” food and far too few educational and informative programmes about what is a healthy diet and how to cook it. According to a nurse,

“ All these food programmes on TV. It is senseless, everything is fixated on food. Television should show programmes about what a normal portion looks like instead of yummy food.” (Nurse 3).

It was also perceived that advertising for sweets and fast food was occurring far too often and had a negative impact affecting everyone to crave unhealthy food and eat too much especially if they were already feeling bad and were more easily affected.

Regulation of the food market

Some of the nurses felt that actors such as the food industry and food stores made it difficult for individuals to know what a good and bad diet is. It is often the responsibility of the individual to resist sweets at the checkout. The nurses were told by several patients that it was a challenge to shop when they were hungry and stressed, and it was then difficult to resist unhealthy food. The availability of fast food and the fact that the stores were open around the clock were considered problems that made it difficult for individuals to make the right choices. A nurse pointed out the following:

“It is very easy to choose wrong because the food industry produces food with too much fat and sugar, and it becomes difficult to know what a healthy diet is without spending a lot of time on it.” (Nurse 1).

The nurses described that the grocery stores should take greater responsibility and not put candy at the checkout because it became a major challenge for individuals to be attracted to wrong choices. Two groups that were particularly vulnerable were people with a foreign background and those with poor finances who often bought two large bottles of Coca Cola instead of one because it was marketed as being cheaper. The nurses expressed that society’s government should do more to strengthen public health in school and promote outdoor environments and reduced consumption of sugar in the community to protect the most vulnerable groups. They described that society should raise the issue of introducing a sugar tax and lowering the price of healthy food. A nurse said the following:

“ A sugar tax would have been good, but then you should lower the price of healthy foods like fruits and vegetables.” (Nurse 9).

Health promotion outside of the health care mission

The nurses agreed that private actors (outside PHCC) were needed to improve and maintain public health. For children and young people Generation Pep ® was mentioned as those who work for children and young people’s health who are also active in the school. The most common and popular actors for diet were Weight Watchers ® (WW). Some nurses encouraged patients to help with the diet with the help of a WW app where they could receive coaching and support every week that the nurses did not always have the opportunity to offer. The nurses’ experienced that all patients were at different levels, and some were already using WW and it was enough to follow up with them every six months. For others, they wanted the nurse’s support and to come and weigh at the PHCC. Some of the nurses described that it was important not only to talk but also to actively invite patients to training. One of the nurses had started a training group for the patients outside the PHCC at a training centre, and several patients accompanied her. A nurse said the following:

“I believe in not only talking but also showing. - You, on Wednesday we will see you at the gym in the entrance. Then, you can have a free lesson. Over the years I have supported some 30 patients to develop a new lifestyle with exercise.” (Nurse 13).

At a PHCC, a collaboration with WW had been tried by the health centre by recruiting a number of patients who wanted to be part of a group, but the collaboration dissolved because there was some discussion about whether it was right or wrong. A nurse described it as follows:

“It was not that good. A public health centre that recruits patients to a private operator; what about all the other operators available then? I know there were discussions about this.” (Nurse 7).

In some areas with a poorer socioeconomic status, the nurses felt that a barrier for patients going to the gym. The nurses felt that it would be good for some people to come out and meet others by training together, but the nurses described that some people managed to work out on their own with the help of various gym passes on TV or via the computer.

Primary care nurses wish to promote health and prevent illness

This category has four subcategories: A good patient meeting creates conditions for lifestyle changes, Lack of knowledge about how to use guidelines, ethical and cultural problems challenge the nurse’s role and Tailored interventions as a meeting point for patients.

A good patient meeting creates the conditions for lifestyle changes

A good meeting with the patient was important for the nurses in building a relationship. It was perceived as a prerequisite for the patient to succeed with weight loss and a change in lifestyle. The nurses described that the care had changed and in ten years, the client contact had decreased, and the administrative work increased. The nurses experienced that prevention work not was prioritized and that the money was saved here and now, but in the future, the nurses believed that it would be more expensive for PHCCs if the preventive and promotive work is not given more priority. According to a nurse,

“We must be allowed to have more nurse visits. We need to stop the development in the early stages. We cannot just cure the sick patients because we have to work more on this as well.” (Nurse 12).

Most nurses would have liked more time for this work because there was a lot to do, and the time available was sometimes not enough. During the first visit there could be things that affected the patient’s life situations such as divorce, work situations and childhood events. These experiences affect behaviour, and sometimes the nurses felt similar to conversational therapists. A nurse described it as follows:

“The first visits need to be 60 minutes to go through everything; many may have a lifestyle that affects them. You are like a conversational therapist.” (Nurse 2).

The nurses said that the manner of talking with the patients played an important role in bringing about a change. Since it was a delicate subject and they could feel violated, it was important not to use reprimands. The nurses described that they used a variety of motivational conversations with open questions but did not always use the available technology to the full extent, and some wanted to have more education. Some nurses described that a challenge in the work was that at some PHCCs, the patients were sometimes very well prepared and educated. They had read on the internet and thought they knew what was good, and there was much discussion about different diets necessitating that the nurse balances the conversation. A nurse pointed out the following:

“There are many challenges. Here, many are well educated and do not want to listen to a nurse who tells them what to do and what not to do.” (Nurse 7).

The nurses felt that adapting the efforts to each individual’s life situation and conditions and gently taking care were important to achieve a sustainable result. A nurse said the following:

“When I am stressed and go too fast with dietary advice, then resistance comes from the client, and I have to back track a little. The mood changes, and it’s a dance all the time.” (Nurse 8).

Lack of knowledge how to implement guidelines

Several nurses described that they educated themselves to become district nurses in order to do more preventive or promotive work, but it has not become as much as they wanted. The nurses described that they wanted to inform individuals as early as possible (child care centre), and parent groups were considered; maternal care was a good opportunity to decrease the development of overweight in society. They felt that there were guidelines for different conversational efforts during lifestyle conversations and for overweight, but it was unclear how to set it up; they felt that everyone worked differently on this. The nurses had the experience that at several PHCCs, there were no dietitians available, and they sometimes felt that for some more difficult patients they needed slightly more education about diet. A nurse pointed out the following:

“Having a dietician in this work would have been worth gold.” (Nurse 12).

They expressed their desire for training in conversational methodology and psychology adapted to different personality types of patients in order to personalize and obtain better results. They felt that they had to read on their own and call colleagues around and ask each other. A nurse described it as follows:

“I would love to go on a diet education. So, you absorb everything and try to read a lot of yourself. You would have liked to go.” (Nurse 2).

Another nurse described it as follows:

“What I miss very much is that there are no guidelines for health conversations in local health care, so we invent the wheel at all health centres. How to set it up, how many times, at what rate, etc. Everyone works differently.” (Nurse 5).

The patient materials used in the work were often the region’s own materials, plate models and the Swedish Food Agency’s advice.

Ethical and cultural issues challenge the nurse’s role

The nurses described ethical difficulties and challenges that they had to deal with in their work with overweight patients. One nurse had preferably recommended another diet that she herself believed in and felt it was difficult for her not to talk about it. Other nurses experienced that there were many different diets and sources of dietary advice in circulation, but everyone agreed that it was important that the PHCC work be evidence based. The nurses described that PHCCs should be able to do more for those who needed it. The nurses felt that it could be a culture crash with foreign-born groups, especially for women from a culture where it was considered nice to be overweight and that it was associated with wealth. It was challenging for the nurses to manage them. Some described that it was unethical not to inform the patient because they needed to gain knowledge that being overweight is a health risk. A nurse said the following:

“I do not think you should be afraid to tell the patient that in order to get well in the knee you must lose weight before the surgery. Otherwise it is a waste of money and resources.” (Nurse 11).

The nurses felt that it was easier to address the overweight problem if the patient already had high blood pressure because then you could go around the whole thing and start focusing on other factors such as sleep and stress to get into diet and overweight at a later stage. A nurse was worried that the patient would find it difficult that she was a normal weight and had no experience of being overweight; thus, she was careful to proceed cautiously. A nurse described it as follows:

“It is important to talk so that you do not offend the patient and encourage what is good and do not use reprimands. Overweight is loaded mentally and socially.” (Nurse 7).

Some nurses talked about the experience of meeting patients who should lose weight before an obesity surgery and who they met far later when they had lost weight but life had not become as they imagined. It was difficult to know how to support them. A nurse described what a patient told her regarding his thoughts about the situation:

“You have operated on my stomach, but you have done nothing to my mind and my brain.” (Nurse 1).

Tailored interventions as a meeting point for patients

One nurse described that their PHCC had profiled itself as a healthy PHCC and wrote on its website that health is not something you can take for granted, but it takes a great deal of work to achieve good health. The nurses had varying wishes and visions on how to set up work with overweight and lifestyle to improve compliance and obtain better results. They felt that they had a good working relationship with the physiotherapists already, but most lacked a broader and more structured team collaboration with more professionals such as a psychologist, especially for patients with mental health problems comforting themselves with sweets, getting a sugar kick, they were experienced as difficult patients. The nurses expressed that the patients themselves could choose whether they wanted individual visits or group interventions. Preferably there would be a greater selection of efforts than previously to choose from. The nurses described that in most places, there were no overweight groups at present, but this was something that several nurses wanted to start. A nurse described it as follows:

“Teamwork among staff and groups is necessary if you have a dream. Then, patients can advise each other and motivate each other.” (Nurse 12).

There was a desire for more time, support and resources for this work to be able to check on follow-up visits to a greater extent. The nurses wanted to provide effort earlier, especially for individuals with pre-diabetes to prevent the development of diabetes. A lifestyle reception with lectures as a meeting point for patients with a “preventive approach” that was more structured and focused on this were proposed. A nurse described it as follows:

“I would like a lifestyle reception where you could take them on closer visits, have motivational conversations and follow up more often. There is lots of money to save, as well as suffering, and we can help patients be happy.” (Nurse 1).

The nurses described wanting to have availability during the evenings for a health school with tailor-made material with lectures for those who had difficulty coming during the day. A nurse described that her PHCC intends to introduce video meetings to reach the patients and perhaps also to increase the availability of lifestyle calls. Another nurse would like to set up these services in her own way and start a cooking school where the patients can learn how to cook a healthy diet. Health examinations were described by some nurses as belonging to PHCCs and were thought to be a good way to prevent illness but were mostly offered at private PHCCs. The nurses thought that PHCCs should try to reach out to the population more with health information before overweight/obesity went too far. The nurses described that they also lacked a forum to meet and exchange similar experiences among diabetes nurses. They preferred to have lecturers, continuing education and information on the latest knowledge about obesity and lifestyle from reliable sources such as studies and reports from all over Sweden. A nurse pointed out the following:

“We have known that we need to know more about this. You want to feel safe in your profession so that you can talk to this patient about this; it needs to comes from safe sources, and you want not only the VG region but also nationally in Sweden to have more strength in what we say.” (Nurse 11).

At some PHCCs, they worked more actively with prescriptions for physical activity on prescription (PaP) to the patients to get them started with training, and in some places, there was the possibility of referral to clinics that specialized in supporting people with physical activity at a low cost to the patient. Most nurses felt that it was a good tool that could be used more. At some clinics, it was more common for physiotherapists to prescribe PaP.

Support patients to change their behaviour

This category has two subcategories: The patient’s motivation determines the outcome and the individual has to choose a healthy lifestyle.

The patient’s motivation determines the outcome

The motivation of the patients varied depending on their life situations and played a major role in the results obtained. The nurses described that several patients lacked motivation and had not arrived voluntarily but at the doctor’s advice. Some were more motivated when they had high blood pressure or diabetes, and others were not. The nurses found it difficult to know when to give up and when to continue the conversations. Motivating patients to change their lifestyles could be challenging, tiring, comfortless, heavy and difficult. As a nurse, you often experienced resistance from the patient to change and because the patient’s motivation goes up and down; sometimes no one came anywhere, and it was not easy to know when to pause the visits. A nurse mentioned:

“It is difficult to penetrate all defence mechanisms when they are not motivated and yet give them time. It is a balance: when to give up and when to move on.” (Nurse 5).

The nurses also experienced the work alternatively as fun, rewarding and enriching, especially when the patients had good results and felt better. Some patients had several poor living habits, and if they could get rid of at least one of them, they often felt much better, and then their motivation increased. According to a nurse,

“One patient thanked me for beginning to understand that she needed to relax a bit and eat slowly and not eat while walking.” (Nurse 3).

Another nurse said,

“This can be difficult to motivate. However, it is wonderful when you manage to get a person on the train, and they have succeeded in losing weight and started to move more. I can be a mainstay, but I can never be part of everyday life.” (Nurse 9).

The individual has to choose a healthy lifestyle

The nurses described that as individuals, the patients had their own health responsibility, but that they have different presumptions depending on their education, economic situation, previous illnesses and mental health. They described that we have become more sedentary in front of computers and that this begins early in childhood. The nurses felt that parents should take greater responsibility and not sit with their smart phones themselves. A nurse described it as follows:

“The parents have a responsibility in raising children; they drive the children everywhere, but they have to make sure that the children start to move more.” (Nurse 5).

The nurses described that as a parent, one must be a good role model in terms of diet, exercise and social media and live as one learns. A nurse said,

“It is important to introduce your children and grandchildren early in training so that they develop habits for life.” (Nurse 13).

One problem that the nurses perceived was that there was much information available, and it could be difficult to screen for what is good or bad; they felt that PHCC has a responsibility to work with evidence-based information and convey what is good.

The nurses felt that the individual’s choices were influenced by knowledge about good food, lack of time and stress such as being in a hurry when shopping and not being able to read on the packaging. Socioeconomics and education also played major roles, and in some cases, foreign background leading to a lack of knowledge played a role; it was not uncommon to mix sugar in the milk for babies. Two nurses said,

“Cheap food is unhealthy, and patients lack knowledge on how to cook cheap and healthy food and think that everything should go fast.” (Nurse 3).
“I try to get people to stop with fast food and buy ordinary food like meat, potatoes and vegetables and cook themselves. For those who say they ate dinner at McDonald’s, I say it is no use because it is just “junk” you have eaten.” (Nurse 13).

The nurses perceived that the individual wanted to blame other things. They felt that the patients had their own responsibility for their choices, but the nurses felt that they had a mission to strengthen the patients to take responsibility for their lifestyles both in thought and action. They also expressed that the individual had a responsibility to seek help when the problems became too large and affected the quality of life. Two nurses described it as follows:

“The individual has the main responsibility to find out the facts about what is good and bad and react when he or she cannot do the things he or she wants because of being overweight. The individual has to react when he or she is cut off in his or her life and seek help.” (Nurse 13).
“An important task is to get patients to focus on their lifestyle and not just their medication to feel good.” (Nurse 12).

The nurses described that when patients felt that they were feeling better about their lifestyle change, it was easier for them to keep up and harder to go back to their old lives.

The nurses identified that weight management and lifestyle interventions are an important part of their role and they believed that PHCC is an ideal place to work with this problem, but it is complicated by high workload, educational deficiencies, and societal factors. The nurses had visions of a multidisciplinary team working with this patient group in PHCC and for more individualized care and efforts with group meetings, lectures and digital solutions.

To make the environment less obesogenic, nurses recommended increasing the prices of unhealthy food and beverages. Like the World Health Organization (WHO), they identified a number of actions that the food industry could take to improve the population’s nutrition by limiting the levels of fat, sugar and salt in products and practising responsible marketing [ 29 ]. Another subject the nurses brought up was the marketing of unhealthy food in all sorts of media, they thought that children and parents should be encouraged to develop their critical thinking about television food advertising [ 30 ]. However, the school nurses have an important role and can be more involved in education of pupils about these issues.

There is a gap between the nurses’ desire to work more with health promotion and prevention and the available resources, which also another study pointed out [ 25 ]. As in our study, it has been shown previously that nurses considered MI as a good tool that is helpful and non-judgemental and puts nurses and patients on the same level. However, sometimes because of a lack of knowledge, training, and education, it was not fully used [ 31 ], but with continued MI-education offered in the regions, and the right conditions at the workplace, more nurses could benefit from MI.

Several nurses had limited education on the guidelines and how to use and implement them, and they believed that methods of working varied between different PHCCs. Although one study showed a certain improvement after two years regarding the use of guidelines, more improvements seem to be needed [ 15 ]. In our study, one way to discuss the problem from the nurses’ point of view was to start a forum for those nurses who had worked with overweight and lifestyle issues nationally in Sweden. Bringing up the question about to start a lifestyle forum for nurses nationally could be handled at the collegiate meetings to start with.

The nurses also described some ethical dilemmas they encountered in their work with overweight individuals regarding their own weight status and attitudes. Another study also showed that nurses own weight status could be a potential barrier to raising the issue [ 26 ]. It is important for nurses to have this in mind, be aware of the problem and not let it stop them from discuss the topic. As in previous research [ 32 ], the nurses in our study experienced an increased number of internet-read patients, and this was a new challenge for them to handle these patients. As social media gain a greater influence, it is important that nurses learn to critically review facts in their education, so that they can respond to untrue statements. It is also valuable that newly educated nurses can share their knowledge with nurses who have worked for more years in the profession. Other issues occurred especially in women with foreign backgrounds and low socioeconomic status (SES) who fed their children and themselves unhealthy food and sweets [ 33 ]. It was difficult for the nurses to motivate them to lose weight, and it was a challenge not to use reprimands. If PHCCs could develop more groups for overweight individuals, it may be an idea to suggest that these patients participate and receive inspiration from others.

According to previous research [ 34 ], a health-promoting perspective leads to a shift from costs to human concerns, as well as a shift from focusing on problems and risk factors to seeing possibilities, resources and factors that keep people healthy. Even so, the focus in primary care is still more disease- oriented. Anyway, nurses have an important role in health promotion work, especially considering the knowledge they possess regarding lifestyle issues. Questions how to make nurses knowledge more visible and how their knowledge can benefit the public could be addressed.

Strengths and limitations of the study

To strengthen the credibility, the strategic selection provided a good geographical and socioeconomical distribution of the PHCCs, and the nurses were of different ages and all had different working experiences. They also had slightly different professions, and they had experience in working with overweight individuals. There was only one male nurse, but this reflects the reality in PHC. According to the transferability, the context is in PHCCs with several nurses working there. We used a strategic selection, and it was difficult to recruit participants for interviews. This reflects the situation for nurses in PC who have a pressed schedule and perhaps a lack of interest in research. This may have resulted in nurses who were most interested in overweight and lifestyle issues being chosen to participate, and we did not reach those with another opinion; this could be a weakness. We had several open semi-structured questions to capture everything we wanted to identify and included probing questions. The fact that the shortest interview was not more than 22 min was due to the nurses’ time limits in PHCCs. The nurses had tight schedules, and all the interviews were performed at their workplaces, with one exception. According to transferability, we have chosen to present a table to follow the interpretation of the text with meaning units, condensed unit, codes, sub-categories, and categories. The findings are illustrated by representative quotations in the text to help the reader to understand and assess the trustworthiness of the analysis. Nevertheless, we felt that the material was rich in content and answered the aim of the study.

To achieve trustworthiness, such as credibility and dependability, the analysis was performed with help of all authors by reading the interviews and meeting several times to discuss further and reach a consensus. As in most qualitative studies, the researchers bring prior understanding because of their knowledge and previous experience with the subject. This can lead to both disadvantages and advantages when interpreting the results. Despite this, the researchers tried to stay as objective as possible in the interpretation. The data were collected for a fairly short period of time; therefore, there is no risk that it will change, and that strengthens the dependability.

Conclusions

According to the nurses, too little has been done to slow down the development of overweight and obesity by society and at a governmental level. Food industry and food stores make it difficult for individuals to choose healthy food and therefore a regulation of the food market is of utmost importance. Primary care plays an important role to reach out with health information. As nurses meet parents in child care centres, children and young people in school, as well as patients of all ages in primary care, they have a great opportunity to build trusting relationships and use motivational conversations and thereby create conditions for lifestyle change. However, there is a need for team collaboration in primary care where different professionals take part in promotion health and preventing disease. Continued research in the area could involve interviewing decision makers or managers in the regions about their strategies to give promotion work a higher priority in Primary care.

Availability of data and materials

The dataset generated during the study will not be shared due to participants’ anonymity and confidentiality and to respect for the participants’ sensitive contribution. The data are with the corresponding author but are available from the corresponding author on reasonable request.

Abbreviations

Motivational Interviewing

Primary Care

Primary health care centre

Primary Health Care Centres

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Acknowledgements

This full article was a part of the authors doctoral thesis.

We would like to thank the nurses for their participation in the study and Capio sjukvård AB for their financial support.

This publication was funded by Sparbanksstiftelsen Varberg in 2017-06-30, which had no role in the design of the study or in writing the manuscript. Open access funding provided by Sparbanksstiftelsen Varberg and the PhD student was funded by Capio sjukvård AB which had no role in the design of the study or in writing the manuscript. Open Access funding provided by Halmstad University.

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All authors (MBE, JM, ML and CH) contributed to planning of the study. MBE undertook the data collection, data analysis and drafting of the paper. All authors participated in the data analysis and in revising the paper. All authors read and approved the final manuscript.

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Supplementary Information

Additional file 1:.

 Interview Guide Description of data: List of questions for the participants in the study.

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COREQ 32-item checklist

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Bräutigam Ewe, M., Hildingh, C., Månsson, J. et al. Primary care nurses’ perceptions and experiences of patients being overweight or obese as well as visions and attitudes about working with lifestyle issues: a qualitative interview study. BMC Nurs 20 , 170 (2021). https://doi.org/10.1186/s12912-021-00685-1

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Obesity in adults: a clinical practice guideline

  • Obesity is a prevalent, complex, progressive and relapsing chronic disease, characterized by abnormal or excessive body fat (adiposity), that impairs health.
  • People living with obesity face substantial bias and stigma, which contribute to increased morbidity and mortality independent of weight or body mass index.
  • This guideline update reflects substantial advances in the epidemiology, determinants, pathophysiology, assessment, prevention and treatment of obesity, and shifts the focus of obesity management toward improving patient-centred health outcomes, rather than weight loss alone.
  • Obesity care should be based on evidence-based principles of chronic disease management, must validate patients’ lived experiences, move beyond simplistic approaches of “eat less, move more,” and address the root drivers of obesity.
  • People living with obesity should have access to evidence-informed interventions, including medical nutrition therapy, physical activity, psychological interventions, pharmacotherapy and surgery.

Obesity is a complex chronic disease in which abnormal or excess body fat (adiposity) impairs health, increases the risk of long-term medical complications and reduces lifespan. 1 Epidemiologic studies define obesity using the body mass index (BMI; weight/height 2 ), which can stratify obesity-related health risks at the population level. Obesity is operationally defined as a BMI exceeding 30 kg/m 2 and is subclassified into class 1 (30–34.9), class 2 (35–39.9) and class 3 (≥ 40). At the population level, health complications from excess body fat increase as BMI increases. 2 At the individual level, complications occur because of excess adiposity, location and distribution of adiposity and many other factors, including environmental, genetic, biologic and socioeconomic factors ( Box 1 ). 11

Complications of obesity

Adipose tissue not only influences the central regulation of energy homeostasis, but excessive adiposity can also become dysfunctional and predispose the individual to the development of many medical complications, such as:

  • Type 2 diabetes 3
  • Gallbladder disease 4
  • Nonalcoholic fatty liver disease 5

Excess and ectopic body fat are important sources of adipocytokines and inflammatory mediators that can alter glucose and fat metabolism, leading to increased cardiometabolic and cancer risks, and thereby reducing disease-free duration and life expectancy by 6 to 14 years. 1 , 7 , 8 It is estimated that 20% of all cancers can be attributed to obesity, independent of diet. 9 Obesity increases the risk of the following cancers: 10

  • Colon (both sexes)
  • Kidney (both sexes)
  • Esophagus (both sexes)
  • Endometrium (women)
  • Postmenopausal breast (women)

Over the past 3 decades, the prevalence of obesity has steadily increased throughout the world, 12 and in Canada, it has increased threefold since 1985. 13 Importantly, severe obesity has increased more than fourfold and, in 2016, affected an estimated 1.9 million Canadian adults. 13

Obesity has become a major public health issue that increases health care costs 14 , 15 and negatively affects physical and psychological health. 16 People with obesity experience pervasive weight bias and stigma, which contributes (independent of weight or BMI) to increased morbidity and mortality. 17

Obesity is caused by the complex interplay of multiple genetic, metabolic, behavioural and environmental factors, with the latter thought to be the proximate cause of the substantial rise in the prevalence of obesity. 18 , 19 A better understanding of the biological underpinnings of this disease has emerged in recent years. 19 The brain plays a central role in energy homeostasis by regulating food intake and energy expenditure ( Box 2 ). 24

Appetite regulation 20 – 23

  • The control of appetite is complex and involves the integration of the central neural circuits including the hypothalamus (homeostatic control), the mesolimbic system (hedonic control) and the frontal lobe (executive control).
  • The crosstalk between homeostatic and hedonic eating is influenced by mediators from adipose tissue, the pancreas, gut and other organs.
  • Cognitive functions in the prefrontal cortex exert executive control on food choices and the decision to eat. The interconnectivity of these neural networks drives eating behaviour and has been shown to be altered in obesity.

Decreased food intake and increased physical activity lead to a negative energy balance and trigger a cascade of metabolic and neurohormonal adaptive mechanisms. 25 , 26 Therapies that target these alterations in neurohormonal mechanisms can become effective tools in the long-term management of obesity. 27

Novel approaches to diagnose and assess obesity in clinical practice have been proposed. 11 , 18 , 19 , 28 Although BMI is widely used to assess and classify obesity (adiposity), it is not an accurate tool for identifying adiposity-related complications. 19 Waist circumference has been independently associated with an increase in cardiovascular risk, but it is not a good predictor of visceral adipose tissue on an individual basis. 29 Integration of both BMI and waist circumference in clinical assessment may identify the higher-risk phenotype of obesity better than either BMI or waist circumference alone, particularly in those individuals with lower BMI. 30 , 31 In addition to BMI and waist circumference measurements, a comprehensive history to identify the root causes of obesity, appropriate physical examination and relevant laboratory investigations will help to identify those who will benefit from treatment. 32

The Edmonton obesity staging system has been proposed to guide clinical decisions from the obesity assessment and at each BMI category (Appendix 1, available at www.cmaj.ca/lookup/suppl/doi:10.1503/cmaj.191707/-/DC2 ). 28 This 5-stage system of obesity classification considers metabolic, physical and psychological parameters to determine the optimal obesity treatment. In population studies, it has been shown to be a better predictor of all-cause mortality when compared with BMI or waist circumference measurements alone. 33 , 34

There is a recognition that obesity management should be about improved health and well-being, and not just weight loss. 34 – 36 Because the existing literature is based mainly on weight-loss outcomes, several recommendations in this guideline are weight-loss centred. However, more research is needed to shift the focus of obesity management toward improving patient-centred health outcomes, rather than weight loss alone.

Despite growing evidence that obesity is a serious chronic disease, it is not effectively managed within our current health system. 37 , 38 Canadian health professionals feel ill equipped to support people living with obesity. 39 – 41 Biased beliefs about obesity also affect the level and quality of health care that patients with obesity receive. 42 The dominant cultural narrative regarding obesity fuels assumptions about personal irresponsibility and lack of willpower and casts blame and shame upon people living with obesity. 41 Importantly, obesity stigma negatively influences the level and quality of care for people living with obesity. 42

With increased knowledge of the disease state and better approaches to assess and manage obesity, it is timely to update the 2006 Canadian clinical practice guideline. 43 The goal of this update is to disseminate to primary care practitioners evidence-informed options for assessing and treating people living with obesity. Importantly, this guideline incorporates the perspectives of people with lived experience and of interprofessional primary care providers with those of experts on obesity management, and researchers. This article is a summary of the full guideline, which is available online ( http://obesitycanada.ca/guidelines/ ).

The target users for this guideline are primary health care professionals. The guideline may also be used by policy-makers and people affected by obesity and their families. The guideline is focused on obesity in adults. The recommendations are intended to serve as a guide for health care providers; clinical discretion should be used by all who adopt these recommendations. Resource limitations and individual patient preferences may make it difficult to put every recommendation into practice, but the guideline is intended to improve the standard of, and access to, care for individuals with obesity in all regions of Canada.

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Recommendations

This clinical practice guideline informs the arc of the patient journey and clinical management approach in the primary care setting. The guideline recommendations are shown in Table 1 .

Recommendations on management of obesity in adults *

RecommendationsCategory of evidence and strength of recommendation
1Health care providers should assess their own attitudes and beliefs regarding obesity and consider how their attitudes and beliefs may influence care delivery.Level 1a, grade A
2Health care providers may recognize that internalized weight bias (bias toward oneself) in people living with obesity can affect behavioural and health outcomes.Level 2a, grade B
3Health care providers should avoid using judgmental words (level 1a, grade A), images (level 2b, grade B) and practices (level 2a, grade B) when working with patients living with obesity.See recommendation
4We recommend that health care providers avoid making assumptions that an ailment or complaint a patient presents with is related to their body weight.Level 3, grade C
5Health care providers can recognize and treat obesity as a chronic disease, caused by abnormal or excess body fat accumulation (adiposity), which impairs health, with increased risk of premature morbidity and mortality.Level 2b, grade B
6The development of evidence-informed strategies at the health system and policy levels can be directed at managing obesity in adults.Level 2b, grade B
7Continued longitudinal national and regional surveillance of obesity that includes self-reported and measured data (i.e., height, weight, waist circumference) may be collected on a regular basis.Level 2b, grade B
8We recommend that health care providers ask people living with obesity if they have concerns about managing self-care activities, such as bathing, getting dressed, bowel and bladder management, skin and wound care, and foot care.Level 3, grade C
9We recommend that health care providers assess fall risk in people living with obesity, as this could interfere with their ability and interest in participating in physical activity.Level 3, grade C
10We suggest that health care providers involved in screening, assessing and managing people living with obesity use the 5As framework (see Appendix 2 ) to initiate the discussion by asking for their permission and assessing their readiness to begin treatment.Level 4, grade D (consensus)
11Health care providers can measure height, weight and calculate the BMI in all adults (level 2a, grade B), and measure waist circumference in individuals with a BMI 25–35 kg/m (level 2b, grade B).See recommendation
12We suggest that a comprehensive history to identify root causes of weight gain as well as complications of obesity and potential barriers to treatment be included in the assessment.Level 4, grade D
13We recommend measuring blood pressure in both arms, fasting glucose or glycated hemoglobin and lipid profile to determine cardiometabolic risk and, where appropriate, ALT to screen for nonalcoholic fatty liver disease in people living with obesity.Level 3, grade D
14We suggest that health care providers consider using the Edmonton Obesity Staging System (see Appendix 1) to determine the severity of obesity and guide clinical decision-making.Level 4, grade D
15We recommend regular monitoring of weight, glucose and lipid profile in people with a mental health diagnosis and who are taking medications associated with weight gain.Level 3, grade C
16Health care providers may consider both efficacy and effects on body weight when choosing psychiatric medications.Level 2a, grade B
17Metformin and psychological treatment such as cognitive behavioural therapy should be considered for prevention of weight gain in people with severe mental illness who are treated with antipsychotic medications associated with weight gain.Level 1a, grade A
18Health care providers should consider lisdexamfetamine and topiramate as an adjunct to psychological treatment to reduce eating pathology and weight in people with overweight or obesity and binge-eating disorder.Level 1a, grade A
19We suggest that nutrition recommendations for adults of all body sizes be personalized to meet individual values, preferences and treatment goals to support a dietary approach that is safe, effective, nutritionally adequate, culturally acceptable and affordable for long-term adherence.Level 4, grade D
20Adults living with obesity should receive individualized medical nutrition therapy provided by a registered dietitian (when available) to improve weight outcomes (body weight, BMI), waist circumference, glycemic control, established lipid, and blood pressure targets.Level 1a, grade A
21Adults living with obesity and impaired glucose tolerance (prediabetes) or type 2 diabetes may receive medical nutrition therapy provided by a registered dietitian (when available) to reduce body weight and waist circumference and improve glycemic control and blood pressure.Level 2a, grade B
22Adults living with obesity can consider any of multiple medical nutrition therapies to improve health-related outcomes, choosing the dietary patterns and food-based approaches that support their best long-term adherence. (Full recommendation and category and level of evidence available in the chapter titled “Medical nutrition therapy in obesity management.”)See recommendation
23Adults living with obesity and impaired glucose tolerance (prediabetes) should consider intensive behavioural interventions that target a 5%–7% weight loss, to improve glycemic control, blood pressure and blood lipid targets (level 1a, grade A) and reduce the incidence of type 2 diabetes (level 1a, grade A), microvascular complications (retinopathy, nephropathy and neuropathy) (level 1a, grade B), and cardiovascular and all-cause mortality (level 1a, grade B).See recommendation
24Adults living with obesity and type 2 diabetes should consider intensive lifestyle interventions that target a 7%–15% weight loss, to increase the remission of type 2 diabetes and reduce the incidence of nephropathy, obstructive sleep apnea and depression.Level 1a, grade A
25We recommend a nondieting approach to improve quality of life, psychological outcomes (general well-being, body image perceptions), cardiovascular outcomes, body weight, physical activity, cognitive restraint and eating behaviours.Level 3, grade C
26Aerobic physical activity (30–60 minutes of moderate to vigorous intensity most days of the week) can be considered for adults who want to: See recommendation
27For adults living with overweight or obesity, resistance training may promote weight maintenance or modest increases in muscle mass or fat-free mass and mobility.Level 2a, grade B
28Increasing exercise intensity, including high-intensity interval training, can achieve greater increases in cardiorespiratory fitness and reduce the amount of time required to achieve benefits similar to those from moderate-intensity aerobic activity.Level 2a, grade B
29Regular physical activity, with and without weight loss, can improve many cardiometabolic risk factors in adults who have overweight or obesity, including hyperglycemia and insulin sensitivity (level 2b, grade B), high blood pressure (level 1a, grade B) and dyslipidemia (level 2a, grade B).See recommendation
30Regular physical activity can improve health-related quality of life, mood disorders (i.e., depression, anxiety) and body image in adults living with overweight or obesity.Level 2b, grade B
31Multicomponent psychological interventions (combining behaviour modification [goal-setting, self-monitoring, problem-solving], cognitive therapy [reframing] and values-based strategies to alter diet and activity) should be incorporated into care plans for weight loss, and improved health status and quality of life (level 1a, grade A) in a manner that promotes adherence, confidence and intrinsic motivation (level 1b, grade A).See recommendation
32Health care providers should provide longitudinal care with consistent messaging to people living with obesity in order to support the development of confidence in overcoming barriers (self-efficacy) and intrinsic motivation (personal, meaningful reasons to change), to encourage the patient to set and sequence health goals that are realistic and achievable, to self-monitor behaviour and to analyze setbacks using problem-solving and adaptive thinking (cognitive reframing), including clarifying and reflecting on values-based behaviours.Level 1a, grade A
33Health care providers should ask people living with obesity for permission to educate them that success in obesity management is related to improved health, function and quality of life resulting from achievable behavioural goals and not on the amount of weight loss.Level 1a, grade A
34Health care providers should provide follow-up sessions consistent with repetition and relevance to support the development of self-efficacy and intrinsic motivation. (Full recommendation is available in the chapter titled “Effective psychological and behavioural interventions in obesity management.”)Level 1a, grade A
35Pharmacotherapy for weight loss can be used for persons with BMI ≥ 30 kg/m or BMI ≥ 27 kg/m with adiposity-related complications, in conjunction with medical nutrition therapy, physical activity and psychological interventions (liraglutide 3.0 mg, naltrexone-bupropion combination, orlistat).Level 2a, grade B
36Pharmacotherapy may be used to maintain weight loss that has been achieved by health behaviour changes, and to prevent weight regain (liraglutide 3.0 mg or orlistat).Level 2a, grade B
37For people living with type 2 diabetes and a BMI ≥ 27 kg/m , pharmacotherapy can be used in conjunction with health behaviour changes for weight loss and improvement in glycemic control: liraglutide 3.0 mg (level 1a, grade A), naltrexone-bupropion combination (level 2a, grade B), orlistat (level 2a, grade B).See recommendation
38We recommend pharmacotherapy in conjunction with health behaviour changes for people living with prediabetes and overweight or obesity (BMI ≥ 27 kg/m ) to delay or prevent type 2 diabetes (liraglutide 3.0 mg; orlistat).Level 2a, grade B
39We do not suggest the use of prescription or over-the-counter medications other than those approved for weight management.Level 4, grade D (consensus)
40For people living with overweight or obesity who require pharmacotherapy for other health conditions, we suggest choosing drugs that are not associated with weight gain.Level 4, grade D (consensus)
41We suggest that a comprehensive medical and nutritional evaluation be completed and nutrient deficiencies corrected in candidates for bariatric surgery.Level 4, grade D
42Preoperative smoking cessation can minimize perioperative and postoperative complications.Level 2a, grade B
43We suggest screening for and treatment of obstructive sleep apnea in people seeking bariatric surgery.Level 4, grade D
44Bariatric surgery can be considered for people with BMI ≥ 40 kg/m or BMI ≥ 35 kg/m with at least 1 adiposity-related disease (level 4, grade D, consensus) to: See recommendation
45Bariatric surgery should be considered in patients with poorly controlled type 2 diabetes and class I obesity (BMI between 30 and 35 kg/m ) despite optimal medical management.Level 1a, grade A
46Bariatric surgery may be considered for weight loss and/or to control adiposity-related diseases in persons with class 1 obesity, in whom optimal medical and behavioural management has been insufficient to produce significant weight loss.Level 2a, grade B
47We suggest that the choice of bariatric procedure (sleeve gastrectomy, gastric bypass or duodenal switch) be decided according to the patient’s need, in collaboration with an experienced interprofessional team.Level 4, grade D (consensus)
48We suggest that adjustable gastric banding not be offered owing to unacceptable complications and long-term failure.Level 4, grade D
49We suggest that single anastomosis gastric bypass not be routinely offered, owing to long-term complications in comparison with Roux-en-Y gastric bypass.Level 4, grade D
50Health care providers can encourage persons who have undergone bariatric surgery to participate in and maximize their access to behavioural interventions and allied health services at a bariatric surgical centre.Level 2a, grade B
51We suggest that bariatric surgical centres communicate a comprehensive care plan to primary care providers for patients who are discharged, including bariatric procedure, emergency contact numbers, annual blood tests required, long-term vitamin and minerals supplements, medications and behavioural interventions, as well as when to refer back.Level 4, grade D (consensus)
52We suggest that after a patient has been discharged from the bariatric surgical centre, primary care providers conduct annual review of the following: weight, nutritional intake, activity, adherence to multivitamin and mineral supplements, assessment of comorbidities and laboratory tests to assess and treat for nutritional deficiencies as required.Level 4, grade D (consensus)
53We suggest that primary care providers consider referral back to the bariatric surgical centre or to a local specialist for technical or gastrointestinal symptoms, nutritional issues, pregnancy, psychological support, weight regain or other medical issues related to bariatric surgery, as described in the chapter titled “Bariatric surgery: postoperative management.Level 4, grade D (consensus)
54We suggest that bariatric surgical centres provide follow-up and appropriate laboratory tests at regular intervals postsurgery with access to appropriate health care professionals (dietitian, nurse, social worker, bariatric physician, surgeon, psychologist or psychiatrist) until discharge is deemed appropriate for the patient.Level 4, grade D (consensus)
55We recommend that primary care clinicians identify people with overweight and obesity, and initiate patient-centred, health-focused conversations with them.Level 3, grade C
56We recommend that health care providers ensure they ask people for their permission before discussing weight or taking anthropometric measurements.Level 3, grade C
57Primary care interventions should be used to increase health literacy in individuals’ knowledge and skill about weight management as an effective intervention to manage weight.Level 1a, grade A
58Primary care clinicians should refer persons with overweight or obesity to primary care multicomponent programs with personalized obesity management strategies as an effective way to support obesity management.Level 1b, grade B
59Primary care clinicians can use collaborative deliberation with motivational interviewing to tailor action plans to individuals’ life context in a way that is manageable and sustainable to support improved physical and emotional health, and weight management.Level 2b, grade C
60Interventions that target a specific ethnic group should consider the diversity of psychological and social practices with regard to excess weight, food and physical activity, as well as socioeconomic circumstances, as they may differ across and within different ethnic groups.Level 1b, grade B
61Longitudinal primary care interventions should focus on incremental, personalized, small behaviour changes (the “small change approach”) to be effective in supporting people to manage their weight.Level 1b, grade B
62Primary care multicomponent programs should consider personalized obesity management strategies as an effective way to support people living with obesity.Level 1b, grade B
63Primary care interventions that are behaviour based (nutrition, exercise, lifestyle), alone or in combination with pharmacotherapy, should be used to manage overweight and obesity.Level 1a, grade A
64Group-based diet and physical activity sessions informed by the Diabetes Prevention Program and the Look AHEAD (Action for Health in Diabetes) programs should be used as an effective management option for adults with overweight and obesity.Level 1b, grade A
65Interventions that use technology to increase reach to larger numbers of people asynchronously should be a potentially viable lower cost intervention in a community-based setting.Level 1b, grade B
66Educators of undergraduate, graduate and continuing education programs for primary health care professionals should provide courses and clinical experiences to address the gaps in skills, knowledge of the evidence, and attitudes necessary to confidently and effectively support people living with obesity.Level 1a, grade A
67For adults living with overweight or obesity, the following commercial programs should achieve mild to moderate weight loss in the short or medium term, compared with usual care or education: See recommendation
68Optifast, Jenny Craig, WW (formerly Weight Watchers) and Nutrisystem should achieve a mild reduction of glycated hemoglobin values over a short-term period compared with usual counselling in adults with obesity and type 2 diabetes.Level 1b, grade B
69We do not recommend the use of over-the-counter commercial weight-loss products for obesity management, owing to lack of evidence.Level 4, grade D
70We do not suggest that commercial weight-loss programs be used for improvement in blood pressure and lipid control in adults living with obesity.Level 4, grade D
71Implementation of management strategies can be delivered through Web-based platforms (e.g., online education on medical nutrition therapy and physical activity) or mobile devices (e.g., daily weight reporting through a smartphone application) in the management of obesity.Level 2a, grade B
72We suggest that health care providers incorporate individualized feedback and follow-up (e.g., personalized coaching or feedback via phone or email) into technology-based management strategies to improve weight-loss outcomes.Level 4, grade D
73The use of wearable activity tracking technology should be part of a comprehensive strategy for weight management.Level 1a, grade A
74We recommend that primary care providers discuss weight-management targets specific to the reproductive years with adult women with obesity: preconception weight loss (level 3, grade C); gestational weight gain of 5 kg to 9 kg over the entire pregnancy (level 4, grade D); postpartum weight loss of — at minimum — gestational weight gain (level 3, grade C) to reduce the risk of adverse outcomes in the current or in a future pregnancy.See recommendation
75Primary care providers should offer behaviour change interventions including both nutrition and physical activity to adult women with obesity who are considering a pregnancy (level 3, grade C), who are pregnant (level 2a, grade B) and who are postpartum (level 1a, grade A) in order to achieve weight targets.See recommendation
76We recommend that primary care providers encourage and support pregnant women with obesity to consume foods consistent with a healthy dietary pattern in order to meet their target gestational weight gain.Level 3, grade C
77We recommend that primary care providers encourage and support pregnant women with obesity who do not have contraindications to exercise during pregnancy to engage in at least 150 minutes per week of moderate intensity physical activity, to assist in the management of gestational weight gain.Level 3, grade C
78Health care providers should not prescribe metformin for gestational weight gain in pregnant women with obesity (level 1b, grade A). We suggest that weight-management medications not be used during pregnancy or breastfeeding (level 4, grade D).See recommendation
79We recommend that women with obesity be offered additional breastfeeding support because of decreased rates of initiation and continuation.Level 3, grade C
80We suggest that health care providers for Indigenous people living with obesity: Level 4, grade D (consensus)

Note: ALT = alanine aminotransferase, BMI = body mass index.

A complete description of the recommendations and supporting evidence are available in the 19 chapters of the full guideline ( http://obesitycanada.ca/guidelines/ ). This synopsis outlines a discussion of the guiding principles that the executive committee determined as important for advancing clinical practice in Canada.

There are 5 steps in the patient arc to guide a health care provider in the care of people living with obesity. Each step is outlined below with highlights of the relevant recommendations and a discussion of supporting evidence.

  • Recognition of obesity as a chronic disease by health care providers, who should ask the patient permission to offer advice and help treat this disease in an unbiased manner.
  • Assessment of an individual living with obesity, using appropriate measurements, and identifying the root causes, complications and barriers to obesity treatment.
  • Discussion of the core treatment options (medical nutrition therapy and physical activity) and adjunctive therapies that may be required, including psychological, pharmacologic and surgical interventions.
  • Agreement with the person living with obesity regarding goals of therapy, focusing mainly on the value that the person derives from health-based interventions.
  • Engagement by health care providers with the person with obesity in continued follow-up and reassessments, and encouragement of advocacy to improve care for this chronic disease.

Step 1: Recognition of obesity as a chronic disease and obtaining patient permission

Primary care providers should recognize and treat obesity as a chronic disease, caused by abnormal or excess body fat accumulation (adiposity), which impairs health, with increased risk of premature morbidity and mortality. 1 , 2 , 18 , 44 – 47

Obesity is a complex and heterogeneous chronic disease that does not present in the same way in all patients and that requires individualized treatment and long-term support like any other complex chronic disease.

Weight bias in health care settings can reduce the quality of care for patients living with obesity. 42 A key to reducing weight bias, stigma and discrimination in health care settings is for health care providers to be aware of their own attitudes and behaviours toward individuals living with obesity. 48 This can be achieved by completing a self-assessment tool, like the Implicit Association Test, for weight bias. 49 A full description and supporting evidence for weight bias recommendations are available online ( http://obesitycanada.ca/guidelines/ ) in the chapter titled “Reducing weight bias in obesity management, practice and policy.”

Health care providers should not assume that all patients living with obesity are prepared to initiate obesity management. Health care providers should ask the patient permission to discuss obesity, and if the patient permits, then a discussion on treatment can begin. 50 , 51

Step 2: Assessment

Primary care clinicians should promote a holistic approach to health with a focus on health behaviours in all patients and address the root causes of weight gain with care to avoid stigmatizing and overly simplistic narratives.

Direct measurement of height, weight and waist circumference and calculation of BMI should be included in routine physical examination for all adults. Although BMI has its limitations, it remains a valuable tool for screening purposes and for population health indices. 52 For persons with increased BMI (between 25 mg/m 2 and 34.9 mg/m 2 ), waist circumference should be regularly measured to identify individuals with increased visceral adiposity and adiposity-related health risks. 53

Root causes of obesity include biological factors such as genetics, epigenetics, neurohormonal mechanisms, associated chronic diseases and obesogenic medications, sociocultural practices and beliefs, social determinants of health, built environment, individual life experiences like adverse childhood experiences, and psychological factors such as mood, anxiety, binge-eating disorder, attention-deficit/hyperactivity disorder, self-worth and identity. 50 Working with people to understand their context and culture, and integrate their root causes, allows for the development of personalized plans. These plans can be integrated into long-term therapeutic relationships with chronic disease follow-up of obesity and related comorbidities, including addressing the root causes of obesity such as existing conditions and obesogenic medications.

We recommend obtaining a comprehensive history to identify these root causes of weight gain, as well as physical, mental and psychosocial barriers. Physical examination, laboratory, diagnostic imaging and other investigations should be carried out based on clinical judgment. We also recommend measuring blood pressure in both arms and obtaining fasting glucose or glycated hemoglobin values and a lipid panel to determine cardiometabolic risk, and when indicated, alanine aminotransferase to screen for nonalcoholic fatty liver disease.

Step 3: Discussion of treatment options

Adults living with obesity should receive individualized care plans that address their root causes of obesity and that provide support for behavioural change (e.g., nutrition, physical activity) and adjunctive therapies, which may include psychological, pharmacologic and surgical interventions.

Nutrition and exercise

All individuals, regardless of body size or composition, would benefit from adopting a healthy, well-balanced eating pattern and engaging in regular physical activity. Aerobic activity (30–60 min) on most days of the week can lead to a small amount of weight and fat loss, improvement in cardiometabolic parameters, and weight maintenance after weight loss. 54

Weight loss and weight-loss maintenance require a long-term reduction in caloric intake. Long-term adherence to a healthy eating pattern that is personalized to meet individual values and preferences, while fulfilling nutritional needs and treatment goals, is an important element of managing health and weight.

Medical nutrition therapy is a foundation for chronic disease management, including obesity management. 55 , 56 However, medical nutrition therapy should not be used in isolation in obesity management, as sustaining weight loss may be difficult long term because of compensatory mechanisms in the brain that promote positive caloric intake by increasing hunger and ultimately causing weight gain. 57 , 58 Instead, medical nutrition therapy, in combination with other interventions (psychological, pharmacologic, surgical), should be tailored to meet an individual’s health-related or weight-related outcomes. 56 , 59

The weight loss achieved with health behavioural changes is usually 3%–5% of body weight, which can result in meaningful improvement in obesity-related comorbidities. 60 The amount of weight loss varies substantially among individuals, depending on biological and psychosocial factors and not simply on individual effort.

The weight at which the body stabilizes when engaging in healthy behaviours can be referred to as the “best weight”; this may not be an “ideal” weight on the BMI scale. Achieving an “ideal” BMI may be very difficult. If further weight loss is needed to improve health and well-being beyond what can be achieved with behavioural modification, then more intensive pharmacologic and surgical therapeutic options can be considered.

Psychological and behavioural interventions

All health interventions such as healthy eating and physical activity strategies, medication adherence or surgery preparation and adjustment approaches rest on behaviour change. 61 Psychological and behavioural interventions are the “how to” of change. They empower the clinician to guide the patient toward recommended behaviours that can be sustained over time. 60 A full description of psychological and behavioural interventions and supporting evidence are available online ( http://obesitycanada.ca/guidelines/ ) in the chapter titled “Effective psychological and behavioural interventions in obesity management.”

Pharmacotherapy

We recommend adjunctive pharmacotherapy for weight loss and weight-loss maintenance for individuals with BMI ≥ 30 kg/m 2 or BMI ≥ 27 kg/m 2 with adiposity-related complications, to support medical nutrition therapy, physical activity and psychological interventions. Options include liraglutide 3.0 mg, naltrexone-bupropion combination and orlistat. Pharmacotherapy augments the magnitude of weight loss beyond that which health behaviour changes can achieve alone and is important in the prevention of weight regain. 62 – 66 A full description and supporting evidence are available online ( http://obesitycanada.ca/guidelines/ ) in the chapter titled “Pharmacotherapy in obesity management.”

Bariatric surgery

Bariatric surgery may be considered for people with BMI ≥ 40 kg/m 2 or BMI ≥ 35 kg/m 2 with at least 1 obesity-related disease. The decision regarding the type of surgery should be made in collaboration with a multidisciplinary team, balancing the patient’s expectations, medical condition, and expected benefits and risks of the surgery. A full description and supporting evidence are available online ( http://obesitycanada.ca/guidelines/ ) in the chapters titled “Bariatric surgery: selection and preoperative workup,” “Bariatric surgery: options and outcomes” and “Bariatric surgery: postoperative management.”

Step 4: Agreement regarding goals of therapy

Because obesity is a chronic disease, managing it in the long term involves patient–provider collaboration. 67 Health care providers should talk with their patients and agree on realistic expectations, person-centred treatments and sustainable goals for behaviour change and health outcomes. 68

Helpful actions in primary care consultations to mitigate antifat stigma include explicitly acknowledging the multiple determinants of weight-disrupting stereotypes of personal failure or success attached to body composition; focusing on behavioural interventions to improve overall health; and redefining success as healthy behaviour change regardless of body size or weight. 69

As this disease is chronic in nature, the treatment plan must be long term. Health care providers and patients should design and agree on a personalized action plan that is practical and sustainable and addresses the drivers of weight gain. 70

Step 5: Follow-up and advocacy

There is a need to advocate for more effective care for people living with obesity. This includes improving the education and lifelong learning of health care providers to be able to deliver effective, evidence-based obesity care. We also need to support allocation of health care resources to improve access to effective behavioural, pharmacologic and surgical therapeutic options.

There are substantial barriers affecting access to obesity care in Canada, including a profound lack of interdisciplinary obesity management programs, a lack of adequate access to health care providers with expertise in obesity, long wait times for referrals and surgery, and the high costs of some treatments., 37 , 71 – 73 In general, health care professionals are poorly prepared to treat obesity. 74 None of the anti-obesity medications available in Canada is listed as a benefit on any provincial or territorial formulary and none is covered under any provincial public drug benefit or pharmacare program. 71 Wait times for bariatric surgery in Canada are the longest of any surgically treatable condition. 37 , 71 Although access to bariatric surgery has increased in some parts of Canada, it is still limited in most provinces and nonexistent in the 3 territories. 37 , 71 , 75 Patients referred to bariatric surgery can wait as long as 8 years before meeting a specialist or receiving the surgery.

The lack of access to obesity treatments is contributing to rising levels of severe obesity in Canada. 46 Canadians affected by obesity are left to navigate a complex landscape of weight-loss products and services, many of which lack a scientific rationale and openly promote unrealistic and unsustainable weight-loss goals. 76

Composition of participating groups

Obesity Canada and the Canadian Association of Bariatric Physicians and Surgeons assembled an executive committee and steering committee with broad expertise and geographic representation. The executive committee (comprising 2 co-chairs [S.W., D.C.W.L.], a primary care physician [D.C.-S.], a psychologist [M.V.], a bariatric surgeon [L.B.] and a nephrologist [A.M.S.]) provided overall vision and oversight for the guideline process.

The steering committee ( n = 16) consisted of some lead authors of each chapter and a person living with obesity; this committee identified additional researchers (chapter leads and authors) to write each chapter. The executive committee and steering committee met in person in April 2017 and December 2017 and at least monthly by phone.

Chapter leads and chapter authors ( n = 60) were selected based on their expertise in clinical practice and research in the field of obesity medicine. The number of chapter authors per chapter ranged from 2 to 4. Some chapter leads identified additional authors to participate in writing each chapter.

We engaged people living with obesity ( n = 7) through participation of the Public Engagement Committee of Obesity Canada. One member of the Public Engagement Committee (I.P.) was assigned to the steering committee for this guideline. The Public Engagement Committee met by phone once per month. We obtained contributions from committee members through online surveys, focus groups and individual conversations.

We engaged Indigenous community members through a focus group ( n = 14). Additionally, we obtained the insights of health care providers working with Indigenous communities via a consensus-building process between these clinicians and chapter authors, carried out over the spring of 2019, which further grounded evidence in clinical practice. Details are available online ( http://obesitycanada.ca/guidelines/ ) in the chapter titled “Obesity management with Indigenous Peoples.”

Obesity Canada staff, consultants and volunteers ( n = 15) provided administrative support and project coordination for the guideline development process. Table 2 outlines the guideline development process and the responsibilities of each group of participants.

Summary of guideline development process

ActivityResponsible group
• Mind-mapping exercise to identify the scope of the guideline and the broad sections and chapters (19 chapters)Executive committee
• Develop research questions (PICO[T]) for each chapterSteering committee
• Conduct literature search MERST
• Load results of the literature search into the Distiller Systematic Review software programMERST
• Conduct critical appraisal of all papers Chapter leads
• Review results of critical appraisal and assign evidence grades to each paper using AGREE II tool MERST
• Develop reports with graded evidenceMERST
• Develop recommendations based on the highest level of evidence and expert consensusSteering Committee with chapter leads and authors
• Review recommendations to ensure fidelity with the evidence (only for recommendations using grade A–C level evidence)MERST
• Review recommendations to ensure fidelity with the evidence and relevance to primary care health care professionalsExecutive committee
• Revise recommendations based on feedback from the executive committee and MERSTSteering committee with chapter leads
• Review and approve final recommendationsExecutive committee
• External review of recommendations to assess relevance and feasibilityFamily physicians and people living with obesity
• External peer review of chaptersExperts in each area

Note: AGREE = Appraisal of Guidelines for Research and Evaluation, MERST = McMaster Evidence Review and Synthesis Team; PICO(T) = Population, Intervention, Comparison, Outcome, Time.

Selection of priority topics

The executive committee conducted a mind-mapping exercise to identify the scope of the guideline and the broad sections and chapters (April–June 2017). 79 A total of 19 different sections and chapters were prioritized. The steering committee developed PI/PECOT (Population, Intervention or Exposure, Comparison, Outcome, Time) questions for each chapter at an in-person meeting on Dec. 15–16, 2017, resulting in 179 questions to guide the literature search. All clinical questions were developed with the assistance of the McMaster Evidence Review and Synthesis Team (MERST; previously the McMaster Evidence-Based Practice Centre) in the appropriate format (e.g., PICO [T] for therapeutics and treatments, PEO for qualitative questions).

Literature review and quality assessment

The McMaster Evidence Review and Synthesis Team supported the guideline development through literature searches based on the PI/PECOT questions for each chapter. A health sciences librarian, based at McMaster Health Sciences Library (Hamilton, Ont.), used this information to create search strategies for the MEDLINE and Embase databases. The searches were for peer-reviewed and published literature in the English language; the search dates were January 2006 to June 2018. There were 14 searches that mapped directly to the chapters and another 7 searches that helped provide context for various chapters. Search strategies are available on the obesity guideline webpage ( http://obesitycanada.ca/guidelines/ ). Once a search was conducted, the results were uploaded to EndNote, where the duplicates were removed and the final set of citations was uploaded to DistillerSR software for selection and review. 80 In addition to the electronic searches, the chapter authors identified additional citations and added them to the main search results.

Two reviewers completed screening of article titles and abstracts and independently selected studies for possible inclusion. Any citation that was selected for inclusion by either reviewer was moved to full-text review. One or more authors of the relevant chapter conducted reviews of full-text articles for relevancy. Selected citations were then assessed for their methodological quality using the Shekelle approach. 77 , 81 Each citation was categorized into prevention, treatment, evaluation of diagnostic properties or prognosis. Once that selection was made, the appropriate methods worksheet was displayed in the DistillerSR platform, from which the methodological questions were answered and a level of evidence generated based on the type and quality of the study. The levels of evidence informed the strength of the recommendations and were generated from the methods worksheets ( Box 3 ). 77

Classification schemes 77

Category of evidence

  • Level 1a: Evidence from meta-analysis of randomized controlled trials (RCTs)
  • Level 1b: Evidence from at least 1 RCT
  • Level 2a: Evidence from at least 1 controlled study without randomization
  • Level 3: Evidence from nonexperimental descriptive studies, such as comparative studies, correlation studies and case–control studies
  • Level 4: Evidence from expert committee reports or opinions or clinical experience of respected authorities, or both

Strength of recommendation

  • Grade A: Directly based on level 1 evidence
  • Grade B: Directly based on level 2 evidence or extrapolated recommendation from category 1 evidence
  • Grade C: Directly based on level 3 evidence or extrapolated recommendation from level 1 or 2 evidence
  • Grade D: Directly based on level 4 evidence or extrapolated recommendation from level 1, 2 or 3 evidence

Adapted with permission from BMJ Publishing Group Limited. Shekelle PG, Woolf SH, Eccles M, et al. Developing clinical guidelines. West J Med 1999;170:348-51.

Development of recommendations

Recommendations were formulated by the steering committee, chapter leads and chapter authors based on the highest level of evidence available (Box 3). 77 Chapter leads and authors reviewed the type and strength of the available evidence (level) and added the study reference that provided the highest level of evidence for the specific recommendation.

Recognizing the importance of qualitative research in addressing questions pertinent to the care of people living with obesity, content experts in qualitative research (S.K., X.R.S., D.C.S., L.C., S.R.M.) were involved in the review of all materials informing these recommendations. Consensus appraisal of evidence quality by reviewers with expertise in qualitative methods informed the level of evidence in these recommendations.

Some grade D recommendations were formulated based on expert committee reports, opinions or clinical experience of respected authorities, and referenced accordingly; other grade D recommendations formulated by chapter authors were noted with “Consensus ” after the grade D.

Chapter authors used a standardized terminology to make the recommendation more specific. The actionable verbs used for each of the recommendations were informed by the literature ( Table 3 ). 82 – 84

Definitions of actionable verbs used in the recommendations 82 – 84

Grade levelSuggested terms
Level 1, grade A recommendationsUse the term “should”
Level 2, grade B recommendationsUse the terms “may” or “can”
Level 3, grade C recommendationsUse the term “recommend”
Level 4, grade D and consensus recommendationsUse the term “suggest”

We used an iterative process to finalize the recommendations. Methodologists from MERST provided an independent review of recommendations that had a grade between A and C, for which they examined the clarity of wording and the fidelity of the recommendations with the evidence. Two methodologists (a primary and secondary reviewer) reviewed each recommendation, using checklists as a guide for assigning levels of evidence to each citation. The methodologists met, discussed and reached consensus on grading the recommendations, and reported their suggestions regarding revisions to the wording or grading to the executive committee. Chapter leads edited the recommendations based on the MERST review process.

The executive committee voted on each recommendation, to ensure consensus. If a recommendation did not reach 100% agreement, the executive committee discussed the recommendation in depth until consensus was achieved. The chapter leads subsequently modified the wording of this recommendation, as required, and the executive committee approved the newly worded recommendation. The executive committee provided final approval of all the recommendations. All the recommendations included in this guideline achieved 100% agreement.

External review

External reviewers (primary care health care professionals and people living with obesity [ n = 7]) reviewed the recommendations for relevance and feasibility. We made some modifications to reflect language and the context of the primary care setting. A separate external peer review was conducted for each chapter.

Management of competing interests

Funding came from the Canadian Institutes of Health Research Strategic Patient-Oriented Research initiative, Obesity Canada’s Fund for Obesity Collaboration and Unified Strategies (FOCUS) initiative, the Canadian Association of Bariatric Physicians and Surgeons, and in-kind support from the scientific and professional volunteers engaged in the process. The views of the funding body have not influenced the content of the guideline. All committee members (executive and steering committees), chapter leads and chapter authors were volunteers and not remunerated for their services.

The executive committee developed and managed the competing interest policy and procedures for mitigating bias. The policy and disclosures of competing interest are available on the guideline website. All participants were required to disclose potential competing interests. We maintained detailed competing interest declarations throughout the process for all members of the steering and executive committees, as well as the participating methodologists from MERST. We used the International Committee of Medical Journal Editors’ disclosure form, with the addition of government funding sources.

Individuals with relevant disclosures were not excluded from conducting the critical appraisals or voting on recommendations. However, the executive committee asked individuals with direct competing interests to abstain from voting in the areas in which they had the conflict. Any discussion regarding off-label use of drugs included the caveat that the use was off label.

As mentioned earlier, methodologists from MERST who had no competing interests reviewed and graded 78 each included study to ensure the evidence had been appropriately assessed. They also reviewed the recommendations (graded between A and C) to ensure that recommendations were aligned with the evidence. Finally, we conducted an external review process to assess the feasibility of the recommendations and evaluate for the presence of bias.

Implementation

Obesity Canada and the Canadian Association of Bariatric Surgeons and Physicians have created a joint guideline website ( http://obesitycanada.ca/guidelines ) that hosts the full guideline; interim updates; a quick reference guide; key messages; health care provider tools, slide kits, videos and webinars; and resources for people living with obesity and their support systems, in English and French. The guideline will be hosted on the website as a living document. Each chapter lead will monitor evidence related to this guideline and will collaborate with the executive committee to update the recommendations if new evidence becomes available that could influence the recommendations. A framework for implementation (5As Framework) is available in Appendix 2.

More than 10 years after the release of the first Canadian obesity guideline in 2006, access to obesity care remains an issue in Canada. 37 , 71 Obesity is not officially recognized as a chronic disease by the federal, provincial and territorial, and municipal governments, despite declarations by the Canadian Medical Association 85 and the World Health Organization. 86 The lack of recognition of obesity as a chronic disease by public and private payers, health systems, the public and media has a trickle-down effect on access to treatment. 72 Obesity continues to be treated as a self-inflicted condition, which affects the type of interventions and approaches that are implemented by governments or covered by health benefit plans. 87

Implementation of this guideline will require targeted policy action, as well as advocacy efforts and engagement from people living with obesity, their families and health care providers. Canadian organizations have come together to change the narrative regarding obesity in Canada, to eliminate weight bias and obesity stigma, and to change the way health care systems and policies approach obesity. 88 This guideline will be used to assist in advocacy efforts to federal and provincial governments to improve the care of individuals with obesity.

Other guidelines

In 2006, the first evidence-based Canadian clinical practice guideline on the prevention and management of obesity in adults and children was released. 43 In 2015, the Canadian Task Force on Preventive Health Care, in collaboration with scientific staff of the Public Health Agency of Canada and the McMaster Evidence Review and Synthesis Centre, released a set of recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. 89 This guideline was not designed to “apply to people with BMI of 40 or greater, who may benefit from specialized bariatric programs” and reviewed only intervention trials conducted in settings generalizable to Canadian primary care. The guideline also did not include surgical treatments.

Gaps in knowledge

The recommendations in this guideline are informed by the best level of evidence available in 2020. We acknowledge that ongoing research will continue to inform and advance obesity management. 90 , 91

Current treatment options, apart from surgical intervention, rarely yield sustained weight loss beyond 20%, and for some people living with obesity, this level of weight loss may be inadequate for the resolution or improvement of many adiposity-related medical complications. There is a need for more treatment options to meet the needs of people with obesity. Weight regain continues to be a challenge for many patients who have received treatment. 92

Obesity is a prevalent, complex chronic disease that affects a large number of adults in Canada and globally, and yet only a small fraction of people living with obesity who could benefit from treatment have access to care. This updated evidence-informed guideline is an attempt to enhance access and care by people living with obesity through recognition among health care providers that obesity requires long-term treatment. The newer insights into appetite regulation and the pathophysiology of obesity have opened new avenues for treating this chronic disease. Reducing weight bias and stigma, understanding the root causes of obesity, and promoting and supporting patient-centred behavioural interventions and appropriate treatment by health care providers — preferably with the support of interdisciplinary care teams — will raise the standards of care and improve the well-being of people living with obesity. Dissemination and implementation of this guideline are integral components of our goals to address this prevalent chronic disease. Much more effort is needed to close the gaps in knowledge through obesity research, education, prevention and treatment.

Acknowledgements

The authors thank Obesity Canada staff members Dawn Hatanaka, Nicole Pearce, Brad Hussey, Robert Fullerton and Patti Whitefoot-Bobier for their coordinating support as well as their contributions for the development of the Obesity Guidelines website, online resources, tables and figures. The authors also thank members of the Obesity Canada Public Engagement Committee (Lisa Schaffer, Candace Vilhan, Kelly Moen, Doug Earle, Brenndon Goodman), who contributed to the creation of the research questions and reviewed key messages for individuals living with obesity and recommendations for health care providers. The authors also thank McMaster Evidence Review and Synthesis Team (MERST) member Donna Fitzpatrick, who played a critical role in developing the methods needed for the guideline; and thank the reviewers whose comments helped to improve the chapters and this manuscript. The authors thank Barbara Kermode-Scott and Brad Hussey for editing the guidelines, Elham Kamran and Rubin Pooni for research assistance, and Jordan Tate from the Physician Learning Program at the University of Alberta for designing the 5As framework for the guideline.

This article is available in French at www.cmaj.ca/lookup/suppl/doi:10.1503/cmaj.191707/-/DC1

CMAJ Podcasts: author interview at https://www.cmaj.ca/lookup/doi/10.1503/cmaj.191707/tab-related-content

Competing interests: Sean Wharton reports receiving honoraria and travel expenses and has participated in academic advisory boards for Novo Nordisk, Bausch Health, Eli Lilly and Janssen. Sean Wharton is also the medical director of a medical clinic specializing in weight management and diabetes. David Lau reports receiving grants and research support from AstraZeneca, Novo Nordisk and the Canadian Institutes of Health Research (CIHR); speaker bureau fees from AstraZeneca, Bausch Health, Boehringer Ingelheim, Diabetes Canada, Eli Lilly, Merck and Novo Nordisk; and consulting fees from Amgen, AstraZeneca, Bausch Health, Boehringer Ingelheim, Gilead, HLS Therapeutics, Janssen, Eli Lilly and Novo Nordisk. Michael Vallis is a member of advisory boards for Novo Nordisk, Bausch Health and LifeScan. Michael Vallis has also received consulting fees from Bausch Health, LifeScan, Novo Nordisk and Sanofi, and speaking fees from Novo Nordisk, Sanofi, Bausch Health, Abbott and AbbVie. Arya Sharma reports receiving speaker’s bureau and consulting fees from Novo Nordisk, Bausch Pharmaceuticals and Astra-Zeneca. Laurent Biertho reports receiving grants from Johnson and Johnson and Medtronic, and is a member of advisory boards for Novo Nordisk and Bausch Health, outside the submitted work. Denise Campbell-Scherer has no personal financial relationships, but reports receiving research funding from the following sources in the past 3 years: Novo Nordisk Alberta Diabetes Fund (NOVAD), a peer-reviewed grant that is a partnership between the University Hospital Foundation, Novo Nordisk and Alberta Innovates joint funders; Alberta Innovates Health Solutions (Cancer Prevention Research Opportunity and Collaborative Research and Innovation Opportunities competitions), CIHR (Strategy for Patient-Oriented Research and Knowledge-to-Action competitions); Northern Alberta Family Medicine Fund; and the Alberta Cancer Prevention and Legacy Fund. She also reports receiving knowledge transfer funding from the following sources in the past 3 years: an unrestricted education grant from Obesity Canada, funded by Novo Nordisk Global; a Worldwide University Network Meeting Grant; an Agency for Healthcare Research and Quality R13 grant for a Healthcare Effectiveness and Outcomes Research; and a Physician Learning Program grant from Alberta Health and the Alberta Medical Association. Angela Alberga reports receiving the following grants: the Santé Award from Fonds de Recherche du Quebec, the Mitacs Accelerate Grant, and the Concordia University Start-up Team Grant, outside the submitted work. Jennifer Brown reports receiving nonfinancial support from Novo Nordisk, and personal fees from Bausch Health, Dietitians of Canada, Obesity Canada and the Canadian Association of Bariatric Physicians & Surgeons. Yoni Freedhoff is the co-owner of the Bariatric Medical Institute and Constant Health, which provide weight management services; Constant Health has received a grant from Novo Nordisk. Yoni Freedhoff is also the author of The Diet Fix: Why Diets Fail and How to Make Yours Work published by Crown Publishing Group, and receives royalties for the book. In addition, he is the sole author of the Weighty Matters blog and a column for Medscape and many other op-eds and articles in which he has publicly expressed opinions about the treatment, management and prevention of obesity. Yoni Freedhoff also regularly speaks on topics related to obesity and receives honoraria and travel costs and expenses for same. Michel Gagner reports receiving speaker honoraria from Ethicon, WL Gore and Medtronic; consulting fees from Novo Nordisk, Bausch Health and Lexington Medical; and holds stock options with Lexington Medical. Margaret Hahn reports receiving consulting fees from Alkermes. Marie-France Langlois reports receiving personal fees from Novo Nordisk, Valeant, Merck Canada, Sanofi, Eli Lilly and Boehringer Ingelheim; a grant from Merck Canada; and other fees from AstraZeneca and from TIMI (Thrombolysis in Myocardial Infarction) Study Group for diabetes clinical research as a principal investigator, all outside the submitted work. David Macklin reports receiving personal fees from Novo Nordisk and Bausch Health, outside the submitted work. Priya Manjoo reports receiving personal fees from Novo Nordisk, Bausch Health and Sanofi; and grants from Boehringer Ingelheim, Sanofi and AstraZeneca, outside the submitted work. Marie-Philippe Morin reports receiving speaker honoraria from Novo Nordisk, Bausch Health, Eli Lilly, Boehringer Ingelheim, Nestlé Health Science, Janssen and AstraZeneca; research subvention from Novo Nordisk and Sanofi; and consultation honoraria from Novo Nordisk, Bausch Health, Eli Lilly, Boehringer Ingelheim, Janssen and AstraZeneca. Sue Pedersen reports receiving personal fees from Novo Nordisk, Bausch Health, Janssen, Eli Lilly, Merck, AstraZeneca, Boehringer Ingelheim, Sanofi, Pfizer; grants from Eli Lilly, AstraZeneca, Boehringer Ingelheim and Sanofi; and nonfinancial support from Novo Nordisk, Bausch Health, Janssen, Eli Lilly, AstraZeneca, Boehringer Ingelheim and Sanofi, outside the submitted work. Megha Poddar reports receiving honoraria for continuing medical education (CME) from Novo Nordisk, Bausch Health, Boehringer Ingelheim, Eli Lilly, Jenssen, Merck, the Canadian Collaborative Research Network and the Antibody Network; education grants from Novo Nordisk and Bausch Health; fees for mentorship from Novo Nordisk; fees for membership of advisory boards from Novo Nordisk and Bausch Health; and a quality improvement project grant from Boehringer Ingelheim. Paul Poirier reports receiving fees for consulting and continuing medical education from AstraZeneca, Boehringer Ingelheim, Janssen, Eli Lilly, Novo Nordisk, Valeant and Bausch Health, outside the submitted work. Judy Shiau reports receiving personal fees from Novo Nordisk and Bausch Health, outside the submitted work. Diana Sherifali reports receiving consulting fees for advice regarding chronic disease and diabetes management from Merck, and a grant from Obesity Canada to support the literature review process, during the conduct of the study. John Sievenpiper reports receiving grants from CIHR, the Nutrition Trialists Fund at the University of Toronto, the International Nut and Dried Fruit Council Foundation, the Tate & Lyle Nutritional Research Fund at the University of Toronto, the American Society for Nutrition, the Glycemic Control and Cardiovascular Disease in Type 2 Diabetes Fund at the University of Toronto, the National Dried Fruit Trade Association, PSI Graham Farquharson Knowledge Translation Fellowship, the Diabetes Canada Clinician Scientist award, the Banting & Best Diabetes Centre Sun Life Financial New Investigator Award, the Canada Foundation for Innovation, and the Ministry of Research and Innovation’s Ontario Research Fund. Dr. Sievenpiper has received personal fees from Perkins Coie LLP, Tate & Lyle, Dairy Farmers of Canada, PepsiCo, Food-Minds LLC, European Fruit Juice Association, International Sweeteners Association, Nestlé Health Science, Canadian Society for Endocrinology and Metabolism, GI Foundation, Pulse Canada, Wirtschaftliche Vereinigung Zucker e.V., Abbott, Biofortis, the European Food Safety Authority, the Physicians Committee for Responsible Medicine, the Soy Nutrition Institute and the Comité Européen des Fabricants de Sucre. Dr. Sievenpiper has received nonfinancial support from Tate & Lyle, PepsiCo, FoodMinds LLC, European Fruit Juice Association, International Sweeteners Association, Nestlé Health Science, Wirtschaftliche Vereinigung Zucker e.V., Abbott, Biofortis, the European Food Safety Authority and the Physicians Committee for Responsible Medicine, Kellogg Canada, American Peanut Council, Barilla, Unilever, Unico Primo, Loblaw Companies, WhiteWave Foods, Quaker, California Walnut Commission, Almond Board of California, outside the submitted work. Dr. Sievenpiper is a member of the International Carbohydrate Quality Consortium and the Clinical Practice Guidelines Expert Committees of Diabetes Canada, European Association for the Study of Diabetes, Canadian Cardiovascular Society, and Obesity Canada, and holds appointments as an Executive Board Member of the Diabetes and Nutrition Study Group of the European Association for the Study of Diabetes, and as Director of the Toronto 3D Knowledge Synthesis and Clinical Trials Foundation. He is also an unpaid scientific adviser for the Program in Food Safety, Nutrition and Regulatory Affairs and the Carbohydrates Committee of the International Life Science Institute North America. He has a spousal relationship with an employee of Anheuser-Busch InBev. Sanjeev Sockalingam reports receiving honoraria from Bausch Health Canada within the last 36 months. Valerie Taylor reports receiving speaker fees from Sunovion. Shahebina Walji reports receiving consulting or advisory board fees from Novo Nordisk, Bausch Health and Takeda and speaker’s bureau fees from Novo Nordisk and Bausch Health. Shahebina Walji also reports selling Optifast Meal replacements through a weight management centre Optifast is a product produced and sold by Nestlé. No other competing interests were declared.

This article has been peer reviewed.

Contributors: All of the authors contributed to the conception and design of the work and the acquisition, analysis, and interpretation of data. All of the authors drafted the manuscript, revised it critically for important intellectual content, gave final approval of the version to be published and agreed to be accountable for all aspects of the work.

Funding: Funding for this initiative was provided by Obesity Canada, the Canadian Association of Bariatric Physicians and Surgeons, and the Canadian Institutes of Health Research through a Strategy for Patient-Oriented Research grant, with no participants or authors receiving any personal funding for their creation.

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Choosing Nursing Dissertation Topics: Expert Guide & Tips

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  • November 29, 2023

Welcome to NursingWriters.net, your go-to resource for expert information and guidance on choosing nursing dissertation topics . We understand that selecting the right topic is crucial for a successful research project, and we are here to help you make an informed decision.

When it comes to choosing a nursing dissertation topic, it is important to consider your interests, expertise , and career goals. You want to select a topic that aligns with your passion and has current gaps in knowledge within the field of nursing. Conducting a preliminary literature review can help you identify existing research and potential areas for exploration.

Seeking feedback from advisors, professors, and peers is also crucial in ensuring that your chosen topic is manageable and feasible within the given time frame. They can provide valuable insight and guidance to help you refine and develop your topic further.

At NursingWriters.net, we are dedicated to empowering busy nurses like you to excel in BSN, MSN, and DNP programs. Our expert team has years of experience in nursing research and writing, and we are here to provide you with the support and guidance you need to choose the best nursing dissertation topic for your academic and professional success.

Key Takeaways:

  • Choose a nursing dissertation topic that aligns with your interests, expertise , and career goals.
  • Conduct a preliminary literature review to identify existing research and potential areas for exploration.
  • Seek feedback from advisors, professors, and peers to ensure your topic is manageable and feasible.
  • Consider the support and guidance available to you from resources like NursingWriters.net.
  • Remember that choosing the right nursing dissertation topic is essential for academic and professional success.

The Importance of Choosing a Nursing Dissertation Topic

When embarking on your nursing dissertation journey, one of the most critical decisions you will make is selecting a relevant and impactful topic. The choice of a nursing dissertation topic holds great significance as it sets the foundation for your research and determines the overall success of your study. It is essential to recognize the importance of this decision and approach it with careful consideration.

The significance of choosing a nursing dissertation topic lies in its ability to contribute to the field of nursing and address gaps in knowledge. By selecting a topic that aligns with your interests and expertise , you can conduct research that is meaningful and has the potential to make a difference in the healthcare industry. A well-chosen topic also allows you to showcase your skills and knowledge in a specific area of nursing, highlighting your expertise to future employers or academic institutions.

Furthermore, the impact of topic choice extends to the feasibility and manageability of your research. By selecting a topic that is manageable within the given time frame and available resources, you increase the likelihood of completing your dissertation successfully. It is crucial to consider the scope of your research, available literature, and potential sources to ensure that your chosen topic is realistic and achievable.

“The significance of choosing a nursing dissertation topic lies in its ability to contribute to the field of nursing and address gaps in knowledge.”

In summary, the importance of choosing a nursing dissertation topic cannot be overstated. It determines the relevance and impact of your research, showcases your expertise, and influences the feasibility of your study. By selecting a topic that aligns with your interests, fills gaps in knowledge, and is manageable within the given time frame, you set yourself up for a successful and meaningful research journey.

Key Points
The choice of a nursing dissertation topic is crucial for a successful research project.
A well-chosen topic aligns with your interests, fills gaps in knowledge, and contributes to the field of nursing.
Choosing a topic that is manageable and feasible within the given time frame is essential.

Tips for Choosing a Nursing Dissertation Topic

Choosing the right topic for your nursing dissertation is crucial for a successful research project. Here are some effective strategies and steps to help you select a compelling and relevant topic:

  • Conduct a thorough literature review: Start by familiarizing yourself with different areas of interest within nursing. Read material tailored to your specific interest and explore dissertations that align with your topic area. Take notes and pay attention to recurring topics that catch your attention.
  • Attend nursing academic conferences: Engage with other professionals in the field and have discussions about potential topic angles. Networking with experts and peers can provide valuable insights and new perspectives.
  • Consider feasibility and manageability: Ensure that the topic you choose is realistic and can be completed within the given time frame. Take into account the availability of credible literature and sources to support your research.

By following these tips, you can choose a nursing dissertation topic that aligns with your interests, fills gaps in knowledge, and contributes to the field.

“The choice of a nursing dissertation topic is crucial for a successful research project. It sets the foundation for a compelling study and determines the relevance and significance of the research within the field of nursing.”

Remember, selecting the right topic is the first step toward a successful nursing dissertation. Take your time to explore and evaluate different options before making a final decision.

Nursing Dissertation Topic Ideas

If you’re a nursing student in need of a dissertation topic, we’ve got you covered. Here are some popular nursing dissertation topic ideas to get you started on your research journey:

  • The impact of nurse staffing levels on patient outcomes in intensive care units
  • Efficacy of mindfulness-based interventions in reducing stress among nurses
  • Exploring the role of advanced practice nurses in improving primary care access for underserved populations
  • An analysis of the effectiveness of simulation-based training in nursing education
  • The influence of nurse-patient communication on patient satisfaction and health outcomes

These topics cover a wide range of areas within nursing and offer plenty of opportunities for research and exploration. Remember to choose a topic that aligns with your interests and career goals, and consider the feasibility of conducting research within the given time frame.

Additionally, conducting a literature review on your chosen topic will help you identify existing research and potential gaps in knowledge that your dissertation can address. Seek feedback from your advisors and peers to ensure your topic is relevant, manageable, and contributes to the field of nursing.

Nursing Dissertation Topic Ideas Keywords
Impact of nurse staffing levels on patient outcomes nurse staffing, patient outcomes
Mindfulness-based interventions in reducing nurse stress mindfulness, nurse stress
Role of advanced practice nurses in improving primary care access advanced practice nurses, primary care access
Effectiveness of simulation-based training in nursing education simulation-based training, nursing education
Nurse-patient communication and its impact on satisfaction and outcomes nurse-patient communication, satisfaction, outcomes

Nursing Dissertation Topics for 2023

As the field of nursing continues to evolve, it is essential for nursing students to choose dissertation topics that reflect the current trends and challenges in healthcare. To help you stay ahead, here are some trending nursing dissertation topics for 2023:

  • The Impact of COVID-19 on Nurse Well-being and Mental Health: Exploring Strategies for Resilience and Support.
  • Telehealth and Remote Nursing Care: Evaluating the Effectiveness and Patient Satisfaction with Virtual Nursing Interventions.
  • Nursing Leadership during Times of Crisis: Lessons Learned from the COVID-19 Pandemic.
  • Advancing Diversity, Equity, and Inclusion in Nursing Education and Practice: Strategies for Culturally Responsive Care.
  • Nursing Education in the Digital Age: Adapting Curriculum and Teaching Methods for Online and Hybrid Learning Environments.

These topics address key issues in nursing practice, education, and research, allowing students to contribute to the knowledge base and shape the future of nursing. By exploring these areas, nursing students can gain valuable insights and make meaningful contributions to the field.

It is important to note that these topics are just a starting point, and students are encouraged to explore their own interests and passions within the field of nursing. By selecting a topic that aligns with personal interests and addresses current challenges, students can embark on a rewarding journey of scholarly inquiry and professional growth.

Remember, the key to a successful dissertation is choosing a topic that is not only relevant but also personally meaningful. Take the time to explore different areas of interest and consider the impact you want to make in the field of nursing. By selecting a nursing dissertation topic that aligns with your passions and addresses current challenges, you can contribute to the advancement of nursing knowledge and practice.

Emergency Nursing Dissertation Topics

If emergency care is your area of interest, here are some emergency nursing dissertation topics to consider:

1. Impact of COVID-19 on the health workers in general

This topic focuses on the effects of the COVID-19 pandemic on the health workers in emergency care settings. It explores the challenges faced by healthcare professionals and the strategies implemented to mitigate the impact of the pandemic.

2. Knowledge and perception of hypertension management among patients

This topic examines the understanding and attitudes of patients towards hypertension management in emergency care. It investigates the knowledge gaps and potential barriers in effectively managing hypertension in emergency situations.

3. Demographic and socio-economic factors influencing utilization of maternal health services

This topic delves into the demographic and socio-economic factors that affect the utilization of maternal health services in emergency care. It analyzes the disparities in access to and utilization of emergency obstetric care among different population groups.

4. The importance of social workers in the hospital

This topic explores the role of social workers in emergency care settings and their contribution to holistic patient care. It investigates the impact of social workers in addressing the psychosocial needs of patients and their families during emergencies.

5. The psychological experience of emergency staff in the treatment of attempted suicide patients

This topic focuses on the psychological impact on emergency staff when treating patients who have attempted suicide. It examines the emotional well-being of healthcare professionals and the strategies implemented to support their mental health.

6. Incidence and prevalence of COVID-19 among under 5 children and disease pattern

This topic analyzes the incidence and prevalence of COVID-19 among children under the age of 5 in emergency care settings. It investigates the disease pattern and potential risk factors associated with COVID-19 infection in this population group.

7. Knowledge, attitudes, and practice of care of elderly patients among health workers

This topic explores the knowledge, attitudes, and practices of emergency care health workers in providing care for elderly patients. It investigates the challenges and strategies in delivering age-appropriate and patient-centered care to the elderly population.

8. Incidence of bacterial vaginosis among pregnant mothers attending ANC

This topic examines the incidence of bacterial vaginosis among pregnant mothers attending antenatal care in emergency care settings. It investigates the risk factors, clinical manifestations, and management strategies for bacterial vaginosis in pregnancy.

9. Effectiveness of therapeutic play on anxiety among children with terminally ill conditions

This topic evaluates the effectiveness of therapeutic play interventions in reducing anxiety among children with terminal illnesses in emergency care settings. It explores the impact of play on the psychological well-being and quality of life of these children.

10. Effectiveness of alcohol cleaning versus sterile water cleaning for newborn cord care

This topic compares the effectiveness of alcohol cleaning and sterile water cleaning for newborn cord care in emergency care settings. It investigates the incidence of cord infections and complications associated with different cleaning methods.

Nursing Dissertation Topics in Critical Care

If you are interested in pursuing a nursing dissertation in the field of critical care, there are several compelling topics that you can consider. The field of critical care nursing is crucial in providing specialized care for critically ill patients, and conducting research in this area can contribute to advancements in patient care and outcomes. Below are some nursing dissertation topics in critical care that you may find interesting:

Dissertation Topic 1: Reasons for the current increase in the number of cesarean sections among pregnant mothers.

Dissertation topic 2: factors contributing to the increasing number of pelvic inflammatory disease (pid) among women., dissertation topic 3: utilization of different types of cervical cancer screening., dissertation topic 4: nurse’s role in the prevention of infant and under-five child mortality., dissertation topic 5: knowledge and practice of infection control among midwives., dissertation topic 6: effect of oral care in the prevention of ventilator-associated pneumonia in intensive care units., dissertation topic 7: the effect of massage therapy on the occupational stress of intensive care unit nurses., dissertation topic 8: factors contributing to the increase in death resulting from sildenafil in kenya., dissertation topic 9: quality of life of patients with head and neck cancer., dissertation topic 10: the impact of strong immunity on the mortality and morbidity of coronavirus..

These topics cover a range of critical care issues, including maternal health, infectious diseases, preventive care, and patient well-being. Each topic offers an opportunity to explore important aspects of critical care nursing and contribute to the existing body of knowledge in the field.

When choosing a nursing dissertation topic in critical care, consider your interests and expertise to ensure that you are passionate about the subject matter. Additionally, conduct a thorough literature review to identify any gaps in knowledge and potential areas for research. Seek guidance from your advisors and professors to ensure that your chosen topic is feasible and manageable within the given time frame.

Dissertation Topic Description
Dissertation Topic 1 Reasons for the current increase in the number of cesarean sections among pregnant mothers.
Dissertation Topic 2 Factors contributing to the increasing number of pelvic inflammatory disease (PID) among women.
Dissertation Topic 3 Utilization of different types of cervical cancer screening.
Dissertation Topic 4 Nurse’s role in the prevention of infant and under-five child mortality.
Dissertation Topic 5 Knowledge and practice of infection control among midwives.
Dissertation Topic 6 Effect of oral care in the prevention of ventilator-associated pneumonia in intensive care units.
Dissertation Topic 7 The effect of massage therapy on the occupational stress of Intensive Care Unit nurses.
Dissertation Topic 8 Factors contributing to the increase in death resulting from sildenafil in Kenya.
Dissertation Topic 9 Quality of life of patients with head and neck cancer.
Dissertation Topic 10 The impact of strong immunity on the mortality and morbidity of coronavirus.

Nursing Dissertation Topics for Ph.D. Research

If you are pursuing a Ph.D. in nursing, choosing the right dissertation topic is crucial for your research journey. It’s important to select a topic that aligns with your research interests and contributes to the existing body of knowledge in nursing. Here are some nursing dissertation topics for Ph.D. research to inspire your studies:

1. Factors contributing to maternal mortality among mothers attending delivery rooms.

2. factors influencing the underutilization of partogram among nurses., 3. the relationship between depo provera and infertility among females of childbearing age., 4. effectiveness of kangaroo mother skin-to-skin contact among postnatal mothers., 5. effect of chewing gum on gastrointestinal function after gynecological surgery., 6. effects of thyroid during pregnancy and its knowledge to rural women., 7. a nationwide survey on the current status of infusion of vasoactive agents by nurses., 8. prevalence and incidence of acute gastritis among the pediatric population., 9. factors influencing health-seeking behavior among patients with metabolic disease., 10. effectiveness of preoperative instruction on postoperative outcome measures..

These topics cover a wide range of areas within nursing and offer opportunities for further exploration and research. Consider the relevance, feasibility, and potential impact of each topic as you make your selection. Remember to consult with your academic advisor or mentor to ensure that your chosen topic aligns with your research goals and objectives.

Dissertation Topic Description
Factors contributing to maternal mortality among mothers attending delivery rooms. This topic explores the various factors that contribute to maternal mortality rates and aims to identify strategies for reducing these rates through improved healthcare practices.
Factors influencing the underutilization of partogram among nurses. This topic investigates the reasons why nurses may underutilize the partogram tool in monitoring the progress of labor and explores ways to increase its usage for better maternal and neonatal outcomes.
The relationship between Depo Provera and infertility among females of childbearing age. This topic examines the potential impact of Depo Provera, a commonly used contraceptive method, on infertility among women of childbearing age and aims to provide evidence-based insights into its safety and efficacy.
Effectiveness of kangaroo mother skin-to-skin contact among postnatal mothers. This topic explores the benefits of kangaroo mother care, specifically skin-to-skin contact, for improving maternal-infant bonding, breastfeeding success, and neonatal outcomes.
Effect of chewing gum on gastrointestinal function after gynecological surgery. This topic investigates the potential benefits of chewing gum post-gynecological surgery in enhancing gastrointestinal function, reducing postoperative complications, and improving patient recovery.
Effects of thyroid during pregnancy and its knowledge to rural women. This topic examines the impact of thyroid disorders during pregnancy on maternal and fetal health outcomes and explores strategies for improving knowledge and awareness among rural women.
A nationwide survey on the current status of infusion of vasoactive agents by nurses. This topic aims to assess the current practices and knowledge of nurses regarding the infusion of vasoactive agents, such as inotropic drugs, and identify areas for improvement in patient safety and medication administration.
Prevalence and incidence of acute gastritis among the pediatric population. This topic investigates the prevalence and incidence of acute gastritis in children and explores potential risk factors, symptoms, and treatment options for better management and prevention.
Factors influencing health-seeking behavior among patients with metabolic disease. This topic explores the factors that influence the health-seeking behavior of patients with metabolic diseases, such as diabetes and obesity, and aims to improve patient engagement and self-management strategies.
Effectiveness of preoperative instruction on postoperative outcome measures. This topic investigates the impact of preoperative education and instruction on improving postoperative outcomes, such as pain management, wound healing, and patient satisfaction.

Nursing Dissertation Topics in Community Nursing

Community nursing plays a crucial role in promoting health equity and addressing the needs of underserved populations. When selecting a dissertation topic in community nursing, it is important to focus on areas that contribute to reducing health disparities and improving the well-being of individuals and communities. Here are some relevant and engaging topics for community nursing dissertations:

1. The Role of Community Nursing in Promoting Health Equity: Exploring Strategies for Reducing Health Disparities in Underserved Communities

This topic examines the role of community nursing in addressing health disparities and implementing strategies to promote health equity in underserved communities. It involves exploring innovative approaches, such as community health programs and interventions, that can effectively bridge the gap in healthcare access and outcomes.

2. Community-Based Palliative Care: Assessing the Effectiveness of Community Nursing Interventions in Enhancing End-of-Life Care and Support

This topic focuses on community-based palliative care and the role of community nursing in providing compassionate end-of-life care and support. It involves evaluating the effectiveness of community nursing interventions in improving the quality of life for patients with life-limiting illnesses and their families.

3. Community Health Education and Disease Prevention: Investigating the Impact of Community Nursing Programs on Health Promotion and Disease Prevention

This topic explores the impact of community nursing programs on health promotion and disease prevention. It involves assessing the effectiveness of community health education initiatives in raising awareness, promoting healthy behaviors, and preventing common diseases in the community.

Topic Description
4. Mental Health Services in the Community: Analyzing the Role of Community Nursing in Delivering Mental Health Support and Interventions This topic examines the role of community nursing in delivering mental health support and interventions. It involves analyzing the challenges and opportunities in providing accessible and comprehensive mental health services in the community.
5. Addressing Social Determinants of Health in Community Nursing Practice: Examining the Integration of Social Factors in Community Health Assessments and Interventions This topic focuses on the integration of social determinants of health in community nursing practice. It involves examining how community nurses can address social factors, such as poverty, education, and housing, through comprehensive health assessments and targeted interventions.
6. Community Nursing and Chronic Disease Management: Evaluating the Contribution of Community Nursing in Supporting Patients with Chronic Conditions This topic explores the role of community nursing in supporting patients with chronic conditions. It involves evaluating the contributions of community nurses in disease management, patient education, and coordinating care to enhance patient outcomes and quality of life.
7. Nurse-led Primary Care Clinics in Underserved Communities: Assessing the Role of Community Nursing in Improving Access to Primary Healthcare Services This topic focuses on nurse-led primary care clinics in underserved communities. It involves assessing the role of community nursing in improving access to primary healthcare services, addressing healthcare disparities, and meeting the healthcare needs of vulnerable populations.
8. Community Nursing and the Aging Population: Analyzing the Challenges and Opportunities for Community Nursing in Caring for the Elderly This topic explores the challenges and opportunities for community nursing in caring for the aging population. It involves analyzing the unique healthcare needs of older adults, developing age-friendly community nursing practices, and promoting healthy aging in the community.
9. Community Nursing and Health Promotion in Vulnerable Populations: Investigating Strategies for Engaging and Empowering Marginalized Communities This topic focuses on community nursing’s role in health promotion among vulnerable populations. It involves investigating strategies for engaging and empowering marginalized communities to actively participate in their own healthcare and improve health outcomes.
10. Community Nursing and Disaster Preparedness: Assessing the Role of Community Nursing in Emergency Response and Disaster Management This topic examines the role of community nursing in emergency response and disaster management. It involves assessing the preparedness of community nursing in disaster situations, exploring effective strategies for emergency response, and identifying areas for improvement in disaster preparedness.

By selecting a dissertation topic in community nursing, you have the opportunity to contribute to improving healthcare outcomes, reducing health disparities, and promoting health equity in underserved populations. These topics offer a starting point for further exploration and research in the field of community nursing.

Nursing Dissertation Topics in Pediatric

Choosing the right topic for your nursing dissertation in the field of pediatric nursing is essential to conduct a meaningful and impactful research study. By selecting a topic that aligns with your interests and addresses current gaps in knowledge, you can contribute to the advancement of pediatric healthcare and make a difference in the lives of children.

Here are some compelling nursing dissertation topics in pediatric nursing:

Nursing Dissertation Topics in Pediatric
1. Effective Pain Management in Pediatric Nursing: Exploring Strategies for Assessing and Managing Pain in Children.
2. Family-Centered Care in Pediatric Nursing: Investigating the Impact of Family Involvement on Pediatric Healthcare Outcomes.
3. Pediatric Mental Health Nursing: Assessing the Role of Pediatric Nurses in Promoting Mental Health and Well-being in Children.
4. Enhancing Pediatric Patient Safety: Analyzing the Importance of Safety Measures and Protocols in Pediatric Nursing Practice.
5. Transition of Care for Children with Chronic Conditions: Examining the Challenges and Best Practices in Transitioning Pediatric Patients to Adult Healthcare.

These topics cover a range of important issues in pediatric nursing, from pain management to family involvement and mental health. They provide opportunities for research that can have a direct impact on improving the quality of care for children in various healthcare settings.

By selecting one of these topics, you can contribute to the growing body of knowledge in pediatric nursing and make a meaningful difference in the lives of young patients and their families.

Choosing the right nursing dissertation topic is essential for a successful research project. When selecting a topic, it is important to consider your interests, expertise, and career goals. By choosing a topic that aligns with your passions and goals, you will be more motivated to delve deep into the subject matter and produce a compelling study.

In addition, conducting a thorough literature review is crucial to identify gaps in knowledge and potential research questions. By reviewing existing research, you can identify areas where further exploration is needed and contribute to the existing body of knowledge in nursing.

It is also important to take notes and think about the introduction and conclusion of your dissertation as you choose your topic. By doing so, you can ensure that your study has a clear and cohesive structure, which will enhance its impact and readability.

By following these tips and guidelines, you can select a compelling nursing dissertation topic that not only aligns with your interests and goals but also contributes to the field of nursing. With the right topic in hand, you’ll be well on your way to academic success and making a valuable contribution to the nursing profession.

How do I choose a nursing dissertation topic?

When choosing a nursing dissertation topic, consider your interests, expertise, and career goals. Conduct a literature review to identify gaps in knowledge, seek feedback from advisors and peers, and ensure your topic is manageable within the given time frame.

Why is choosing a nursing dissertation topic important?

Choosing the right nursing dissertation topic is crucial for a successful research project. It sets the foundation for a compelling study, determines the relevance and significance of the research, and contributes to the existing body of scholarship in nursing.

What are some tips for choosing a nursing dissertation topic?

Some tips for choosing a nursing dissertation topic include conducting a background study to familiarize yourself with different areas of interest, attending nursing conferences to explore new topic angles, and selecting a topic where you can find credible literature and sources to support your research.

Can you provide some nursing dissertation topic ideas?

Sure! Here are some nursing dissertation topic ideas to get you started:

– Factors contributing to the lack of resources in developing country hospitals

– Perception and attitude of mothers toward cesarean section

– Utilization of different family planning methods among teenagers

– The impact of stress on nurses’ work behaviors

– Mental health impact of the COVID-19 pandemic on healthcare workers

– Job satisfaction analysis of professional nurses in public and private sectors

– Assessment of health care waste management among health workers

– Attitudes of women towards the utilization of modern contraceptives

– Health problems for drug-addicted pregnant women

– The effectiveness of telehealth and remote nursing care in patient satisfaction

Can you suggest some nursing dissertation topics for 2023?

Absolutely! Here are some nursing dissertation topics for 2023 :

– The Impact of COVID-19 on Nurse Well-being and Mental Health: Exploring Strategies for Resilience and Support

– Telehealth and Remote Nursing Care: Evaluating the Effectiveness and Patient Satisfaction with Virtual Nursing Interventions

– Nursing Leadership during Times of Crisis: Lessons Learned from the COVID-19 Pandemic

– Advancing Diversity, Equity, and Inclusion in Nursing Education and Practice: Strategies for Culturally Responsive Care

– Nursing Education in the Digital Age: Adapting Curriculum and Teaching Methods for Online and Hybrid Learning Environments

– Addressing Health Disparities in Marginalized Communities: Examining the Role of Nurses in Promoting Health Equity

– Implementing Evidence-Based Practice in Nursing: Overcoming Barriers and Promoting Adoption

– Promoting Resilience and Mental Health in Healthcare Professionals: Self-care Strategies for Nurses

– The Role of Advanced Practice Nurses in Primary Care: Optimizing Patient Outcomes and Healthcare Delivery

– Exploring the Nurse-Patient Relationship in the Era of Virtual Care: Building Trust and Connection in Remote Settings

What are some emergency nursing dissertation topics?

For emergency care topics, consider the following options:

– Impact of COVID-19 on the health workers in general

– Knowledge and perception of hypertension management among patients

– Demographic and socio-economic factors influencing utilization of maternal health services

– The importance of social workers in the hospital

– The psychological experience of emergency staff in the treatment of attempted suicide patients

– Incidence and prevalence of COVID-19 among under 5 children and disease pattern

– Knowledge, attitudes, and practice of care of elderly patients among health workers

– Incidence of bacterial vaginosis among pregnant mothers attending ANC

– Effectiveness of therapeutic play on anxiety among children with terminally ill conditions

– Effectiveness of alcohol cleaning versus sterile water cleaning for newborn cord care

What are some nursing dissertation topics in critical care?

If you’re interested in critical care, here are some nursing dissertation topic ideas :

– Reasons for the current increase in the number of cesarean sections among pregnant mothers

– Factors contributing to the increasing number of pelvic inflammatory disease (PID) among women

– Utilization of different types of cervical cancer screening

– Nurse’s role in the prevention of infant and under-five child mortality

– Knowledge and practice of infection control among midwives

– Effect of oral care in the prevention of ventilator-associated pneumonia in intensive care units

– The effect of massage therapy on the occupational stress of Intensive Care Unit nurses

– Factors contributing to the increase in death resulting from sildenafil in Kenya

– Quality of life of patients with head and neck cancer

– The impact of strong immunity on the mortality and morbidity of coronavirus

Can you suggest some nursing dissertation topics for Ph.D. research?

Certainly! Here are some nursing dissertation topics suitable for Ph.D. research:

– Factors contributing to maternal mortality among mothers attending delivery rooms

– Factors influencing the underutilization of partogram among nurses

– The relationship between Depo Provera and infertility among females of childbearing age

– Effectiveness of kangaroo mother skin-to-skin contact among postnatal mothers

– Effect of chewing gum on gastrointestinal function after gynecological surgery

– Effects of thyroid during pregnancy and its knowledge to rural women

– A nationwide survey on the current status of infusion of vasoactive agents by nurses

– Prevalence and incidence of acute gastritis among the pediatric population

– Factors influencing health-seeking behavior among patients with metabolic disease

– Effectiveness of preoperative instruction on postoperative outcome measures

What are some nursing dissertation topics in community nursing?

For community nursing topics, consider these options:

– The Role of Community Nursing in Promoting Health Equity: Exploring Strategies for Reducing Health Disparities in Underserved Communities

– Community-Based Palliative Care: Assessing the Effectiveness of Community Nursing Interventions in Enhancing End-of-Life Care and Support

– Community Health Education and Disease Prevention: Investigating the Impact of Community Nursing Programs on Health Promotion and Disease Prevention

– Mental Health Services in the Community: Analyzing the Role of Community Nursing in Delivering Mental Health Support and Interventions

– Addressing Social Determinants of Health in Community Nursing Practice: Examining the Integration of Social Factors in Community Health Assessments and Interventions

– Community Nursing and Chronic Disease Management: Evaluating the Contribution of Community Nursing in Supporting Patients with Chronic Conditions

– Nurse-led Primary Care Clinics in Underserved Communities: Assessing the Role of Community Nursing in Improving Access to Primary Healthcare Services

– Community Nursing and the Aging Population: Analyzing the Challenges and Opportunities for Community Nursing in Caring for the Elderly

– Community Nursing and Health Promotion in Vulnerable Populations: Investigating Strategies for Engaging and Empowering Marginalized Communities

– Community Nursing and Disaster Preparedness: Assessing the Role of Community Nursing in Emergency Response and Disaster Management

What are some nursing dissertation topics in pediatric nursing?

If you’re interested in pediatric nursing, here are some topic ideas:

– Effective Pain Management in Pediatric Nursing: Exploring Strategies for Assessing and Managing Pain in Children

– Family-Centered Care in Pediatric Nursing: Investigating the Impact of Family Involvement on Pediatric Healthcare Outcomes

– Pediatric Mental Health Nursing: Assessing the Role of Pediatric Nurses in Promoting Mental Health and Well-being in Children

– Enhancing Pediatric Patient Safety: Analyzing the Importance of Safety Measures and Protocols in Pediatric Nursing Practice

– Transition of Care for Children with Chronic Conditions: Examining the Challenges and Best Practices in Transitioning Pediatric Patients to Adult Healthcare

– Pediatric Palliative Care: Investigating the Role of Pediatric Nurses in Providing Compassionate Care for Children with Life-Limiting Illnesses

– Pediatric Immunization and Vaccination: Analyzing the Role of Pediatric Nurses in Educating Parents and Promoting Vaccination Compliance

– Pediatric Nursing in Emergency Settings: Assessing the Preparedness and Competencies of Pediatric Nurses in Emergency Care for Children

– Supporting Families in Pediatric End-of-Life Care: Exploring the Role of Pediatric Nurses in Providing Emotional and Bereavement Support

– Pediatric Nursing Education and Training: Evaluating the Effectiveness of Pediatric Nursing Curriculum in Preparing Nurses for Pediatric Practice

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Systematic review: What works to address obesity in nurses?

Affiliation.

  • 1 School of Health and Social Care, London South Bank University, London, UK.
  • PMID: 29579241
  • DOI: 10.1093/occmed/kqy038

Background: There is evidence that the prevalence of overweight and obesity among nurses is increasing. As well as the impact on health, the costs associated with obesity include workplace injury, lost productivity and sickness absence. Finding ways to address obesity in nurses may be a challenge because of the barriers they face in leading a healthy lifestyle.

Aims: To identify the available evidence for interventions to address obesity in nurses.

Methods: Databases searched included CINAHL, SCOPUS (which encompasses the Cochrane Database of Systematic Reviews), PsycINFO, MEDLINE and British Nursing Index. Ancillary searching of the grey literature was conducted for case studies of weight management interventions in National Health Service (NHS) settings. Inclusion criteria were studies involving nurses that reported on interventions addressing health behaviours that contribute to obesity and included at least one obesity-related outcome measure.

Results: Eleven primary studies were found concerning lifestyle interventions for nurses. There was no strong evidence for any particular intervention to address obesity, although integrating interventions into nurses' daily working lives may be important. Case studies from the grey literature showcased a range of interventions, but very few studies reported outcomes.

Conclusions: The review demonstrates that there is insufficient good-quality evidence about successful interventions to address obesity in nurses. Evidence does indicate that interventions should be designed around the specific barriers nurses may face in leading a healthy lifestyle.

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Nursing Dissertation Topics Ideas & Examples

Published by Alvin Nicolas at January 10th, 2023 , Revised On May 8, 2024

Choosing an appropriate nursing dissertation topic is an extremely important step toward producing an exciting and manageable research study. This post aims to help medicine and nursing students select the most appropriate dissertation title according to their research interests.

It should be noted that the subject of nursing encompasses various areas of knowledge, including but not limited to general nursing, community nursing, public health , environmental health, mental health, clinical management, health organization, and occupational health and safety.

So there is plenty to whet your appetite here. Nursing dissertations can be based on either primary research or secondary research. Primary data nursing dissertations incorporate the collection and analysis of data obtained through questionnaires and surveys. Secondary data nursing dissertations, on the other hand, make use of existing literature to test the  research hypothesis .

To help you get started with brainstorming for medicine and nursing topic ideas, we have developed a list of the latest nursing dissertation topics that can be used for writing your dissertation.

These topics have been developed by PhD-qualified writers of our team , so you can trust to use these topics for drafting your dissertation.

You may also want to start your dissertation by requesting  a brief research proposal  from our writers on any of these topics, which includes an  introduction  to the problem,  research questions , aim and objectives ,  literature review  along with the proposed  methodology  of research to be conducted.  Let us know  if you need any help in getting started.

Check our  example dissertations  to get an idea of  how to structure your dissertation .

You can review step by step guide on how to write your dissertation  here.

View our free dissertation topics database.

  • Evidence-based Practice Nursing Dissertation Topics
  • Child Health Nursing Dissertation Topics
  • Adult Nursing Dissertation Topics
  • Critical Care Nursing Dissertation Topics
  • Dementia Nursing Dissertation Topics

Midwifery Dissertation Topics

  • Palliative Care Nursing Dissertation Topics
  • Mental Health Nursing Dissertation Topics
  • Coronavirus (COVID-19) Nursing Dissertation Topics

2024 Nursing Dissertation Topics

Topic 1: assessing the parental perceptions and attitude towards the adoption of healthy behaviour patterns to control obesity and overweight concerns in young children..

Research Aim: This study aims to analyse the parent’s perceptions and attitudes in relation to healthy behaviours practises to control obesity and overweight disorders in young children. It will also focus on the obstacles parents or caregivers experience when it comes to obesity control in young children.

Topic 2: Investigating the importance of community nursing for the care of Old People suffering from Dementia- A case study of the UK.

Research Aim: This study aims to find the usefulness of nursing practise for the care of people suffering from dementia. This will also focus on how trained nurses are very professional in providing information and support to the people suffering from dementia so that they can prepare themselves to live their life well with dementia. This study will conduct a systematic review of published literature to find the potential roles of nurses in taking care of people living with dementia. Furthermore, it will also look at various characteristics and effectiveness of nurse interventions.

Topic 3: Assessing the role of midwives in providing medical services to pregnant women in low-income countries.

Research Aim: Midwives are health professionals who are specialised in taking care of pregnant women and newborn health. Women living In low-income countries are far less to get midwifery care, and it is very challenging for them to face this situation. The aim of this study is to find the role of midwives in providing medical services to pregnant women in low-income countries. Furthermore, this study will also look at the challenges and factors in getting midwifery care for women faced with low income.

Topic 4: Examining the mental health of nurses working in ICU.

Research Aim: Nurses working in critical care had significantly higher rates of emotional discomfort and poor health than other nurses, which has a negative impact on their mental health. However, it is unknown how intensive care nurses’ physical health impacts the frequency of medical mistakes. This study will examine the mental health of nurses working in ICU and how it affects their work and causes medical errors. Furthermore, it will also analyse the perception of nurses working in ICU.

Topic 5: Examing nursing practices during the stages of newborn development – A comparative study between the UK and US.

Research Aim: This study’s primary goal is to compare nursing staff practises during the stages of newborn development in the US and UK. This study will compare the effects of nurses’ care practises and will look at the challenges that occur during this process and how they handle these challenges.

Covid-19 Medicine and Nursing Research Topics

Topic 1: research to identify the training resources of nurses to combat the covid-19 pandemic.

Research Aim: Nursing staff plays a vital role in treating and recovering patients from illness. This study will identify the training programs and resources designed for nursing staff to combat the Coronavirus pandemic.

Topic 2: Research to find whether robotic nurses will be a long-lasting solution to treat the patients of Coronavirus.

Research Aim: Medical teams across the globe have been on their toes to combat coronavirus, and substantial human resources have also been invested in overcoming this crisis. This study will focus on collecting information about the idea of using robotic nurses to treat patients of Covid-19. It will reveal the advantages and disadvantages of using robotic nurses.

Topic 3: Research to analyse the risk of nurses getting affected while treating Covid-19 patients

Research Aim: This study will focus on analysing the risks faced by nurses and the medical team. It will discuss the safety measures adopted to protect the medical staff, the challenges they face, and appropriate solutions to minimise them.

Topic 4: Research to identify the impacts of Coronavirus on pharmaceutical industries

Research Aim: This study will focus on identifying the impacts of coronavirus on pharmaceutical industries, production, and supply of medicines. It will discuss the possible ways to combat COVID-19.

Topic 5: Research to know the contributions of pharmaceutical industries to combat Covid-19

Research Aim: This study will focus on identifying the contributions of pharmaceutical industries to combat Covid-19. Did COVID-19 increase the business of pharmaceutical sectors?

More Coronavirus and Nursing Dissertation Topics

  • Coronavirus research: Keys to diagnosis, treatment, and prevention of SARS.
  • Investigating the nurses in Australia issue plea to stop violence, theft of sanitizer and masks.
  • To study and analyse the emergency Coronavirus guidelines for nurses and medical staff across the globe with a particular focus on the USA and the UK.
  • Coronavirus in nursing homes: ‘We are going to see deaths’ – A case study of the UK nursing homes
  • Why are nursing homes at risk during the Coronavirus pandemic? – Case study of any European state
  • How nurses and medical staff can help parents and children cope with the mental issues and uncertainly in the midst of coronavirus crisis
  • To devise strategies to combat testing and prevention kits in hard-hit nursing homes.
  • How coronavirus has the potential to lead shortage of nurses and doctors across the globe?

Nursing and Medicine Dissertation Topics for 2023

Topic 1: impact of coronavirus on the pharmaceutical industry.

Research Aim: This research aims to identify the impact of Coronavirus on the pharmaceutical industry.

Topic 2: The role and impact of occupational safety and health in medical clinics

Research Aim: This research aims to measure the impact of occupational safety and health in medical clinics.

Topic 3: Increasing work pressure and occupational health concerns

Research Aim: This research aims to address increasing work pressure and occupational health concerns during a pandemic.

Topic 4: How researchers’ nurses may enhance the operation of clinical research?

Research Aim: The quality improvement of the performance of health care includes scientific study. The research team from the place where there was a shortage of research has established a steadily growing spectrum of testing within the Bradford Teaching Hospitals Foundation Trust. In this research, the main emphasis would be on the key role of research nurses.

Topic 15: Developing effective nursing strategies for dealing with patients possessing acute and chronic pain: A case study of NHS

Research Aim: The concept of nursing has evolved since recent times. Many health care institutions have developed effective strategies to increase nursing efficiency. Therefore, the main purpose of the research is to develop effective nursing strategies for dealing with patients possessing acute and chronic pain by analysing the case study of the NHS.

Topic 6: Critical analysis of community nursing and health care needs: A comparative analysis of UK and USA

Research Aim: Nursing and health care needs have a direct and positive relationship. The main purpose of this research is to conduct a critical analysis of community and health care needs. This research will compare the UK and USA nursing practices and provide recommendations to improve the existing strategy.

Topic 7: Analysing the societal acceptance of Marijuana: The case of developing countries

Research Aim: The purpose of this study is to contemplate upon the key benefits that the use of Marijuana, within a medicinal capacity, has. Ideally, in developing countries, the use of marijuana is considered “Taboo” or unacceptable by the members of the community/society. Hence, the study intends to analyze the societal acceptance of Marijuana within developing countries.

Topic 8: Developing effective nursing strategies for dealing with patients suffering Coronavirus disease: A case study of NHS

Research Aim: The coronavirus has taken the world by storm, infecting millions in nearly 200 countries. Many health care institutions have developed strategies to increase nursing efficiency. Therefore, the main purpose of the research is to identify effective nursing strategies for dealing with patients possessing coronavirus by analysing the case study of NHS.

Topic 9: Coronavirus research: Keys to diagnosis, treatment, and prevention of SARS

Research Aim: This research will discuss the basic life cycle and replication of the well-studied coronavirus, mouse hepatitis virus (MHV), identifying the unique characteristics of coronavirus biology and highlighting critical points where research has made significant advances, and which might represent targets for antivirals or vaccines. Areas where rapid progress has been made in SCV research, will be described. Finally, areas of need for research in coronavirus replication, genetics, and pathogenesis will be summarised.

Mental Health Dissertation Topics

  • Investigating the effectiveness of psychiatric treatment and medicine for patients suffering schizophrenia – A qualitative study based on UK mental health nurses and patients
  • Exploring the legal aspects of mental health research in the UK
  • To study and determine the causes to increasing number of suicides in the urban youth population in the developing world
  • The role of socioeconomic backgrounds on the mental health of individuals
  • Investigating the impact of early maternal mental illness on children
  • Parents with serious mental health problems from the perspective of professionals who offer support
  • Treatment of mental health difficulties by combining psychological and complementary therapies
  • To perform an interpretative phenomenological analysis to treat older people with long term mental health difficulties
  • To identify the barriers and risks associated with personalization within the context of mental illness
  • To explore mental illness by conducting a biographical narrative study
  • Deconstructing mental health difficulties: A critical enquiry into the views and opinions of professionals dealing with families, parents, and children

How Can ResearchProspect Help?

ResearchProspect writers can send several custom topic ideas to your email address. Once you have chosen a topic that suits your needs and interests, you can order for our dissertation outline service which will include a brief introduction to the topic, research questions , literature review , methodology , expected results , and conclusion . The dissertation outline will enable you to review the quality of our work before placing the order for our full dissertation writing service!

Occupational Health and Safety Nursing Dissertation Topics

  • To investigate occupational health and safety risks in the UK health care sector: Preventive techniques and recommended practices
  • A quantitative study to evaluate the understanding and knowledge nurses have of occupational risks in an operating theatre environment
  • To investigate the impact of occupational safety and health on the job performance of nurses
  • To identify and discuss factors affecting the practice of occupational health nursing in London
  • The role and impact of occupational safety and health in medical clinics
  • To identify and discuss key occupational safety and health risks, challenges, and concerns in China
  • Workplace health management and the role of occupational health nurses
  • Increasing work pressure and occupational health concerns
  • Occupational safety and health risks and practices among Filipino nurses
  • Adopting a multi-climate approach to address patient safety issues in the nursing work environment
  • To assess and understand occupational risks and nursing duties from an ergo logical perspective
  • The need to realise the increasing importance of occupational safety and health issues in industrialised societies

“ Complete  this short online form  and provide as much information as possible to receive instant quotes from our writers specialising in your area of research . “

Environmental Health Dissertation Topics

  • Improving awareness on environmental health issues by encouraging community participation
  • To identify and analyse various environmental health concerns in the health care sector
  • To determine the possibility of food poisoning and foot-related illness in urban regions from the perspective of environmental health
  • Constrained ordinal models with application in occupational and environmental health
  • To examine the impact of secondhand smoke on public health with particular focus on the relevant control strategies
  • An investigation into the attitudes of bar staff workers to environmental tobacco smoke and the varying provision of smoke-free areas within public houses
  • To study and understand the impact of traffic calming procedures on local air quality
  • Investigating how reusable cleaning cloths can help to reduce cross-contamination within the food industry
  • Analysing older driver behaviour and road safety
  • To review public health nurses’ opinions on environmental hazards and health effects
  • Disposing toxic wastes from the perspective of environmental health
  • Recommended sanitary hygiene practices for developing countries – A quantitative study
  • A qualitative study to address arsenic and lead poisoning issues

Related:  Environmental Engineering Dissertation Topics

Also Read This:   Occupational And Environmental Health Thesis And Dissertations

Evidence-Based Practice Dissertation Topics

  • To identify and discuss evidence-based practices that enable nurses to provide high-quality care
  • Use of evidence and knowledge management in clinical practice
  • How the health care needs of elderly cancer patients can be satisfied with evidence-based nursing programme
  • Investigating the use of evidence-based medicine for disease management
  • To study the effectiveness of evidence-based practice in the health care industry
  • To investigate the relationship between evidence-based practice and the research process
  • To study the basic principles of evidence-based practice in the UK health care industry
  • Why is it critical for nurses to base the foundation of their practices on reliable evidence?
  • Barriers to implementing evidence-based practice and the strategies/organisations used to avoid these barriers
  • The role of ethics and leadership in evidence-based nursing practice

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Health Organisations Dissertation Topics

  • The Highest Attainable Standard: The World Health Organisation, Contentious Politics of Human Rights and the global health governance
  • Factors contributing to efficient service delivery – A qualitative study on the implementation of health policies in Argentina
  • Integrating technology, process and the people in lean healthcare
  • Should World Health Organisation do more to satisfy the health care needs of people in the developing world? – The current programmes and future ambitions
  • An investigation in the health care plans and associated costs of countries across the globe
  • To study strategic management policies and strategies of World Health Organisation
  • Investigating the power, culture, and dynamics of National Health Service in the UK
  • Factors influencing the healthcare policies of new health organisations
  • The extent of NHS focus on providing services to elderly
  • Research trends and directions within the World Health Organisation
  • Exploring practices and experiences of midwives in regards to the evaluation of maternal postnatal genital tract health
  • Investigating midwifery practice in the third stage of labour
  • To study the professional care in midwifery practice with a focus on woman centered-care
  • To determine the factors contributing to midwives decision to stay in midwifery
  • How do midwives perceive normal birth and how their ability to practice and support normality might be influenced by the professional and organisational culture of a maternity unit?
  • A feminist technoscience perspective of the midwife’s role
  • To investigate the challenges associated with carrying out a water-birth randomised controlled trial
  • To what extend do midwives can facilitate informed choices among pregnant women?
  • To identify and discuss the factors influencing the competence of midwives in a clinical setting
  • The role of midwifery in relation to health risks to women due to postpartum depression

Community Nursing Dissertation Topics

  • The impact of community participation on social inclusion, self-perception, and everyday lives of participants
  • Quality of life, good practices, and senior citizens in residential care homes
  • To investigate the impact of existing welfare ideologies and policies on the elderly in Leicestershire
  • To what extent the community care has met the needs of the elderly with mental health difficulties after being discharged from long-stay psychiatric clinics? – A review of literature from the past 10 years
  • Exploring the relationship between ethnicity and community nursing facilities in London
  • Obesity awareness and prevention: Can food labelling help to deal with obesity problems in the USA?
  • The role of community nursing practice in relation to health promotion
  • Recommended practices and policies to ensure high-quality community nursing services to pregnant women
  • Health care needs of children and the community nursing service in Leicestershire
  • Factors affecting the quality of life of older people – A review of community nursing practices and challenges

Children Health Nursing Dissertation Topics

  • Improving, recording, and perceiving school children’s health from the perspective of school health nursing
  • Critical evaluation of child health nursing through education and practice
  • Identifying challenges and support processes of child health nursing in developing countries
  • To investigate the skills and abilities required to promote and sustain the emerging practice of child health nursing
  • Leadership and intellectual skills are needed to be successful in positions of leadership and caring for children
  • Caring for young people and children with complicated health needs
  • To explore the effects of child patient death on nursing staff in a clinical setting: A literature review
  • To understand children’s perspectives on community nursing
  • To identify factors that can help to improve breastfeeding initiation practices among community nurses in the UK
  • Children with congenital heart diseases and the role of parents – A literature review

Related:  Top QA on Children Health Nursing

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Clinical Management Dissertation Topics

  • Clinical governance strategies and practices at National Health Services
  • Hospitalised patients with diabetes and clinical decision support systems
  • Developing optimum strategies for management of patients in adult intensive care units
  • Clinical management of patients with prostate cancer – The risks and challenges
  • Effectively managing elderly patients in a clinical setting
  • Optimal management plan for patients with post-traumatic stress issues
  • Use of advanced technology tools to improve clinical management efficiency
  • To study various management strategies in surgical cases

Important Notes

As a student of medicine and nursing looking to get good grades, it is essential to develop new ideas and experiment with existing medicine and nursing theories – i.e., to add value and interest in the topic of your research.

The field of medicine and nursing is vast and interrelated to so many other academic disciplines like civil engineering ,  construction ,  law ,  healthcare , mental health , artificial intelligence , tourism , physiotherapy , sociology , management , marketing, cryptocurrencies and architecture . That is why it is imperative to create a project management dissertation topic that is articular, sound, and actually solves a practical problem that may be rampant in the field.

We can’t stress how important it is to develop a logical research topic; it is the basis of your entire research. There are several significant downfalls to getting your topic wrong; your supervisor may not be interested in working on it, the topic has no academic creditability, the research may not make logical sense, and there is a possibility that the study is not viable.

This impacts your time and efforts in  writing your dissertation  as you may end up in the cycle of rejection at the very initial stage of the dissertation. That is why we recommend reviewing existing research to develop a topic, taking advice from your supervisor, and even asking for help in this particular stage of your dissertation.

While developing a research topic, keeping our advice in mind will allow you to pick one of the best medicine and nursing dissertation topics that fulfil your requirement of writing a research paper and add to the body of knowledge.

Therefore, it is recommended that when finalizing your dissertation topic, you read recently published literature to identify gaps in the research that you may help fill.

Remember- dissertation topics need to be unique, solve an identified problem, be logical, and be practically implemented. Take a look at some of our sample medicine and nursing dissertation topics to get an idea for your own dissertation.

How to Structure your Dissertation on Medicine and Nursing

A well-structured   dissertation can help students   to achieve a high overall academic grade.

  • A Title Page
  • Acknowledgements
  • Declaration
  • Abstract: A summary of the research completed
  • Table of Contents
  • Introduction : This chapter includes the project rationale, research background, key research aims and objectives, and the research problems to be addressed. An outline of the structure of a dissertation  can also be added to this chapter.
  • Literature Review :  This chapter presents relevant theories and frameworks by analysing published and unpublished literature available on the chosen research topic, in light of  research questions  to be addressed. The purpose is to highlight and discuss the relative weaknesses and strengths of the selected research area whilst identifying any research gaps. Break down of the topic, and key terms can have a positive impact on your dissertation and your tutor.
  • Methodology:  The  data collection  and  analysis  methods and techniques employed by the researcher are presented in the Methodology chapter which usually includes  research design,  research philosophy, research limitations, code of conduct, ethical consideration, data collection methods and  data analysis strategy .
  • Findings and Analysis:  Findings of the research are analysed in detail under the Findings and Analysis chapter. All key findings/results are outlined in this chapter without interpreting the data or drawing any conclusions. It can be useful to include  graphs ,  charts and  tables  to this chapter to identify meaningful trends and relationships.
  • Discussion  and  Conclusion: The researcher presents his interpretation of results in this chapter, and states whether the research hypothesis has been verified or not. An essential aspect of this section of the paper is to draw a linkage between the results and evidence from the literature. Recommendations with regards to implications of the findings and directions for the future may also be provided. Finally, a summary of the overall research, along with final judgments, opinions, and comments, must be included in the form of suggestions for improvement.
  • References:  This should be completed in accordance with your University’s requirements
  • Bibliography
  • Appendices:  Any additional information, diagrams, graphs that were used to  complete the  dissertation  but not part of the dissertation should be included in the Appendices chapter. Essentially, the purpose is to expand the information/data.

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To find nursing dissertation topics:

  • Explore healthcare challenges.
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CHILDHOOD OBESITY AND FAMILY INFLUENCE ON CHILDREN’S NUTRITION INTAKE, PHYSICAL ACTIVITY PATTERNS, AND BMI Z-SCORES IN OMAN

Add to collection, downloadable content.

nursing dissertation topics obesity

  • March 22, 2019
  • Affiliation: School of Nursing
  • Childhood Obesity is a public health problem. It poses a significant health risk, which has been demonstrated to track into adulthood and decreases children’s physical and psychosocial well-being. The purpose of this study was to examine the relationship between weight status, nutrition intake, and physical activity patterns of Omani middle age children and explore the familial factors that influence them. The sample of the study consisted of 204 Omani mother-child dyads. The mean age of children was 7.74 years (SD ± 1.161). Among examined children, 17.4% were either overweight or obese and more than 72% of mothers were found to be overweight or obese. Weak associations between children’s nutrition and physical activity pattern and obesity were found. Main familial factors that showed influence on children’s nutrition intake were parental education level, family income, and family nutrition and physical activity pattern. Children’s physical activity pattern as reflected by moderate to vigorous physical activity (MVPA), screen time, and sleep time found to be influenced by maternal BMI, parental education level and working status, as well as family nutrition and physical activity pattern. Interestingly, the results of the study indicated that child’s BMI z-score was strongly associated with maternal BMI and parental education level, particularly mothers’.
  • physical activity
  • https://doi.org/10.17615/ttc7-n970
  • Dissertation
  • Leeman, Jennifer
  • Thompson, Amanda
  • Crandell, Jamie
  • Berry, Diane
  • Brooks, Jada
  • Doctor of Philosophy
  • University of North Carolina at Chapel Hill Graduate School

This work has no parents.

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2019-04-09 Public

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Digital Commons @ USF > USF Health > College of Nursing > Theses and Dissertations

Nursing Theses and Dissertations

Theses/dissertations from 2023 2023.

Psychological Distress, Resilience, and the Impact on Quality of Life in Breast Cancer Survivors With Taxane-Induced Peripheral Neuropathy , Lauren Schwab

Theses/Dissertations from 2022 2022

Medication-Assisted Treatment Versus 12-Step Group Therapy: A Comparative Analysis of Adherence and Abstinence In Patients With Opioid Use Disorder , Derrick C. Glymph

Theses/Dissertations from 2021 2021

Quality of Life of Older Adults with Complicated Grief Receiving Accelerated Resolution Therapy: A Mixed Methods Study , Tina M. Mason

Theses/Dissertations from 2020 2020

In Post-Extubated Patients What are the Preferred Methods of Communication During Their Experience of Endotracheal Intubation with Mechanical Ventilation , Lanette Dumas

The Effect of Hope on the Relationship between Personal and Disease Characteristics and Anxiety and Depression in Adolescents and Young Adults with Cancer , Sharon B. McNeil

Predictors of Nonadherence to Radiation Therapy Schedules Among Head and Neck Cancer Patients , Jennifer Lynn Miller

Theses/Dissertations from 2019 2019

Perceived Discrimination and Cardiovascular Outcomes in Blacks: A Secondary Data Analysis of the Heart SCORE Study , Marilyn Aluoch

Exploration of Gratitude in Cardiovascular Health: Mediators, Medication Adherence and Psychometrics , Lakeshia A. Cousin

Theses/Dissertations from 2018 2018

Fatigue-related Symptom Clusters and their Relationship with Depression, and Functional Status in Older Adults Hospice Patients with Cancer. , Suzan Fouad Abduljawad

Genetic Moderation of Pain and Fatigue Symptoms Resulting from the Mindfulness-Based Stress Reduction for Breast Cancer Program , Carissa Bea Alinat

The Moderating Effect of Religion on Death Distress and Quality of Life between Christian Cancer patients in the United States with Muslim cancer patients in Saudi Arabia , Doaa Almostadi

Prevention of Post Intensive Care Syndrome-Family with Sensation Awareness Focused Training Intervention: A Randomized Controlled Trial Pilot Study , Paula L. Cairns

Assessing Abstinence in Infants Greater Than 28 Days Old , Genieveve J. Cline

The Relationship Between Sleep Quality and Motor Function in Hospitalized Older Adult Survivors of Critical Illness , Maya N. Elías

The Role of Migration-Related Stress in Depression Among Haitian Immigrants in Florida: A Mixed Method Sequential Explanatory Approach , Dany Amanda C. Fanfan

The Effect of Depression, Inflammation and Sleep Quality on Risk for Cardiovascular Disease , Catherine L. O'Neil

Adapting SafeMedicate (Medication Dosage Calculation Skills software) For Use In Brazil , Samia Valeria Ozorio Dutra

Theses/Dissertations from 2017 2017

The Relationship Between Total Neuropathy Score-reduced, Neuropathy Symptoms and Function. , Ashraf Abulhaija

Validation of the Electronic Kids Dietary Index (E-KINDEX) Screening Tool for Early Identification of Risk for Overweight/Obesity (OW/OB) in a Pediatric Population: Associations with Quality of Life Perceptions , Patricia A. Hall

Theses/Dissertations from 2016 2016

The Effectiveness of an Intervention Designed to Improve Chlorhexidine (CHG) Bathing Technique in Adults Hospitalized in Medical Surgical Units , Janette Echemendia Denny

Levels of Distress Among Women Veterans Attending a Women’s Health Specialty Clinic in the VA Healthcare System , Debbie T. Devine

Examination of the Use of Accelerated Resolution Therapy (ART) in the Treatment of Symptoms of PTSD and Sleep Dysfunction in Veterans and Civilians , Marian Jevone Hardwick

Investigating the Mutual Effects of Depression and Spiritual Well-being on Quality of Life in Hospice Patients with Cancer and Family Caregivers Using the Actor-Partner Interdependence Model , Li-Ting Huang

The Change in Nutritional Status in Traumatic Brain Injury Patients: A Retrospective Descriptive A Retrospective Descriptive Study , Dina A. Masha'al

Exploring the Relationship Between Severity of Illness and Human Milk Volume in Very Low Birth Weight and Extremely Low Birth Weight Infants Over Six Weeks , Shannon Leigh Morse

Cardiovascular Disease Risk Scores and Novel Risk Factors in Relation to Race and Gender , Johanna Wilson

Theses/Dissertations from 2015 2015

A Comparative Evaluation of the Learner Centered Grading Debriefing Method in Nursing Education , Marisa J. Belote

Sleep, Depressive Symptoms and Cognition in Older Adults and Caregivers of Persons with Dementia , Glenna Shemida Brewster

The Relationship between Hearing Status and Cognitive Performance and the Influence of Depressive Symptoms in the Older Adult , Julie A. Daugherty

Basal Salivary Oxytocin and Skin to Skin Contact among Lactating Mothers of Premature Infants , Jessica Marie Gordon

The Relationship Between Nurses' Emotional Intelligence and Patient Outcomes , Mary Kutash

Sexual Functioning and Body Image in Younger Breast Cancer Survivors , Carly Lynn Paterson

Cognitive Load of Registered Nurses During Medication Administration , Sarah Faith Perron

A Comparison of Quality of Life between Intense and Non-Intense Treatment for Patients with Acute Myeloid Leukemia and High-Risk Myelodysplastic Syndrome , Sara Marie Tinsley

Theses/Dissertations from 2014 2014

Acculturation, Self-Efficacy and Breastfeeding Behavior in a Sample of Hispanic Women , Ivonne F. Hernandez

Knowledge and Acceptance of HPV and the HPV Vaccine in Young Men and Their Intention to be Vaccinated , Brenda Renee Jasper

The Relationships Between Sleep Disturbances, Depression, Inflammatory Markers, and Sexual Trauma in Female Veterans , Ellen Marcolongo

Examination of Possible Protective Effect of Rhesus D Positive Blood Factor on Toxoplasma-related Depressive Symptoms in Pregnancy , Lisa Lynn Parnell

Knowledge, Attitudes, and Practice of Primary Care Nurse Practitioners Regarding Skin Cancer Assessmnets: Validity and Reliability of a New Instrument , Debra Michelle Shelby

Theses/Dissertations from 2013 2013

Knowledge and Practice of Reproductive Health among Mothers and their Impact on Fetal Birth Outcomes: A Case of Eritrea , Winta Negusse Araya

Race/Ethnicity, Subjective and Objective Sleep Quality, Physical and Psychological Symptoms in Breast Cancer Survivors , Pinky H. Budhrani

Factors Predicting Pap Smear Adherence in HIV-infected Women: Using the Health Belief Model , Crystal L. Chapman Lambert

The Relationship Between Socioeconomic Status and Body Mass Index on Vitamin D Levels in African American Women with and without Diabetes Living in Areas with Abundant Sunshine , Shani Vann Davis

Predictors of Quality of Life in Patients with Cutaneous T cell Lymphoma , Darcie Marie Deaver

Relationship between dysphoric moods, risk-taking behaviors, and Toxoplasma gondii antibody titers in female veterans , Allyson Radford Duffy

Prenatal Stress, Depression, and Herpes Viral Titers , Pao-Chu Hsu

Factors Associated with Fear of Breast Cancer Recurrence Among Survivors , Jean Marie Lucas

Sickle Cell Disease: The Role of Self-Care Management , Nadine Matthie

Factors Influencing Vaccination Decisions in African American Mothers of Preschool Age Children , Chauntel Mckenzie Mcnair

The Strong Black Woman, Depression, and Emotional Eating , Michelle Renee Offutt

Development of an Investigator-designed Questionnaire Concerning Childbirth Delivery Options based on the Theory of Planned Behavior , Chun-Yi Tai

Theses/Dissertations from 2012 2012

The Mediating Effect of Distress Caused by Constipation on Predictors of Quality of Life of Hospice Patients with Cancer. , Abdel Alkhalouf

Testing a Model of Bacterial Vaginosis among Black Women , Jessica Brumley

The Effect of Tight Glycemic Control on Surgical Site Infection Rates in Patients Undergoing Open Heart Surgery , Sierra Gower

Development of a Tool for Pressure Ulcer Risk Assessment and Preventive Interventions in Ancillary Services Patients , Monica Shutts Messer

Hospice Nurses- Attitudes and Knowledge about Pain Management , Amie Jacqueline Miller

Theses/Dissertations from 2011 2011

Literacy and Hazard Communication Comprehension of Employees Presenting to an Occupational Health Clinic , Christine Bouchard

A Meta-Analysis of Cultural Competence Education in Professional Nurses and Nursing Students , Ruth Wilmer Gallagher

Relationship Between Cancer-Related Fatigue and Depression: A Pilot Study , Gloria Michelle Guess

A Comparison of Oncology and Non-Oncology Nurses in Their Knowledge of Cancer Pain Management , Nicole Houle

Evaluating Knowledge and Attitudes of Graduate Nursing Students Regarding Pain , Eric Bartholomew Jackson

Bone Marrow Transplant Nurses' Attitudes about Caring for Patients Who are Near the End of Life: A Quality Improvement Project , Leslie Lauersdorf

Translation and Adaptation of the Center for Epidemiologic Studies-Depression (CES-D) Scale Into Tigrigna Language for Tigrigna Speaking Eritrean Immigrants in the United States , Mulubrhan Fisseha Mogos

Nurse Manager Emotional Intelligence as a Predictor to Registered Nurse Job Satisfaction and RN Perceptions of the Practice Environment and the Relationship to Patient, Nursing and Hospital Outcomes , Jacqueline Cecilia Munro

The Relationship of Mid-Pregnancy Levels of Cytokines, Stress, and Depression with Gestational Age at Delivery , Melissa Molinari Shelton

Prophylactic, Risk-Reducing Surgery in Unaffected BRCA-Positive Women: Quality Of Life, Sexual Functioning and Psychological Well-Being , Sharon Tollin

Theses/Dissertations from 2010 2010

The Relationship Between FAM5C SNP (rs10920501) Variability, Metabolic Syndrome, and Inflammation, in Women with Coronary Heart Disease , Jennifer L. Cline

Women’s Perceptions of Postpartum Stress: A Narrative Analysis , Nancy Gilbert Crist

Lived Experience: Near-Fatal Adolescent Suicide Attempt , Phyllis Ann Dougherty

Exploring the Relationships among Work-Related Stress, Quality of Life, Job Satisfaction, and Anticipated Turnover on Nursing Units with Clinical Nurse Leaders , Mary Kohler

A Comparative Study of Knowledge of Pain Management in Certified and Non-Certified Oncology Nurses , Sherrie A. LaLande

Evaluating Knowledge and Attitudes of Undergraduate Nursing Students Regarding Pain Management , Jessica Latchman

Evaluation of Oncology Nurses' Knowledge, Practice Behaviors, and Confidence Specific to Chemotherapy Induced Peripheral Neuropathy , Rebecca Denise McAllister

Moderating the Effectiveness of Messages to Promote Physical Activity in Type 2 Diabetes , Rachel E. Myers

Factors Affecting the Process of Clinical Decision-Making in Pediatric Pain Management by Emergency Department Nurses , Teresa A. Russo

The Correlation Between Neuropathy Limitations and Depression in Chemotherapy Patients , Melissa Thebeau

Theses/Dissertations from 2009 2009

Fatigue Symptom Distress and Its Relationship with Quality Of Life in Adult Stem Cell Transplant Survivors , Suzan Fouad Abduljawad R.N., B.S.N.

Nursing Advocacy and the Accuracy of Intravenous to Oral Opioid Conversion at Discharge in the Cancer Patient , Maria L. Gallo R.N., O.C.N.

Transitional Care for Adolescents with HIV: Characteristics and Current Practices of the Adolescent Trials Network Systems of Care , Patricia Gilliam

The Effect of Ethical Ideology and Professional Values on Registered Nurses’ Intentions to Act Accountably , Susan R. Hartranft

Falls in Bone Marrow Transplant Patients: A Retrospective Study , Lura Henderson R.N., B.S.N.

Predictors of cancer caregiver depression symptomatology , Henry R. Rivera

Psychosocial outcomes of weight stigma among college students , Sabrina Joann Robinson

The Experience of Fatigue and Quality of Life in Patients with Advanced Lung Cancer , Andrea Shaffer

The Relationship Between Uncertainty in Illness and Anxiety in Patients With Cancer , Naima Vera

Shifting Paradigms: The Development of Nursing Identity in Foreign-Educated Physicians Retrained as Nurses Practicing in the United States , Liwliwa Reyes Villagomeza

Theses/Dissertations from 2008 2008

Prostate Cancer Screening Intention Among African American Men: An Instrument Development Study , Susan Anita Baker

The Geriatric Cancer Experience in End of Life: Model Adaptation and Testing , Harleah G. Buck

Communication Systems and HIV/AIDS Sexual Decision Making in Older Adolescent and Young Adult Females , Rasheeta D. Chandler MS, ARNP, FNP-BC

Relationship of Anger Trait and Anger Expression to C-Reactive Protein in Post-Menopausal Women , Rosalyn Gross

Identifying Patients with Cancer at Risk of Experiencing a Fall While Hospitalized , Joann M. Heaton

Modulation of Monocyte-Derived Dendritic Cell Maturation and Function by Cigarette Smoke Condensate in a Bronchial Epithelial Cell Co-Culture Model , Alison J. Montpetit

Cancer Patients with Pain: Examination of the Role of the Spouse/Partner Relationship In Mediating Quality of Life Outcomes for the Couple , Mary Ann Morgan

Development of an Ecological Model to Predict Risk for Acquisition of Clostridium difficile -Associated Diarrhea During Acute Care Hospitalization , Susan Elaine Steele

Development and Psychometric Evaluation of the Chemotherapy Induced Peripheral Neuropathy Assessment Tool , Cindy S. Tofthagen

Health Decision Behaviors: Appropriateness of Dietary Choice , Daryle Hermelin Wane

Theses/Dissertations from 2007 2007

The Relationship Between Sleep-Wake Disturbance and Pain in Cancer Patients Admitted to Hospice Home Care , Marjorie Acierno

Wheelchair Positioning and Pulmonary Function in Children with Cerebral Palsy , Lee Barks

Structural Equation Model of Exercise in Women Utilizing the Theory of Unpleasant Symptoms and Social Cognitive Variables , Sarah Elizabeth Cobb

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Best Nursing Research Topics for Students

What is a nursing research paper.

  • What They Include
  • Choosing a Topic
  • Best Nursing Research Topics
  • Research Paper Writing Tips

Best Nursing Research Topics for Students

Writing a research paper is a massive task that involves careful organization, critical analysis, and a lot of time. Some nursing students are natural writers, while others struggle to select a nursing research topic, let alone write about it.

If you're a nursing student who dreads writing research papers, this article may help ease your anxiety. We'll cover everything you need to know about writing nursing school research papers and the top topics for nursing research.  

Continue reading to make your paper-writing jitters a thing of the past.

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A nursing research paper is a work of academic writing composed by a nurse or nursing student. The paper may present information on a specific topic or answer a question.

During LPN/LVN and RN programs, most papers you write focus on learning to use research databases, evaluate appropriate resources, and format your writing with APA style. You'll then synthesize your research information to answer a question or analyze a topic.

BSN , MSN , Ph.D., and DNP programs also write nursing research papers. Students in these programs may also participate in conducting original research studies.

Writing papers during your academic program improves and develops many skills, including the ability to:

  • Select nursing topics for research
  • Conduct effective research
  • Analyze published academic literature
  • Format and cite sources
  • Synthesize data
  • Organize and articulate findings

About Nursing Research Papers

When do nursing students write research papers.

You may need to write a research paper for any of the nursing courses you take. Research papers help develop critical thinking and communication skills. They allow you to learn how to conduct research and critically review publications.

That said, not every class will require in-depth, 10-20-page papers. The more advanced your degree path, the more you can expect to write and conduct research. If you're in an associate or bachelor's program, you'll probably write a few papers each semester or term.

Do Nursing Students Conduct Original Research?

Most of the time, you won't be designing, conducting, and evaluating new research. Instead, your projects will focus on learning the research process and the scientific method. You'll achieve these objectives by evaluating existing nursing literature and sources and defending a thesis.

However, many nursing faculty members do conduct original research. So, you may get opportunities to participate in, and publish, research articles.

Example Research Project Scenario:

In your maternal child nursing class, the professor assigns the class a research paper regarding developmentally appropriate nursing interventions for the pediatric population. While that may sound specific, you have almost endless opportunities to narrow down the focus of your writing. 

You could choose pain intervention measures in toddlers. Conversely, you can research the effects of prolonged hospitalization on adolescents' social-emotional development.

What Does a Nursing Research Paper Include?

Your professor should provide a thorough guideline of the scope of the paper. In general, an undergraduate nursing research paper will consist of:

Introduction : A brief overview of the research question/thesis statement your paper will discuss. You can include why the topic is relevant.

Body : This section presents your research findings and allows you to synthesize the information and data you collected. You'll have a chance to articulate your evaluation and answer your research question. The length of this section depends on your assignment.

Conclusion : A brief review of the information and analysis you presented throughout the body of the paper. This section is a recap of your paper and another chance to reassert your thesis.

The best advice is to follow your instructor's rubric and guidelines. Remember to ask for help whenever needed, and avoid overcomplicating the assignment!

How to Choose a Nursing Research Topic

The sheer volume of prospective nursing research topics can become overwhelming for students. Additionally, you may get the misconception that all the 'good' research ideas are exhausted. However, a personal approach may help you narrow down a research topic and find a unique angle.

Writing your research paper about a topic you value or connect with makes the task easier. Additionally, you should consider the material's breadth. Topics with plenty of existing literature will make developing a research question and thesis smoother.

Finally, feel free to shift gears if necessary, especially if you're still early in the research process. If you start down one path and have trouble finding published information, ask your professor if you can choose another topic.

The Best Research Topics for Nursing Students

You have endless subject choices for nursing research papers. This non-exhaustive list just scratches the surface of some of the best nursing research topics.

1. Clinical Nursing Research Topics

  • Analyze the use of telehealth/virtual nursing to reduce inpatient nurse duties.
  • Discuss the impact of evidence-based respiratory interventions on patient outcomes in critical care settings.
  • Explore the effectiveness of pain management protocols in pediatric patients.

2. Community Health Nursing Research Topics

  • Assess the impact of nurse-led diabetes education in Type II Diabetics.
  • Analyze the relationship between socioeconomic status and access to healthcare services.

3. Nurse Education Research Topics

  • Review the effectiveness of simulation-based learning to improve nursing students' clinical skills.
  • Identify methods that best prepare pre-licensure students for clinical practice.
  • Investigate factors that influence nurses to pursue advanced degrees.
  • Evaluate education methods that enhance cultural competence among nurses.
  • Describe the role of mindfulness interventions in reducing stress and burnout among nurses.

4. Mental Health Nursing Research Topics

  • Explore patient outcomes related to nurse staffing levels in acute behavioral health settings.
  • Assess the effectiveness of mental health education among emergency room nurses .
  • Explore de-escalation techniques that result in improved patient outcomes.
  • Review the effectiveness of therapeutic communication in improving patient outcomes.

5. Pediatric Nursing Research Topics

  • Assess the impact of parental involvement in pediatric asthma treatment adherence.
  • Explore challenges related to chronic illness management in pediatric patients.
  • Review the role of play therapy and other therapeutic interventions that alleviate anxiety among hospitalized children.

6. The Nursing Profession Research Topics

  • Analyze the effects of short staffing on nurse burnout .
  • Evaluate factors that facilitate resiliency among nursing professionals.
  • Examine predictors of nurse dissatisfaction and burnout.
  • Posit how nursing theories influence modern nursing practice.

Tips for Writing a Nursing Research Paper

The best nursing research advice we can provide is to follow your professor's rubric and instructions. However, here are a few study tips for nursing students to make paper writing less painful:

Avoid procrastination: Everyone says it, but few follow this advice. You can significantly lower your stress levels if you avoid procrastinating and start working on your project immediately.

Plan Ahead: Break down the writing process into smaller sections, especially if it seems overwhelming. Give yourself time for each step in the process.

Research: Use your resources and ask for help from the librarian or instructor. The rest should come together quickly once you find high-quality studies to analyze.

Outline: Create an outline to help you organize your thoughts. Then, you can plug in information throughout the research process. 

Clear Language: Use plain language as much as possible to get your point across. Jargon is inevitable when writing academic nursing papers, but keep it to a minimum.

Cite Properly: Accurately cite all sources using the appropriate citation style. Nursing research papers will almost always implement APA style. Check out the resources below for some excellent reference management options.

Revise and Edit: Once you finish your first draft, put it away for one to two hours or, preferably, a whole day. Once you've placed some space between you and your paper, read through and edit for clarity, coherence, and grammatical errors. Reading your essay out loud is an excellent way to check for the 'flow' of the paper.

Helpful Nursing Research Writing Resources:

Purdue OWL (Online writing lab) has a robust APA guide covering everything you need about APA style and rules.

Grammarly helps you edit grammar, spelling, and punctuation. Upgrading to a paid plan will get you plagiarism detection, formatting, and engagement suggestions. This tool is excellent to help you simplify complicated sentences.

Mendeley is a free reference management software. It stores, organizes, and cites references. It has a Microsoft plug-in that inserts and correctly formats APA citations.

Don't let nursing research papers scare you away from starting nursing school or furthering your education. Their purpose is to develop skills you'll need to be an effective nurse: critical thinking, communication, and the ability to review published information critically.

Choose a great topic and follow your teacher's instructions; you'll finish that paper in no time.

Joleen Sams

Joleen Sams is a certified Family Nurse Practitioner based in the Kansas City metro area. During her 10-year RN career, Joleen worked in NICU, inpatient pediatrics, and regulatory compliance. Since graduating with her MSN-FNP in 2019, she has worked in urgent care and nursing administration. Connect with Joleen on LinkedIn or see more of her writing on her website.

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470 Obesity Essay Topic Ideas & Examples

Looking for obesity essay topics? Being a serious problem, obesity is definitely worth writing about.

Nursing Dissertation Ideas That Will Lead You to a Perfect Topic

#i',$content, -1); --> table of contents unique nursing dissertation topics to explore what’s a nursing dissertation and steps to write it nursing education dissertation topics: how to choose the right one list of the best dissertation topics nursing of the year some great phd nursing dissertation ideas unique nursing dissertation topics to explore.

Choosing a good topic for your dissertation in nursing is an important step in ensuring the overall success of your research project. This task may seem easy at first, but once you are at it, it can prove much trickier, primarily because it might take multiple brainstorms, drafts, and reviews for your topic to shine. But worry not — our nursing dissertation help service has got you covered!

To help you get started, we’ve developed a list of the latest nursing dissertation topics that you can use just as they are or simply to get inspiration for your dissertation project. We’ll come to those in a moment, but let’s find out what is a nursing dissertation first!

What’s a Nursing Dissertation and Steps to Write It

  • Admission/Application Essay
  • Admission Editing
  • Admission Proofreading
  • Annotated Bibliography
  • Argumentative essay
  • Article paraphrasing
  • Article review
  • Book Report/Review
  • Business plan
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A nursing dissertation is a research paper usually required as part of a PhD degree program. It’s a comprehensive and original work that aims to explore a specific topic in nursing and demonstrates your ability to investigate, analyze information and present findings.

Here’s how to write a nursing dissertation:

  • Choose a relevant dissertation topic.
  • Write a catchy introduction.
  • Collect data from reliable sources.
  • Critically evaluate the gathered information.
  • Perform a literature review.
  • Outline the significance of your project.
  • Audit and inspect employing clinical guidelines.
  • Describe the methodology used.
  • Reflect on outcomes.
  • Present recommendations for future research or practice.
  • Format your project and create a references list.
  • Structure and proofread the final draft.

Now that you know the fundamentals, let’s find out how to choose a good topic and dive into the best nursing education dissertation topics that will stay relevant in 2024.

Nursing Education Dissertation Topics: How to Choose the Right One?

If you’re struggling to come up with appropriate dissertation topics nursing, try taking the following steps:

  • Understand the objective of your project.
  • Make a list of topics you are familiar with or genuinely passionate about exploring.
  • Look into the current trends, ongoing debates, or innovations in the field for additional inspiration.
  • Think about what specific aspects of the subject you want your paper to focus on.
  • Define why these aspects are relevant and important.
  • Do preliminary research to determine the availability of credible sources to back up your arguments.
  • Think about how you’ll be presenting your findings.
  • Narrow down your topic to a specific research question that’s manageable and can be answered.

Lastly, our experts recommend choosing a topic that aligns with your career goals or areas you wish to specialize in. This way, you can turn a tedious writing process into a motivational journey with perspectives for future research.

List of the Best Dissertation Topics Nursing of the Year

For your convenience, we’ve organized dissertation nursing topic ideas into eight distinct thematic categories.

Child Health Dissertation Topics

  • How medical progress benefits patients with innate disabilities.
  • Physical limitations and the impact of timely medication.
  • The role of nurses in neonatal intensive care units.
  • Evaluation of mothers’ needs when caring for children aged 2 to 5.
  • The role of hospitals in the treatment of children’s psychiatric diseases.
  • Techniques for improving pediatric cancer treatment.
  • Childhood asthma diagnostics and treatment options.
  • Identifying developmental delays in Down syndrome children.
  • Applying Piaget’s theory to the cognitive development of healthy children.
  • A training program for pediatric nurses to support emergency patients.

Clinical Care Dissertation Topics

  • Should visitors be allowed in the intensive care unit?
  • Analyzing the management plans for patients with dementia.
  • Examining the impact of timing in critical patient nursing care.
  • Considerations for ICU patients’ treatment and the risks of pressure injury.
  • An overview of the critical nursing analysis literature from the last ten years.
  • What are the challenges that the critical care nursing system faces?
  • Medical treatment research in a high-tech environment.
  • What primary challenges do nurses face in intensive care units?
  • Do nurses ever have problems with their patients? If so, how do they deal with those problems?
  • A study of the demand for healthcare facilities among sick patients on ventilators.

Adult Nursing Dissertation Topics

  • What challenges do adult nursing professors in the United States face?
  • The influence of social media on adult nursing students.
  • Could online nursing studies help overcome the nurse shortage?
  • Investigation of sustainability issues in adult nursing.
  • Risk management and needs assessment in healthcare.
  • Analysis of the impact of social media on nursing careers.
  • What kind of treatment should adult nurses provide to dementia patients?
  • Examination of the level of stress faced by emergency room nurses.
  • Should adult nurses stay up-to-date on emerging trends in nursing?
  • Investigation of the transition from hospital to outpatient settings.

Evidence-Based Practice Dissertation Topics

  • Ways of choosing the right IV catheter size.
  • NPO status and hypoglycemia rates.
  • Nonpharmacologic methods of pain relief.
  • Should hospitalized patients be given pain relievers?
  • Ways of reducing catheter-acquired urinary tract infections (CAUTIs).
  • Nursing professionals’ misconceptions about evidence-based practice.
  • Evidence-based nursing practice rating systems.
  • The evidence-based practice manual for nurses.
  • What is the effect of visitation hours on patient outcomes?
  • Fall prevention in people with acute dementia.

Palliative Care Dissertation Topics

  • Palliative care for patients with Alzheimer’s disease.
  • Models of palliative care delivery for patients with cancer.
  • The benefits of perinatal hospice care.
  • Home-based palliative care for Renal disease patients.
  • Moral position on palliative care for terminal patients.
  • The role of volunteers in palliative medicine.
  • Initial palliative care for heart failure.
  • Evidence-based palliative care practice.
  • The role of the advanced practice nurse in palliative care.
  • Psychosocial screening and assessment in palliative nursing.

Mental Health Dissertation Topics

  • Investigation of the correlation between dopamine levels and autism.
  • Benefits of antipsychotic medicine for reducing delirium.
  • Chemical stimulants used in ADHD treatments.
  • Identification of bipolar disorder and associated risk factors.
  • Alzheimer’s disease and its connection to the environment.
  • The effect of social media on mental health.
  • The genetic component of bipolar disorder.
  • Methods for assisting stroke victims in regaining motor skills.
  • Investigation of the relationship between ADHD and screen time.
  • Strategies helping to prevent post-traumatic stress disorder.

Emergency Care Dissertation Topics

  • The impact of delays in emergency care.
  • How does overcrowding in emergency departments impact patients with stroke?
  • The importance of having a trauma team in the emergency department.
  • Creating cycles for emergency department physicians.
  • The effects of inadequate staffing in the emergency room.
  • Should patients be allowed to visit the emergency room to treat a fever of unknown nature?
  • Strategies to improve the level of healthcare in emergency rooms.
  • Ways to decrease the frequency of angry outbursts in the emergency room.
  • Ethical dilemmas faced by emergency department nurses.
  • The importance of having emergency rooms for patients with allergic reactions.

Environmental Health Dissertation Topics

  • Impact of climate change on food contamination with mycotoxins.
  • Airborne influenza virus detection strategies employing bioaerosol collection.
  • Homicide and suicide trends among farmers and other workers in the field.
  • The influence of loudness on the employees of food courts in college towns.
  • Investigation of environmental risks to the health of socially disadvantaged groups.

Now, let’s move on to some of the most promising nursing dissertation ideas for Ph.D. students and dissertation topics community health nursing.

Some Great PhD Nursing Dissertation Ideas

If you’re writing a PhD dissertation , the topic ideas below will definitely come in handy!

  • Steps to prevent major health problems in patients with increased work-related stress.
  • The latest public health initiatives to reduce childhood obesity.
  • The significance and effects of workplace safety in medical clinics.
  • Investigation of the impact of AIDS on modern society.
  • Increasing awareness of the issues and risks involved with the clinical management of elderly patients in ICU.
  • The role of drug addiction and psychological treatment in prisons.
  • Leading causes of cerebrovascular accidents that injure adult brain cells.
  • The role of WHO policies and methodologies in understanding child development.
  • Treatment strategies and post-treatment care for patients suffering from acute and chronic pain.
  • Adaptive approach to patient care in adult critical care units.

Topics Related to Community Health

  • Senior outpatient care and community services.
  • The importance of community nursing in increasing the quality of adult patients’ lives.
  • The impact of existing welfare theories and practices on adult patients.
  • The role of community nursing practice in health promotion.
  • Quality of seniors’ life: ethical behavior and residential care homes.

We hope these dissertation topics in nursing will inspire you to write an excellent dissertation worthy of the professor’s praise. Thanks for reading, and good luck with your paper! Should you need nursing writing help , NursingPaper is at your service 24/7!

nursing dissertation topics obesity

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399 Obesity Essay Topics & Research Questions + Examples

Are you looking for the best obesity essay topics? You are at the right place! We’ve compiled a list of obesity research questions and catchy titles about various aspects of this problem. Read on to discover the most controversial topics about obesity for your research paper, project, argumentative essay, persuasive speech, and other assignments.

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  • The Causes and Effects of Obesity
  • Unhealthy Food Culture and Obesity
  • Childhood Obesity: The Parents’ Responsibility
  • Causes and Consequences of Childhood Obesity
  • Childhood Obesity: Causes and Solutions
  • Parents Are Not to Blame for Obesity in Children
  • Obesity as a Disease: Arguments For and Against
  • Link Between Watching Television and Obesity One of the primary causes of obesity is a sedentary lifestyle, which often includes excessive screen-watching periods.
  • Obesity: A Personal Problem and a Social Issue Obesity is a problem affecting many persons and society as a whole. According to World Health Organization, over 40% of the US population is either overweight or outright obese.
  • Junk Food and Children’s Obesity Eating junk foods on a regular basis causes weight gain and for one in five Americans, obesity, is a major health concern though no one seems to be sounding the alarm.
  • Obesity Issue: Application of Nursing Theory This analysis will show that well-established theories are valuable to nursing problem-solving as frameworks for analyzing issues and planning solutions.
  • Health Promotion Proposal Obesity Prevention The purpose of this proposal is to inform and educate parents, children and adolescents of the importance of having a well balance diet and exercise in their daily lives to avoid obesity.
  • Obesity Prevention and Weight Management Theory The issue of obesity prevention will be guided by a nursing theory. One of the theories applicable in the case of childhood overweight is a theory of weight management.
  • Children Obesity Prevention Proposals The purpose of this paper is to propose the study of motivational interviewing benefits in preventing childhood obesity in the context of the literature review method.
  • Obesity From Sociological Perspectives The social problem under focus is obesity originating from Latino food norms. The problem of obesity is the direct result of adherence to social norms.
  • Physical Exercises as Obesity Treatment Exercise cannot be considered an effective tool for weight loss, but it does help individuals to maintain their normal and healthy weight.
  • Obesity in the World: the Prevalence, Its Effects to Human Health, and Causes There are various causes of obesity ranging from the quantity of food ingested to the last of physical exercises that utilize the accumulated energy.
  • Technology as the Cause of Obesity Today, humanity witnesses the third industrial revolution, or the broad implementation of innovative solutions into various spheres of activity.
  • Obesity in Children and Adolescents: Quantitative Methods Obesity in children and adolescents has increasingly become prevalent in the recent past and is now a major problem in most developed countries.
  • Technological Progress as the Cause of Obesity Obesity is the increase of the body’s weight over the natural limit because of accumulated fats. Technology is a cost to the lost creativity and control over the required healthy lifestyle.
  • Childhood Obesity and Nutrition The prevalence of childhood obesity in schools can be compared to an epidemic of a virulent disease on a global scale.
  • Obesity: Background and Preventative Measures Obesity is an epidemic. It tends to have more negative than positive effects on the economy and can greatly reduce one’s life expectancy.
  • Obesity Prevention: Social Media Campaign A variety of programs aimed at reducing the risk of obesity has been suggested by healthcare practitioners and scholars. Among them, diet interventions are highly popular.
  • Betty Neuman’s System Model for Adult Obesity Betty Neuman’s system model can beneficially influence a physical and emotional state of the person who is experiencing difficulties with being overweight.
  • Obesity From Sociological Imagination Viewpoint Most obese individuals understand that the modern market is not ready to accept them due to negative sociological imagination.
  • Health Promotion for Obesity in Adults This is a health promotion proposal for preventing obesity among adults in the US. People get obesity when they acquire a given body mass index.
  • Depression as It Relates to Obesity This paper will argue that there is a positive correlation between depression and obesity. The paper will make use of authoritative sources to reinforce this assertion.
  • Prevention of Obesity in Teenagers This paper aims to create an education plan for teenage patients and their parents to effectively inform them and help them avoid obesity.
  • Obesity Prevention in Community: Strategic Plan This paper is a plan of how to change the way the community should treat obesity and improve people’s health through the required number of interventions.
  • Childhood Obesity Prevention: The Role of Nursing Education Nurse practitioners have to deal with childhood obesity challenges and identity healthy physical and environmental factors to help pediatric patients and their parents.
  • The Role of Family in Childhood Obesity Families and healthcare providers develop numerous interventions in order to provide their children with a chance to avoid obesity complications.
  • Childhood Obesity: Causes and Effects Childhood obesity has many causes and effects, which denotes that parents and teachers should make children with obesity engage in regular physical exercise in school and at home.
  • The Consequences of Obesity: An Annotated Bibliography To review the literature data, the authors searched for corresponding articles on the PubMed database using specific keywords.
  • Obesity, Diabetes and Self-Care The paper discusses being overweight or obese is a high-risk factor for diabetes mellitus and self-care among middle-aged diabetics is a function of education and income.
  • Nursing Diabetes and Obesity Patients Nursing diabetes and obese patients are regarded as one of the most serious problems of contemporary nursing practices.
  • Childhood Obesity: Research Methodology Based on their body mass index measurement or diagnosis by a qualified physician, all children in the sample should be qualified as having obesity.
  • Pediatric Obesity and Self-Care Nursing Theory The presence of excess body fat in children has to be given special consideration since healthy childhood is a prerequisite to normal physical and psychological maturation.
  • Childhood Obesity: Methods and Data Collection The first instrument that will be used in data collection is body mass index (BMI). The BMI is measured by dividing a patient’s weight in kilograms by height in meters squared.
  • Childhood Obesity Interventions: Data Analysis The described analysis of research variables will make it possible to test the research and null hypotheses and contribute to the treatment of obesity in children.
  • Obesity Counteractions in Clark County, Washington The prevalence of obesity has been increasing sharply among children and adults in the Clark County because of the failure to observe healthy eating habits.
  • Childhood Obesity Study and Health Belief Model A field experiment will be used in the research to identify the impact of a healthy lifestyle intervention on children diagnosed with obesity.
  • Nutrition and Obesity: Management and Prevention Obesity is currently one of the leading health problems in the United States. Three quarters of all Americans will be either overweight or obese if the current trend continues.
  • Obesity Interventions and Nursing Contributions Detecting health problems that may affect children later in their adulthood is worthwhile. This paper reviews roles of nurses’ actions in replacing obesity with wellness.
  • Parents’ Education in Childhood Obesity Prevention It can be extremely important to compare and contrast the role of parent education and common methods of treatment in childhood obesity prevention.
  • Obesity in Miami-Dade Children and Adults The problem of childhood obesity is rather dangerous and may produce a short-term and long-term effect on young patients’ social, emotional, and physical health.
  • Obesity as a Global Health Issue The purpose of this research is to identify obesity as a global health issue, evaluate the methods and findings conducted on obesity, and find solutions to reduce obesity globally.
  • Oral Health and Obesity Among Adolescents This research paper developed the idea of using dental offices as the primary gateway to detect potential obesity among Texas adolescents.
  • Obesity: Causes, Consequences, and Care Nowadays, an increasing number of people suffer from having excess weight. This paper analyzes the relationship between obesity and other diseases.
  • Obesity Prevention Policy Making in Texas Obesity is a national health problem, especially in Texas; therefore, the state immediately needed to launch a policy to combat and prevent obesity in the population.
  • Childhood Obesity: Quantitative Annotated Bibliography Childhood obesity is a problem that stands especially acute today, in the era of consumerism. Children now have immense access to the Internet.
  • Behavioral Modifications for Patients With Obesity This paper aims to find out in obese patients, do lifestyle and behavioral changes, compared to weight loss surgery, improve patients’ health and reduce complications.
  • Sleep Deprivation Effects on Adolescents Who Suffer From Obesity The academic literature on sleep deprivation argues that it has a number of adverse health effects on children and adolescents, with obesity being one of them.
  • A Dissemination Plan on Adolescent Obesity and Falls in Elderly Population Research on clinical diagnoses and conditions is essential for obtaining practical information and adjusting current intervention strategies.
  • How to Reduce Obesity and Maintain Health? Health is becoming a matter of grave concern, especially the health of teenagers and adolescents, who are becoming increasingly overweight and obese.
  • Obesity Management: Hypothesis Test Study This paper will show how a hypothesis test study can help inform evidence-based practice regarding obesity management.
  • The Epidemiology of Obesity Nowadays, the weight loss strategies are promoted in modern media as the quickest and easiest ways to become slim.
  • Community Health: Obesity Prevention The community is located in the state of Florida’s most southeastern part. The data obtained from the 2017 census indicates that the county is the most populous one in the state.
  • Obesity Treatment in Primary Care: Evidence-Based Guide This paper gives a detailed discussion and critical analysis of the article, “An Evidence-Based Guide for Obesity Treatment in Primary Care” by Fitzpatrick et al.
  • Obesity in School-Aged Children as a Social Burden In addition to personal concerns, overweight and obese children are at risk for long-term health consequences, including cardiovascular problems and additional comorbidities.
  • Childhood Obesity and Self-Care Deficit Theory To help the target audience develop an understanding of the effects that their eating behavior has on their health, Dorothea Orem’s Theory of Self-Care Deficit can be utilized.
  • Childhood Obesity Risks, Reasons, Prevention In the modern world, obesity is the most widely spread health problem among children. That is why it should be the primary concern of the public.
  • Fast Food as a Cause of Obesity in the US and World In the contemporary rapidly developing world people are always on the move. They want to save time whenever it is possible.
  • Child Obesity as London’s Urban Health Issue According to the World Health Organisation, child obesity is regarded as one of the crucial public health problems of the 21st century for the citizens of the United Kingdom.
  • Childhood Obesity and Public Policies in England The study identifies the preventive measures of the English government to deal with childhood obesity and compares the trends in England with the rest of the UK.
  • Link Between Obesity and Genetics Obesity affects the lives through limitations implemented on the physical activity, associated disorders, and even emotional pressure.
  • Childhood Obesity: Prevention and Mitigation Over the past three decades, childhood obesity has developed into an epidemic and is considered as one of the major health issues in the world.
  • Children Obesity Research Method and Sampling This paper presents a research method and sampling on the investigation of the issue of childhood obesity and the impact parents` education might have on reducing excess weight.
  • Childhood Obesity and Parent Education Work studies the relations between overweight and parental education, child overweight and physical activity, and the domestic co-occurrence of overweight on a country-wide scale.
  • Childhood Obesity and Socio-Ecological Model Childhood obesity can be significantly reduced through a public health intervention grounded in the socio-ecological model.
  • Childhood Obesity, Social Actions and Intervention This literature review presents the major social actions and family-based interventions that have been in use to address the problem of obesity in children.
  • Health Promotion Strategies for Obesity The paper outlines and critically analyses the population based strategy as a method of managing and preventing obesity used in United Kingdom.
  • Best Interventions for Obesity The best plan for preventing obesity involves the combination of healthy eating habits and regular physical exercises.
  • The Childhood Obesity Problem Significance Childhood obesity is one of the most severe issues that affects children and teenagers. It involves various risks to their health.
  • Parental Education to Overcome Childhood Obesity Parental education plays a crucial role in addressing childhood obesity by influencing children’s behaviors and habits. Encouraging healthy eating, and promoting physical activity.
  • Obesity Management: Educational Behavioral Interventions The current project is devoted to the use of educational behavioral interventions in the management of obesity.
  • Reducing Obesity Among Children Aged 5-19 From Low-Income Families According to Jebeile et al., since 1975, the number of obese children has increased by 4.9% among girls and 6.9% among boys.
  • Obesity and Lack of Its Treatment Project The paper aims to treat obesity in a primary care setting, thus reducing the individual and social health burden that obesity poses.
  • “Overweight and Obesity Statistics” by the USDHHS In the article “Overweight and Obesity Statistics” by the USDHHS, the dire situation concerning excessive weight in adults and children is discussed.
  • Obesity: High Accumulation of Adipose Tissue It is important to point out that obesity is a complex and intricate disease that is associated with a host of different metabolic illnesses.
  • Obesity and Iron Deficiency Among College Students The study seeks to establish the relationship between obesity and iron deficiency by analyzing the serum hepcidin concentration among individuals aged between 19 to 29 years.
  • Childhood Obesity During the COVID-19 Pandemic While the COVID-19 pandemic elicited one of the worst prevalences of childhood obesity, determining its extent was a problem due to the lockdown.
  • Overweight and Obesity Prevalence in the US Obesity is a significant public health problem recognized as one of the leading causes of mortality in the United States. Obesity and overweight are two common disorders.
  • Obesity Screening Training Using the 5AS Framework The paper aims to decrease obesity levels at the community level. It provides the PCPs with the tools that would allow them to identify patients.
  • Prevalence and Control of Obesity in Texas Obesity has been a severe health issue in the United States and globally. A person is obese if their size is more significant than the average weight.
  • Nutrition: Obesity Pandemic and Genetic Code The environment in which we access the food we consume has changed. Unhealthy foods are cheaper, and there is no motivation to eat healthily.
  • Preventing Obesity Health Issues From Childhood The selected problem is childhood obesity, the rates of which increase nationwide yearly and require the attention of the government, society, and parents.
  • Describing the Problem of Childhood Obesity Childhood obesity is a problem that affects many children. If individuals experience a health issue in their childhood, it is going to lead to negative consequences.
  • Should fast-food restaurants be liable for increasing obesity rates?
  • Does public education on healthy eating reduce obesity prevalence?
  • Is obesity a result of personal choices or socioeconomic circumstances?
  • Should the government impose taxes on soda and junk food?
  • Weight loss surgery for obesity: pros and cons.
  • Should restaurants be required to display the caloric content of every menu item?
  • Genetics and the environment: which is a more significant contributor to obesity?
  • Should parents be held accountable for their children’s obesity?
  • Does weight stigmatization affect obesity treatment outcomes?
  • Does the fashion industry contribute to obesity among women?
  • Researching of Obesity in Florida It is important to note that Florida does not elicit the only state with an obesity problem, as the nation’s obesity prevalence stood at 42.4% in 2018.
  • Preventing Obesity Health Issues From the Childhood The paper is valuable for parents of children who are subject to gaining excess weight because the report offers how to solve the issue.
  • The Role of Social Workers in Addressing Teenage Obesity The social worker should be the bridge uniting obese individuals and society advertising social changes, and ending injustice and discrimination.
  • Obesity and Health Outcomes in COVID-19 Patients The COVID-19 pandemic has posed many challenges over the last three years, and significant research has been done regarding its health effects and factors.
  • Childhood Obesity in the US from Economic Perspective The economic explanation for the problem of childhood obesity refers to the inability of a part of the population to provide themselves and their children with healthy food.
  • Addressing Teenage Obesity in America The paper states that adolescence is one of the most crucial developmental phases of human life during which the issue of obesity must be solved.
  • Obesity in the United States of America The article discusses the causes of the obesity pandemic in the United States of America, which has been recognized as a pandemic due to its scope, and high prevalence.
  • The Problem of Childhood Obesity Obesity in childhood is a great concern of current medicine as the habits of healthy eating and lifestyle are taught by parents at an early age.
  • Obesity, Weight Loss Programs and Nutrition The article addresses issues that can help increase access to information related to the provision of weight loss programs and nutrition.
  • Childhood Obesity in the US From an Economic Perspective Looking at the problem of childhood obesity from an economic point of view offers an understanding of a wider range of causes and the definition of government intervention.
  • The Science Behind Obesity and Its Impact on Cancer The paper addresses the connection between cancer and physical activity, diet, and obesity in Latin America and the USA. The transitions in dietary practices may be observed.
  • The Current Problem of Obesity in the United States The paper raises the current problem of obesity in the United States and informs people about the issue, as well as what effect obesity can have on health.
  • Childhood and Adolescent Obesity and Its Reasons Various socio-economic, health-related, biological, and behavioral factors may cause childhood obesity. They include an unhealthy diet and insufficient physical activity and sleep.
  • Pediatric Obesity and Its Treatment Pediatric obesity is often the result of unhealthy nutrition and the lack of control from parents but not of health issues or hormonal imbalance.
  • Impact of Obesity on Healthcare System Patients suffering from obesity suffer immensely from stigma during the process of care due to avoidance which ultimately affects the quality of care.
  • Trending Diets to Curb Obesity There are many trending diets that have significant effects on shedding pounds; however, the discourse will focus on the Mediterranean diet.
  • Issues of Obesity and Food Addiction Obesity and food addiction have become widespread and significant problems in modern society, both health-related and social.
  • Diet, Physical Activity, Obesity, and Related Cancer Risk One’s health is affected by their lifestyle, which should be well managed since childhood to set a basis for a healthier adulthood.
  • Articles About Childhood Obesity The most straightforward technique to diagnose childhood obesity is to measure the child’s weight and height and compare them to conventional height and weight charts.
  • Childhood Obesity and Overweight Issues The paper discusses childhood obesity. It has been shown to have a negative influence on both physical health and mental well-being.
  • Discussion of Freedman’s Article “How Junk Food Can End Obesity” David Freedman, in article “How Junk Food Can End Obesity”, talks about various misconceptions regarding healthy food that are common in society.
  • Obesity and How It Can Cause Chronic Diseases Obesity is associated with increased cardiovascular diseases, and cancer risks. The modifications in nutrition patterns and physical activity are effective methods to manage them.
  • Physical Wellness to Prevent Obesity Heart Diseases Heart disease remains to be one of the most severe health concerns around the world. One of the leading causes of the condition is obesity.
  • Obesity and General State of Public Health Obesity is a condition caused by an abnormal or excessive buildup of fat that poses a health concern. It raises the risk of developing various diseases and health issues.
  • Ways of Obesity Interventions The paper discusses ways of obesity interventions. It includes diet and exercise, patient education, adherence to medication, and social justice.
  • Obesity, Cardiovascular and Inflammatory Condition Under Hormones The essay discusses heart-related diseases and obesity conditions in the human body. The essay also explains the ghrelin hormone and how it affects the cardiovascular system.
  • Aspects of Obesity Risk Factors Obesity is one of the most pressing concerns in recent years. Most studies attribute the rising cases of obesity to economic development.
  • Obesity in Adolescence in the Hispanic Community The health risks linked to Hispanic community adolescent obesity range from diabetes, heart problems, sleep disorders, asthma, and joint pain.
  • Obesity as a Wellness Concern in the Nursing Field A critical analysis of wellness can provide an understanding of why people make specific health-related choices.
  • Physio- and Psychological Causes of Obesity The paper states that obesity is a complex problem in the formation of which many physiological and psychological factors are involved.
  • How Junk Diets Can Reduce Obesity To control obesity there is a need to ensure that the junk foods produced are safe for consumption before being released into the foods market.
  • The Problem of Obesity: Weight Management Obesity is now a significant public health issue around the world. The type 2 diabetes, cardiac conditions, stroke, and metabolism are the main risk factors.
  • Hypertensive Patients Will Maintain Healthy Blood Pressure and Prevent Obesity Despite hypertension and obesity are being major life threats, there are safer lifeways that one can use to combat the problem.
  • Evolving Societal Norms of Obesity The primary individual factors that lead to overeating include limited self-control, peer pressure, and automatic functioning.
  • Obesity: Racial and Ethnicity Disparities in West Virginia Numerous social, economic, and environmental factors contribute to racial disparities in obesity. The rates of obesity vary depending on race and ethnicity in West Virginia.
  • The Worldwide Health Problem: Obesity in Children The paper touch upon the main causes of obesity, its spread throughout the world, the major effects of the condition and ways of prevention.
  • Mental Stability and Obesity Interrelation The study aims to conduct an integrative review synthesizing and interpreting existing research results on the interrelation between mental stability and obesity.
  • Crutcho Public School: Obesity in School Children Numerous school children at Crutcho Public elementary school, Oklahoma City, are obese revealing how obesity is a threat to that community.
  • Obesity in Low-Income Community: Diet and Physical Activity The research evaluates the relationship between family earnings and physical activity and overweight rates of children in 8 different communities divided by race or ethnicity.
  • Dealing with Obesity as a Societal Concern This essay shall discuss the health issue of obesity, a social health problem that is, unfortunately, growing at a rapid rate.
  • The link between excess weight and chronic diseases.
  • The role of genetics in obesity.
  • The impact on income and education on obesity risks.
  • The influence of food advertising on consumer choices.
  • Debunking the myths related to weight loss.
  • Obesity during pregnancy: risks and complications.
  • Cultural influences on eating patterns and obesity prevalence.
  • Community initiatives for obesity prevention.
  • The healthcare and societal costs of obesity.
  • The bidirectional relationship between sleep disorders and obesity.
  • Adolescent Obesity in the United States The article reflects the problem of overweight in the use, a consideration which the authors blame on influential factors such as age and body mass index.
  • Obesity Problem Solved by Proper Nutrition and Exercise Most people who suffer from obesity are often discouraged to pursue nutrition and exercise because their bodies cannot achieve a particular look.
  • Hispanic Obesity in the Context of Cultural Empowerment This paper identifies negative factors directly causing obesity within the Hispanic people while distinguishing positive effects upon which potential interventions should be based.
  • Health Psychology and Activists’ Views on Obesity This paper examines obesity from the psychological and activists’ perspectives while highlighting some of the steps to be taken in the prevention and curbing of the disease.
  • Childhood Obesity Teaching Experience and Observations The proposed teaching plan aimed at introducing the importance of healthy eating habits to children between the ages of 6 and 11.
  • Nature vs. Nurture: Child Obesity On the basis of the given assessment, it is evident that a child’s environment is a stronger influencer than his or her genetic makeup
  • Care Plan: Quincy Town, Massachusetts With Childhood Obesity This study will develop a community assessment program based on the city with the aim of creating a care plan for tackling the issue of child obesity in the town.
  • Exercise for Obesity Description There are numerous methods by which obesity can be controlled and one of the most effective ways is through exercising.
  • Obesity and Disparity in African American Women Several studies indicate that the rate of developing obesity is the highest in African American populations in the US.
  • Factors Increasing the Risk of Obesity The consumption of fast food or processed products is one of the major factors increasing the risk of obesity and associated health outcomes.
  • Childhood Obesity in Modern Schools Most schools have poor canteens with untrained staff and poor equipment for workers. That’s why they can’t cook quality food and offer better services to students.
  • Obesity in Hispanic American Citizens The issue of obesity anong Hispanic Americans occurs as a result of poor dieting choices caused by misinformed perceptions of proper eating.
  • Effectiveness of a Diet and Physical Activity on the Prevention of Obesity Research indicates that obesity is the global epidemic of the 21st century, especially due to its prevalent growth and health implications.
  • Community Obesity and Diabetes: Mississippi Focus Study The paper provides a detailed discussion of the correct method to be used in the state of Mississippi to control and avoid obesity and diabetes issues.
  • Multicausality: Reserpine, Breast Cancer, and Obesity All the factors are not significant in the context of the liability to breast cancer development, though their minor influence is undeniable.
  • The Home Food Environment and Obesity-Promoting Eating Behaviours Campbell, Crawford, Salmon, Carver, Garnett, and Baur conducted a study to determine the associations between the home food environment and obesity.
  • The Problem of Childhood Obesity in the United States Childhood obesity is one of the reasons for the development of chronic diseases. In the US the problem is quite burning as the percentage of obese children increased significantly.
  • Obesity Management and Intervention Many patients within the age brackets of 5-9 admitted in hospital with obesity cases have a secondary diagnosis of cardiovascular disease exceptionally high blood pressure.
  • Children Obesity in the United States Together with other problems and illnesses, obesity stands as one of the main difficulties in modern societies.
  • The Situation of Obesity in Children in the U.S. The paper will discuss the situation of obesity in Children in the U.S. while giving the associated outcomes and consequences.
  • Childhood Obesity and Healthy Lifestyles The purpose of this paper is to discuss childhood obesity and the various ways of fostering good eating habits and healthy lifestyles.
  • Screen Time and Pediatric Obesity Among School-Aged Children Increased screen time raises the likelihood of children becoming overweight/obese because of the deficiency of physical exercise and the consumption of high-calorie foods.
  • Eating Fast Food and Obesity Correlation Analysis The proposed study will attempt to answer the question of what is the relationship between eating fast food and obesity, using correlation analysis.
  • Policymaker Visit About the Childhood Obesity Problem The policy issue of childhood obesity continues to be burning in American society. It causes a variety of concurrent problems including mental disorders.
  • Public Health Interventions and Economics: Obesity The purpose of this article is to consider the economic feasibility of public health interventions to prevent the emergence of the problem of obesity.
  • Obesity Overview and Ways to Improve Health The main focus of this paper is to analyze the problems of vice marketing and some unhealthy products to teens and children.
  • Nursing: Issue of Obesity, Impact of Food Obesity is a pandemic problem in America. The fast food industry is under pressure from critics about the Americans weight gain problem.
  • Childhood Overweight and Obesity Childhood overweight and obesity have increased in the US. Effective transportation systems and planning decisions could eliminate such overweight-related challenges.
  • Childhood Obesity as an International Problem This paper explores the significance of using the web-based technological approach in combating obesity among Jewish children.
  • Obesity Negative Influence on Public Health In recent years the increased attention has been paid to the growing obesity trends in connection to a possible negative influence on public health.
  • The Effects of Gender on Child Obesity The high percentage of women’s obesity prevalence is a result of poor nutrition in childhood and access to greater resources in adulthood.
  • Problematic of Obesity in Mexican Americans With this strategy, patients and guardians will embrace the best habits and eventually address the problem of obesity among Mexican Americans.
  • Child Obesity Problem in the United States Obesity is a disease commonly associated with children in most countries in the world. Obesity means weighing much more than is healthy for someone.
  • Obesity Rates and Global Economy The process of obesity in modern society is undoubtedly a severe obstacle to the development of the global economy, as well as to the achievement of its sustainability.
  • Screen Time and Pediatric Obesity in School-Aged Children Obesity in school-aged children negatively influences their health, educational accomplishment, and quality of life.
  • Obesity: Cause and Treatment The sphere of contemporary medicine faces the problem of obesity as a troublesome trend that proceeds to embrace the global citizens.
  • Obesity Treatment – More Than Food Researchers concluded that due to underlying issues, obese adolescents failed to achieve their goals in terms of losing weight.
  • Effects of Exercise on Obesity Reduction in Adults One of the most effective methods of managing obesity is physical exercise. Physical exercise promotes weight loss and helps individuals to manage obesity.
  • The Problem of Obesity in the Latin Community The purpose of this paper is to discuss the matter of a large number of overweight people in the Latin community of Florida and how the situation can be improved.
  • Obesity Prevention in Ramsey County, Minnesota The problem of obesity has risen among working-class people but declined barely among children and senior adults. Ramsey has a low level of obesity relative to the national level.
  • Childhood Obesity and Its Potential Prevention
  • Non-Surgical Reduction of Obesity and Overweight in Young Adults
  • Obesity Prevention Due to Education
  • Physical Activity and Obesity in Children by Hills et al.
  • The Best Way to Address Obesity in the United States
  • The Issues with Obesity of Children and Adolescents
  • Obesity in People with Intellectual Disabilities’: The Article Review
  • Non-Surgical Reduction of Obesity in Young Adults
  • Obesity in Children in the United States
  • Childhood Obesity in Ocean Springs Mississippi
  • The Problem of Children Obesity
  • “Physical Activity and Obesity in Children” by A. P. Hills
  • “Physical Activity and Obesity in Children” by Hills
  • The Current State of Obesity in Children Issue
  • Effects of Obesity on Human Lifespan Development
  • Obesity and High Blood Pressure as Health Issues
  • Adult Obesity: Treatment Program
  • The Prevention of Childhood Obesity in Children of 1 to 10 Years of Age
  • Obesity as a Major Health Concern in the United States
  • Screen Time and Pediatric Obesity
  • Janet Tomiyama’s “Stress and Obesity” Summary
  • The Issue of Obesity: Reasons and Consequences
  • “Obesity and the Growing Brain” by Stacy Lu
  • Obesity Disease: Symptoms and Causes
  • Obesity Among Mexican-American School-Age Children in the US
  • Obesity as a One of the Major Health Concerns
  • Obesity: Diet Management in Adult Patients
  • Children’s Obesity in the Hispanic Population
  • Childhood Obesity: Problem Analysis
  • Prevention of Childhood Obesity
  • Assessing Inputs and Outputs of a Summer Obesity Prevention Program
  • Designing a Program to Address Obesity in Florida
  • Widespread Obesity in Low-Income Societies
  • Health Policy: Obesity in Children
  • Youth Obesity In Clark County in Vancouver Washington
  • Obesity in Clark County and Health Policy Proposal
  • Obesity: Is It a Disease?
  • Clark County Obesity Problem
  • Obesity Action Coalition Website Promoting Health
  • Obesity Problem in the United States
  • Childhood Obesity: Medical Complications and Social Problems
  • How to Address Obesity in the United States
  • The Epidemic of Obesity: Issue Analysis
  • Eating Healthy and Its Link to Obesity
  • Child Obesity in North America
  • Personal Issues: Marriage, Obesity, and Alcohol Abuse
  • Obesity in Children: Relevance of School-Based BMI Reporting Policy
  • Obesity in the United States: Defining the Problem
  • Depression and Other Antecedents of Obesity
  • Adolescent Obesity: Theories and Interventions
  • Obesity in Children in the US
  • Childhood Obesity: Issue Analysis
  • Data Mining Techniques for African American Childhood Obesity Factors
  • Approaches to Childhood Obesity Treatment
  • Researching Childhood Obesity Issues
  • Infant Feeding Practices and Early Childhood Obesity
  • Prevalence of Obesity and Severe Obesity in U.S. Children
  • Problem of Obesity: Analytic Method
  • Obesity as National Practice Problem
  • Practice Problem of the Obesity in United States
  • Exercise for Obesity Management: Evidence-Based Project
  • Obesity in African-American Women: Methodology
  • Pediatric Obesity Study Methodology
  • Adult Obesity Causes & Consequences
  • Childhood Obesity and Mothers’ Education Project
  • Childhood Obesity Research Critiques
  • Childhood Obesity: Medication and Parent Education
  • Obesity Caused by Fast-Food as a Nursing Practice Issue
  • Cardiometabolic Response to Obesity Treatment
  • Childhood Obesity Study: Literature Review
  • Motivational Interviewing in Obesity Reduction: Statistical Analysis
  • Obesity Among the Adult Population: Research Planning
  • Research and Global Health: Obesity and Overweight
  • Adolescent Obesity Treatment in Primary Care
  • The Issues of Childhood Obesity: Overweight and Parent Education
  • Childhood Obesity and Parent Education: Ethical Issues
  • Childhood Obesity Prevention: Physical Education and Nutrition
  • Obesity Reduction and Effectiveness of Interventions
  • Childhood and Adult Obesity in the US in 2011-12
  • Obesity Prevention Advocacy Campaigns
  • Childhood Obesity Study, Ethics, and Human Rights
  • Childhood Obesity, Demographics and Environment
  • Overweight and Obesity in 195 Countries Since 1980
  • Childhood Obesity and American Policy Intervention
  • Obesity in Miami as a Policy-Priority Issue
  • Efficient Ways to Manage Obesity
  • Childhood Obesity and Public Health Intervention
  • Childhood Obesity and Healtcare Spending in the US
  • Childhood Obesity, Medical and Parental Education
  • Nursing Role in Tackling Youth Obesity
  • Childhood Obesity Causes: Junk Food and Video Games
  • Childhood Obesity: Problem Issues
  • Adolescent Obesity and Parental Education Study
  • Childhood Obesity: Data Management
  • Obesity Prevention and Patient Teaching Plan
  • “Management of Obesity” by Dietz et al.
  • Obesity, Diet Modification and Physical Exercises
  • Obesity, Its Definition, Treatment and Prevention
  • Childhood Obesity and Eating Habits in Low-Income Families
  • Diet and Lifestyle vs Surgery in Obesity Treatment
  • Obesity: Society’s Attitude and Media Profiling
  • Childhood Obesity and Family’s Responsibility
  • Childhood Obesity: Parental Education vs. Medicaments
  • Childhood Obesity and Healthy Lifestyle Education
  • Childhood Obesity and Health Promoting Schools Program
  • Obesity Prevention and Education in Young Children
  • Childhood Obesity: The Relationships Between Overweight and Parental Education
  • Obesity, Its Demographics and Health Effects
  • Obesity Treatment: Surgery vs. Diet and Exercises
  • Childhood Obesity Problem Solution
  • Treat and Reduce Obesity Act and Its Potential
  • Obesity Prevention in Young Children: Evidence-Based Project
  • Advocacy Campaign: Childhood Obesity
  • Obesity as American Social Health Issue
  • Prevalence of Childhood and Adult Obesity in the US
  • The Role of Nurses in the Obesity Problem
  • The Issue of Obesity in Youth in the U.S.
  • Obesity Among Children of London Borough of Southwark
  • Childhood Obesity Risks and Preventive Measures
  • Ways of Treating Obesity in Older Patients
  • Life Expectancy and Obesity Health Indicators
  • The Overuse of Antibiotics and Its Role in Child Obesity
  • Children and Adolescents With Obesity: Physical Examination
  • Obesity in the United States: Learning Process
  • Pharmacotherapy for Childhood Obesity
  • “Let’s Move” Intervention for Childhood Obesity
  • Obesity Prevention in Childhood
  • Patient Education for Obesity Treatment
  • Childhood Obesity Prevention Trends
  • Obesity Prevention in Young Children in US
  • Wellness, Academics & You: Obesity Intervention
  • Childhood Obesity, Health and Psychological State
  • Evidence Based Practice Related to Patient Obesity
  • Childhood Obesity and Its Solutions
  • Obesity Problem among the Adult Population
  • Obesity Education in Social Media for Children
  • Childhood Obesity and Governmental Measures
  • Childhood Obesity Research and Ethical Concerns
  • Obesity, Its Contributing Factors and Consequences
  • Obesity Education Plan for Older Adults
  • Obesity among the Adult Population
  • Multimodal-Lifestyle Intervention for Obesity
  • Technological Education Programs and Obesity Prevention
  • Childhood Obesity and Independent Variable in Parents
  • Childhood Obesity: A Global Public Health Crisis
  • Childhood Obesity, Its Definition and Causes
  • Public Health Initiative for Childhood Obesity
  • Childhood Obesity and Health Promotion
  • Childhood Obesity in the US: Factors and Challenges
  • Obesity: Genetic, Hormonal and Environmental Influences
  • The Problem of Obesity in the USA
  • Childhood Obesity in the USA
  • Prevention of Obesity in Children
  • Racial and Ethnic Trends in Childhood Obesity in the US
  • Diabetic Patients with Obesity or Overweight
  • Childhood Obesity and Public Health Interventions
  • Obesity in Florida and Prevention Programs
  • Obesity in Afro-Americans: Ethics of Intervention
  • Food Ads Ban for Childhood Obesity Prevention
  • Helping Children with Obesity and Health Risks
  • The Role of Nurses in the Problem of Obesity
  • Healthy Nutrition: Obesity Prevention in Young Children
  • Myocardial Infarction, Obesity and Hypertension
  • Obesity’s Effect on Children and Elderly People
  • Childhood Obesity and Community Nursing Intervention
  • Obesity Trends Among Non-Hispanic Whites and Blacks
  • Family-Based Childhood Obesity and Parental Weight
  • Childhood Obesity and Depression Intervention
  • Problem of the Childhood Obesity
  • Advocacy Campaign: the Problem of Childhood Obesity
  • Obesity in African Americans: Prevention and Therapy
  • Humanistic Theory in Childhood Obesity Research
  • Childhood Obesity and Control Measures in the US
  • Decreasing Obesity in Jewish Children
  • Nutrition: Obesity Epidemics in America
  • Fast Food and Obesity Link – Nutrition
  • Dairy Products Consumption and Obesity – Nutrition
  • Nutrition Issues: Obesity and Breastfeeding
  • The Evidence of Association between Iron Deficiency and Childhood Obesity
  • Food Allergies and Obesity
  • Childhood Obesity: a Population Health Issue
  • Nutrition: Fighting the Childhood Obesity Epidemic
  • What Factors Causes Obesity?
  • What Are Five Problems With Obesity?
  • Can the Government Help the Obesity Issue?
  • What Are the Three Dangers of Obesity?
  • What Are Ten Health Problems Associated With Obesity?
  • Are the Parents to Blame for Childhood Obesity?
  • What Are the Social Effects of Obesity?
  • Does Adolescent Media Use Cause Obesity and Eating Disorders?
  • How Is Obesity Affecting the World?
  • How Does Obesity Impact Quality of Life?
  • Does Society Affect America’s Obesity Crisis?
  • How Does Obesity Affect You Mentally?
  • How Does Obesity Impact Children?
  • How Does Obesity Affect Self-Esteem?
  • How Does Obesity Cause Depression?
  • Are First Generation Mexican Children More Prone to Obesity Than Their Second Generation Counterparts?
  • Should Fast Food Companies Be Held Responsibility for Children’s Obesity?
  • Does Obesity Cause Mood Swings?
  • What Are the Causes and Effects of Childhood Obesity?
  • Is Obesity a Mental or Physical Illness?
  • What Comes First: Depression or Obesity?
  • What Makes Obesity Dangerous?
  • Which European Country Has the Highest Rate of Obesity?
  • What Is the Obesity Rate in Africa?

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StudyCorgi. (2021, September 9). 399 Obesity Essay Topics & Research Questions + Examples. https://studycorgi.com/ideas/obesity-essay-topics/

"399 Obesity Essay Topics & Research Questions + Examples." StudyCorgi , 9 Sept. 2021, studycorgi.com/ideas/obesity-essay-topics/.

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1. StudyCorgi . "399 Obesity Essay Topics & Research Questions + Examples." September 9, 2021. https://studycorgi.com/ideas/obesity-essay-topics/.

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StudyCorgi . "399 Obesity Essay Topics & Research Questions + Examples." September 9, 2021. https://studycorgi.com/ideas/obesity-essay-topics/.

StudyCorgi . 2021. "399 Obesity Essay Topics & Research Questions + Examples." September 9, 2021. https://studycorgi.com/ideas/obesity-essay-topics/.

These essay examples and topics on Obesity were carefully selected by the StudyCorgi editorial team. They meet our highest standards in terms of grammar, punctuation, style, and fact accuracy. Please ensure you properly reference the materials if you’re using them to write your assignment.

This essay topic collection was updated on June 24, 2024 .

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Prevalence and influencing factors of central obesity among adults in china: china nutrition and health surveillance (2015–2017), 1. introduction, 2. materials and methods, 2.1. data source, 2.2. data collection, 2.3. definition of central obesity, 2.4. confounding factors, 2.5. quality control, 2.6. statistical analysis, 3.1. general characteristics of the participants, 3.2. central obesity among adults with different characteristics, 3.3. influencing factors of central obesity prevalence, 4. discussion, 5. conclusions, author contributions, institutional review board statement, informed consent statement, data availability statement, acknowledgments, conflicts of interest.

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  • Zhao, Z.; Zhen, S.; Yan, Y.; Liu, N.; Ding, D.; Kong, J. Association of Dietary Patterns with General and Central Obesity among Chinese Adults: A Longitudinal Population-Based Study. BMC Public Health 2023 , 23 , 1588. [ Google Scholar ] [ CrossRef ]
Men (N, %) *Women (N, %) *Total (N, %) *
N67,535 (46.5)77,763 (53.5)145,298 (100)
Age
 18~295713 (3.9)7048 (4.9)12,761 (8.8)
 30~397867 (5.4)9960 (6.9)17,827 (12.3)
 40~4914,791 (10.2)18,163 (12.5)32,954 (22.7)
 50~5916,494 (11.4)19,387 (13.3)35,881 (24.7)
 60~6915,303 (10.5)16,315 (11.2)31,618 (21.7)
 ≥707367 (5.1)6890 (4.7)14,257 (9.8)
Education level
 Low26,502 (18.2)41,776 (28.8)68,278 (47.0)
 Moderate35,406 (24.4)30,103 (20.7)65,509 (45.1)
 High5627 (3.9)5884 (4.0)11,511 (7.9)
Marital status
 Unmarried3753 (2.6)2212 (1.5)5965 (4.1)
 Married61,725 (42.5)70,757 (48.7)132,482 (91.2)
 Divorced/Widowed2057 (1.4)4794 (3.3)6851 (4.7)
Residence
 Urban27,551 (19.0)33,604 (23.1)61,155 (42.1)
 Rural39,984 (27.5)44,159 (30.4)84,143 (57.9)
Region of China
 Northern 9949 (6.8)11,579 (8.0)21,528 (14.8)
 Northeast 6913 (4.8)7870 (5.4)14,783 (10.2)
 Eastern 18,748 (12.9)20,944 (14.4)39,692 (27.3)
 Central 8330 (5.7)9906 (6.8)18,236 (12.6)
 Southwest8972 (6.2)11,021 (7.6)19,993 (13.8)
 Northwest 9205 (6.3)9992 (6.9)19,197 (13.2)
 Southern5418 (3.7)6451 (4.5)11,869 (8.2)
Average annual household income
 Low15,747 (10.8)17,611 (12.1)33,358 (22.9)
 Moderate15,843 (10.9)18,439 (12.7)34,282 (23.6)
 High18,951 (13.0)22,186 (15.3)41,137 (28.3)
 Very high16,994 (11.7)19,527 (13.4)36,521 (25.1)
BMI
 Low2246 (1.6)2913 (2.0)5159 (3.6)
 Normal31,202 (21.5)35,859 (24.7)67,061 (46.2)
 Overweight24,637 (17.0)27,098 (18.6)51,735 (35.6)
 Obese9450 (6.5)11,893 (8.2)21,343 (14.7)
Smoking
 Never23,224 (16.0)75,003 (51.6)98,227 (67.6)
 Former34,814 (23.9)2118 (1.5)36,932 (25.4)
 Current9497 (6.5)642 (0.4)10,139 (6.9)
Alcohol consumption
 No current alcohol consumption35,476 (24.4)69,902 (48.1)105,378 (72.5)
 Current alcohol consumption32,059 (22.1)7861 (5.4)39,920 (27.5)
Physical activity
 Insufficient8430 (5.8)7569 (5.2)15,999 (11.0)
 Sufficient59,105 (40.7)70,194 (48.3)129,299 (89.0)
Sleep duration
 ≤6 h12,293 (8.5)14,799 (10.2)27,092 (18.7)
 7~8 h41,312 (28.4)45,856 (31.6)87,168 (60.0)
 ≥9 h13,930 (9.6)17,108 (11.8)31,038 (21.4)
Screen time
 ≤5 h58,740 (40.4)69,595 (47.9)128,335 (88.3)
 >5 h8795 (6.1)8168 (5.6)16,963 (11.7)
Prevalence (%)95%CIRao–Scott X p-Value
Total 29.928.4~31.4
Sex 10.15 0.0014
 Men31.029.2~32.8
 Women28.827.3~30.3
Age 545.33 <0.0001
 18~2918.416.6~20.2
 30~3928.125.5~30.7
 40~4933.532.0~35.0
 50~5937.936.2~39.6
 60~6938.036.1~39.9
 ≥7034.932.5~37.4
Education level 32.19 <0.0001
 Low32.731.0~34.3
 Moderate29.627.8~31.4
 High25.022.4~27.7
Marital status 222.80 <0.0001
 Unmarried16.213.7~18.6
 Married31.730.3~33.2
 Divorced/Widowed33.930.9~36.9
Residence 1.81 0.1787
 Urban30.928.6~33.3
 Rural28.826.9~30.7
Region of China 77.80 <0.0001
 Northern 38.936.1~41.6
 Northeast 33.029.9~36.0
 Eastern 30.828.1~33.5
 Central 28.925.0~32.8
 Southwest 25.223.1~27.2
 Northwest 30.026.9~33.1
 Southern 20.016.5~23.6
Average annual household income 5.71 0.1264
 Low29.527.7~31.4
 Moderate28.527.0~30.0
 High31.329.5~33.0
 Very high30.027.2~32.7
BMI 397,694.71<0.0001
 Low0.80.4~1.2
 Normal5.34.6~6.0
 Overweight42.340.8~43.8
 Obese90.789.6~91.7
Smoking 47.15 <0.0001
 Never29.527.9~31.0
 Former29.527.7~31.3
 Current37.835.3~40.3
Alcohol consumption 15.86 <0.0001
 No current consumption29.127.7~30.5
 Current consumption31.929.8~33.9
Physical activity 3.23 0.0725
 Insufficient31.229.1~33.4
 Sufficient29.728.3~31.2
Sleep duration 41.70 <0.0001
 ≤6 h33.932.1~35.7
 7~8 h29.427.9~30.9
 ≥9 h28.726.6~30.7
Screen time 37.46 <0.0001
 ≤5 h30.829.2~32.3
 >5 h26.424.6~28.2
Influencing Factor βSEWald X pOR95%CI
Intercept −5.018 0.139 1297.975 <0.0001
SexWomen vs. Men0.285 0.021 192.565 <0.00011.3291.277~1.384
Age30~39 vs. 18~290.137 0.039 12.100 0.00051.1461.061~1.238
40~49 vs. 18~290.227 0.037 37.931 <0.00011.2541.167~1.348
50~59 vs. 18~290.574 0.037 244.079 <0.00011.7741.651~1.907
60~69 vs. 18~290.713 0.038 352.559 <0.00012.0411.894~2.198
≥70 vs. 18~290.890 0.043 435.930 <0.00012.4342.239~2.647
Education levelModerate vs. Low−0.100 0.017 33.447 <0.00010.9050.875~0.936
High vs. Low−0.155 0.034 21.205 <0.00010.8570.802~0.915
Marital statusMarried vs. Unmarried0.169 0.049 12.149 0.00051.1841.077~1.302
Divorced/Widowed vs. Unmarried0.124 0.060 4.271 0.03881.1321.006~1.273
ResidenceUrban vs. Rural0.092 0.017 30.996 <0.00011.0961.061~1.132
RegionNortheast vs. Northern −0.440 0.029 228.171 <0.00010.6440.608~0.682
Eastern vs. Northern −0.285 0.023 151.976 <0.00010.7520.718~0.787
Central vs. Northern −0.312 0.028 128.830 <0.00010.7320.694~0.772
Southwest vs. Northern −0.192 0.028 47.700 <0.00010.8250.781~0.871
Northwest vs. Northern−0.252 0.027 84.594 <0.00010.7770.737~0.820
Southern vs. Northern −0.547 0.034 262.321 <0.00010.5790.541~0.618
Average annual household incomeModerate vs. Low0.021 0.022 0.895 0.34421.0210.978~1.066
High vs. Low0.046 0.022 4.552 0.03291.0471.004~1.093
Very high vs. Low0.065 0.024 7.531 0.00611.0671.019~1.118
BMILow vs. Normal−1.8410.263−7.00<0.00010.1590.095~0.266
Overweight vs. Normal2.5370.05347.59<0.000112.64511.388~14.042
Obese vs. Normal5.1980.08560.86<0.0001180.989153.025~214.064
SmokingFormer vs. Never0.038 0.023 2.798 0.09441.0380.994~1.085
Current vs. Never0.111 0.032 12.408 0.00041.1171.05~1.188
Alcohol consumptionNo current consumption vs. Current consumption 0.067 0.019 12.829 0.00031.0691.031~1.109
Physical activitySufficient vs. Insufficient0.199 0.024 71.565 <0.00010.8190.782~0.858
Sleep duration7~8 vs. ≤60.006 0.019 0.089 0.76501.0060.968~1.045
≥9 vs. ≤60.039 0.024 2.769 0.09611.0400.993~1.089
Screen time>5 vs. ≤50.084 0.025 11.696 0.00061.0881.036~1.141
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Share and Cite

Nan, J.; Chen, M.; Yuan, H.; Cai, S.; Piao, W.; Li, F.; Yang, Y.; Zhao, L.; Yu, D. Prevalence and Influencing Factors of Central Obesity among Adults in China: China Nutrition and Health Surveillance (2015–2017). Nutrients 2024 , 16 , 2623. https://doi.org/10.3390/nu16162623

Nan J, Chen M, Yuan H, Cai S, Piao W, Li F, Yang Y, Zhao L, Yu D. Prevalence and Influencing Factors of Central Obesity among Adults in China: China Nutrition and Health Surveillance (2015–2017). Nutrients . 2024; 16(16):2623. https://doi.org/10.3390/nu16162623

Nan, Jing, Mulei Chen, Hongtao Yuan, Shuya Cai, Wei Piao, Fusheng Li, Yuxiang Yang, Liyun Zhao, and Dongmei Yu. 2024. "Prevalence and Influencing Factors of Central Obesity among Adults in China: China Nutrition and Health Surveillance (2015–2017)" Nutrients 16, no. 16: 2623. https://doi.org/10.3390/nu16162623

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Obesity Research Papers Topics and  Thesis Statement Ideas for Obesity Research Paper

Obesity is not a disease but can be the major cause for many major diseases. It is a medical condition in which the body fats accumulate to the extent that it becomes injurious to the health. This problem is of gravest concern in the West where junk food has now become the part of their everyday routine.

There are hundreds of other underlying reasons for obesity that you can mention in your research paper. The researcher is supposed to gather basic and essential information about obesity to come up with real and convincing facts and figure that would make the reader read the research work completely.

Because obesity is not diseases but the bone of contention. So the students would be able to learn and explore more about obesity and it Topics.

The reason why teachers assign this task to the students is to make them aware of the benefits of healthy eating habits and how to prevent this problem. Whether it is childhood obesity research paper or child obesity research paper, it is no way difficult for a writer but it has been a common observation that Obesity Research Papers Topics and  thesis statements fall short to the standards.

Another problem that they face during this sort of research paper writing is the proper Obesity topic selection. There are many topics that one can write their paper on but a unique and creative title is not everyone’s cup of tea.

Therefore, we have decided to provide some thesis statement along with some Obesity Research Papers Topics for the students who are going in circles.

Topic idea # 1: Repercussions of obesity in children

“Obesity should be taken care from childhood as it can turn into a chronic disease leading to social and mental repercussions in adulthood”

Topic idea # 2: Major causes of obesity

“The biggest cause for the rising obesity in children and adults are the bad eating habits and lack of exercises”

Topic idea # 3: Role of junk food in obesity

“Parents and teachers should be held responsible for the rising obesity in children as they have to take care of their bad eating habits at every stage of life”

Topic idea # 4: How to treat obesity?

“Obesity can be treated by a regular intake of dietary fiber, physical exercises, dieting and a low consumption of energy-dense foods”

Topic # 5: Historical myths about obesity

“Obesity was once categorized as one of the symbols of great health, wealth, prosperity and most of all fertility in history, and still in many parts of the world in spite of our educated society”.

Topic # 6: Impacts of Obesity on health

“Excessive body weight that is Obesity can lead to various diseases particularly cardiovascular, obstructive sleep apnea, cancer, diabetes mellitus type 2, osteoarthritis”

Therefore, you can go with any one of the above told thesis statement ideas for this research paper writing . You can also modify them as according to your need.

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  1. Obesity Issue: Application of Nursing Theory

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  4. SOLUTION: Obesity nursing diagnosis care plan

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  6. Causes Of Childhood Obesity

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COMMENTS

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  3. Obesity and Overweight: Probing Causes, Consequences, and Novel

    In the United States, overweight and obesity are chronic diseases that contribute to excess morbidity and mortality. Despite public health efforts, these disorders are on the rise, and their consequences are burgeoning. 1 The Centers for Disease Control and Prevention report that during 2017 to 2018, the prevalence of obesity in the United States was 42.4%, which was increased from the ...

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    Overweight and obesity are serious disorders affecting a substantial part of the current population. The Problem of Obesity and Its Management. The regulation of body weight in the body is carried out through a complex interaction of a complex of interconnected systems that control the energy system of the body.

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  17. 399 Obesity Essay Topics & Research Questions + Examples

    Obesity is a national health problem, especially in Texas; therefore, the state immediately needed to launch a policy to combat and prevent obesity in the population. Childhood Obesity: Quantitative Annotated Bibliography. Childhood obesity is a problem that stands especially acute today, in the era of consumerism.

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  19. Prevalence and Influencing Factors of Central Obesity among ...

    The purpose of this study was to describe the prevalence of central obesity and its influencing factors among Chinese adults aged 18 or older. The data were from China Nutrition and Health Surveillance (2015-2017), which used a stratified, multistage, random sampling method. A total of 145,298 adults aged 18 years or older from 31 provinces were included in this study.

  20. PDF Final Thesis

    Thesis Advisor: Andrew Wise, PhD. ABSTRACT. This study evaluated the effectiveness of the Coordinated School Health Program model. in reducing childhood obesity rates using state-level data collected by the Centers for Disease. Control and Prevention (CDC) for the years 1994, 2000, and 2006.

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    In conclusion, this essay has discussed why obesity is a public health issue and role of the nurses in promoting health and equality with regards to obesity by educating people to maintain they own health. The understanding of the importance of record-keeping, awareness of anti-discriminatory and the need that nurses treat every patient equally ...

  22. Dissertations / Theses on the topic 'Obesity, perception of obesity

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  23. Obesity Research Papers Topics

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    • Eliminating Asthma and Obesity Disparities among Children in Baltimore City • Identification of barriers to recovery following traumatic brain injury in older adults • E. Funding Restrictions • Requests must be no more than $50,000 in direct costs. Budget requests must be realistic and well-justified in the budget justification.