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Childhood obesity is a serious medical condition that affects children and adolescents

SUBMITTED BY:

MS.SHASHIKALA JAVALI

1st YEAR M.Sc NURSING,

PEDIATRIC NURSING

2012-2014 BATCH.

SARVODAYA COLLEGE OF NURSING

BANGALORE.

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

KARNATAKA, BANGALORE.

PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

1.

NAME OF THE CANDIDATE AND ADDRESS

Ms. SHASHIKALA JAVALI

1ST YEAR MSC NURSING

SARVODAYA COLLEGE OF NURSING.

#11/2, MAGADI MAINROAD, AGRAHARA, DASARAHALLI, BANGALORE -560 079.

2.

NAME OF THE INSTITUTION

Sarvodaya College of Nursing, Bangalore.

3.

COURSE OF THE STUDY AND SUBJECT

1ST year M.Sc. Nursing.

Pediatric Nursing

4.

DATE OF ADMISSION OF COURSE

9/07/2012

5.

TITLE OF THE TOPIC

“A study to asses the effectiveness of video assisted teaching program on knowledge regarding childhood obesity among students of selected school at Bangalore.”

6.

BRIEF RESUME OF THE INTENDED WORK

6.0 Introduction

6.1 Need for the study

6.1.1 Statement of the problem

6.2 Review of related literature

6.3 Objectives of the study

6.3.1 Operational definitions

6.3.2 Assumptions

6.3.3 Hypothesis

6.3.4 Sampling Criteria

(Inclusion and Exclusion criteria)

6.3.5 Delimitations

Enclosed

Enclosed

Enclosed

Enclosed

Enclosed

Enclosed

Enclosed

Enclosed

Enclosed

Enclosed

7.

MATERIALS AND METHODS

7.1. Sources of data: The data will be collected from the students of selected school.

7.2. Method of data collection: Interview method and self administered questionnaire will be used to collect the data.

7.3 Does the study require any investigations or interventions to be conducted on the patients or other humans or animals?  YES

7.4. Has ethical clearance been obtained from your institution? YES

8

LIST OF REFERENCES

Enclosed

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA, BANGALORE.

PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

1.

NAME OF THE CANDIDATE AND

ADDRESS

Ms. SHASHIKALA JAVALI

1ST YEAR MSC NURSING

SARVODAYA COLLEGE OF NURSING,

#11/2, MAGADI MAINROAD, AGRAHARA

DASARAHALLI, BANGALORE -560 079.

2.

NAME OF THE INSTITUTION

Sarvodaya College of Nursing, Bangalore.

3.

COURSE OF THE STUDY AND SUBJECT

1st year M.Sc. Nursing.

Pediatric Nursing.

4.

DATE OF ADMISSION OF COURSE

9/07/2012

5.

TITLE OF THE TOPIC

“A study to asses the effectiveness of video assisted teaching program on knowledge regarding childhood obesity among students of selected school at Bangalore.”

6. BRIEF RESUME OF INTENDED WORK

6.0 INTRODUCTION

“Childhood obesity is a huge systemic problem. It's a pandemic to a certain extent.”

-Cathy Nonas

Childhood obesity is a serious medical condition that affects children and adolescents. It occurs when a child is well above the normal weight for his or her age and height. Childhood obesity is particularly troubling because the extra pounds often start children on the path to health problems that were once confined to adults, such as diabetes, high blood pressure and high cholesterol. Childhood obesity can also lead to poor self-esteem and depression. [1]

One of the best strategies to reduce childhood obesity is to improve the diet and exercise habits of entire family. Treating and preventing childhood obesity helps protect the health of your child now and in the future. [2]

Obesity is the most common nutritional disorder, particularly among the affluent, all over the world. Obesity may be described as a condition characterized by excessive deposition of fat in the body. It usually results from consumption of food in excess of physiological needs. [3]

Obesity in general is defined as the presence of excess adipose tissue in the body to such a degree that it may lead to health hazards (Prenticeet al. 2001; Rossner 2002). Obesity is not a single disorder but a heterogeneous group of conditions with multiple causes. Body weight is determined by an interaction between genetic, environmental, psychological factors acting through the physiological mediators of energy intake and expenditure. Even in India, malnutrition has attracted the focus of health workers, as childhood obesity was rarely observed. But over the past few years, childhood obesity is increasingly being observed with the changing lifestyle of families with increased purchasing power, increasing hours of inactivity due to addiction to television, videogames and computer, which have replaced outdoor games and other social activities (Singh and Sharma 2005).

Globally, an estimated 10 percent of school children aged between 5 to 17 years are overweight and obese (Childhood Obesity-the Global Picture 2006). The prevalence of obesity in children has increased over the past few decades and its statistics are alarming. The prevalence and etiologies behind the childhood obesity may vary according to an individual lifestyle and their socio-economic status. Most of the reports with regards to childhood obesity are from studies conducted at metropolitan cities in India. . [4]

6.1 NEED FOR THE STUDY

The prevalence of child obesity is increasing rapidly worldwide. [5.1] It is associated with several risk factors for later heart disease and other chronic diseases including hyper lipidaemia, hyper insulinaemia, hypertension, and early atherosclerosis. [5.2, 5.3] These risk factors may operate through the association between child and adult obesity, but they may also act independently. [5]

Worldwide, obesity trends are causing serious public health concern and in many countries threatening the viability of basic health care delivery. It is an independent risk factor for cardiovascular diseases and significantly increases the risk of morbidity and mortality. The last two decades have witnessed an increase in health care costs due to obesity and related issues among children and adolescents. Childhood obesity is a global phenomenon affecting all socio-economic groups, irrespective of age, sex or ethnicity. Aetio pathogenesis of childhood obesity is multi-factorial and includes genetic, neuroendocrine, metabolic, psychological, environmental and socio-cultural factors. Many co-morbid conditions like metabolic, cardiovascular, psychological, orthopedic, neurological, hepatic, pulmonary and renal disorders are seen in association with childhood obesity. The treatment of overweight and obesity in children and adolescents requires a multidisciplinary, multi-phase approach, which includes dietary management, physical activity enhancement, restriction of sedentary behavior, pharmacotherapy and bariatric surgery. [6]

.

Obesity is measured using the Body Mass Index (BMI) for an individual. This is measured through a calculation relating height to weight and age, and there are agreed figures for obesity.[7]

Obesity rates are generally the highest in communities with high levels of poverty and low levels of income. Low-income communities are often underserved by grocery stores and frequently have fewer places that are safe for children to play. A higher prevalence of obesity seen in the urban areas in developing countries is associated with the change from rural to urban lifestyle causing decreased levels of physical activity and an increase intake of energy-dense diet. .[8]

Most children do not get the required amount of physical activity. A lack of safe places to play outside, community infrastructures that do not support walking and biking as a means of transportation and the recent reduction and elimination of physical education in schools has led to increased levels of obesity in children. .

Children living in neighborhoods considered unsafe by their parents are more

likely to be overweight than children who live in what their parents consider to be safe neighborhoods [9] Moving from a high poverty area to a low poverty area is associated with a 50 percent increase in the overall availability of outdoor places to play and engage in physical activity[10] Living in communities without access to fresh foods limits the ability of parents to provide nutritious meals for their children, and this lack of access disproportionately affects minority and low-income families. [11]

Many countries in South-East Asia including India are going through an economic and nutrition transition. [12] The nutrition transition is associated with a change in dietary habits, decreasing physical activity and rising prevalence of obesity. [13] Overweight and obesity are major risk factors for a number of chronic diseases, including diabetes, cardiovascular diseases and cancer. Obesity in children and adolescents is gradually becoming a major public health problem in many developing countries, including India. [14]

One-half of obese school children become obese adults. However, whether or not obesity persists into adulthood, obesity in childhood appears to increase the risk of subsequent morbidity'