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Obesity in adolescents

Work on the following case study on obesity in adolescents and respond to the presented questions

Case Study

Gene is a 13 year-old boy who has been diagnosed by his pediatrician as being obese. It has been determined that the cause of his obesity is due to eating more than is needed. Both his parents are overweight, and his two siblings are also overweight. Gene appears to have inherited an obesity gene from his parents. A physical examination has revealed that he has hyperthyroidism and Cushing’s syndrome. It has been observed that Gene has negative self-image and he is disinterested in exercise and he is more sedentary and socially isolated. In addition to his aforementioned health problems, he also has hypertension, knee and back problems.
Untreated, obesity can continue throughout adulthood; and parents of obese adolescent often find themselves unable to help their children. Despite many therapeutic approaches, obesity is one of the most difficult and discouraging problems to treat, and long-term success rates remain low. School is an appropriate place for specialized nutritional and exercise programs, but few such programs exist. Surgical approaches to reduce stomach size are reserved for the severely obese. Reduced caloric intake on a well-balanced diet and increased physical activity may be helpful. Permanent changes in eating habits should be encouraged through psychological support.
Gene, with the support of his parents and encouragement from his physician is determined to do something about his obesity. He has started exercising on a regular basis and is watching very carefully his caloric intake. He is very conscious of the potential health benefits and therefore is determined to succeed in shedding his excess weight.
Questions:
1. How common is adolescent obesity in the United States?
2. What are the current goals and focus for nutritional treatment of adolescent obesity?
3. What are health complications associated with adolescent obesity?
4. What behaviors associated with increased risk of being overweight would you look for when assessing Gene’s and his family’s diets?
5. Identify specific physical activity recommendations for Gene.
6. Gene’s parents have asked you about using over-the-counter diet aids, specifically Alli (orlistat). What would you tell them?
7. Gene’s parents ask you about gastric bypass surgery for Gene. What are the recommendations regarding gastric bypass surgery for the adolescent population?
8. What support groups are available for obese adolescent patients and their family members? National? Local?

Assessment:
You should have at least one primary research article from a peer reviewed journal that supports your answer to questions 2, 3, 4, and 5. You are welcome to use any of the articles that you used for the annotated bibliographies and population profile to support your answers. If answers to any or all of these questions are not available in your own or your colleagues research, you are responsible for finding the answers to the questions in additional primary peer reviewed journals/research or credible websites (.org or .edu). Blogs, Wiki’s, .net, .com, etc. are not accepted sources of information.

Sources are highly relevant, accurate, and reliable and add to the strength of the paper; and are effectively referenced and cited throughout the paper.
Paper is well written and clear using APA guidelines and standard English characterized by elements of a strong writing style.

Paper is error free from grammar, punctuation, spelling, usage, or formatting errors.
Responses to each question must:
● Present accurate and detailed descriptions of the problems and issues addressed/identified.
● Are descriptive, are compelling and insightful; providing a thorough and effective response.
● Identify and demonstrate a sophisticated understanding of the main issues/problems of that question.
● Clearly and accurately describes the unique perspectives of the identified population in the case.
● Make appropriate, insightful, and powerful connections between the issues and problems in the case and relevant theory and empirical data; effectively integrates multiple sources of knowledge with case information.
● Effectively weighs and assesses a variety of alternative actions that address the multiple issues central to the case.
● Propose detailed plans of action; action plans are realistic and contain thorough and well-reasoned justifications.

-Here are your specific directions on this case study-

1.) This is a case study assignment so please make sure each question is written in as much detail as possible, and each with at least 5 or more sentences if possible explaining the answer deeply. Must be formatted to APA 7.0 standards and format)
2.) This case study is primarily based on a previous primary research article that I’ve used in previous assignments. I will attach the list of articles that you can use to answer the questions. It’s possible to use other primary research articles but only use those if the ones I provide don’t answer the questions. Remember to follow paper guidelines of what you can, and cant use. Any article sources used need to be original primary research articles from credible sources only. Also its possible to use credible websites, but please make sure they are from only (.org or .edu) sources only. If you have any questions regarding this or have trouble finding articles please let me know. It is crucial that all the sources used are original primary research articles that are relevant to the topic. Thank you.
3.) I will attach articles that you should look towards first when answering the questions. Thanks
4.) May be helpful:
Use Library Guides – Health Statistics – The following sites are recommended for basic and advanced health statistics in Florida, the United States, and worldwide:
Agency for Healthcare Research & Quality (AHRQ)
Data sources examining healthcare disparities, usage, funding, and accessibility. Provided by AHRQ, a division of the US Department of Health and Human Services.
Centers for Disease Control and Prevention (CDC) FastStats
The best initial place to find data on diseases in the United States.
County Health Rankings
Interactive website with detailed health statistics for every country (or equivalent) in the US. The ability to compare county rankings between health outcomes and health factors is valuable. Supported by the University of Wisconsin and Robert Wood Johnson Foundation.
Florida Department of Health : Statistics & Data
Health, environmental, population, and vital statistics from the Florida Department of Health.
Florida Regional Planning Council
Health Planning Council of Southwest Florida
Health Resources & Services Administration Data Warehouse
From a branch of the US Department of Health & Human Services. Focuses on federal (HRSA) grant data,
healthcare systems, and shortage areas. Searchable by zip code.
National Institutes of Health
Office of Economic and Demographic Research
State Health Facts
Sponsored by the Kaiser Family Foundation. Statistics and maps (US only) on health insurance coverage, health spending by state, and provider/service use.
Southwest Florida Regional Planning Council
United States Census Bureau (by state/by county/by geographic region)
World Health Organization: World Health Statistics
Annual report from the WHO. Click on “country statistics,” “data repository,” and “map gallery” for additional information.
5.) -What not to do-
Blogs are not a credible or reliable source of information. These days, everyone is a blogger. Every business, group and individual have something to say and they can say it (their opinion) on their blog. Blogs are outlets for personal opinions and personal ideologies. Blogs are written without restrictions and there is no peer review before publishing. Blogs are subjective and are often inaccurate and should not be used for academic purposes.
.com (company website) is not a credible or reliable source of information. These days, every company has a website. Every company wants you to visit their site and use their product and information. Companies use personal opinions and personal ideologies to drive consumers to their websites. Company websites are written without restrictions and there is no peer review before publishing. Websites ending in .com should not be used for academic purposes.
Wikipedia or other Wiki’s can never be considered as a reliable source of information since it can be edited by anyone (therefore it is non-credible website).
DataUSA.io can never be considered as a reliable source of information. IO stands for Indian Ocean. Internet Country Code Top Level Domain (ccTLD) for the British Indian Ocean Territory. This is a privately owned site ( a UK private company) and is not vetted for accuracy, reliability, or a source of credible information. Do not use international/foreign sites and information for a US population profile.

The Do’s and the Do Not’s for your Case Study:
• DO NOT use the research already available on the Healthy People 2020 Website.
• DO find a journal article that addresses your project topic and age group that meets this criteria:
o US Journal
o Peer Reviewed
o Primary Research or Empirical
o Published within the last EIGHT (8) years 2010 – 2018.
o DO NOT use REVIEW articles, analysis, meta-analysis, editorial, book reviews, letters to the editor, or commentary, etc.
o Articles that are NOT from peer reviewed journals will receive an assignment grade of zero.
o Foreign journals (not from the US) will receive an assignment grade of zero.
o Journals over eight (8) years old will receive an assignment grade of zero.
● Use health care and professional language, terms, concepts and vocabulary reflective of a level 4000
student.

● Census data over 3 years old will not be accepted and if used will have an automatic -10 point deduction.

● Do NOT use population information already found and used on the Healthy People 2020 site.