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In Healthy People 2030, one of the preventable chronic conditions I have chosen is obesity as according to Fox et al. (2019), obesity rates have increased significantly over time, especially in modernized or globalized countries due to increases in unhealthy food consumption, rise in fast food, and the abundance of processed and sugary foods or drinks. Having more globalized or modernized societies have also led to many becoming sedentary due to technological advances, convenience, and the shift in food preferences or nutrition transitions from plant-based diets to meat and processed food diets that will lead to weight gain and chronic illnesses (Fox et al., 2019).
As a future nurse practitioner, I would choose to educate my patient by first pointing out the significance of obesity and the complications that can arise from it, including heart disease, diabetes, high blood pressure, mental health problems, and many more according to Healthy People (2022). I would then offer them the proper resources, educate them about nutrition, how to monitor their weight, and teach them about using the body mass index (BMI) as a tool. Educating them about nutrition may actually be one of the important things for them to learn as the foods they eat contribute significantly to their weight gain and ultimately, the prevalence of obesity.
When it comes to educating about nutrition, I would advise them on the importance of keeping track of how many calories they eat. According to Harvard School of Public Health (2022), as an excess number of calories consumed than being burned can lead to weight gain which can lead to patients becoming overweight if no intervention is done. The Harvard School of Public Health (2022) has also stressed the importance of educating people that macronutrients also matter, such as foods in high amounts of saturated fats compared to foods high in protein, even if they were the same number of calories. Another way I would try to educate my patients on nutrition is that they should stay away from highly processed foods and instead to go for more nutritious foods such as whole grains, lean proteins, fruits, vegetables, and limiting sugary foods.
Fox, A., Feng, W., & Asal, V. (2019). What is the driving global obesity trends? Globalization or
“modernization”? Globalization and Health, 15, 32.
Healthy People. (2022, February 6). Nutrition and weight status. Office of Disease Prevention
and Health Promotion.
Harvard School of Public Health. (2022). Obesity prevention source – Food and diet.
I need the peer response for the discussion
Diabetes affects more than 30 million people in the United States and is the seventh-largest cause of death. Healthy People 2030 will focus on decreasing diabetes cases, complications, and mortality. Diabetes is more common in certain racial/ethnic groups. Many individuals with diabetes are unaware that they have it. Diabetes poorly controlled or mistreated can result in amputations of the legs or feet, eyesight loss, and kidney impairment. However, therapies that assist patients in managing their diabetes can help them avoid problems. Furthermore, initiatives to help people without diabetes eat healthier, exercise more, and lose weight can help prevent new cases (Office of Disease Prevention and Health Promotion [DPHP], 2022).
To further clarify optimal nutrition care and process in diabetes management, the American Dietetic Association coined the term “medical nutrition therapy” (MNT) in 1994. MNT is a rigorous, concentrated, and structured nutrition therapy that helps diabetic people change their eating habits. Although there are many advances in diabetes pharmacology, MNT remains an essential tool for obtaining optimal glycemic control. MNT’s primary goal is to achieve and maintain optimal glycemic control and metabolic improvement through healthy dietary choices while considering patients’ individual needs, preferences, and lifestyle patterns. Proper MNT has been proven to lower A1C in patients with Type 2 diabetes by 0.5 percent to 2% and in those with type 1 diabetes by 0.3 percent to 1%. MNT has also been demonstrated to be very beneficial after a diagnosis of diabetes and in patients with poor glycemic control. In practice, most patients find MNT the most challenging aspect of diabetic self-management. A tailored MNT should be offered by registered dietitians or nutrition-savvy health care providers to improve dietary adherence. Before establishing an MNT plan, a thorough assessment of the individual’s eating habits, needs, nutrient status, weight history, and previous nutrition instruction is essential. (Hamdy & Barakatun, 2016).
Hamdy, O., & Barakatun, M.-Y. (2016). Nutrition in Diabetes. Endocrinology and Metabolism Clinics of North America, 45(4), 799–817. https://doi.org/10.1016/j.ecl.2016.06.010
Office of Disease Prevention and Health Promotion. (2022, February 6). Diabetes. HealthyPeople.gov. Retrieved May 24, 2022, from https://www.healthypeople.gov/2020