Kimberly Rose B. Bolos,
Elizabeth A. Floresca
Being fit is the biggest trend today specially among the young generation. With this fact, drug therapy and other commercial weight loss programs is growing in popularity to achieve weight loss. Slimming teas, weight loss capsules, and various slimming products are now top selling in the market. Furthermore, a lot of fitness centers have been established offering programs for weight reduction in a matter of few months or even weeks. It's quite astounding with how one strives hard to attain his or her ideal body weight just to be part of the changing society.
However, despite the massive advertisements and health programs pertaining to weight management, the prevalence and incidence of obesity are increasing rapidly. This has led to an increase in obesity-related morbidity which has imposed a heavy burden on health care systems and lowered the quality of life of obese individuals.
Obesity has reached epidemic proportions globally, and all this evidence suggests that the situation is likely to worsen. According to the National Health and Nutrition Examination Survey's (NHANES) 2000 data, 61% of Americans are either overweight or obese, 30% are obese, and 5% are severely obese. African-American and Hispanic women are particularly affected, out of proportion to their Caucasian counterparts. Obesity in children in the United States is also growing rampantly, with 15% of all children in older than 5 years of age being overweight or obese, the greater proportions of minority children than Caucasians being overweight. This is a situation seemingly becoming relevant also in the Philippines.
In the Philippines, the Philippines Nutrition Health Evaluation and Survey (NNHES) in 2003 showed that there is a significant increase in the prevalence of obesity in the country. From a prevalence of 16.9% overweight Filipinos and 3.2% obese Filipinos in 1998, it rose into 19.6% overweight and 4.9% obese Filipinos in a short interval of 5 years. The majority of which belongs to the middle aged population.
In the province of Bohol, as reported by the Provincial Health Office there are no records of the exact prevalence of these Boholanos. However, they have developed healthy lifestyle programs to address this issue since obesity is also one of the causative factors for cerebrovasular accident which is the leading cause of death among Boholanos. Same also is true in Municipality of Dauis.
Federal Centers for Disease Controil and Prevention (CDC) estimated that obesity is responsible for 365,000 deaths per year in the United States. Sickness or diseases caused by obesity are high blood pressure, coronary heart disease, stroke, congestive heart failure, low back pain, heartburn, gout, obstructive sleep apnea and other respiratory problems. It may also cause some types of cancer (including endometrial, breast, prostate, and colon) poor female reproductive health such as menstrual irregularities and infertility. In addition, it also causes psychological disorders including depression, eating disorders, distorted body image and low self esteem. Obesity can also lead to diabetes, hypertension, gallbladder disease, osteoarthritis, increased surgical risk, stress incontinence (urine leakage caused by weak pelvic-floor muscles), and hirsutism (presence of excess body facial hair.)
In addition to it's health impacts, obesity leads to many problems including disadvantages in employment and increased business costs. These effects are felt by all levels of society from individuals, to corporations, to governments. (http://en.wikipedia.org/wiki/Obesity)
As a nurse in the family, the researcher could also some how relate into this research study. The experience of having a member in the family with obesity gives the researcher the yearning to focus on this health related issue.
It is for these reasons and given conditions that the researcher, with the hope of helping the client and the community, decided to conduct a study on the clients perspectives of obesity in adherence to R>A> 9173 (Philippine Nursing Act of 2002). Furthermore, the researcher wishes to find out if there is significant degree of relationship between the client's perception and their health practices. The findings generated in this study may serve as a baseline to implement health teachings and health programs to reduce the prevalence of obesity.
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