NURS-6050N22

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Walden University *

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6050A

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Health Science

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Dec 6, 2023

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docx

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The obesity epidemic has affected many Americans in the past several decades. Many social determinants are contributing to the obesity epidemic, mainly low socioeconomic status and the sedentary lifestyle many Americans maintain. According to a recent study, "obesity occurs when energy intake (food) is substantially higher than energy expenditure (in particular physical activity) (Temple, 2022). Healthy, nutritious food is costly, and Americans of low-income status cannot afford that luxury. They opt for the unhealthy, cheap options that merely provide satisfaction. In addition, physical inactivity exacerbates the issue, generating an imbalance of unhealthy food intake and a sedentary lifestyle. Regulating the obesity epidemic is essential in maintaining the health of Americans, as "obesity plays a critical role in many diseases, such as diabetes, heart disease, and certain types of cancer" (Institute of Medicine, 2012). Therefore, many presidents have launched various initiatives for several decades to combat the obesity epidemic. In 2002, the Bush administration instituted the HealthierUS initiative; its primary goal was to promote healthier lifestyles and prevent chronic diseases in Americans. It included four main objectives: increasing physical activity, promoting a nutritious diet, providing preventive services, and empowering individuals to make healthy choices. Bush's actions in increasing physical activity included free access to American national parks and federal lands, creating HealthierUS.gov, a website that provides links to government fitness resources, and encouraging the use of public lands and water. Additionally, Bush promoted nutritional curriculum and education in schools, stressing the importance of the National 5 a Day for Better Health Program (White House, 2002). This is a national theory of a low-fat, high-fiber diet, which entails eating five or more fruits and vegetables daily (Heimendinger et al., 1996). Furthermore, Bush increased access to preventive health care services, such as screening and vaccinations, to detect and address issues before they become serious (White House, 2002). Although Bush's initiative primarily targeted the physical inactivity factor associated with obesity, the Obama administration implemented initiatives addressing physical inactivity and low-income families unable to afford nutritious meals. In 2010, First Lady Michelle Obama launched the Let's Move campaign to target childhood obesity. This movement contained four components: motivating parents to make healthy family choices, providing nutritious food options in schools, expanding the availability of healthy and economical foods, and increasing physical activity (Institute of Medicine, 2012). Parents play a significant role in the family's nutritional needs; therefore, Michelle Obama increased their awareness by placing nutritional facts and calorie counts on food labels. Apart from children receiving their nutritional needs at home, "many disadvantaged students consume 50 percent or more of their daily calories at school through the National School Lunch Program and the National School Breakfast Program" (Institute of Medicine, 2012). These programs implemented healthier food options in school, and a part of this campaign was to increase the number of schools participating in these programs. As mentioned, the Obama administration targeted low- income families as part of the Let's Move Campaign by creating the Healthy Food
Financing Initiative. This collaboration was among the U.S. Departments of the Treasury, Agriculture, and Health, which allocated $400 million annually to offer funding to introduce grocery stores and farmers markets in regions lacking access to these sources (Institute of Medicine, 2012). Lastly, to combat the sedentary lifestyle of children, the Let's Move campaign integrated initiatives aimed at boosting opportunities for children's physical activity by securing exercise spaces, especially in underprivileged communities (Institute of Medicine, 2012). Although a significant amount has been done to battle the obesity epidemic, unfortunately, it is still an ongoing issue today. I commend both administrations for exhausting their efforts to solve this obstacle. What I would have done differently is increase physical activity during school hours by implementing a requirement for increased physical education hours. When children are learning in classrooms, they sit for most of the day; subsequently, on their return home from school, they maintain that sedentary lifestyle by being hooked to the new innovative technology of TV and video games. As evidence states, "increased times spent on viewing television and computer usage were associated with increased prevalence of overweight (obesity inclusive) among girls (Kautiainen, 2005). References: Institute of Medicine. (2012). How Far Have We Come in Reducing Health Disparities? Progress Since 2000 Workshop Summary . National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK100492/ Links to an external site. Fact Sheet: President Bush Launches HealthierUS Initiative . (2002, June). The White House. Retrieved August 29, 2023, from https://georgewbush- whitehouse.archives.gov/news/releases/2002/06/20020620-6.html Links to an external site. Heimendinger, J., Van Duyn, M. A., Chapelsky, D., Foerster, S., & Stables, G. (1996). The national 5 A Day for Better Health Program: a large-scale nutrition intervention. Journal of public health management and practice : JPHMP , 2 (2), 27–35. Kautiainen, S., Koivusilta, L., Lintonen, T. et al. Use of information and communication technology and prevalence of overweight and obesity among adolescents. Int J Obes 29 , 925–933 (2005). https://doi.org/10.1038/sj.ijo.0802994 Links to an external site. Temple N. J. (2022). The Origins of the Obesity Epidemic in the USA-Lessons for Today. Nutrients , 14 (20), 4253. https://doi.org/10.3390/nu14204253 Links to an external site.
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