Management of Obesity Among the Older Adults | Nursing

Running head: NURSING
Nursing
Name of the Student
Name of University
Author’s note

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Introduction
The following assignment is based on the story of Fredric Arum, a 78-year old obese
man. The paper will aim to elucidate the evidence-based intervention for the management of
obesity among the older adults. In doing so, a review of four papers will be conducted in this
assignment based on the principal theme of over-weight and weight loss. Review will highlight
the strength and weakness of the methodological framework adopted in each of the followed by
the critical analysis of the interventions proposed and whether or not it will be effective for the
older adult mentioned in the selected case study. The assignment as a whole aims to focus on the
concept of healthy aging and its importance for comprehensive health and well-being.
Authorship of the paper
The authors of all the four selected research articles have the required expertise and
affiliations for the conduction for research. According to Harnad (2017), one of the important
criteria behind the selection of papers to generate evidence based practice is to selected papers of
the authors from the esteemed academic or science institutions. This helps to increase the overall
research rigour and credibility of the review from which evidence-based practice (EVB) will be
generated.
Research questions and Methodology
Batis et al. (2016) aim was to select an appropriate intervention for the effective
management of obesity among the older adults. In order to achieve their name, Batis et al. (2019)
conducted a systematic review of randomised control trials (RCTs). According to Murad et al.
(2016), according to the hierarchy of evidences based on the methodological quality of the

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research, systematic review of RCTs secure the first position (level 1) such that, Batis et al.
(2016) scores top in hierarchy of evidences. The authors here selected papers where the average
age of the target population if 65 years with mean body mass index (BMI) is 30 Kg/m2. The
review of RCTs showed that behavioural weight loss interventions with pharmacological and
procedural change lasting for one than 6-month is helpful for fighting against obesity but only at
low to moderate level. The authors recommended more well-designed trial for the generation of
EBP in this particular topic. The review was conducted based on the papers that were published
within 2005 to 2016. The selection of the papers that are published within the last 10 years can
be regarded as one of the strength of the study to separate researchers were appointed to conduct
the methodological review of the selected study and this helps to avoid the chances of selection
bias and observational bias. The second selected article of the theme aims towards analysing the
evidence associated with age-related change in the fat composition of the body and its relation to
the basal metabolic rate, vicious cycle and simultaneous development of age related
complications (Jura & Kozak, 2016). The final review results reported that age related changes
associated with the body fat composition increases the vicious cycle and thereby accelerating the
overall process of aging. Though the review was informative, there was no specific
methodological framework used in the review for the process of the selection of the journal
articles. The study was based on inductive approach which signifies that the hypothesis of the
study was coined before its initiation and thus increasing the chances of getting researcher or
observational bias. Locher et al. (2016), the aim were to analyse the role of calorie restricted diet
in promoting weight loss among the older adults. The result showed that calorie restricted diet
helps in promoting a significant weight loss among the target group of geriatric population. One
of the principal strengths of the study is the review was based on the RCTs paper however the