HLSC122 Evidence Based Nursing: Paleo Diet and Weight Loss Report

This report addresses the clinical question of whether the Paleo diet leads to weight loss for overweight adults with a BMI of 29. It utilizes the PICO framework, identifying the patient/problem (overweight with a BMI of 29), intervention (Paleo diet), comparison (normal diet), and outcome (weight loss). The search strategy involved using CINAHL database, employing Boolean operators and truncation to refine results. Initial searches were broad, then narrowed using 'AND' operator and limiters like publication date and peer-review. The refined search yielded relevant articles, including studies comparing metabolic and physiological improvements in participants on the Paleo diet. These articles suggest that the Paleo diet can lead to significant reductions in body weight and fat mass. The report concludes by highlighting the effectiveness of the chosen search strategy and the relevance of the selected articles in answering the clinical question. Desklib offers solved assignments and past papers for students.

Evidence Based Nursing
Research
Name of the student
Name of the university
Author note
Evidence Based Nursing
Research

• PICO model is used to frame a question based on the provided evidences. It helps to
locate, assess and evaluate the case in a broader aspect, addressing all the points in
detail. The elements of the PICO structure includes Patient or Problem, Intervention,
Comparison and Outcome (Darmasseelane et al., 2014).
• While framing the PICO question it is important to find out the type of the question is
needed to be formed, since the PICO elements vary according to the type the question.
The PICO questions can be of following types, such as Treatment or therapy, prognosis
or forecast, prevention, diagnosis and etiology or causation (Mastellos et al., 2014).
• Once the individual elements of the PICO question are identified, it helps in writing the
question statement. The PICO format also helps to filter the search strategy. It identifies
the major concepts related to the question that needs to be answered.
PICO Framework

The clinical question aims to address the possibilities whether Paleo diet can be helpful for
overweight individuals who wants to lose weight (Tóth & Clemens, 2015).
Type of clinical question:
The clinical question follows the type of Prevention. It explores the preventive measures of
Paleo diet in generation of a healthy Body Mass Index.
Importance and Rationale:
The importance of generating a clinical question is that it helps to address all the required
issues in one simple statement while solving a case (Manheimer et al., 2015).
Significance of Clinical Question

Clinical Scenario
The patient Hau is a 35 year old young adult male. His BMI is 29, which is
considered as overweight. Hau has joined a new kick since he started a new job. He has
tried many different diets to lose weight, but none of them have been helpful for him. He now
wants to try Paleo diet, which may help him lose weight and stay healthy. Although, he is
doubtful of its effectiveness. Therefore he wants to explore the proven facts and quality
evidences about the effectiveness of Paleo diet regarding weight loss.
Therefore, the clinical question is, for adults with a BMI of 29, does the Paleo
diet lead to weight loss?

Introduction to PICO
From the scenario, the following PICO question has been formed:
Problem (P): The patient Hau has a BMI of 29 and is overweight
Intervention (I): He wants to try the Paleo diet
Comparison (C): Hau wants to try Paleo diet instead of having a normal diet
Outcome (O): Hau wants to lose weight with the help of Paleo diet
The patient, Hau, wants to try Paleo diet to overcome his problem of being overweight.
He has tried Soup diet, cabbage diet and high protein diet: but in vein. He wants to lose weight by
using the Paleo diet plan.

Key Health Databases
The following databases are most commonly used for health related searches:
• CINAHL
• Medline or PubMed
• PsycInfo
• SPORTDiscus
• UpToDate
Out of these, CINAHL and Pubmed are the most widely acknowledged databases.
We have used the search database CINAHL for our study (Boers et al., 2014).

The database in the ACU Library Website

Chosen Database: CINAHL

Initial Search Process
Search ID# Search terms Search options Actions
S1 Overweight* OR High* BMI Find all my search terms 39,388
Expanded with * for
truncation
Boolean operator OR
S2 Paleo* diet* Find all my search terms 154
Expanded with * for
truncation
S3 Normal* diet* OR Ordinary
diet*
Find all my search terms 8001
Expanded with * for
truncation
Boolean operator OR
S4 Weight los* OR Los* weight Find all my search terms 36,982
Expanded with * for
truncation
Boolean operator OR