NRS503 Module: University Obesity Management Report Analysis

This report provides a comprehensive analysis of obesity management strategies, focusing on the Devon Exercise Referral Scheme in the UK. It identifies the target audience as adults aged 55 and older in South West England, highlighting their increased susceptibility to obesity due to age-related physiological changes. The report outlines the initiative's components, including personalized exercise programs, qualified instructors, and the provision of facilities like gyms and swimming pools. It discusses the implementation process, emphasizing verbal persuasion, modeling exercise behavior, and support from health professionals. The report also explores potential outcomes such as improved glucose tolerance, reduced blood pressure, and enhanced mood. It identifies facilitators like patient-centered processes and community support, while also addressing barriers such as patient refusal and cultural differences. Strategies to overcome these barriers, including culturally competent professionals and dietary adjustments, are also discussed. The report concludes by referencing key literature and providing a holistic view of obesity management within a public health context.

OBESITY
MANAGEMENT
NAME OF THE STUDENT
NAME OF THE UNIVERSITY
AUTHOR NOTE:

Adult obesity
 the adult obesity has been a growing concern
around the globe whereas the high prevalence
of adult obesity has been obesity in united
kingdom.
 In united kingdom, approximately 64.3%
adults are either overweight or obese which
further increase the incidence of chronic
disease
 Hence, a initiative is required to choose in this
context which will not only manage High BMI
index but also support the wellbeing.

Health initiative associated with
obesity
 Public Health England exists to protect and improve
the nation's health and wellbeing, and reduce health
inequalities.
 DEVON EXERCISE REFERRAL SCHEME is one such
locally funded initiative where followed by a 12—16
week program (Www.devonhealthandwellbeing.org.uk
2019). The services are paid for by the patient who are
obese. However, many leisure providers also offer the
services as part of a membership scheme or offer.
 it is a paid service where 34 station gym, dance
studio, 25 meter swimming pool were provided to the
population (Www.devonhealthandwellbeing.org.uk
2019).

Source:(Agha
and Agha 2017)

The target audience and
demographic
 Target audience:
The target audience for the
intervention is adults of 55
years who are obese
 Demographic of the
target audience: South
West England
Source:(Tarrant et al. 2017)

Rationale behind target audience
 the individuals of 55 years in south west
England are more prone to the obesity
because individuals over 55 years have
decreased muscle mass, strength and
metabolism. Consequently, they are more
prone to be obese due to the frailty (Tarrant
et al. 2017)
 Moreover, with the aging process, they
also lost the capacity of exercise which
making it difficult to lose weight for the
population (Tarrant et al. 2017)
 In this case, as obesity is associated with
chronic diseases, this age group is chosen
as the target audience.
Source:(Tarrant et al. 2017)

Initiatives
 Exercise is considered an significant component of a weight
reduction programme in conjunction with caloric reduction. The
facilities are provided in the west devon (Parklands Leisure
Centre) (Www.devonhealthandwellbeing.org.uk 2019)
 Personalized program along with assessment + 12 sessions (1—2
sessions per week) usually provide to the individuals who are
seeking help (Www.devonhealthandwellbeing.org.uk 2019).
 increasing physical activity reduces intra-abdominal fat and
increase lean (muscle and bone)
 Hence, the facilities are provided by qualified instructors including
1 trainer with Level 4 Diabetes and Weight Management Training.
 This referral scheme help people in reaching reach their fitness
goals with the versatile program
(Www.devonhealthandwellbeing.org.uk 2019). Source:(Yumuk et al. 2015)

implementation process
 verbal persuasion, modelling exercise
behavior and discussing positive effects of
the physical activity amongst target audience
 Health professionals such as general
practitioner, qualified in structure, other
professionals involve in the promotion
 Devon exercise referral scheme support
the target audience in involvement of the
physical activity such 34 station gym, dance
studio, 25 metre swimming pool.
 creation of the empowered environment to
achieve the goals.
Source: (Tarrant et al. 2017)

Possible outcome of the initiative
strategy:
 Improves glucose
tolerance
 Insulin sensitivity
 lipid profile and physical
fitness (Batsis and
Bynum 2016)
 Reduced blood pressure
 Improved mood
 Reduced level of
depression(Tarrant et al.
2017)
Source: (Batsis and
Bynum 2016)

Facilitator
 Patient centered process is one of the facilitator
 empowered environment will support the
management
 Participation and support of the community will
support the target audience
 involvement of various stakeholders will facilitate
implementation (Yumuk et al. 2015)
 contribution of the professionals and policy makers
will facilitate implementation
 health literacy will facilitate implementation
Source: (Yumuk et
al. 2015)

Barriers
 Some of the community member can refuse to
take part in the process
 Professionals may breach autonomy of the patient
when they encourage and request them in
engaging in the process of physical activity
(Tarrant et al. 2017)
 Some adults may have health issues which hinder
them to involve in physical activity.
 Language can be a barrier to the implementation
 Cultural barriers can be present which may hinder
successful implement (Woodruffet al. 2016) Source:(Tarrant et al. 2017)

Overcome strategies
 Incorporating culturally competent
professional
 Respecting autonomy and dignity of
the target audience
 Mild exercise for the individuals with
chronic health issues
 Amendments of dietary habits for the
individuals with chronic health issues
Source: (Batsis and Bynum 2016)

References:
Agha, M. and Agha, R., 2017. The rising prevalence of obesity: part A: impact on public
health. International journal of surgery. Oncology, 2(7), p.e17.
Tarrant, M., Khan, S.S., Farrow, C.V., Shah, P., Daly, M. and Kos, K., 2017. Patient
experiences of a bariatric group programme for managing obesity: a qualitative interview
study. British journal of health psychology, 22(1), pp.77-93.
Woodruff, R.C., Schauer, G.L., Addison, A.R., Gehlot, A. and Kegler, M.C., 2016. Barriers to
weight loss among community health center patients: qualitative insights from primary
care providers. BMC obesity, 3(1), p.43.
Www.devonhealthandwellbeing.org.uk 2019. [online] Devonhealthandwellbeing.org.uk.
Available at: http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2012/10/
Exercise-Referral-Schemes_Devon.pdf [Accessed 27 Sep. 2019].
Yumuk, V., Tsigos, C., Fried, M., Schindler, K., Busetto, L., Micic, D., … Obesity Management
Task Force of the European Association for the Study of Obesity (2015). European
Guidelines for Obesity Management in Adults. Obesity facts, 8(6), 402–424.
doi:10.1159/000442721