APPRAISAL OF LITERATURE

Critical Appraisal of Literature

Critical Appraisal of Literature

Introduction

The article “Twelve-Month Effectiveness of a Parent-led, Family-Focused Weight-Management Program for Pre-pubertal Children: A Randomized, Controlled Trial” published in the Pediatrics (The American Academy of Pediatrics' official Journal) is a study by Rebecca K. Golley, Anthea M. Magarey, Louise A. Baur, Katharine S. Steinbeck and Lynne A. Daniels. The authors of the study aimed at assessing the parenting-skills trainings' relative effectiveness as a main plan of action for treating children that are overweight in which they found out that the training of parenting skills together with a family lifestyle that is health might be an approach, which is effectual for the pre-pubertal children's weight management, specifically males. In addition to this the authors have concluded that additional researches must be powered for allowing the sub-analysis of gender (Golley, Magarey, Baur, Steinbeck & Daniels, 2007). This paper is a critical appraisal of the above mentioned article.

Discussion

In the past few decades, the studies on intervention for managing weight for adolescents and children that are obese has enhanced within the context of quantity and quality. The present study proposes that interventions concerning behavior are most likely harmless within children of 4-18 years of age and could be effectual, specifically in comprehensive programs of high- to moderate- intensity. Collective interventions of pharmacology and behavior might be constructive for the adolescents that are obese, specifically if studies confirm that loss of weight could be sustained post the termination of pharmacological treatments.

The study by Golley, et.al (2007) tested the premise that the parents of pre pubertal kids who participated within a program focused on family for weight management for children, which comprised of the intensive lifestyle education and training of parenting skills, would possess waist circumference and Body Mass Index metabolic profiles and z scores post one year are not dissimilar that children whose parents participated within programs, which concentrated on the training of skills of parenting alone (devoid of education concerning intensive lifestyle) and enhanced when weighed against children who are intervention wait-listed for an year.

The study discussed that childhood over weight treatment is a significant component of the obesity epidemic's multi level response (Lobstein, Baur & Uauy, 2004). TRhe moderation of energy intake, amplified physical activities, decreased sedentary activities, modification of behavior, and involvement of the family are the presupposed corner stones of management of child weight. Nonetheless, the age apposite ways and the most effective ones for implementing such interventions stay to be vague.

Overweight familial clustering (Reilly, Armstrong, Sherriff, et.al, 2005), the family environment that is shared (Campbell & Crawford, 2001), and the parents' influence on the lifestyle patterns of children and choice of food (Birch & Fisher, 1998) draw attention to the decisive family role within the childhood overweight management (Summerbell, Ashton, Campbell, Edmunds, Kelly & Waters, 2003). The children's developmental stage is even a significant consideration within the development of involvements based on family and strategies to modify behavior.

The study had an appropriate design comprising of a controlled, randomized, assessor-blinded trial that involved around ...