2.50
Hdl Handle:
http://hdl.handle.net/10755/211534
Type:
Research Study
Title:
PROMOTING HEALTH THROUGH FOOD: TOWARDS AN INTEGRATED HEALTH OUTREACH FRAMEWORK
Abstract:
Rationale: Disproportionate rates of obesity and chronic disease exist in socially isolated, food insecure and medically underserved U.S. households, highlighting the increasing importance of integrated health outreach. A Healthy People 2020 goal is to Òpromote health and reduce chronic disease risk through the consumption of healthful diets and achievement and maintenance of healthy body weights.Ó The complex and dynamic nature of this goal has led the Center for Disease Control and Prevention to suggest a new approach to obesity prevention, requiring the pooling of strategies from disciplines to solve obesity and accompanying ill-health disparities. Nursing, as a science of methods and insights stemming from several established disciplines or traditional fields of study, is in a prime position to connect and integrate several strategies in order to solve this complex and dynamic health problem. The current challenge is to develop practice strategies that intersect across behavioral and environmental determinants of healthy body weights. Purpose/Aims: The purpose of this paper was to synthesize the current state of science of effective behavioral and environmental-based healthy eating, social support networking and food access strategies that provide evidence for achieving and maintaining healthy body weights, food security and preventing social isolation long-term. Specific aims included: 1) identifying effective strategies that address healthy eating, food access and the development of social support networks; 2) identifying which determinants of healthy eating, food access and social support network development can be successfully manipulated to promote healthy body weights, food security and the reduction of social isolation; and 3) identifying how these determinants are successfully manipulated to produce intended outcomes. Methods: An integrative literature review was conducted that focused on worldwide behavioral and environmental-based healthy eating, social support networking and food access strategies that provide evidence for achieving and maintaining healthy body weights, food security and/or preventing social isolation. Some of the terms and/or combination of terms used to conduct the article search included: Dietary Behavior, Social Support, Social Networks, Food Access, Strategies, Promotion and Prevention. An electronic search was performed using the following databases: PubMed, Web of Science, CINAHL Plus and Google Scholar. The grey literature was not searched. Articles were included based on exclusion and inclusion criteria. Results & Implications: Environmental variables weaken individual strategies to achieve and maintain healthy body weights and food security, and prevent social isolation. Results indicate that healthy eating, food access and social support networks work together to protect against many diseases and promote health. Synthesizing integrated strategies from multiple disciplines provides a framework of ways forward for studying and solving obesity and accompanying ill-health disparities. A guiding framework generated from this paper can serve to advance the current body of Nursing Science related to integrated strategies to promoting health and reducing chronic disease risk through food. Results provide nurses with the knowledge and skills to improve care and achieve food-related health impacts.
Keywords:
Obesity prevention; Ill health disparities; Medically underserve U.S. households
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5391
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titlePROMOTING HEALTH THROUGH FOOD: TOWARDS AN INTEGRATED HEALTH OUTREACH FRAMEWORKen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211534-
dc.description.abstractRationale: Disproportionate rates of obesity and chronic disease exist in socially isolated, food insecure and medically underserved U.S. households, highlighting the increasing importance of integrated health outreach. A Healthy People 2020 goal is to Òpromote health and reduce chronic disease risk through the consumption of healthful diets and achievement and maintenance of healthy body weights.Ó The complex and dynamic nature of this goal has led the Center for Disease Control and Prevention to suggest a new approach to obesity prevention, requiring the pooling of strategies from disciplines to solve obesity and accompanying ill-health disparities. Nursing, as a science of methods and insights stemming from several established disciplines or traditional fields of study, is in a prime position to connect and integrate several strategies in order to solve this complex and dynamic health problem. The current challenge is to develop practice strategies that intersect across behavioral and environmental determinants of healthy body weights. Purpose/Aims: The purpose of this paper was to synthesize the current state of science of effective behavioral and environmental-based healthy eating, social support networking and food access strategies that provide evidence for achieving and maintaining healthy body weights, food security and preventing social isolation long-term. Specific aims included: 1) identifying effective strategies that address healthy eating, food access and the development of social support networks; 2) identifying which determinants of healthy eating, food access and social support network development can be successfully manipulated to promote healthy body weights, food security and the reduction of social isolation; and 3) identifying how these determinants are successfully manipulated to produce intended outcomes. Methods: An integrative literature review was conducted that focused on worldwide behavioral and environmental-based healthy eating, social support networking and food access strategies that provide evidence for achieving and maintaining healthy body weights, food security and/or preventing social isolation. Some of the terms and/or combination of terms used to conduct the article search included: Dietary Behavior, Social Support, Social Networks, Food Access, Strategies, Promotion and Prevention. An electronic search was performed using the following databases: PubMed, Web of Science, CINAHL Plus and Google Scholar. The grey literature was not searched. Articles were included based on exclusion and inclusion criteria. Results & Implications: Environmental variables weaken individual strategies to achieve and maintain healthy body weights and food security, and prevent social isolation. Results indicate that healthy eating, food access and social support networks work together to protect against many diseases and promote health. Synthesizing integrated strategies from multiple disciplines provides a framework of ways forward for studying and solving obesity and accompanying ill-health disparities. A guiding framework generated from this paper can serve to advance the current body of Nursing Science related to integrated strategies to promoting health and reducing chronic disease risk through food. Results provide nurses with the knowledge and skills to improve care and achieve food-related health impacts.en_GB
dc.subjectObesity preventionen_GB
dc.subjectIll health disparitiesen_GB
dc.subjectMedically underserve U.S. householdsen_GB
dc.date.available2012-02-20T12:00:45Z-
dc.date.issued2012-02-20T12:00:45Z-
dc.date.accessioned2012-02-20T12:00:45Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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