Published: Jun 29, 2022
  
 
     
 
Keywords:
Obesity Public Health Nurses Lifestyle modification Diet Exercise
  
     
 
   
 
 
 
 
 
 
 
 
 
 
 

 

 
   
 
 
 
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    Home / Archives / Vol. 18 No.1 (2565) : January - June 2022 / Review Article  
 
   

The challenges that public health nurses face with obesity management in adults
   
 
   
   
     
 
walaya tupanich
Kuakarun Faculty of Nursing, Navamindradhiraj University
Charunee Thiabpho
Kuakarun Faculty of Nursing, Navamindradhiraj University
Ngarmeak Lammana
Faculty of Nursing, North Bangkok University

Abstract

Introduction: The prevalence of obesity has become a critical public health problem around the world, including in Thailand. Obesity itself is a non-communicable disease and induces other major related non-communicable diseases such as diabetes mellitus type 2, stroke, coronary heart disease, hypertension, and metabolic syndrome. It has become known as a new silent killer because it does not result in severe illness and sudden death. The obesity rate in Thailand has risen continuously, particularly in adulthood, from 16.7 percent in 1991 to 37.5 percent in 2004. Obesity is now recognized as a priority public health issue that must be solved urgently. Lifestyle modification in the form of dietary consumption and exercise is the main focus of such efforts.Public health nurses shouldcomprehend challenges of integration of multidisciplinaryknowledge beyond nursing for obesity management.


Objective:To identify the challenges ofadult obesity management in communities by public health nurses regarding to nutritional assessments and lifestyle modification for low calorie diet consumption, exercise, and applyingbehavior modification techniques.


Methodology: Review articles


Results: Public health nurses play an important role in obesity prevention and control because they work continuously and closely with people in the community, and they also understand community contexts. They have solid health and nursing background which can effectively induce and stimulate obese people to modify their lifestyles, especially those at risk. However, challenges for public health nurses to lead the community to be free from obesity have also developed. Public health nurses should be role models for normal body shapes or should be experienced successful weight control. Furthermore, the role models should be supported to gain a greater understanding of nutritional and exercise counselling and behavioral techniques for obesity management which should be integrated into the nursing discipline. Capacity building for low calorie diets and regular exercise for individuals and the community under the changing contexts is expected.



Conclusions:Public health nurses should be fully supported, motivated, and trained to proactively work to resolve the issue of obesity by combining different approaches. Trends of obesity prevention should positively shift in a short period of time.

  
     
     
 
    How to Cite  
     
  tupanich, walaya, Thiabpho, C., & Lammana, N. (2022). The challenges that public health nurses face with obesity management in adults. Journal of Charoenkrung Pracharak Hospital, 18(1), 99–114. Retrieved from https://he02.tci-thaijo.org/index.php/JCP/article/view/256935  
     

 
 
     
     
 
    Issue  
     
  Vol. 18 No. 1 (2565): January - June 2022  

 
 
     
     
 
    Section  
     
  Review article  

 
 
     
     
     
 

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