Obesity is a very serious epidemic not only in the UnitedStates but also nationwide. Obesity results from a combination of factors suchas certain medical conditions, medications, individual behaviors, dietarychoices, genetics, and socioeconomic situations.

According to Shih, Dumke,Goran, and Simon (2014), “Current data shows that nearly 17% of children and adolescentsin the United States are obese, increasing their risk for type 2 diabetes, cardiovasculardisease and associated conditions extending into adulthood (p. 1). Los Angeles is the largest county in the UnitedStates. According to Healy (2016), “In Los Angeles, about a third– 33.4% of American children in 2014 — were overweight, and just over half ofthose kids (17.4% of all children) weighed in as obese (para. 1). It is said that poorer communities in Los Angeles have lessaccess to healthy foods.

Thepopulation-based intervention model was created for the community to promotethe general health status of the community by preventing disease, injury,disability, and premature death. The population-based intervention modelconsists of three components: the downstream interventions, the midstreaminterventions, and the upstream interventions. Downstream interventions should focus on weight managementspecialists or physicians providing guidance and monitoring the obese patientsin a clinic. The patient should see the physician regularly, receivemedications if necessary, and also receive dietary management instructions. Itis essential to be monitored by the physician because most individuals followthe doctor’s orders. It is also important that the patient’s family is involvedin his or her care. This epidemic not only affects the patient himself orherself but also the family members as well.

There are numerous dietarymanagement programs that assist in managing a patient’s diet. These includemeal preparation programs and weight loss programs. The most popular weightloss programs in Los Angeles are Weight Watchers and Jenny Craig. Theseprograms have a great success rate if the patient is motivated and eager enoughto lose weight.Midstream intervention’s focus should be on health carefacilities and hospitals. These are great places to promote health andwellness. By doing so, patients and families can get familiarized with healthylifestyles.

The facility that I previously worked at provided healthy meals notonly to the patients but also the employees as well. When family members cameto see their loved ones, they saw what kind of food was served to them. Thefacility also provided daily exercise programs. The patients, their familymembers, and employees were all allowed to participate.

It was amazing to seehow many people got involved in this program. The facility also provided monthlyactivities such as walking to the nearby mall or shopping center for outings. Ibelieve these types of programs promote positive support and commitment in thecommunity.Upstream interventions involve “state and national publicpolicy/environmental interventions that aim to strengthen social norms andsupports for healthy behavior and redirect unhealthy behavior” (Knickman &Kovner, 2015, p.

133). Upon research, I found out that Michelle Obama launched acampaign called “Let’s Move!” This campaign assists with the challenges of childhoodobesity. “The goal of the action plan is to reduce the childhoodobesity rate to just five percent by 2030 – the same rate before childhoodobesity first began to rise in the late 1970s” (para. 2). To accomplish this,the campaign has provided recommendations to create a healthy start forchildren, empower parents and care-givers, provide healthy food in schools, improveaccess to healthy and affordable foods, and increase physical activity. FormerPresident, Barrack Obama and his wife, Michelle Obama have made sure that thisprogram has been supported both by the government and the private sectors. Theyboth made sure that childhood obesity became known as a national priority soour children can have a healthier future.


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