1. Contributing Factors
1.1. Diet
1.1.1. Portion Sizes
1.1.2. Cultural views on "Good" food
1.1.3. Access to healthy fresh and healthy food
1.2. Exercise
1.2.1. Access to resources
1.2.2. School Programs
1.2.3. Increased Screen Time
1.3. Socioeconomic Status
1.3.1. High Income vs low income
1.3.2. cost, accessibility and income level
1.4. Family
1.4.1. Culture
1.4.1.1. Child feeding practices
1.4.1.2. Gender norms/influences
1.4.1.3. Cultural food influences
1.4.2. Values & Beliefs
1.4.2.1. Traditional food prep
1.4.2.2. Food restrictions
1.4.2.3. Cultural or Religious diets
1.5. Education Level
1.5.1. Children peer influences
1.5.2. Parents general knowledge
1.5.3. Community
1.6. COVID-19
1.6.1. Social Distancing
1.6.2. Stress
1.6.2.1. Parent financial constraints
1.6.2.2. Home restrictions/ decrease outdoor play
1.6.3. Financial Changes
1.6.4. Academic Changes
1.6.4.1. Distance learning
1.6.5. Social Changes
2. Barriers to Interventions
2.1. Parent Knowledge deficit
2.1.1. Satiety Signals
2.1.2. Required Daily Caloric Intake
2.1.3. Definition of overweight and obese
2.1.4. Attitude toward efficacy of interventions
2.2. Parent Influence
2.2.1. Model Eating Behaviors
2.2.2. Exercise Example
2.2.3. Attitudes toward food and exercise
2.3. Lack of accountability
2.3.1. Parents
2.3.2. Children
2.4. Healthcare provider barriers
2.4.1. Lack of time
2.4.2. Lack of training
2.4.3. Lack of resources
2.4.4. Sensitivity toward weight
2.5. Food deserts
2.6. Resistance to change
2.7. Socioeconomic barriers
3. Nursing Values and Code of Ethics
3.1. QSEN
3.1.1. Patient-Centered Care
3.1.2. EBP
3.1.3. QI
3.2. Code of Ethics
3.2.1. Provision 2
3.2.2. Provision 3
3.2.3. Provision 4
3.2.4. Provision 8
3.3. AACN
3.3.1. Essential 6
3.3.2. Essential 7
4. Causes and Trends
4.1. Higher in ethnic minorities
4.1.1. Hispanic
4.1.2. African American
4.2. socioeconomic status
4.2.1. 19.9% in middle income families
4.2.2. 10.9% in highest income families
4.2.3. 18.9% in lowest income families
4.3. Healthy People 2020 Goal - 14.5%
4.3.1. 19% overall in US
4.3.1.1. Ages 2-19 years
4.3.2. Healthy People 2030 Goal - 15.5%
5. Effects
5.1. Heart disease
5.1.1. CAD & PAD
5.1.2. MI
5.1.3. CHF
5.2. Type 2 Diabetes
5.3. Metabolic Syndrome
5.4. Hypertension
6. Nursing Interventions
6.1. Parent Education
6.1.1. Diet
6.1.1.1. MyPlate
6.1.1.2. Portion Sizes
6.1.1.3. Healthy Food Options
6.1.2. Exercise
6.1.2.1. Decrease screen time
6.1.3. Increased health transparency
6.1.4. Public health nurse outreach
6.2. Nursing Advocacy
6.2.1. School Policies
6.2.1.1. Nutrition Labelling
6.2.1.2. Funding for healthier school lunch options
6.2.1.3. Healthy, Hunger-free Policy 2010
6.2.1.3.1. Federal Nutrition Standards
6.2.1.4. Farm to School Program
6.2.1.4.1. Local Farm produce
6.2.1.4.2. Nurse role models
6.2.2. Exercise Programs
6.2.2.1. Technology Based Exercise tools
6.2.2.1.1. Apps
6.2.2.1.2. FitBit
6.2.2.2. School PE programs
6.2.2.3. City and Community Sports Groups
6.2.2.3.1. Scholarship programs for resources