RESUMO
Well-child visits can be ideal times for health education of children, parents, and caregivers. A trusting relationship with both children and their parents is the foundation for acceptance of any changes in health behaviors. Children grow rapidly, and poor health conditions during this time could be unfavorable or detrimental to their long-term wellbeing. Clinicians play pivotal roles in helping children understand the importance of working toward healthier lifestyles and preventing hypertension and obesity. Hypertension in obese and overweight children continues to increase, but these two conditions are preventable and can also be reversible if managed early. Data from four studies reviewed here indicate that diet and exercise can help reduce the incidence of hypertension in overweight/obese children. Primary care providers can incorporate specifically pointed physical activity and dietary change education into their daily practices, with attention directed toward helping children with hypertension to decrease their blood pressure for life.
Assuntos
Terapia Comportamental/métodos , Hipertensão/etiologia , Hipertensão/terapia , Sobrepeso/complicações , Sobrepeso/psicologia , Obesidade Infantil/complicações , Obesidade Infantil/psicologia , Adolescente , Índice de Massa Corporal , Criança , Pré-Escolar , Feminino , Promoção da Saúde/métodos , Humanos , Masculino , Atenção Primária à Saúde/métodosRESUMO
Low back pain is common and poses a challenge for clinicians to find effective treatment to prevent it from becoming chronic. Chronic low back pain can have a significant impact on an employee's ability to remain an active and productive member of the work force due to increased absenteeism, duty restrictions, or physical limitations from pain. Low back pain is the most common cause of work-related disability among employees younger than 46 years. Advancing technology and less invasive surgical procedures have not improved outcomes for employees who suffer from low back pain. Most continue to experience some pain and dysfunction after conventional treatments such as injections and surgery. An alternative treatment that could reduce nonspecific chronic low back pain would benefit both employees and employers. Exercising and remaining active are part of most guidelines' routine care recommendations but are not well defined.
