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Using meta-analysis: what exercise helps kids with excess weight the most?

Por: Frenn · M.

Commentary on: García-Hermoso A, López-Gil JF, Izquierdo M, et al. Exercise and insulin resistance markers in children and adolescents with excess weight: a systematic review and network meta-analysis. Jama Pediatrics. 2023;177(12):1276–84.

Implications for practice and research

  • Resistance exercises with aerobic training and high-intensity interval training reduced insulin resistance markers in 5–18 years old children with excess weight if done at least two to three times/week.

  • Low to moderate certainty of evidence in this meta-analysis1 requires further research to better determine the best approaches to reduce metabolic syndrome and diabetes.

  • Context

    The prevalence of childhood excess weight continues to grow, adding to risk of metabolic syndrome and type II diabetes.2 Rigorous search methods were used to examine types of physical activity effective in reducing the risks of excess weight. Following quality assessment, study results from 3051 children 5–18 years old analysed...

    Role of cultural sensitivity in developing trusting relationships with mothers of hospitalised children

    Por: Chapman · S. M.

    Commentary on: Kim MR, Chae SM. Experiences of trust in mothers of hospitalized children toward pediatric nurses. J Child Health Care. 2023 Oct 17:13674935231206214. doi: 10.1177/13674935231206214. Epub ahead of print.

    Implications for practice and research

  • The ability to develop a trusting relationship with families and carers of hospitalised children is an important skill for paediatric nurses as it can facilitate emotional support and parental empowerment

  • Future research in this area requires the development of tools which can objectively measure trust; these must be culturally sensitive and acknowledge the culturally diverse experiences of parents, caregivers and healthcare professionals

  • Context

    Developing a trusting relationship with parents and caregivers is an essential component of paediatric nursing. Previous studies in this area have been largely conducted in western cultures and as such, the experiences of other cultures are not well understood. This study1 explored the experiences...

    Adolescents, parents and providers experiences of triadic encounters in paediatric diabetes clinics: a qualitative study - Coyne et al 2023

    Por: Yardley · D. · Waite · M.

    Commentary on: Feeling like I’m failing a test, parents’ and adolescents’ opinions of diabetes clinic appointments.

    Implications for practice and research

  • Developing communication skills is essential for healthcare professionals to enhance practice and avoid alienating adolescent patients.

  • Further research should be completed with patients who disengage from the clinic to understand how to best improve services and health outcomes.

  • Context

    Diabetes is a long-term health condition that requires continuous high-intensity self-management to prevent complications. This can be challenging for teenagers striving for independence and developing a sense of self. Maintaining engagement with adolescents with diabetes has favourable outcomes. Coyne et al1 undertook a qualitative study in two clinics in Ireland. The study aimed to understand the perceptions of attending diabetes clinics and experiences of consultations from multiple viewpoints. Researchers completed individual interviews, or focus group, with adolescent patients, their parents and...

    Cross-sectional survey to assess public awareness of childhood cancer symptoms

    Por: Noakes · A. · Lipshaw · M.

    Commentary on: Liu JF, Shanmugavadivel D, Ball-Gamble A, Stewart A, Walker D. Public awareness of childhood, teenager and young adult cancer signs and symptoms in Great Britain: a cross-sectional survey. BMJ 2023; 108: 987–93.

    Implications for practice and research

  • Clinical staff should have good awareness of childhood cancer symptoms to assist in raising public awareness.

  • Further research is required with adolescents to assess their awareness and knowledge-seeking behaviour.

  • Context

    Childhood cancer is the leading cause of death in children over 1 year and a major cause of acquired disability.1 The wide range of clinical symptoms connected with childhood cancers can mean several differential diagnoses to consider. In child health, practitioners ordinarily adopt an approach of waiting for symptom progression, aiming to avoid investigatory procedures that could impact their ongoing health.2

    Ordinarily, clinicians will piece together ‘red flag’ symptoms within...

    Qualitative descriptive study to explore paediatric oncology patients readiness and preferences towards using a mobile health application for supportive pain management

    Por: Noakes · A.

    Commentary on: Madi D, Abi Abdallah Doumit M, Hallal M, Moubarak MM. Outlooks on using a mobile health intervention for supportive pain management for children and adolescents with cancer: a qualitative study. BMC Nurs. 2023 Sep 4;221,:301. doi: 10.1186/s12912-023-01461-z.

    Implications for practice and research

  • Mobile health (mHealth) applications could provide a vehicle for helping children and young people to establish social support networks and a sense of connectedness.

  • Further research is required to consider whether and how mobile health applications could be implemented within the UK health system to support children and young people’s pain management.

  • Context

    Pain can impact cancer patients’ recovery and quality of life by compromising their physiological and psychological state.1 It is recognised that paediatric pain undertreatment remains an ongoing concern.2 Social support can act as a method of pain management, promote treatment adherence and well-being.

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