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AnteayerEvidence-Based Nursing

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...

    How does trauma informed care education for paediatric healthcare professionals impact self-reported knowledge and practice: an integrative review by Thorton et al

    Por: Brennan · G.

    EBN Contemporary Nursing Education on: Thornton et al. 2025, How does trauma informed care education for paediatric healthcare professionals impact self-reported knowledge and practice. An integrative review. Nurse Education in Practice. 82.

    Implications for nursing education

  • Healthcare professionals reported improved awareness and understanding of trauma-informed care (TIC) and self-efficacy in applying it in practice.

  • Nurse educators should continue to develop robust evaluation of TIC educational interventions.

  • Context

    Psychological trauma is a major public health concern, with high rates of exposure among the population. Within paediatric healthcare settings, exposure can be substantial.1 Such experiences are not always ‘one off’ events but are closely related to adverse childhood experiences (ACEs) such as abuse by caregivers, family dysfunction, parental mental health issues, substance abuse or domestic abuse. Such exposure can have a significant impact on child development, resulting in significantly poorer physical and mental...

    Factors that can enhance resilience in mental health nursing staff who work in high-secure forensic hospitals

    Por: Alfred · L. · Udushirinwa · C. C.

    Commentary on: Rooney, C, Pyer, M, & Campbell, J. Leaving it at the gate: A phenomenological exploration of resilience in mental health nursing staff in a high-secure personality disorder unit. J Adv Nurs, 00, 1–13. (2023) https://doi.org/10.1111/jan.15947

    Implications for practice and research

  • Organisational structures and systems of support such as clinical supervision can support resilience in mental health nursing staff who work in high-secure forensic settings.

  • Future studies in different high-secure forensic settings and different countries are required to enhance the generalisability of the findings.

  • Context

    High-secure mental health hospitals, also known as high-secure forensic hospitals, are a specialism within mental healthcare.1 They have the dual role of providing a safe healthcare environment and a secure setting for individuals with co-occurring mental health conditions and behaviour that is considered extremely dangerous or high risk.2 Mental health nurses...

    Non-alcoholic beverages can help reduce alcohol consumption among adults who drink excessively

    Por: Alfred · L. · Emmanuel · A.

    Commentary on: Yoshimoto, H., Kawaida, K., Dobashi, S. et al. Effect of provision of non-alcoholic beverages on alcohol consumption: a randomized controlled study. BMC Med 2023; 21, 379. https://doi.org/10.1186/s12916-023-03085-1

    Implications for practice and research

  • There is scope for public health to consider non-alcoholic beverages as a potential strategy to reduce alcohol consumption in adults who drink excessively.

  • Future research should explore whether non-alcoholic beverages can reduce alcohol consumption in a wider range of countries and in different population groups, such as individuals with a diagnosis of alcohol dependence.

  • Context

    Alcohol is a risk factor in over 200 health conditions, and 2016 data shows it accounts for 5.3% of overall deaths worldwide.1 Alcohol harm extends to other areas of society, such as crime and disorder, suicide, domestic violence and drink-driving accidents.1 The WHO SAFER Initiative recommends five cost-effective...

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