Patients With Morbid Obesity


The given research is focused on the problem of obesity, particularly on the efficaciousness of sports exercises in comparison with medication therapy in patients who suffer from obesity.

PICOT Statement

The patients who suffer from morbid obesity (MO) participated in this research. During one year some of them were doing sports exercises and changing their lifestyle while the others used only medication therapy. The results showed that doing exercises and changing the lifestyle is more efficacious in improving health status and reducing weight than medication therapy. Thus, the PICOT question of the research is as follows: In patients suffering from obesity, do exercises and lifestyle changes, compared with only medication therapy, improve the health status and reduce weight, in a period of one year?

Quantitative Research Article

The first article chosen for the research is quantitative. This article identifies MO as a clinical problem that requires more effective non-surgical intervention than conventional therapy. According to the results in this article, changing the lifestyle and doing sports exercises is more effective than medical therapy alone and results in the loss of weight in obese patients. The appraisal gives level I evidence in support of an active lifestyle program as an effective intervention, particularly for patients with the MO who are inclined to comorbid conditions (Burguera et al., 2015).

Qualitative Research Article

The second article chosen for the research is qualitative. This study focuses on a clinical problem of obesity and overweight in the world, particularly on their rapid increase among adolescents who are susceptible to them. Another focus of the research is the inadequate knowledge of inducing and hindering factors for weight decrease, healthy lifestyle, and weight maintenance among young women from 18 to 21 years.

The results of this study showed that the participants demonstrated a strong determination to maintain a healthy weight through physical activity, a special diet, and regularity in their daily lives. Remarkably, all participants considered medication therapy as an unimportant method for obesity reduction (Sand, Emaus, & Lian, 2017).

The Nursing Practice Problem

Although the authors of the analyzed researches neither gave a comprehensive perspective to corroborate their study nor described the ethical perspectives of their interviews with participants, they managed to answer the main question that the intensive physical activity and a healthy lifestyle is more efficacious in the reduction of the obesity than the medication therapy. In nursing practice, instead of the medication therapy, lifestyle change programs can be used with MO patients to achieve considerable weight loss (Burguera et al., 2015; Sand et al., 2017).

The Link between the Articles, PICOT Question, and Nursing Practice

Thus, the connection between the analyzed research articles, the PICOT statement of the given study, and the nursing practice problem is that they all demonstrate the problem of obesity and an efficacious method to cure the MO. In the PICOT statement, the question of whether the sports exercises or medication therapies are more efficacious in the reduction of overweight is asked. The results in the research articles answered this question and showed that the change of a lifestyle is more effective than medical therapies. All the findings are appropriate for nursing practice on account of providing evidence-based knowledge on what methods to implement to ensure that people maintain a healthy lifestyle.


In conclusion, it can be mentioned that the results of the research can contribute to nursing knowledge, as they demonstrate that adolescents are concerned with the problem of obesity and try to keep fit eating healthy food and doing sports exercises.


Burguera, B., Tur, J. J., Escudero, A. J., Alos, M., Pagán, A., Cortés, B.,…Soriano, J. B. (2015). An intensive lifestyle intervention is an effective treatment of morbid obesity: The TRAMOMTANA study – A two-year randomized controlled clinical trial. International Journal of Endocrinology, 1(1), 1-12.

Sand, A.S., Emaus, N., & Lian, O.S. (2017). Motivation and obstacles for weight management among young women – A qualitative study with a public health focus – The Trumso study: Fit futures. BMC Public Health, 17(1), 1-11.

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