Objective: To determine the variance in percent body fat between and within families as measured by dual-energy x-ray absorptiometry (DXA). Methods: Percent body fat (%BF) assessed in 95 females, 120 males (included 54 sets of biological siblings) using DXA. Physical activity questionnaire used to assess current physical activity habits in each participant. Results: Variance in %BF between and within families is similar. Amount of television viewing and levels of physical activity can affect %BF. Discussion: A model such as the one derived in this study can be a useful tool in intervention programs implemented to decrease obesity.

Overweight and obese children have increased risks for multiple preventable diseases and conditions which can impair their physiological health and significantly increases the overall cost of their healthcare. Free mobile applications and technology for weight loss, dietary tracking, and physical activity may be quite useful for monitoring nutritional intake and exercise to facilitate weight loss. If so, nurses are well positioned to recommend such tools as part of their efforts to prevent childhood obesity and help children and parents better manage childhood obesity when it is present. However, there are no guidelines that nurses can use to determine what applications or technologies are most beneficial to children and their parents. The purpose of this project is to develop such guidelines based on a review of the scientific literature published in the last 5 years. Articles regarding healthy-lifestyle promoting mobile applications and technological approaches to health and fitness interventions were identified by searching articles indexed by CINAHL, Psychinfo, Medline, ERIC, IEEE Xplore, and Academic Search Premier. Identified articles were assessed using Melnyk’s hierarchy of evidence and organized into tables so that implications for research and suggestions for practice could be made.