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We all need courage to face child obesity data

Published on Sunday, Sep 12, 2010 at 12:12 am | Last updated on Sunday, Sep 12, 2010 at 12:12 am 5 Comments

Among all the threats our children may one day face — everything from terrorism to global warming — the most serious may be the one we seem most reluctant to face: childhood obesity.

The Boston Globe reported last week that about one third of Massachusetts school students tested so far are overweight or obese.

Massachusetts is among a growing number of states requiring public school districts to calculate the body mass index of every student at some point during the school year.

Massachusetts has so far tested 110,000 students. The information is aggregated for policymakers, but parents receive an individual report for their child.

The results are frightening and generally confirm what we have long known about adult obesity: The most serious problems are found in the poorest communities.

But the disparities uncovered in the Massachusetts research are still shocking.

Lawrence, one of the state's poorest cities, according to the Globe report, had the highest rate of students with excessive weight, about 47 percent.

Arlington, meanwhile, a far wealthier Boston suburb "with a longstanding commitment to nutrition and exercise campaigns," had the lowest level, about 10 percent.

Maine, meanwhile, passed a law in 2009 mandating that school districts report aggregate BMI data to the Department of Health and Human Services.

The Maine Center for Disease Control is apparently now drawing up rules for collecting the data.

However, the law also provides that the data will not be collected until there is federal money to pay for its collection, according to David Connerty-Marin, spokesman for the Maine Department of Education.

We're also afraid Mainers may prove a bit more resistant to mandates from above than their neighbors in the Bay State, especially when it involves the girth of their children.

Several years ago, an Auburn program to report student BMI to parents was quickly scuttled after parents objected.

That was unfortunate, and we hope this new statewide program doesn't meet the same fate.

When it comes to childhood obesity, what we don't know — or are unwilling to confront — can be deadly.

Research shows that obese children too often become obese adults. Meanwhile, adult obesity is connected to a host of medical problems including heart disease, stroke and diabetes.

From a public policy perspective, there is even more frightening news for Maine in the Massachusetts numbers.

Since childhood obesity is connected to poverty, we can likely assume that the threat is even greater in Maine.

According to the U.S. Department of Agriculture, Maine's poverty rate was 12.6 percent in 2008, while Massachusetts' was 10.1.

But the difference in per-capita income is even greater: $36,745 for Maine vs. $49,875 for Massachusetts.

The frightening prospect for legislators and policymakers in Maine is that the increased health problems associated with future adult obesity will fall the hardest on the people least able to pay their own medical bills.

Meaning, of course, that taxpayers will end up paying them instead.

The only ray of light in the Massachusetts results is that school districts and communities with a commitment to nutrition, exercise and education have lower childhood obesity rates.

Like they say, however, the first step in solving any problem is to make it measurable.

Maine must begin collecting the data, whether or not federal funding is available.

editorialboard@sunjournal.com

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Displaying comments, from newest to oldest

WideStanceRepublican's picture

Look at the correlation between poverty and obesity

and therein lies the problem. This is a poor state overall and as such our citizens face issues such as food scarcity and limited choices so we end up with an obese unhealthy population and then Mainers being Mainers, we don't want to pay for the additional medical care required by the obese.

  • Disagree Disagree (7)
  • Agree Agree (2)
candiceanne's picture

I am with you woose

i raised nine kids and not one of them was obese. What I find most offensive about this is no one has to tell you that your kid is obese and this is a huge waste of money. Kids who are obese are living in households like you said babysat by TVs, Xbox, and nintendo. They are living out of paper bags and plastic microwavable containers. I agree on the cost thing completely. It is truly cheaper to eat healthy than buy junk and of course there is always the added joy and family fun and togetherness of growing a garden. Kids love to see the fruits of their labors and eat them too. In our house we never had soda or koolaid, most of the kids where lactose intolerant, so water was the mainstain, cheaper and healthier right from the tap, no artificial colors, flavors, preservatives and no sugar. Nothing ever came in a box, a bag, a tray or a can as in pre-made. Cans held fresh cut green beans, corn, and peas for winter consumption and occasionally olives. This was partly to do with various family members' food allergies mostly for health and cost savings, feeding nine kids is going to be a challenge no matter how good of a job you have. We had one with a life-threatening peanut allergy which meant no cake mixes, muffin mixes etc that contained or was produced in a facility that handles peanuts. Another with an equally life threatening iodine allergy that meant no processed foods or iodized salt. Oh, and peanut butter, even if we did not have an allergy issue, would not have been around since it is loaded with fat and added sugar. Our bread was made at home from scratch too. Now some may think that cooking at home especially from scratch is very time consuming. But let me tell you, it is a lot more enjoyable and a lot less time consuming than rounding everyone up, loading them in the car, dragging them to a fastfood joint, dragging them home, collecting all the cups, napkins and containers and then hauling all that trash to the curb for the trash man. So while the family with the obese kids and mom and dad brewing their heart attacks are stressing on through all that fastfood fetching and cleaning up, my gang was picking fresh, enjoying each others company, making a great meal, eating it, washing the dishes and playing a pickup game of ball, tag, or hide and seek together. No you do not need to tell a parent their child is obese, they can see it for themselves, they just aren't willing to do what needs to be done to prevent it, stop it, or reverse it.

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woose's picture
verified

Agreed

Candaceanne, I agree that preparing food together not only brings the family together, it is most often a more cost-efficient and healthier way to eat! I am tired of excuses it is too expensive to eat healthy. People will find every excuse in the book to justify their behaviors.

I do not have any children, so I hesitate to pretend I know how to raise them.....but i do know that with a little bit of effort, families can change their eating habits and influence their children to do the same. Regardless of the fact I do not have children, I do grocery shop and I do know how much things cost. Again, the excuse that it is too expensive to eat healthy is simply garbage. I am living on meager loans right now and have very little to spend on food, but I do my research and find excellent deals that are indeed healthy!

People need to understand that obesity is milti-factorial, and one must move around to shed the pounds. Obesity will not be solved by dieting alone. I actually dislike the term "diet". Changing one's body habitus is dependent on lifestyle modification and choosing healthy options. I see obese children on a daily basis in the clinic, and our goal is to change their thinking, not simply what enters their mouth. Unfortunately many children learn by example and when mom and dad eat crap (and the frige/pantry is stocked with crap) the children become a victim of circumstance. Fighting child obesity must be directed at both the parents and kids. We try to do this in family medicine and pediatrics, but we are not always successful. Sigh. Have a good nite everyone.

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woose's picture

Obesity

In response to Pinetree above:

One does not need to buy organic or spend lots of money to reach a healthy body weight. Do not buy into the media frenzy! Many excuses are made to justify obesity. I have a hard time believing that buying vegetables is a hardship when a frozen bag of peas is 99 cents and when a parent will buy a King SIze Kit Kat for the kid at the same price.

Scenerio #1: a family of four goes to McDonalds (or any quick-service restaurant for that matter) and buys four "value meals" for the family. We are looking at roughly $5.00 per meal, so the total would be $20.00 plus tax.

Scenerio #2: a family buys a whole chicken (roughly $5.00), a bag of frozen vegetables ($0.99), tossed salad (probably $ 4.00, including the cost of lettuce, tomatoes, cukes, etc), and maybe a starch like a baked potato (maybe costing 50 cents per spud if purchased in a 5-lb bag). Added up, grand total is $12.00.

Obesity is not simply about what you eat, it is about HOW MUCH you eat (too much of a good thing is still bad), and if you eat more than you can expend. Weight loss is not an easy thing, but it is not impossible. Send those children outside to play and take away the gameboy, playstation, or x-box! Exercise with your kids, whether it is playing ball or tag. Doesnt cost anything to go outside and play ball, and think of the benefits! Small steps will fight obesity.

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pinetree's picture

The 'Sins' of Our Existance

I appreciate your editorial, but here's the thing...

we could solve all of our 'sins' if we just paid more money....we could eliminate childhood obesity if we just bought more of the 'right' food at higher prices for schools. You know...more organic foods, more fruits and vegetables, more of the 'right' stuff. Never mind that it's more expensive to do this...just do it! Who is going to pay for it? All of us? No one likes higher taxes...no one!

Or we could solve all of our energy problems with renewable energy if we just paid more money...bought more expensive greener technology...invested in wind, solar, tidal power...which we can do IF we decide to pay more! Who is going to pay for it?

Poverty could be solved with more money! Everything could be solved with more money! And, of course, we all know the best way to allocate resources because we have the right answer...."cut defense", "raise defense", "cut taxes", "raise taxes", "raise the retirement age", "cut the retirement age", "extend unemployment", "extend unemployment"...blah, blah, blah! "And, oh by the way, if you want to be reelected you'll listen to US."

If your editorial was designed to raise the issue and make people think, I think I've had enough of that. Maine is having a hard enough time trying to figure out what kind of state it wants to be, let alone curing cancer.

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