Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
Yoni Freedhoff M.D.

GET UPDATES FROM Yoni Freedhoff M.D.
 

What's Really Wrong With Georgia's Childhood Obesity Campaign

Posted: 01/ 5/2012 10:20 am

The ads cut straight to the point -- childhood obesity is real and we can't continue to turn a blind eye towards it.

The ads have also been rather soundly criticized by experts who worry about their impact on the already rampant biases that are endured by children with obesity.

But the ads may well be necessary. Georgia has the second highest obesity rate in the country, and there's no doubt finding a means to reduce those rates, especially the childhood ones, would be a worthwhile endeavour.

So will these ads help?

I sure don't think so.

Blog continues after slideshow


Instead they steer parents and children to a website full of rather useless one-line recommendations. If it were as easy as the ads say ( "When you are watching TV as a family, get up and move during the commercials--try running in place, dancing or jumping jacks."), do you really think we'd have a problem?  The website also encourages parents to speak to their children's doctors about the problem.  But given that the vast majority of medical schools and residency programs teach pretty much nothing about nutrition and obesity, I'm not particularly hopeful their doctors' advice will be any more sage than the website's.

Without a doubt, the question of whether these ads stigmatize obesity further is an important discussion to have (and for the record, I think these ads simply highlight the issue, not stigmatize it), but I guess what I'm trying to say is this:  Lost in the discussion of stigma, the reporters and experts have seemingly forgotten one very important fact. That fact? We simply don't yet have a reproducible and reliable treatment program that results in significant and sustained weight loss in children.

So while I'm all for public health campaigns to address childhood obesity, it's not the individual victims that I think we should be focusing on -- it's the world they're growing up in.

To help illustrate my point, try to imagine childhood obesity as a flooding river with no end in sight. While teaching children how to swim might help temporarily in keeping them afloat, given that the flood isn't abating, chances are, even with the best swimming instructions, the kids are going to get tired and sink. So while swimming lessons certainly can't hurt, what we really need to be shouting about doing is actually changing their environment and building them a levee.

The real problem with these ads is that they suggest that we're going to solve this problem on an individualized, case-by-case basis.

Childhood obesity is the symptom. The environment is the cause.

If we want a cure, it's the cause we need rally against and not the symptom.

Dr. Yoni Freedhoff, MD is known as a "nutritional watchdog" for his advocacy efforts for improved public policies regarding nutrition and obesity. He is the founder and Medical Director of the Bariatric Medical Institute, dedicated to the (nonsurgical) treatment of overweight and obesity since 2004, an Assistant Professor of Family Medicine at the University of Ottawa, and his personal website, Weighty Matters, is ranked among the world's top health blogs.

 

Follow Yoni Freedhoff M.D. on Twitter: www.twitter.com/yonifreedhoff

 
 
  • Comments
  • 6
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
03:49 PM on 01/19/2012
In the book Nurtureshock by Po Bronson & Ashley Merryman, they discuss scientific evidence that one of the main causes of childhood obesity is actually lack of sleep (and that even 15 minutes too little a night can start affecting children). There is even an analysis on when kids and teenagers should sleep, which is later into the morning. However school start times and adult life needs will trump those scientific findings because it's not convenient to us. To Dr. Freedhoff's point, the environment can include more than just food and exercise...it's how we live in all ways.
01:01 AM on 01/18/2012
This is a great article. I agree with Dr. Freedhoff that this type of public health campaign is not the best approach for reducing child obesity. The issue is much bigger and requires environmental changes and not only lifestyle chages at the individual level.

I would like to read an article on what those upstream interventions would look like. Who is responsible for ensuring that populations have access to fresh/affordable food?

Food/agriculture is a for profit business in a competative market saturated by cheap, fatty, fast food. That's the environment.
photo
HUFFPOST SUPER USER
Sofia Champion
The future is now.
08:37 PM on 01/06/2012
Exactly, let's start at the root of the problem, instead of adding more to the pile of crap obese people have to put up with on a daily basis. I was overweight as a child. I didn't gorge on French fries every day. I liked sports. The problem was that my parents just didn't encourage me to eat the right food, and they made eating healthy food seem like a chore or an obligation, rather than just something normal.

Instead of telling a kid they MUST eat five servings of fruit and vegetables a day because they HAVE to, give them the fruit and vegetables without making a big deal over it, and they'll probably eat it without making a fuss.
02:57 PM on 01/06/2012
I agree with Alan. Childhood obesity is not a mystery and reducing it to bullet points like, "When you are watching TV as a family, get up and move during the commercials--try running in place, dancing or jumping jacks" is aggravating to everyone forced to listen to them. 1) Moms and dads: clean up your act and be an example by what you do and not by what you say, 2) the science is in and has been for a long time: the smoking gun for obesity in children and adults is excessive carbohydrate intake; moms, replace the doritos and coke in the cabinet with fruit, vegetables (whole foods!) and sparkling/ carbonated water for between meal snacking, 3) quit eating foods made with or fried in toxic fats, i.e., foods fried, baked, blended, or prepared in oils high in Omega 6s (e.g., safflower, corn, canola, soy) and or hydrogenated oils (fake fats); instead use virgin coconut oil and or virgin olive oil for sauteing (much safer) and butter replacements like Organic Melt Buttery Spread made with oils like virgin coconut oil and flax oil for Omega 3s, 4) similarly, cut out all foods containing corn and soy derivatives, including the animals that are fed corn and soy (i.e., factory farmed meat sources), 5) help your kids find a sport or activity they LOVE; they will never lack motivation to get into it and it will feed their self esteem.
07:53 AM on 01/06/2012
"We simply don't yet have a reproducible & reliable treatment program... " Yes we did! Since obesity only surged after 1980 when low fat became law of the land, we should look at the American diet when obesity wasn't epidemic (before 1980). The official 1980 Dietary Guidelines - for the first time - said skimp on fat and emphasize carbohydrates. Our carbohydrate consumption - especially sugars and grains - increased 400 calories per day per capita. That's why we got fat! Our program: Higher natural fat whole foods diet
photo
HUFFPOST SUPER USER
Chefrob88
“Careful. We don't want to learn from this.”
02:02 PM on 01/06/2012
I agree. I also think the boom of the fast food industry has had a big hand in this. The problem is people are eating at home less and less and they cannot see what is going into their food.