Competitive Food Sales in Schools Not Affect Obesity

February 2nd, 2012 No comments »

Most US middle and high schools sell soft drinks, candy and chips to their students. These practices have been widely criticized as contributing to childhood and adolescent obesity. However, a new study followed  approximately 19,450 children from fifth to eight grade. Researchers found the children’s weight gain was not associated with the introduction or the duration of exposure to competitive foods. This did not vary by gender, race/ethnicity or family socioeconomic status. Possible explanations are that children’s food preferences and dietary patterns are firmly established before adolescence. Also, schools are highly structured whereas home life may have more opportunities for snacking. http://www.asanet.org/images/journals/docs/pdf/soe/Jan12SOEFeature.pdf.

New View on the Origins of Our Obesity Predicament

December 24th, 2011 No comments »

As readers know, there is a certain disconnect about when the obesity    epidemic began. Personally, I am quite persuaded that the historical record for the increase in human weight and height (the two parts of the BMI formula) goes back at least 350 years. (See, The Techno-physiological Revolution). On the other hand, something seemed to happened in the United States around the 1970s to send the rates skyward. There are no end of theories, all of which have some plausibility. So now comes Melinda Sothern, a well-respected and highly published obesity researcher, with a new look at mothers in the 1950’s. (Ouch! That’s a little close to home.) Her thoughts in this article do meet up with current research on genetic and, especially, epigenetic factors influencing the development of obesity. 

Many knowledgeable researchers have avoided going into this territory, not because of the science but because of the fear of being blamed for blaming mothers. This is not an inconsequential factor as parents may defer medical care for fear of being blamed for their child’s weight problems. (See the Cleveland obese boy incident.)

Sothern’s experiences and scientific credibility gives impetus to seriously consider her thoughts on the origin of our current predicament, given in this article in The Republic, ’50s women may have triggered obesity epidemic | The Republic

Child Food Marketing Guidelines Set Back…Again

December 16th, 2011 No comments »

Food and beverage industry has won another victory in Congress (did you forget pizza?) , forcing through a provision which would require the three federal agencies involved in writing the new guidelines for marketing to children to undertake a cost benefit analysis. Lawmakers want cost-benefit analysis on child food marketing restrictions – The Washington Post Earlier in the year, the industry had forced the Administration to drastically curtail the age group covered by the proposed guidelines Food giants fight proposed nutrition guidelines – SFGate

CDC Reports Drop in New York City Childhood Obesity Rates

December 15th, 2011 No comments »

The CDC reports an actual drop in the rates of childhood obesity in New York City  Obesity in K–8 Students — New York City, 2006–07 to 2010–11 School Years and Mayor Bloomberg offers an explanation. http://www.nyc.gov/html/om/html/2011b/pr440-11.html

Is Foster Care Good for Obese Children?

December 6th, 2011 No comments »

Dr. David Ludwig, the Harvard pediatric endocrinologist who wants the government to take obese children away from their families like the boy in Cleveland according to an analysis  which, in my opinion, is deeply flawed, should read the Government Accountability Office study of five states. This study, recently presented to Congress, shows that children in foster care receive very high doses of anti-psychotic medications. Foster Kids Given Psychiatric Drugs At Higher Rates : Shots – Health Blog : NPR#more

Many of these medications are known to increase body weight. Weight gain profiles of new anti-psychotics: public… [Obes Rev. 2003] – PubMed – NCBI  On the other hand,  Dr. Ludwig’s assumes that foster care will be good for the obese child, presumably by reducing their body weight. Unfortunately, there is absolutely no – zero – nada- evidence that foster care can produce sustained, significant weight loss in the children seized from their homes. Dr. Ludwig should look at the study that found that weight of children actually increased in foster care. Obesity in looked after children: is f… [Child Care Health Dev. 2008] – PubMed – NCBI

Are Pediatricians Doing Their Job?

December 6th, 2011 No comments »

Amid continuing furor over the removal of the 8 year old boy in Cleveland from his family, come two reports. The first, a study just published in the Archives of Pediatrics and Adolescent Health showing that only a quarter of parents were told by their pediatricians that their child was overweight. Interestingly, more parents who were minority and low income were told than other groups of parents. Arch Pediatr Adolesc Med — Abstract: Parental Recall of Doctor Communication of Weight Status: National Trends From 1999 Through 2008, December 5, 2011, Perrin et al. 0 (2011): archpediatrics.2011.1135v1

Another report has addressed a recurring question in the Cleveland case which is ‘how widespread is the removal of overweight/obese children to foster care?’ There does not appear to a clear picture but there is a picture of the frequency in Great Britain, including the case of a child as young as three. Council ‘put child, 5, into care for being obese’ – Telegraph

When Doctors Blame the Parents

December 4th, 2011 No comments »

The case of the 200 lb. boy in Cleveland who was removed from his home and taken into foster care has raised many issues. One of these is what signal does such action and the blame attached to parents by physicians such as David Ludwig have on the medical care of their children. In this post, Dr. Sharma recounts a recent study, albeit a small one, showing that parents of overweight/obese children often delayed medical care because the blame they felt from their primary care physicians. See,  

Why Parents Seldom Seek Professional Help For Their Obese Kids | Dr. Sharma’s Obesity Notes

Neighbors Support Cleveland Parents

December 2nd, 2011 No comments »

Cleveland TV Station, WKYC, finds neighbors support boys’ family in custody dispute. County officials have placed the boy in foster care.They indicate both parents are ‘large’ people and boy is active. Boy has been physically active but unable to lose weight even though under court supervision for nearly a year and in a hospital weight loss program. See Neighbors support mother of obese boy taken away | wkyc.com