We simply must

An article I read in The Age yesterday got me fired up for all the right reasons…

In a bold effort to combat obesity, primary schools in the UK are introducing a fat report card. Just as parents are sent reports on their child’s academic progress, they will now also receive notification about their child’s weight relative to national measures and standards. Under the scheme, all parents (unless they choose to opt out) will automatically be sent a ‘fat report’ when their child is five then again at age ten. This report will be accompanied by advice on healthy eating, recommended levels of physical activity, and local support services. Some pretty big names in the Australian obesity debate have appaulded the initiative. Boyd Swinburn (an obesity specialist at Deakin University), Dr Tim Gill (chief executive of the Australasian Society for the Study of Obesity), and Professor Paul Zimmet (head of the International Diabetes Institute in Melbourne) have thrown their support behind a similar initiative being introduced into Australian primary schools.  

The scheme has been dubbed ‘conroversial’ with critics worried about the negative effect a direct focus on the issue would have on both parents and overweight/obese children. Professor Ian Caterson, director of the Institute of Obesity, Nutrition and Exercise at the University of Sydney said the approach was “too heavy-handed and would stress parents without getting results” (The Age 28 July 2008). God forbid we would want anything too heavy-handed…afterall complacency and cotton wool have worked so well in the past. People are getting fatter, younger. Australia currently holds the title of worlds fattest nation. 26 per cent of Australians are obese, not overweight…OBESE! (The Age 20 June 2008, pp. 15). In the UK predictions estimate that by the year 2020, one quarter of ALL British children will be obese (telegraph.co.uk). This is scary.

I am sick to death of seeing six year olds who weigh more than me and will probably be outlived by their parents. I can’t believe we are worried about stressing out the parents. Some of these parents need to be locked up. There are parents out there who are feeding their children McDonalds for breakfast, KFC for lunch and Red Rooster for dinner. In my opinion it is akin to child abuse. Intervention is needed.

As for the children…

A piece of paper indicating that the a child is clinically obese and suggesting ways to combat this illness is hardly stressful. I imagine it pails in comparison to the horror obese children face in the school yard. Kids are cruel. I recently read about a study which was conducted on a group of six year olds. Each of the children were given photographs of other (anonymous) children in a similar age range. They were then asked the rank them in order of who they would like to be friends with. Each of the photographs featured children with some sort of medical condition such as down syndrome, server burns, obesity, stunted growth etc. Nearly all of the children ranked the obese kid as the person they would least like to be friends with.  On the playground the obese kid is bullied and ridiculed. It happened in my school and I’m sure it happened in yours. One of the biggest differences between my sisters 4th grade class (currently) and my 4th grade class (12 years ago) is that the fat kid no longer exists. It is now the fat kids. Plural.

The fact that obesity is now so prevalent may actually lead parents to ignore or be unaware of their own child’s weight problem. They may see their 60kg 6 year old as healthy because he is the same size as many of the other obese kids in his class. According to Swinburn, several studies have shown that parents “grossly under recognised” overweight and obesity in children. In fact Australia does not even have accurate childhood obesity statistics upon which to measure or standardise a child’s weight. How can we be expected to treat the problem if we can’t identify it? In her book The big fat conspiracy (2007 pp. 282), Melissa Sweet notes that around half of the parents of ‘obese’ children thought that their children were of normal weight or even underweight.  All the current data we have on childhood obesity is based on expert estimations. As The Age article referenced above indicates, the last comprehensive study into obesity in Australian children and adolescents is now more than a decade old. Back then it was estimated that 21 per cent of children and adolescents were overweight or obese. It is widely and expertly acknowledged that these figures have climbed dramatically. Not only will a fat report card system make parents aware it will also provide current, relevant, measurable and accurate data around obesity.

The time to take radical action is now. Obesity is linked to a number of PREVENTABLE diseases such as type 2 diabetes, stroke, heart disease, and range of mental afflictions. Already our hospitals are over populated and under-bedded. Imagine the situation in 40 years time when otherwise healthy patients are cuing up for coronary bypass surgery. Conservative estimates suggest that if current trends continue obesity will cause 123,000 premature deaths, cost $6 billion in medical expenses and require an extra 700,000 hospital beds (Stark 2008). From a purely politcal perspective the economic strain on our health system is too great to ignore.

Critics say the ‘fat report card’ is too radical. Wrong. It’s not radical enough. This is the health of Australian children. We simply must act. Lets be bold and make changes that have a real and immediate positive impact. The most successful publicity campaigns are those with emotional impact. Look at TAC. Look at QUIT. In both instances drastic, graphic and startling measures were used to change behaviour. Lets put children and parents under a bit of emotional stress. At the risk of being contentious I’m going to say that with the exception of climate change, there is no bigger issue on the political, social or economic agenda. Unlike climate change we don’t need a duel nation legally binding agreement to solve the problem. “Fat report cards” are one radical idea. Here are some others I came up with:

  • Graphic images on fast food packaging. Cigarettes kill so we have plastered cartons with burnt out lungs and disintegrated brains. High cholesterol kills so lets plaster McDonald’s french fry boxes with images of a 30 year old undergoing a triple bypass. Or how about a 12 year old boy getting teased because be takes up 2 seats on the school bus.
  • Age restrictions on fast food outlets. You can’t purchase alcohol until your 18 lets do the same with the Whopper. No ID? sorry go to subway.
  • A petition to have cookies changed from a “sometimes” food to a “never” food (nutritional value zip).
  • The forced closure of Krispy Kreme…yes I know they are worth being fat for. A drug addict probably thinks that little white rock is worth beating up an old lady for.
  • Government subsidies on gym memberships and personal trainers.
  • Making the Certificate 3 in fitness a compulsory subject for all year 11 students. Your body is the most important tangible item you will ever own. You should know how it works and how to look after it.

3 Responses to “We simply must”

  1. rasayan Says:

    obesity, well we may be able regulate kids to adopt new diet and excersice regime. we may even dictate them a healthy lifestyle…..

    with fat report and support teams….

    kids are not adults they are wise and liberal. When we study kids too close and design whats good and whats bad and build module for them to live. We are killing a kid, we are insulting his/her ability to explore and liberalize himself.

    In my personal opinion such manufactured lifesyle have its own side effect, one being obesity.

    without being so technical in approach, focus should be on fundamental development of child to face ‘good’ and ‘Bad’ around him.

    let him peep out side our concreate jungle to explore the world beyond what a television set has to show.

    let him feel the dirt of mud and smell of rain. let him jump in vain to catch butterflies, let him run with the wind. let him . let him kill his OBESITY Himself..

    WE ARE NOT WISE THAN NATURE.

  2. Victoria Whittaker Says:

    you have no idea what it is like as a parent with a clinically obese child. My child weighs 18 stone at 14 and what makes you think intervention from Social Services or other government companies is going to help. My child was never obese until in the care of social services. Just as another point the child wasn’t taken away from me it was what was best for my child and the rest of the family. My child put on 8 stone whilst being in foster care over a period of 1 year. since then my child has personal trainer, a dietician, a councellor all people involved are advised not to feed my child. You are all quick to blame the parents but what if it is a government body who else are you going to blame. I personally blasted our local social services over the radio and it was broadcast every hour on the hour did it help NO why cos it’s my child who lives in her own world and truly believes she is a size 12 when the reality is more 22. Everything and everything has been tried but unless the child will face reality there is no where to go. My child is the kind of child who will eat a pot noodle dry. My child has been tested for everything, psychological and medical. My child has been told cold hard facts so what is the point of government bodies (who made my child this way). You have no idea unless it happens to you…………………………….

    If you take offence sorry but don’t tar everyone with the same brush there is always different sides to every story.

    As another point after being voluntary accomodated for 6 years government bodies have decided my child has attachment disorder well wouldn’t anyone who has had 27 foster placements have due to the total inadequecies of goverment bodies.

  3. Tess Says:

    @ Rasayan – I fully agree obesity is a major sideeffect of manufactured urbanisaiton. However, (unfortunately) I believe we can only work to solve the problem on a macro level within the current ‘con environment and social policy regime.
    The picture you paint of running in the wind and playing in the mud sounds idealic :)

    @ Victoria – I am empathetic for what your child has endured and am sorry if I offended you. I understand that there are a lot of brilliant parents out there who are struggeling with childhood obesity. I was simply implying that (some) parents and children alike need to be made more aware of what consitiutes a healthy weight and a nutritional meal. Any child who is as physically impeded as you suggest your child to be should bypass government authorities and go straight to a doctor for a medically controlled health plan. From what I gather your child is lucky to have a parent who is so concerned about their wellfare…I wish you both the best of luck.

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