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Let's Move (Our Thinking) on Childhood Obesity

Posted: 02/10/11 06:21 PM ET

Wednesday was the one year anniversary of First Lady Michelle Obama's "Let's Move!" initiative to blunt the epidemic of obesity in children. It marks an important fight against a wave of future chronic disease that threatens our national security, our economic growth and the solvency of our health care system.

The obesity epidemic began just about three decades ago. What I reflect upon this anniversary, however, is the much more recent sea change in public health thinking that "Let's Move!" signifies.

At the core of the White House work to curb obesity -- as well as the work of the Centers for Disease Control and the Robert Wood Johnson Foundation -- is the now accepted view that changes to our children's environment, particularly around food and physical activity, have been key factors triggering the epidemic.

These include, for example, saturation marketing of unhealthy foods high in sugars, fats and calories, to the youngest of children -- who, of course, lack the cognitive capacity to weigh the short-term pleasure of these snacks against the longer-term harm of diets so dominated by them. And they include school food environments which, while improving, still are not as healthy as they should be. They include community food environments for many children where convenient, walkable full-service supermarkets with fresh produce are a mirage. About 23.5 million urban and rural Americans live in these "food deserts," without access to healthy foods

If environmental and policy change helped bring about this epidemic, then it makes sense that the CDC and other public health experts now see changes to government policy as one of the most effective ways to make sustainable, healthier changes to our children's food environment. Change can be driven by policies at the local level, or at the national level like "Let's Move!" or the upcoming 2012 Farm Bill. Building support for these common sense policies in the health community is a key aim of an initiative I'm working on called Healthy Food Action.

Not everyone accepts the public health perspective. Sarah Palin, for example, has suggested that "Let's Move!" is tantamount to government interference in our lives. But it's a core public health principle of the CDC and the world's leading obesity experts that individual eating behavior doesn't take place in a vacuum. Rather, unhealthy environmental and policy changes influence and constrain individual behaviors. One cannot walk to school when there are no sidewalks, where it's unsafe, or where the neighborhood school has been closed. Similarly, school children are unlikely to choose drinking water where water fountains have been dismantled, vending machines only offer soda, or where the soda is cheaper than healthier alternatives.

Let's Move!" has galvanized moms, doctors, school officials, Wal-Mart and soda companies to start acting as part of a community-wide effort to make our kids' environments healthier.

Voluntary efforts are great. But so long as public policy supports unhealthy environments, we will make limited progress. Now that we've moved our thinking, let's move public policy.

 
 
 
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HUFFPOST SUPER USER
babybelle
EARTH without art is just EH
08:58 AM on 02/16/2011
Bring gym class back.
I bet many young people nerver even heard the word calisthenics.
07:22 AM on 02/16/2011
In our small rural Eastern Washington county, the struggle for health gets pretty interesting!

http://loudfartnoremorse.blogspot.com/2011/02/notes-from-food-revolution-part-one-of.html
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06:43 PM on 02/15/2011
Why is it that processed, packaged foods (which contain MSG and a plethora of additional preservatives/fillers) are so readily available and why are they more common than fresh produce? The human body is fighting the unnatural chemical compunds provided by these foods and the healing vitamins and minerals provided by fresh produce are lacking. If our communities cannot provide the necessary funding to insure that better food choices and increased physical activity are provided through our school systems then how else are children going to make the change? I am not saying that parents should not be responsible to help their kids make healthy choices; however, I feel that school is better able to teach healthier choices through the educational lessons that children will then be able to incorporate in all areas of thier lives. I was taught nutrition and the importance of physical activity in school and may not have had any exposure if it weren't for my educators. Although my parents are wonderful people, they were not knowledgable on healthy eating and didn't have the tools/information that was necessary to teach me; I believe that there are many families out there that are just like mine.
nothingchanges
too soon old, too late smart
01:16 PM on 02/15/2011
When I was growing up, (a long time ago) children walked or bicycled almost everywhere we went.

I have taken up bicycle riding again in my declining years.

I make two observations. I see several other bikers on my outings. All are apparently over 50, I have yet to see a teen riding a bike.

I'm not sure its the children s fault.

We talk about crumbling infrastructure.............in my town it's almost impossible to ride on the sidewalks, because they are in such poor condition, in the few places where they exist. Riding on the road is a hazard due to inconsiderate motorist in a hurry, not wanting to share with cyclists.

Most places I have lived or visited are not bicycle or pedestrian friendly.

If you want children to exercise, and play outdoors more, then facilities must be provided for them to do so safely. Bicycles CAN be a sensible, non polluting form of transportation, but society has to make it safe and practical enough to encourage it's use..
09:40 PM on 02/12/2011
The childhood obesity epidemic is a complex issue. At the core, I believe parents must be responsible for setting the example of how to lead an overall healthy lifestyle for their children. We should teach parents how to address nutrition, exercise, stress management and sleep in order to improve overall health and quality of life. For more information, visit www.thefriedchickendiet.com
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HUFFPOST SUPER USER
eLucida
Liberate Fitzwalkerstan, defeat A.L.E.C.
12:36 PM on 02/12/2011
HFCS was introduced into the American diet in the late '70s.

Granted, correlation is not causation, but it is a good place to start looking.

http://bit.ly/eUNLxr

http://bit.ly/ePjFZh

From http://bit.ly/egEfm9

"As a country, we have decreased fat consumption, increased carb consumption, increased consumption of sugars, "healthy" grains, and franken-fats. This gives us worsened cholesterol status, elevated triglycerides from sugar and grain consumption, and plenty of oxidation and inflammation from refined industrial vegetable oils. Yet we still largely blame butter and bacon for causing heart disease. "
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DrP
11:17 PM on 02/11/2011
Just about three decades ago, the conventional medical advice became "cut dietary fat."
Should tell us something right there.
07:02 PM on 02/10/2011
I remember that when I was trying to get my kids interested in walking home from school, two terribly contradictory things were happening with the school principal. She was desperately afraid of child-abductors and she was annoyed at parents coming in their cars to pick up kids to the point where she banned them from the school lot and also forced them to keep moving if the child was not immediately visible. I could see the frustration and hard feelings building in that environment, and the lack of trust. Beyond poor eating habits and lack of time at the gym, there has to be something else that is filling us with anxiety so that we do not control our calorie consumption and turn to food as an addiction. There is something socially out of joint.
03:52 AM on 02/13/2011
Fanned and faved.