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Gwenn Schurgin O'Keeffe, MD

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Disney's Habit Heroes: A Review From a Pediatrician Mom Who Experienced It

Posted: 03/ 5/2012 5:25 pm

It was incredibly serendipitous that my family was vacationing at Disney World in Orlando, Fla. when the scuttlebutt over the Habit Heroes exhibit erupted. As a mom, pediatrician and health expert, I've learned over the years to not buy into the emotional uproar of these situations but to take a more journalistic approach -- fact check as much as possible and experience first-hand whatever it is, when reasonable, which in this case happened to be days after the uproar began.

So, last Friday, my husband and I hit Futureword at Epcot on the hunt for the exhibit. Our first observation was that it was not at all easy to find. We finally found it tucked on the side of Innovations West.

Once we found it, we initially saw this sign:

2012-03-01-IMG_1309.jpg

So, this wasn't just a Disney exhibit but one sponsored by a health group. Despite claims that Disney didn't use "experts" this sign implied otherwise.

From there, a very distorted and large comic strip appeared on a convex wall introducing the concept of unhealthy habit "villains" and the habit heroes.

Here's the reality. The characters and text were placed on a huge, convex wall, and were very difficult to read and truly take in given the direction of the walkway leading to the exhibit entrance and the overall dimensions of the room. You basically notice a big cartoon in passing but that's about it. And, the images are not anything but a cartoon. There is nothing scary about them or anything about them that would cause a child of any age to feel bullied or ashamed. Given our comic book culture infatuated with superheroes and villains, kids would see the comic in that light, nothing more. In fact, watching the families walk with us along the path to the exhibit, no one seemed to stop to notice the wall -- adults or kids.

Once we all reached the exhibit entrance, we were greeted with a sign and an exhibit worker. Both reinforced the interactive nature of the exhibit:

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From there, we entered a basic Disney entrance room. The room was decorated like an old time gym with images of old teams, trophies and a scale.

Once the room was filled with a few more families, school age and preteens mostly, a video came on with our heroes -- Will Power and Callie Stenics. Our heroes talked about how we were there for an important mission -- to help today's kids learn healthier habits.

The video was incredibly well done. The content was appropriate for kids and adults and did a nice job explaining how kids could get more healthy and why that was important. It didn't place blame or shame. In fact it was spot-on in discussing that kids today are suffering from too much:

  • Inactivity
  • Too much TV/screen time
  • Poor or unhealthy eating

And, kids are becoming unhealthy and sometimes, overweight as a result. Due to the weight issues, kids are subsequently at risk for serious health problems such as diabetes and high blood pressure.

The way the material was presented, no one's vacation would be ruined. The material was no different than anything the kids or parents have heard in other settings and had the twist of having fun activities to show just how easy combating these issues truly is.

From there, we go into three rooms to try and help a typical teen become more healthy. The teen boy had a typical body habitus of many kids today -- not too thin or overweight but not in shape, either. He looked like many of the kids today's kids go to school with or see on TV.

In the first room, screen time was taken on in a game that had people zap screens that came down from the sky. The amount of screens on our display equaled the amount of screen time in a child's day so there were times we were zapping a lot. In the second room, we zapped unhealthy foods to make room for healthy foods. As the unhealthy foods fell, we could see healthy foods on the display. In the final room, we combated "lead bottom" who was the only "villain" shown for any considerable amount of time. He looked like your typical super villain in any movie or comic strip kids see these days. He wasn't scary or threatening -- he was just there. The way we fought him was to move our bodies and the more we did, the more he started to move. Within a few minutes, our villain became our ally and happily left the screen. The exhibit ended with our teen emerging moving more, eating a healthy snack and not on a screen.

Everyone in the exhibit was smiling and laughing by the end and left with smiles on their faces. We were all given wristbands with www.habitheroes.com on the side and I overheard parents and kids talking about going to the site.

Experiencing the exhibit after reading the critics was truly as if the critics of the exhibit were in a different, alternate reality. It disturbs me that Disney and Florida Blue felt the need to cave under the loud and misguided views of people who clearly didn't understand the exhibit or realize it was right on the mark. As a health expert, and mom, I felt it was fantastic and would have had no hesitation recommending it to any family, with normal weight kids or overweight kids. The exhibit was not truly about obesity but learning to be healthy. I hope Disney and Florida Blue don't retool the exhibit too much based on the loud few... they were more on track than they realized.

 

Follow Gwenn Schurgin O'Keeffe, MD on Twitter: www.twitter.com/drgwenn

It was incredibly serendipitous that my family was vacationing at Disney World in Orlando, Fla. when the scuttlebutt over the Habit Heroes exhibit erupted. As a mom, pediatrician and health expert, I'...
It was incredibly serendipitous that my family was vacationing at Disney World in Orlando, Fla. when the scuttlebutt over the Habit Heroes exhibit erupted. As a mom, pediatrician and health expert, I'...
 
 
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04:33 PM on 03/12/2012
I watched a complete run through on Habit Heroes at http://www.youtube.com/watch?v=fmUxVspnAkg
and I was fine with it until Lead Bottom appeared toward the end. The comic bouncing of his large midsection is clearly made for laughs, which I believe is the wrong message to send. Also, the name Lead Bottim is demeaning. If he were called "SedenTerry" or something like that, it would not be nearly as objectionable.
Obese people should not be the object of ridicule. I would feel better if the exhibit cut off after shooting broccoli at the unhealthy foods. No issues whatsoever with anything that occurred up to that point, though I know that a 15 minute Disney exhibit oversimplifies the issue of childhood obesity.
08:11 PM on 03/08/2012
I'm also a pediatrician and a mom and I have a daughter who is recovering from anorexia nervosa. I have not seen this exhibit but I do think that we really need to consider whether these campaigns for healthy lifestyle are effective in improving our public health overall as there may be unintended consequences from the current war on obesity in children.

We know that a certain segment of the population is at risk for eating disorders and these are in fact more deadly, less treatable and cause more morbidity than mild or perhaps even moderate obesity. Eating disorders are associated with anxious or obsessive personality and many many younger children have developed obsessive thoughts about eating healthy that set the wheels in motion for a full blown eating disoder. These are notoriously difficult to treat and I think is not necessarily in the interests of public health to have small children become too analytical about what they are eating or their exercise habits. And as experts are monitoring the outcomes of these interventions, they should look not only at rates of obesity but also take a look at the rapid rise of eating disorders in very young children. Most of us parents can point to comments about weight and healthy eating that turned into a focus of their child's attention right before they fell ill with the eating disorder.
03:54 PM on 03/08/2012
Boy for people who claim to be against "bullying" some of these comments seem pretty direct towards someone who suggests an alternate point of view. People who disagree not entitled to their opinion? really? have you seen the comments on this blog vs. the very respectful response from Dr. O'Keefe? Who is calling who names?
09:25 PM on 03/07/2012
I complete agree with Dr. O'Keeffe. I was there myself with my family when it opened and it was nothing but fun and educational. There were other people with us and they enjoyed the exhibit as well. There was NOTHING offensive to it. I'll bet you that 99% of people criticizing Habit Heroes have not gone through it themselves. Makes you wonder if their opinion is even relevant?
12:48 PM on 03/08/2012
You are of course entitled to your opinion. What I find fascinating is the insistence that people who disagree with you and Dr. O'Keeffe are not entitled to theirs. There is an attempt to say that if you don't agree, or if we submit it to a vote and x% don't agree, that opinion must be wrong. What is your motive in trying to dismiss the legitimacy of those opinions - the reactions of people who have been exposed to the exhibit's content, whether in person, on the website, or its descriptions in the news? There is wisdom in everyone's point of view.
08:49 AM on 03/09/2012
While I agree there is wisdon in everyone's point of view, I'm questioning how they are forming theirs with limited information. When i read the first story about this I couldn't believe how twisted the message was being communicated. Most people commenting are reacting to what they read. Media as in most situations takes the most obscure angle to create controversy.
03:12 PM on 03/07/2012
Also, if Disney really wanted to make revolutionary change they wouldn’t just focus on the choices people can make but creating access to those choices. If they really wanted to make healthy behaviors / foods something that is accessible, affordable and available to all people they should be doing work in communities to create spaces for it. One exhibit at one theme part in one city whose admission costs what I make in one day isn’t going to change anything.
02:52 PM on 03/07/2012
It really unsettling that a doctor would dismiss the concern of the public as being 'emotional' or in some way irrational when calling for this exhibit to be closed. When videos show a distinctly different impression of the exhibit, one that shows the 'snacker fairy' forcing kids to eat and fighting against 'bad habits' that are through the depiction of fat bodies (as well bodies that are not considered the ideal). When coming from a place of thin privilege, it is harmful to assume that your perspective it the right one or the 'rational' one. Assuming that someone is being irrational for commenting on how horrible this exhibit shows that privilege. Not facing fat shame means that you can assume that it doesn't exist and undermines the reality that people live in.

As a pediatrician I would think that you would understand how vulnerable children are to finding their place in the world, how fat children are bulled more often than any other group, and having that bullying reinforced by outside sources doesn't help. Doctors such as yourself need to start thinking critically about the world around you and that doesn't happen if you just write something off because the message isn't worse than anywhere else.

http://www.youtube.com/watch?v=SoM38R9xfMs
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Gwenn O'Keeffe
04:50 PM on 03/07/2012
I'm not sure why you keep assuming I'm coming from a place of "thin privilege". That assumes I've never struggled with my weight or am "thin". As a child, I had weight issues and was bullied. As an adult, I've had my ups and downs as many women have and have had to deal with my weight increasing due to medication from my arthritis. So, I most certainly don't see the world through a "thin" lens. In fact, I just see the world. I accept everyone for who they are and don't judge.

Helping today's families stay healthy is complicated. We all come from different perspectives. Instead of focusing anger at me or an exhibit, what we should be doing is brainstorming on ways for families to combat the many forces working against them and offer suggestions to groups like Disney for improving well meaning but,perhaps, misguided exhibits.
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Gwenn O'Keeffe
08:22 AM on 03/07/2012
I understand all of your views about the images themselves, and share them. If the actual exhibit contained those images, I would have written a very different post. However, those images simply were not there. Perhaps they were located on the website or on marketing materials but they were not contained in the exhibit except in the 2 places I mentioned. And, in those 2 areas they were not in any way framed in a way that would be harmful.

The exhibit is down now and with all the comments, on both sides, Disney and Florida Blue will hopefully retool the exhibit in a way that meets everyone's needs more comfortably. My hope is that the core of the exhibit, the focus on less screen time, more activity, and more ways to make healthy food choices, stays. That part truly was well done.

Thank you again for sharing your views. It's out of exchanges like this that we can learn from each other and sort out tough problems such as this.
01:57 PM on 03/07/2012
Dear Dr. O'Keefe

I certainly respect your efforts towards dialogue about obesity prevention for our children. I would respectfully point out two things. First, the images were at the theme park. In December when I was last there with my daughters we saw the advertisements for the upcoming exhibit, and my girls being the thoughtful teen daughters of a psychologist immediately commented on the shaming cartoon of an overweight boy.
I share the concerns of my colleagues who work with the issue of obesity from the behavioral health perspective. There is a good reason why so many professional organizations objected to the exhibit. Obesity is both a health issue and a behavioral issue - twofold. What may seem like a good intervention based on health science may not be a poor intervention from the perspective of behavioral science. That is the crux of the objection to the Disney/Florida Blue exhibit. We all want our kids to be healthier. Please advance that effort by attending to the input of the behavioral science perspective.
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YoniFreedhoff
Obesity med. doc, blogger, author, speaker, dad.
02:54 PM on 03/07/2012
I'm confused Gwen.

The exhibit's finally included Lead Bottom. My guess is that were he to exist in real life, he'd weigh somewhere on the order of 900-1,000 pounds.

He had a wrestling costume on and the point of the exhibit was to exert "positive peer pressure" aka "bullying" to make him dance....and when he danced his stomach jiggling was no doubt supposed to lead to giggling and merriment.

Did you leave before the part where you were supposed to laugh at what fat people looked like dancing occurred?
02:18 AM on 03/07/2012
I was 12 the first time some well meaning adults pulled me up on stage in the school auditorium during an assembly about "health" to point out that I (and some other children) were what happens when you eat garbage and never go outside. We were told that, if we were lucky, we might live to be 30 before a heart attack killed us. Our classmates were told that they needed to help "keep us on track" and encourage us not to overeat and to exercise.

Which largely translated to them stealing our lunches because "the last thing you need is MORE food fatty", and pelting us with rocks on the playground while encouraging us to "run off that flab fatty".

By 15 I was envious of girls with the willpower to become anorexic... I actually thought it was a failing in me as a person that I wasn't "strong" enough to just stop eating and become healthy. By 17, I wished I wasn't such a coward and could just bring myself to end it since I was too weak willed to become thin.

This is what you're advocating teaching children. That fat bodies are defective and must be attacked and loathed. Kids don't see a habit when they see a character like Leadbottom, they see a fat body and that it's ok to attack that body "for it's own good".
10:45 PM on 03/06/2012
Dr. Schurgin O'Keeffe, I'm not really certain what attraction you experienced last Friday since Epcot has no area called "Futureword" but they do have this little area called Future World. And I can imagine it was very difficult to find Habit Heroes in Innovations since there is no such place as "Innovations" at Epcot. And even if you did find Innoventions West you still would have been out of luck, since the attraction is in Innoventions EAST.

Oh, and even if you did manage to get to the right location despite your multiple malaprops, Habit Heroes was closed last Friday.

But I'm sure, in your alternate reality universe last Friday, where Epcot has a "Futureworld", where, inside "Innovations" West there is an attraction called Habit Heroes which was open, I guess it is entirely possible that you experienced something completely different and much better than those half dozen or so humans who live in THIS universe and actually experienced the real attraction before it closed - you know, before last Friday.

Just a friendly hint to someone who's trying to write using a more "Journalistic Approach", you might want to at least get your basic facts correct.
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Gwenn O'Keeffe
07:51 AM on 03/07/2012
Pam:

I apologize if I misstated the geography at Epcot. But, I can assure you that the exhibit was open on Friday February 24 when my family was vacationing at Disney. But, you are correct that last Friday, March 2, the exhibit was closed. The confusion over the dates occurred by the delay in getting the post through the Huffington Post queue. I posted it on March 1, assuming it would be live by March 2, but it was delayed due to editorial backlog until this Monday.

Dr. Gwenn
10:26 PM on 03/06/2012
Shaming and stigmatizing fat people, especially children, will do nothing to positively affect the health of the populace. Three 2011 studies confirm these facts.

The study Obesity in the News: Do Photographic Images of Obese Persons Influence Antifat Attitudes? indicated that participants who viewed the negative photographs expressed more negative attitudes toward obese people than did those who viewed the positive photographs. Implications of these findings for the media are discussed, with emphasis on increasing awareness of weight bias in health communication and journalistic news reporting.

The study Weight Stigma: Health Implications relates that weight stigma:
• Compromises psychological well-being
• Is NOT an effective motivator for lifestyle changes
• Affects healthcare

The study The Stigmas of Obesity: Does Perceived Weight Discrimination Affect Identity and Physical Health? reveals that perceived weight discrimination is found to be harmful, increasing the health risks of obesity associated with functional disability and, to a lesser degree, self-rated health.

There is an evidence-based compassionate alternative to conventional dieting: Health At Every Size®. For more information on Health At Every Size, you can find in-depth research-based information in the book Health At Every Size - The Surprising Truth About Your Weight by Dr. Linda Bacon (http://www.lindabacon.org/HAESbook/).
09:28 PM on 03/06/2012
I hope you don't think your reaction as a person with thin privilege, whose education was laced with fat-phobia, is what we should be using to "judge" this exhibit.

When people from an oppressed group tell us that something is damaging or offensive, it is not the job of the "experts" to vet their statements.

I'm so grateful to healthcare professionals who are coming to recognize their own weight biases and that of their education. We have a long history of hate-speech masquerading as health speech. If we bothered to include members of the community to whom we are speaking before we launched such campaigns, we might make fewer mistakes. But even Michele Obama's "Let's Move" campaign has no one from a civil rights organization representing fat people or the parents of fat children.

When people tell us their reactions, we need to learn from those people - they are taking the time from their busy lives to educate us, which they really should not have to do. Too often, we reject this gift and get defensive or dismissive, or retreat into our "expert" position to undermine their credibility to comment, even on their own reality.

People with disordered eating, people of varying weights who understand body shaming, fat people, parents of fat kids, and people who love those people, are all saying this is offensive. This is not up for a vote. They are speaking their truth to your power, and invoking your power should not silence them.
10:13 AM on 03/07/2012
I just had to say your comment was so spot on it had me choked up. So much truth here I wish people could get this point. Its as simple as the golden rule but we seemed to have chucked decency out the window in the the name of promoting health.

do unto others. plain and simple and if they tell you what your are doing is hurtful. you stop.
08:35 PM on 03/06/2012
Previous comments have so clearly outlined why you are misguided in your beliefs, Dr. O'Keeffe. I just want to point out one more sad thing you say: "The material was no different than anything the kids or parents have heard in other settings...." Might I add, "heard ad nauseam." Reminds me of Einstein's definition of insanity -- doing the same things over and over again and expecting different results. Only in this case, seems people have no idea what the results they are getting really are -- that they are creating a problem where there often is none.
07:32 PM on 03/06/2012
Gwen, you wrote, "Here's the reality. The characters and text were placed on a huge, convex wall, and were very difficult to read and truly take in given the direction of the walkway leading to the exhibit entrance and the overall dimensions of the room. You basically notice a big cartoon in passing but that's about it. And, the images are not anything but a cartoon. There is nothing scary about them or anything about them that would cause a child of any age to feel bullied or ashamed. Given our comic book culture infatuated with superheroes and villains, kids would see the comic in that light, nothing more. In fact, watching the families walk with us along the path to the exhibit, no one seemed to stop to notice the wall -- adults or kids."

So, if nobody is paying any attention to the display, then why have it? Do you really want us to believe that Disney wasted money on this so that nobody would notice it?

Here is the true reality... it's there for a reason and people ARE noticing it! And our children will be damaged by it.
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Gwenn O'Keeffe
06:22 PM on 03/06/2012
Thank you to everyone who commented so far. Especially on complex issues, it's important to air all sides. As we all add input to this complex issue, ideas on how to help kids and families struggling with becoming more healthy in a society wired to push families in an unhealthy direction will start to get generated. As it stands today, our current programs are inadequate. Disney and Florida Blue gave a unique program a try. It may not have hit the mark to everyone's liking but at least they tried and...they created a program that did something that most programs have failed to do: put smiles on kids faces. The kids participating in that exhibit with my family were having a blast - and that is something we shouldn't undervalue regardless of what else is going on.

One more thing - please remember to be respectful on this blog. I value all comments and from all commenters but do draw the line on personal attacks towards me or towards other folks willing to put a comment on this space. Thank you.
04:54 PM on 03/07/2012
You say that it put a smile on kids' faces. Out of curiosity, what was the overall body-type makeup of the group of kids you saw? Because if I had money, I would bet money that it put a smile on *thin* kids' faces, specifically - because they could play and participate in this exhibit without looking at it and seeing themselves reflected in the villains everyone is so gleefully fighting. The difference in how one experiences something like this is deeply informed by where they fall on the fat-thin spectrum. And if the goal is to put a smile on kids' faces, why not just do an interactive superhero game like this, without the fat-shaming part? As you say, the "eat healthier and move more" message is incredibly ubiquitous in this society. It's not like they really *needed* to hear it one more time, in one more way.
12:54 AM on 03/08/2012
I absolutely disagree that the "having a blast" part outranks the bullying aspects that have already been brought up. I think it sets a dangerous precedent to allow kids to laugh at a fat guy on the screen because it's just so easy to translate that to real life. Leadbottom got the message, but some real-life kid isn't going to - he's only going to hear himself being judged by friends. I was the fat kid who got the nasty comments all the time growing up. If something had been around to promote that back then, I shudder to think what my life would have been like.
04:09 PM on 03/06/2012
It is clear that this pediatrician does not get it! It does not matter how SHE perceives it. What matters is the danger it poses to kids, especially those at risk for bullying or eating disorders. In making all the "bad" characters fat and all the "good characters" thin, it promotes stereotypes. It tells everyone that it is their own fault they are fat and that thin folk live a more virtuous life. Since weight is not just about lifestyle, it will encourage many to pursue more dramatic and dangerous weight loss methods, costing everyone more money. It also makes weight public domain, the point of the exhibit is that others have the moral right to intervene into our lifestyles! They do not!!! Not to increase the profits of the greedy insurance companies; not to appease misguided intentions. I am embarrassed for this "healer." How dare she discount the emotional reaction of so many people who have lived through these types of campaigns? Their genuine feelings of alarm are the RESULT of lifetimes of such counterproductive intervention. I wonder if she ever listens to patient feedback and their own sense of what works and what doesn't, or she relishes being the omnipotent physician who discounts her patents intuitive knowing in their own healing process. It is exactly this attitude that is the reason medicine has been harping about obesity for years and not only been grossly ineffective, but has harmed more than it has helped! S Sanders, MA